The facility was already warned by the Regional Office and the Fire Department that the Certificate of Occupancy stated that this building could not have non-ambulatory residents on the 2^nd floor and the Fire Clearance issued, during the initial licensure that had been in place for over 20 years, was approved in error and must be corrected.

During the initial, Case Management Visit conducted on 10/10/2024, LPA Panushkina was informed that eighteen (18) non-ambulatory residents were residing on a second floor. The facility also provided names and apartment numbers for all eighteen (18) residents. The Regional Office requested all eighteen (18) residents to be moved/relocated to the 1^st floor.

During today’s visit LPAs toured all eighteen (18) non-ambulatory residents’ apartments on the 2^nd floor , with the Health and Wellness Director (HWD) and discovered that one (1) more resident from Unit #404 was also non-ambulatory and received hospice. Moreover, during the visit, LPAs were informed that one (1) out of nineteen (19) residents had passed away on October 28th, 2024. Additionally, three (3) out of eighteen (18) non-ambulatory residents interviewed, informed LPAs that they are in a process of moving to a different facility (estimated time: by December 15th, 2024). Facility continues to conduct routine checks on non-ambulatory residents every two (2) to four (4) hours. However, facility did not and could not provide a log. LPAs requested the HWD to create and keep a log for frequent checks for non-ambulatory residents. No bedridden residents were currently residing on a second floor. Although, LPAs were informed that the facility follows the regulations, LPAs did not observe any additional safety measures from the last visit (conducted on 10/10/24). Continue on LIC809-C