Facility Evaluation Report

On 04/25/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct an annual visit. LPA met with Facility Designated Administrator (FDA), Priya Lal and explained the purpose of the visit. The purpose of this visit was to conduct an annual visit.

This is facility is licensed for 180 residents, 137 of whom may be non-ambulatory, 31 ambulatory, and 12 bedridden residents. This facility also has a hospice waiver for 15 residents and has a dementia plan on file.

Current census was 106. A brief interview with FDA Lal was conducted.

There are currently 11 residents on hospice at this time.

Medication cabinet was reviewed. It was learned that narcotics and all other medications were housed in medication carts that were used to store and dispense medications to the residents at this time. This facility has an electronic Medication Administration Record system. A brief interview was conducted with facility staff responsible for handling, dispensing, and documentation of the medications at this time. First aid kit was observed to be present and contained all of the required components at this time.

All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time.

Office rooms and other areas intended for resident use were toured.

Kitchen area was toured. Facility freezer and refrigerator units were toured. LPA reviewed the food storage supply to make sure that there was always a 2-day perishable and 7-day nonperishable food quantities on site at all times. Knives were observed to be locked and made inaccessible to the residents at this time.