Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 10:14 AM to conduct an unannounced Case Management - Deficiencies visit at the facility today. LPA met with facility Executive Director (ED) Grace Hartnett and the Director of Assisted Living (DOAL) Yamilette Capilla entrance interview conducted and the reason for the visit was explained.

The purpose of today’s visit was to follow-up on a self-reported incident that occurred on 10/04/2025. During today’s visit, the LPA conducted interviews with the Executive Director (ED) and the Director of Assisted Living (DOAL), reviewed Resident #1’s (R1) medication administration record (MAR), and collected copies of pertinent documentation between approximately 10:20 AM and 11:48 AM.