Facility Evaluation Report

On 05/15/25 Licensing Program Analyst conducted an unannounced case management visit (CMV) at the facility. LPA was met by staff one, Lauren Amaya Resident Care Director (S1), and the purpose of the visit was explained. LPA and S1 toured the facility to test and observe two (2) delayed egress exits; located in the patio at Merrill Gardens, Garden House (memory care area). LPA requested resident and staff rosters, in-service training regarding elopement and an email thread of the repair process(es).

This CMV was conducted in order to verify that the facilities' delayed egress exits are back in working order. LPA and S1 both observed two (2) delayed egress exits in working order, located in the patio section of the Garden House. LPA timed two (2) delayed egress exit door(s) and found each exit to have an open-release of around 20 seconds prior to allowing a person, or resident, from departing the patio. LPA has verified that both two (2) delayed egress exits are in working order and LPA observed both exits notifying the Garden House staff as well as the front desk. LPA then observed the front desk contacting all staff of the delayed egress alarm(s) via two-way radio.

There have been zero deficiencies cited during today's visit.

An exit interview was held with staff one, Lauren Amaya Resident Care Director (S1), and a copy of this report has been provided.