Incident investigation·March 25, 2026

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection regarding (2) incident reports submitted to the Department. LPA met with Janeyn Kelly, Administrator, and explained the purpose of the inspection. Also present were staff, Jhamil Espino and Jacob Espino. LPA observed (4) residents present enjoying live music outside on the patio. LPA and administrator discussed resident (R1) who had an unwitnessed fall on March 8, 2026 (4:30 am). (R1) sustained a skin tear on the left side and some bruising. Home Health nurse was called and completed an assessment and medications review. Safety precautions remained in place. (R1) was very lethargic and wouldn't wake up in the morning on March 13, 2026 (9:00 am). Home health was contacted, assessed resident and recommended (R1) be sent to the Emergency Room. (R1) returned later in the day (11:30 pm) and was advised to consult with their Primary Care Physician (PCP) before administering Trazadone again, due to it causing drowsiness. (R1) met with their PCP on March 18, 2026 and there were no new medications prescribed during that visit. (R1) has additional medical appointments scheduled in the next few months. Staff will continue to provide a consistent, daily routine and sleep schedule, and communicate with (R1's) family member regarding any concerns with sleep or behaviors, as a result of (R1) suffering a stroke in January 2026. LPA observed (R1) to be enjoying live music on the patio and reading a newspaper on the couch later during the inspection. The facility will continue to document efforts made with (R1's) care and routine. It appears the facility timely notified home health when (R1) had a fall or change in condition. There are no deficiencies issued in this report. Exit interview. Copy of report provided to Administrator.