Pre-licensing visit·June 6, 2025

Unannounced Prelicensing visit made out to this facility on 06/06/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated representative, Michelle Coelho (Health Services Director), who was briefly interviewed at this time. Current census was 82 residents. It was learned that there were (8) residents under the care of hospice at this time while (12) other residents were receiving services through home health as well. This facility does have a hospice waiver approved for (15) residents and does have a program on file to address dementia care for residents at any given time. It was learned that there weren't any residents deemed to be bedridden at this time. This facility does not have a fire clearance to be able to accept/or retain any residents deemed to be bedridden at this time. A tour of this facility was conducted. The purpose of this Prelicensing visit was to follow up on items that needed to be corrected and brought into compliance in order for this facility to move forward in the licensing process for a change of ownership. The following items were reviewed at this time from the prior Prelicensing visit that was conducted on 05/09/2025: Based on facility resident record review, the licensee did not comply with the section cited above in [1] out of [5] resident files did not have an updated medical assessment completed which posed an immediate health, safety or personal rights risk to persons in care. Based on record review, the licensee did not comply with the section cited above in [1] out of [5] facility resident records was missing the determination for ambulatory/non ambulatory status which poses an immediate health, safety or personal rights risk to persons in care. There were no additional deficiencies that were observed or noted at this time. This facility was observed to be in compliance at this time. Exit Interview