Facility Evaluation Report

On 3/28/2025, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator, Michael Zuletta who was informed of the purpose of the visit. The facility has a fire clearance to serve 104 non-ambulatory elderly residents. The facility also has an approved hospice waiver for 30 and LPA was informed 12 residents are currently receiving hospice services at the facility.

LPA toured the facility with Administrator Zuletta and observed the facility is made up of a one-story building designated for memory care. The facility has large dining rooms and common areas available for resident use along with outside shaded seating. Indoor and outdoor passageways are free of obstruction. No bodies of water were observed on the premises. LPA observed fire alarm systems, carbon monoxide detectors, and charged fire extinguishers throughout the facility. The fire extinguisher service tags noted the fire extinguishers were last serviced on 3/5/2025. LPA reviewed the Inspection and Testing Certificate provided by JJJ Enterprises noting the facility's fire alarm and signaling systems passed their inspection conducted on 3/5/2025. LPA also reviewed the facility's Fire/Internal Disaster Drill noting the facility's last fire drill was conducted on 3/8/2025. LPA toured the kitchen and observed food was stored in a safe and healthful manner. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable food items. LPA observed a card rack on the kitchen wall noting residents' food allergies and dietary needs. Resident interviews confirmed kitchen staff accommodate residents’ special requests/dietary needs. Medications are secured in medication carts, only accessible to authorized personnel such as facility nurses and medication technicians. During today's visit, LPA did not observed any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Zuletta.