Routine inspection·March 6, 2026

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced required annual inspection. LPA met with Administrator Joelle Medina 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 26 Assisted Living residents, including 14 in temporary Joselyn wing, 2 residents in the Memory Care unit, 60 residents in Skilled Nursing, and 254 residents in Independent Living. LPAs 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 Assisted Living unit and Memory Care unit are detached from the main building. The Assisted Living unit consists of 32 individual apartments, of which 19 are being remodeled and 14 residents are being temporary housed at Joselyn wing, with their own bathrooms and a shared dining area. The Memory Care unit consists of 4 bedrooms, one TV room, 1 full bathroom and ½ bathroom, living room, dining room, small visiting room and kitchen. Currently there are two (2) resident residing in memory. There is an alert system installed on 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 has an infection Control Plan at facility. Operational Requirements: The facility does accept patients with dementia. There are 0 bedridden residents residing at the facility. The facility has enough liability insurance covering injury to residents and guest. (continued on 809C) (continued from 809) Physical Plant & Environment Safety: There is a pool on the premises, and it is secured as required. Facility has operable smoke and carbon monoxide detectors located in each room and hallways and central fire alarm that were all tested. The memory Care was missing carbon monoxide detectors. Facility staff promptly installed them during visit. Knives, cleaning solutions, and disinfectants are locked and inaccessible to residents. No firearms or weapons are stored at the facility. LPA measured the hot water temperature in the resident’s bathrooms and kitchen sink. The hot water temperature in the bathrooms was measured between 112.6-118.8 degrees F, which is within required range of 105-120 degrees F. Staffing : There appears to be sufficient staffing at the facility. The administrator's (Joelle Medina) certificate expires, 06/11/2027 Staff employed are all over the age of 18. Personnel Records-Training : Staff files are maintained at the facility. Staff have current CPR/first aid training and sufficient on-going training. Resident Records-Incident Reports: Resident files are maintained at the facility and have the following documents in their files - Identification & Emergency Information, Original Physician's Report, Pre-admission appraisal/Appraisal Needs & Services Plan. Some residents files need Physicians reports. Resident Rights-Information: The Complaint poster and Residents personal rights are posted by the main entry. Visitors can visit anytime. Incidental - Medical Dental : S ome medications were missing from cart and some did not have labels. Most of the medications are administered as ordered. Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are sufficient supplies and equipment to meet resident's physical capability. Disaster Preparedness: The facility has an Emergency Disaster Plan but requires updating. Fire and disaster drills are conducted monthly. Last one was 3/02/2026 Facility will find additional evacuation location outside the immediate area and update Emergency Disaster plan. Residents with Special Health Needs: The facility does not accept and retains residents with special health needs. Exit interview conducted, deficiencies cited, technical advisories provided, 809D and appeal rights provided.