Facility Evaluation Report

On 08/27/2024 at 12:00 PM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Staff #2 (S2) and was granted entry to the facility. At the time of the visit there were three (3) staff present, and four (4) residents present. Administrator Susan Nuguid was contacted and informed of the visit. Administrator Nuguid arrived during the visit. LPA Brown explained the purpose of the visit to Administrator Nuguid.

The facility is a four (4) bedroom, two (2) bathroom home with a kitchen/dining area, living room, activity room and laundry area. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) residents of which six (6) can be ambulatory and four (4) may be non-ambulatory, and one (1) bedridden resident. The facility has six (6) Hospice Waiver. The current census is four (4) residents. LPA Brown was accompanied by Staff #2 (S2) to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA Brown observed no obstructions to indoor but observed obstructions to outdoor passageways. Deficiency will be issued. The facility is maintained at a comfortable temperature of 73 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, lamps and storage space. LPA Brown observed sufficient lightning. Moreover, LPA Brown observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms. However, LPA Brown observed no night lights maintained in hallways and passages to nonprivate bathrooms. Deficiency will be issued. Also, LPA Brown observed screen door in disrepair. Technical Violation issued.