Routine inspection·December 8, 2025

On December 8, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Executive Director Nancy Rodriguez were available to assist with the facility inspection. The facility is licensed for one hundred fifty two (152) non-ambulatory residents with approved hospice waiver for twenty five (25) residents. Currently, there are nine (9) Hospice residents present during today’s visit. Facility has two buildings, the first is a three story with one hundred (100) apartments housing Assisted Living residents. The second building is a two story with a Memory Care located on first floor with twenty (20) apartments and second floor with fourteen apartments housing Assisted living residents. Every apartment has a private restroom. At around 8:45 AM, LPA conducted a tour of the physical plant accompanied by Executive Director Nancy Rodriguez, and the following was observed: Facility has a swimming pool located on first floor outside of main dinig room area. Pool has a secured gate which meets licensing requirements. Facility has a kitchen and bistro area located on first floor. Facility also has a activities room, movie theater, salon and common area living room all located on first floor. During inspection, resident rooms were visited and rooms had beds and bedding supplies which were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bathrooms were operational with water temperature measured between 117.8 to 119.6 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. CONTINUED ON 809C LPA observed the facility to be furnished at the time of the visit. Sharps objects were stored and not accessible to residents in care. The kitchen was inspected, and sufficient perishables and non-perishable food was maintained adequately. Facility has a storage area for emergency food and water which had adequate supply of food. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of the Medication Records Administration (MAR) was conducted, LPA reviewed ten (10) Medication records and LPA observed the records are in compliance. LPA observed First Aid Kit was maintained. The last fire drill was conducted on June 25, 2025. LPA observed records from Trasom Fire and Security dated February 10, 2025 which showed equipment testing for fire alarm system and extinguishers as operational and passed inspection. A review of thirteen residents (R1-R13) service files and eight staff (S1-S8) personnel files revealed to be complete. The facility has the current administrator's certification on file for Nancy Rodriguez # 7010206740 - Expiration 05/6/2027. No deficiencies during this inspection visit. An exit interview was conducted with Executive Director Nancy Rodriguez, and a copy of the report was provided.