Follow-up·April 22, 2022

On 4-22-22 at 3:05pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management regarding facility’s signal system status. LPA met with Regional Executive Director (RED) Jenna Silva and explained the purpose of the visit. Administrator Anuradha Saini was notified and gave permission for Jenna to sign in her absence and accommodate LPA. LPA observed new phones to be put in place for residents which will send a signal to care staff altering them to location of resident for purposes of addressing care needs. LPA interviewed RED during case management and conducted facility observation. Based on interviews, it was revealed that necessary parts have been delivered and a programming technician necessary to conduct programming for the new system is delayed due to internal staffing issues with supplier. LPA observed a technician in facility attempting to program pendants previously used to provide a temporary signal system before new phone system is functional. LPA also observed various residents continuing to utilize handheld bells as a temporary signal alert system. RED made aware that signal system must be in place and functional 4/29/22. No deficiencies observed today. An exit interview was conducted with Jenna Silva and a copy of this report was left with Jenna.