Follow-up·December 5, 2023

Licensing Program Analyst (LPA) Cynthia Chan conducted a case management visit in relation to the deficiencies cited on 5/16/23. On 5/16/23, a deficiency was issued for the signal system in the resident rooms being non operable. Staff stated the new signal system was purchased and is pending installation. During the visit today, LPA conducted a walk through to verify the new signal system is working. Each room has a pull cord located by the door. Once it is pulled, the room number appears on the call box that is placed on the nursing station. The nursing station is located in the common area of the resident building. The beeping sound is heard until staff goes in the room and manually turns it off. LPA checked random rooms and the signal system appears to be working properly. Therefore, the deficiency is being cleared today. An exit interview was held and a copy of this report was given to the administrator.