Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by concierge Caroline Fitzgerald. LPA discussed the purpose of the visit with Administrator’s Izzy Perez and Michelle Neumann and Kaitlyn Collins, Director of Resident and Family Services (DRFS).

According to the facility’s license, there may be a maximum of 122 residents all of whom may be non-ambulatory in at any given time at the facility site with an approval waiver of 25 residents on hospice. Facility is approved for delayed egress and secured locked perimeters. During today’s inspection, the facility’s current census is 68 residents living at the facility. There were 68 residents present at the facility site during the inspection.

LPA, accompanied by Administrator Neumann, DRFS Collins and Josue Lopez Director of Plant Operations, toured the interior and exterior of the facility, and inspected residents’ room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required linens and furnishings. Doors, windows, toilets, and showers were all in working order. Extra linens and hygiene supplies are kept in the caregiver linen closet. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities.

The facility’s ambient internal temperature was comfortable and compliant, at 74 degrees Fahrenheit (F). Hot water temperature at taps accessible to residents were compliant: In the Nexus Community, hot water temperature in a random room measured 108 degrees F; kitchen sink measured hot water at 107.8 degrees F;