Facility Evaluation Report

Unannounced annual visit made out to this facility on 02/28/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated representative Karen Riggs who was briefly interviewed. It was learned that there were residents under the care of hospice at this time while other residents were receiving services through home health as well.

This facility does have a hospice waiver approved for (10) residents of which there are (4) present at this time.

It was learned that there weren't any residents deemed to be bedridden at this time.

A tour of this facility was conducted at this time.

Administrator certificate was observed to be present and in compliance at this time for facility designated Administrator Sheryl Bravo.

Kitchen area was toured. Cabinets and drawers were reviewed. Food preparation stations, dishwashing station, and other areas intended for meal preps were toured.

Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. This LPA did observe additional food storage units which were present and functional at this time.

A tour of the dining area, living area, and all other areas intended for resident use was conducted.

Medication rooms, located on each floor, were reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications were discussed with the facility designated medication technicians at this time. The medication carts were observed to be locked and made inaccessible to the residents at this time.

A tour of the resident bedrooms and restroom was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. It was learned that there were several different floor plans for residents on the Assisted Living portion of this facility.

Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees.