Routine inspection·May 7, 2025

At 9:45 a.m., Licensing Program Analyst (LPA), Antonia Alvizar-Ettima conducted an unannounced annual inspection at the facility mentioned above. LPA met with the Director of Nursing & Director Residential Health & Wellness. LPA explained the reason for the visit. At 10:30a.m., physical tour was conducted with the Director of Nursing. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools. The facility is a two-story building with private and shared bedrooms, private bathrooms, kitchen, dining room, recreation rooms, common areas, patios, and outdoor areas. The facility has a Memory Care, Skilled Nursing, Residential Assisted Living and Independent Living. The facility has a fire clearance for one hundred and twenty-six (126) non-ambulatory residents, and a hospice waiver for seven (07) residents. The facility has multiple fire extinguishers located throughout the facility and all have a service tag dated of 01/17/2025. The smoke detectors are tested monthly and based on the LPA observations of the monthly inspection reports that shows results as passed for all apartments. The facility is equipped with fire sprinklers. Elevator: The facility has two (02) functioning elevators. LPA observed a posting for the facility’s emergency evacuation routes which was clearly labeled. Living, dining room and common areas: The facility has three (03) patio areas for residents in care. LPA observed the outdoor patio area for memory care and residential assisted living to have sufficient table and chairs for seating under a cover area. The facility has multiple dining areas throughout the facility that has a kitchenette area (counter, sink and refrigerator) inaccessible to residents. No toxins or hazardous materials stored in these areas. The facility has bookshelves located in the hallways which are accessible to residents for enjoyment. All common areas are appropriately furnished with tables and chairs and adequate lighting. LPA observed the areas to be clean and free from debris. LPA observed a storage closet on the second floor near the elevator to be storing an emergency disaster kits, wheelchairs and extra linens and hand and bath towels. LPA also observed additional closets for extra linens. Surrounding Grounds : The front grounds of the facility are well landscaped and have a leveled walkway to the entrance. All passageways were observed to be clear from obstruction and no bodies of water were observed. Resident Files : LPA conducted a file review of six (06) randomly selected resident records to ensure compliance of licensing forms. Residents’ files appear to be complete and updated. Staff Files: LPA conducted a review of seven (07) staff records and they all have criminal record clearances and associated to this facility. Staff have current first aid and t raining documentation showing training completed. Administrator's certificate was observed to be current. Due to time constraints, LPA had to terminate the visit and will return on a later date to complete the Required - 1 Year inspection by inspecting kitchen, food, bathrooms, bedrooms, medication, laundry and interview residents. An exit interview was conducted. A copy of this report was provided to the Director Residential Health & Wellness. No deficiencies cited, exit interview conducted, copy of report signed and issued.