Routine inspection·February 27, 2024

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced required annual inspection. LPA met with Administrator Angela Lee, and explained the purpose of the visit. The facility is licensed as a Continuing Care Residential Community (RCFE-CCRC) to serve 518 residents, 60 years and above, of which 259 may be non-ambulatory. The hospice waiver is approved for 10 residents. There are currently 30 Assisted Living residents, 2 residents in the Memory Care unit, 77 residents in Skilled Nursing, and 254 residents in Independent Living. LPA Lopez toured the community with the Administrator for the Assisted Living and Memory Care units, in addition to some of the common areas of the facility. The facility has a universal screening at the front lobby for staff and visitors. Temperature is taken and documented on the sign in log. LPA observed Coronavirus (COVID-19) signage posted throughout the facility. The Assisted Living unit and Memory Care unit are detached from the main building. The Assisted Living unit consists of 32 individual apartments with their own bathrooms and a shared dining area. The dining room tables are socially distanced. The Memory Care unit consists of 4 bedrooms, one TV room, 1.5 bathroom, living room, dining room, and kitchen. There is an alert system installed at all the doors. Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting residents and medications. Disposals of trash are done immediately after changing a resident. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and have an infection Control Plan at facility. continued... Incidental Medical & Dental: The medications are centrally stored and in their original containers. During the visit today, LPA reviewed 4 residents' medication, and all medication is administered according to doctor’s orders. However, the PRN medications are missing labels. Food Service: There are sufficient food supplies of 2-day perishable. Seven day non-perishable in storage. The food is properly stored in the refrigerator to avoid cross contamination. Due to insufficient time, LPA will return another day to complete inspection. Deficiency cited (see 809D) , copy of report and appeal rights provided.