Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Isabel Melanson arrived later, Administrator Certificate 7024381740 expires 2/8/27.

At approximately 9:30am LPA toured the building and grounds. Facility currently has twelve (12) residents, two (2) of which are on hospice. LPA observed food stored in a safe manner with all open items covered. However, facility did not have at least a 2 day supply of perishable and 7 day supply of non-perishable food sufficient for 12 residents ( deficiency cited, see 809D ). Kitchen area is accessible only by half door. Kitchen drawer with sharp knives locked . Laundry room in long hall has cabinet that stores some cleaning solutions and toxins. Additionally, facility has cleaning supplies located in locked closet . Administrator joined LPA on tour of building and grounds after arriving.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperatures in sinks accessible to residents in care measured at 118.3 degrees F in room #11, 110.5 degrees F in room #10, 115.5 degrees F in room #8, 107.3 degrees F in long hall bathroom, 124.2 degrees F in bath next to room #2, and 124.7 in main shower room sink but 104.1 degrees F in main shower room shower head, 147.7 degrees F in room #3 and 149.5 degrees F in room #5. Water temperatures are therefore both over and under the allowable range of 105 to 120 degrees F ( deficiency cited, see 809D ). Fan switch in main shower room malfunctioning as it will not stay in the on position ( deficiency cleared, see 809D ).