Facility Evaluation Report

On 6/4/2025, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Co-Administrator Manharlal Doolabh. LPA explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms and kitchen area. Facility has a fenced pool. No residents have been swimming since 2007. LPA observed all residents to have left for community for day programs. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked in a cabinet. Food supply was observed with an adequate two day perishable and seven day non-perishable. Carbon monoxide/smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill are done every month.

Five resident records and five staff records were reviewed. Resident’s PNI money was counted and all accounted for. Centrally stored medication was locked in a cabinet and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated.

No deficiencies are cited at this time. Report is reviewed and a copy is provided