Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced case management visit regarding the incident report received on 02/13/2025. LPA met with Debbie Teixeira and stated the purpose of the visit.

The facility is licensed to serve adults age 60 and over. 250 non-ambulatory of which 12 may be bedridden. All room approved for bedridden. Dementia unit rooms 140-180, approved for delayed egress. Hospice waiver for 10.

Based on the report received resident 1 and 2 (R1 and R2) were in the dining room when R2 was holding onto R1s arm tightly. Staff member witnessed the incident ad stepped in and separated R2 from R1. R1 has cognitive impairment (dementia) and was unable to provide a statement regarding the incident. R2 also has cognitive impairment and therefore was also unable to provide details of the event that occurred. R1 was not injured during the altercation. The altercation happened during dinner time on 2/12/2026.

LPA collected LIC 602, physician's report, appraisal needs and services plan for R1 and R2. At this time, this case in under review and department will conduct a follow up visit , if warranted.

No deficiencies were cited during today's case management visit and copy of the report was provided.