Routine inspection·February 23, 2023

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Carmen Ion, Administrator, and explained purpose of inspection. LPA observed (1) resident in the common area and (4) residents in their rooms at the start of the inspection. In addition, LPA observed (2) hospice nurses present with (2) residents receiving hospice services. The facility is licensed for (5) non-ambulatory residents and has a hospice waiver for (2). Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols, wore a surgical mask and was screened per Covid-19 precautionary measures upon entering the facility. LPA and Administrator toured the interior and exterior of the facility including the common areas, (1) private resident bedroom, (2) shared resident bedrooms, (2) resident bathrooms with showers, kitchen, office and garage/laundry area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps and toxins in the kitchen and locked medications nearby. LPA observed the inside temperature to be 75*F. The fire extinguisher was last serviced on 3/30/22. Discussed vaccination status of residents/staff and eligibility for boosters . Booster flyer provided. LPA observed multiple Covid posters throughout as well as other required postings. RCFE Administrator certificate #6034379740- exp 3/16/23 posted- renewal is pending. LPA observed (1) unlocked gate from the inside back patio and outdoor seating with shade. LPA observed sufficient incontinent, paper and PPE products on hand. Administrator to post a "mask required " sign near the front entrance. . LPA and Administrator completed the Infection Control Domain of the tool. LPA obtained an updated copy of the LIC500 and current liability insurance during today's inspection. There are no deficiencies issued during today's inspection. Exit interview. Copy of report provided.