Facility Evaluation Report

On 9/24/2024 Licensing Program Analysts (LPAs) B. Miranda & R. Bruce arrived at the facility unannounced to check on the over due POC and the status of a resident who previously had an incident at the facility. LPAs introduced themselves and explained the reason for the visit. Staff Larry Rimas assisted with the visit.

Facility has 2 carbon monoxide detectors which were no in working order

Handyman was on the way to fix the sliding screen door in room 3

Knives, tools, medication, & cleaning products to not be locked

Water temp in women's bathroom was not checked due to being occupied

Chair in resident's room was moved to allow access to exit door (cleared)

PRN medication is now be tracked and recorded (cleared)

Kitchen area has been cleaned, but there insects in the kitchen area

Windows/blinds have been replaced but there is some damage (cleared)

Glass window is broken and needs to be repaired

Broken furniture has been replaced (cleared)

Physician report is in a sample of resident files (cleared)

Log was not provided for emergency drills conducted

TV's generated will be emailed to the Licensee.

Exit interview was conducted and a copy of this report LIC809 was provided to staff Larry Rimas.