Routine inspection (multi-day)·November 19, 2024

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Continuation Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Emily De La Barre. The facility was licensed for a capacity of two hundred fourteen (214) non- ambulatory residents. Eight of these residents could be bedridden in bedrooms #124-137. The facility was also approved for a hospice waiver for fifteen (15) residents. The LPA randomly selected resident bedrooms and bathrooms, tested the water temperature, tested the facility signal system, and confirmed they were within the range required and operational. Bedrooms had the required furnishing, including dressers, bedding and lamps. One carbon monoxide detector was observed and tested during the tour. Licensing postings were visible in different areas of the facility. Staff and resident records were reviewed during the visit and interview conducted. The LPA provided technical advise and no deficiencies were cited on today's date. An exit interview was conducted with Executive Director De La Barre, to whom a copy of this report, and Licensee rights (LIC 9058), were provided.