Follow-up·April 2, 2025

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required quarterly case management inspection. LPA met with Vera Okyere, Administrator, and explained purpose of inspection. LPA observed (2) residents in the common area and (3) residents to be in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (4). Currently, there are (0) residents on hospice. LPA reviewed the binder with documentation of monthly training for all (3-4) staff to have been completed for November 2024 through March 2025. Training topics varied each month: Psychosocial Needs of the Elderly, Nutrition and Exercise, Restricted Health Conditions, Dementia care, and Resident Rights. Administrator agreed to conduct training on Medication Management in April 2025 and in May 2025, if needed. LPA and Administrator toured the inside areas of the facility including the kitchen, bathroom, resident rooms, laundry area and staff rooms. LPA observed all areas to be clean and in good repair. LPA observed the main refrigerator to contain several dozen eggs, yogurt, produce, sweet treats, condiments and the main freezer to be full with a variety of frozen meals, pot pies and chicken nuggets. LPA observed the spare refrigerator in the pantry area to contain several loaves of sandwich bread and milk and the pantry to contain dry goods such as cereal, peanut butter, pasta, and assorted canned foods. LPA advised the Department will conduct a subsequent quarterly visit on/around June 2025. LPA and Administrator also discussed Plan of Corrections outstanding and what is needed still to clear. LPA to follow up and send an email with specifics for clarification. There are no deficiencies cited in this report. Exit interview. Copy of report emailed to Administrator due to technical issues.