Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection. LPA Rodgers were granted entry into the facility by Executive Director Angela Scott-Kapiloff after identifying herself and stating the purpose of the inspection. The facility serves elderly residents, age 60 and above, 101 whom may be non-ambulatory. There is an approved Hospice Waiver for 18 residents. The facility is approved for delayed egress.

LPA was accompanied by Scott-Kapiloff for a tour of the facility which was conducted inside and out and included a sample of resident units, the dining area and recreation rooms. There is a fire signal system in place and the carbon monoxide detectors were operational. The last disaster drill was conducted on December 2023. Exterior and interior passageways were free from obstructions. Pull cords, sensor alerts with pendants are present in the facility. LPA observed functionality of signal system. Resident and facility room temperatures were within a comfortable range.

Each resident had clean and sufficient bed linens, towels, and washcloths. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars. Hot water temperature in residents’ bathrooms were compliant.