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25 | On 1/24/24 LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with Assistant Administrator Matthew Montilla and explained the purpose of the visit.
LPA toured the facility inside and outside including a random sample of resident rooms, common areas, and kitchen area. LPA observed some residents were watching TV in the living room. Another one having podiatry services. The rest of the residents are in their respective rooms resting. While touring the facility it was observed that the temperature was at 70 deg F. Hot water was also tested and the temperature was at 120 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current. Resident bedrooms were observed to be in good repair. Bathrooms have grab bars and non-skid floors. There is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are done quarterly.
Five resident records and five staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic 20hr requirement. Facility has a certified administrator on site with complete certification and training requirements. Facility accepts hospice residents and are in compliance with the required waiver requirements.
Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.
LPA requested the Certificate of Liability Insurance to be emailed.
No deficiencies are cited at this time. Report is reviewed and a copy is provided |