Facility Evaluation Report

At approximately 8:40 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a 1-Year Required inspection. Executive Director (ED) Jeanette Kinney arrived at approximately 9:30 AM. Brookdale Windsor is Licensed as a Residential Care Facility for the Elderly (RCFE). The Facility has a plan of operation for dementia care and programming on file. The facility has an approved fire clearance and total capacity for eighty (80) non-ambulatory residents. The facility has an approved hospice waiver for ten (10) residents. The facility is a multi-level building with a large patio and garden area between the two (2) resident wings. LPA was informed that there were sixty-five (65) Residents in care. At approximately 9:45 AM LPA reviewed Facility Staff Roster and found that all staff members were background cleared and associated to the facility per regulation.

At approximately 10:20 AM, LPA reviewed nine (9) resident files. Nine (9) of nine (9) resident files were observed to be well organized and thorough with all required documentation including current Service Plans and Physician's Reports. LPA reviewed eight (8) staff files. Eight (8) of eight (8) staff files were observed with all required documentation including First Aid and CPR certification and proper training documentation. LPA audited Medication for nine (9) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items.