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25 | On 12/02/2024 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Co-Administrator Irene Mehta. LPA explained the purpose of the visit.
LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area & garage. The indoor and outdoor passageways were free of obstruction. Facility has 2 storage sheds at the back which was checked by the LPA. LPA observed some residents resting in their bedrooms and living room. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. Resident bedrooms are observed to be in good repair. Bathroom is equipped with grab bars non-skid floors. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter.
Three resident records and two staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Facility has a certified administrator on site with complete certification and training requirements.
Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.
No deficiencies are cited at this time. Report is reviewed with Administrator and a copy is provided. |