Routine inspection (multi-day)·August 6, 2024

Licensing Program Analysts (LPAs) Angela Barutyan and Trevor Byrne Barutyan arrived at the facility unannounced to conduct a Case Management - Annual Continuation visit at 9:10AM continuing the inspection that began on 07/11/2024. LPAs met with Director of Nursing Jessica Saks and Director of Compliance Angel Ascencio and explained the purpose of the visit. RECORD REVIEW: LPAs began record review at 09:40AM. LPAs reviewed 10 (ten) staff files for documents including, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and appropriate trainings. Personnel files reviewed were complete and were observed to be in compliance. MEDICATION REVIEW: Medication review began at 11:03AM. Medications are locked and centrally stored in the wellness center office and the memory care director office. Medications for 5 (five) residents were reviewed and all are labeled and maintained in compliance with label instructions, and state and federal law. INTERVIEWS: During today’s visit, LPAs interviewed 5 (five) staff between 10:39AM-10:54AM. At 11:00AM, LPAs conducted a brief physical plant tour to ensure there are no health and safety hazards. No deficiencies cited at this time. Exit interview conducted. A copy of the report of provided.