Facility Evaluation Report

On 12/18/25, Licensing Program Analysts (LPAs) Perchuhi Milena Khurshudyan and Tihesha Smith, conducted an unannounced Case Management visit to this facility. Upon arrival LPAs met with Shakila Ardakani Administrator and explained that the reason for this visit is to continue an investigation of the case management visit initiated on 12/08/2025.

The purpose of today’s visit is to address issues and concerns regarding admission, readmission, and retention of resident #1 (R1) to the facility.

On 10/17/25, LPA Khurshudyan received an Incident Report (IR) regarding R1, who developed wound on the right toe and per home health nurse evaluation R1 required antibiotic. On 10/23/25, LPA received another Incident Report regarding R1 being transferred to hospital due to wound infection on the toe.

Prior to this visit LPAs Smith and Khurshudyan reviewed all available documents pertaining to R1’s health conditions. Upon further review of available medical records, including but not limited to Home Health, records, wound evaluate R1’s health condition, care plan, and the facility’s improper assessment practices related to R1’s return from the hospital.

During this visit at approximately 1:20pm, LPAs conducted a brief physical plant tour to ensure health and safety of the residents are protected. No health and safety hazards noted during the visit. Between 10:45am to 12:00pm, LPAs spoke with facility Administrator and reviewed additional medical records.