Facility Evaluation Report

On August 4, 2026, at 9:00AM, Licensing Program Analyst (LPA) Sulma Lopez and Licensing Program Manager (LPM) Arielle Pascua arrived unannounced at the facility to conduct an annual inspection. LPA met with Facility Administrator Kathryn Nevin and explained the purpose of the visit. The facility has a capacity for (112) residents over 60 years old and is approved for (30) hospice residents. The current census is 59 total residents. There are currently (4) residents on hospice, and (5) dementia residents.

During the inspection, LPA reviewed (6) staff files, and (6) resident files. The files are maintained current. The administrator holds a current Administrators Certificate #6077502740 with an expiration date of 05/26/2027. The facility holds a current Infection Control Plan.

At 10:30AM, LPA began a tour of the facility with the Administrator. LPA observed the facility sunroom and hallways which were free of debris and tripping hazards. The hallways are equipped with various carbon monoxide and smoke detectors in good working condition. LPA observed the fire extinguishers have been annually inspected on 09/26/2025. LPA observed the living room area which contained ample seating for resident use. Residents were participating in chair exercise with staff instruction. LPA also inspected resident bedrooms which contained furnishings in good repair. The bedrooms were clear of debris and hazards.

At 10:45AM, LPA observed the laundry room which contained extra clean linens. LPA observed the medication room and reviewed the first aid kit which contained all the required components.