Facility Evaluation Report

Licensing Program Analysts (LPAs) Quoc Huynh and Trevor Byrne arrived at the facility unannounced to conduct the required annual visit beginning at 11:18 AM. LPAs met with facility Executive Director (ED) Grace Hartnett. Entrance interview conducted and the reason for the visit was explained.

The facility has three (3) floors divided into separate areas of memory care, assisted living, and independent living occupants. The facility is licensed in Building A on the 1st, 2nd and 3rd floor and In Building B, only on the 2nd floor as an RCFE.

Beginning at approximately 12:30 PM, the LPA, along with facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

BEDROOMS : There are One-Hundred sixty-three (163) bedrooms in the facility, one-hundred and forty one (141) are assisted living bedrooms and twenty two (22) are memory care bedrooms. LPA and the facility Administrator toured sixteen (16) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. LPA tested the emergency pull cords in two (2) resident rooms. The staff's response time did not exceed six (6) minutes.

BATHROOMS : All resident bedrooms in the facility have attached private bathrooms and shared bathrooms are located throughout the common areas of the facility. All bathrooms LPA inspected were observed to be clean and in good repair and all were equipped with nonskid surfaces. Grab bars were observed in all showers and near all toilets, all were properly secured. The water temperature was measured between 106.0 and 113.7 degrees Fahrenheit, which is in compliance with regulation. Continued on LIC 809C.