Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual.

LPA met with Robert Kovacs, caregiver, and explained purpose of inspection. Administrator, Eva Nemethy, was contacted and arrived at 1:30 pm. LPA observed (6) residents to be in their rooms at the start of the inspection. There are no residents under hospice.

LPA and the Administrator toured the interior and exterior of the facility including the common areas, resident bedrooms (6), resident bathrooms (3), kitchen, staff room and laundry area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, slip-resistant flooring, paper towels, soap and 20-second hand-washing posters. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps and toxins in the kitchen and locked medications and additional toxins in the laundry room. LPA observed the inside temperature to be 70*F. Hot water measured 116*F in the kitchen. Fire extinguisher is scheduled to be serviced by 12/3/24.

LPA reviewed (2) of (6) resident files and found them to contain the required and current paperwork. LPA reviewed medications for (1) resident- orders match medications and documentation is being maintained. (2) residents were interviewed today. Staff files to be reviewed at annual continuation inspection. Administrator has RCFE Administrator certificate #7005454740- exp 7/20/2026.

Discussed reporting requirements in detail and provided a copy of an LIC624. Also discussed updates to Regulation 87463/Reappraisals (copy provided) and Dementia care regulations. Administrator agrees to obtain updated regulations for the Plan of Operation. Discussed more organization with the medications that are being provided in bubble packs. LPA will return on another day this month to complete the annual. There are no deficiencies cited in this report. Exit interview. Copy of report provided.