Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry and met with Elena Weiner, Administrator (AD) .

The facility is a single story building with an approved fire clearance of seventy-six non-ambulatory and bedridden residents of which fifteen may be on hospice. The facility currently has a census of forty-eight residents in care with eight receiving hospice services.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing hot water temperature in five of five resident bathrooms . The hot water temperature measured between 114.9 and 117.5 degrees Fahrenheit. Fire extinguishers were charged and serviced on July 2, 2024. The facility’s last fire drill was conducted on January 4, 2025 . Building sprinklers, smoke and carbon monoxide alarms were tested with an outside vendor on April 10, 2024.

LPA and AD inspected the facility kitchen food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand . Food expiration dates were clearly written on food items. LPA observed medication storage and reviewed the centrally stored medications with AD and MedTech. LPA discussed with AD and MedTech writing start dates on bubble packs for easier inventory and audit. Per review medications are being given as prescribed.

The facility has an enclosed indoor courtyard and shaded seating areas were observed. There were no hazards or obstructed passageways outdoors. LPA toured the laundry area which is separate from the main building which is inaccessible to residents.