Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management Legal/ Non-compliance and met with administrative assistant, Lisa DiBartolo. LPA was following up on items that were concerning and ensure compliance with Non-Compliance Conference dated 2/4/26:

- Timely Medical Attention: Facility failed to seek timely medical attention for residents. During today's visit, LPA reviewed incident report logs received for the last quarter that confirmed that they were submitted within 7 days as indicated per regulation. Also, staff have received timely medical and dental training to assist residents in care.

- Documentation: Facility did not ensure that observations of residents' condition and care are documented. The facility provided LPA with resident's care notes for review that are documented in a centralized electronic application called Quiltcare where staff documents residents' daily care notes observations including bowel movement, hygiene, community integration, cognition activity, review stress triggers, transfers, teeth brushing, showers, food and fluid intake. The application allows staff to report incidents which alerts directly the Licensees for further processing and reporting by giving them the option to submit reports urgent or informational matter in English or Spanish as well as dictation options.