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25 | On 8/31/2023 LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with Administrator, Nancy Uy. LPA explained the purpose of the visit.
LPA toured the facility inside and outside including resident rooms, common areas, and kitchen area. LPA observed a resident having breakfast. While touring the facility it was observed that the temperature was at 72 deg F. Hot water was also tested in the resident bathrooms and the temperature was 110 deg F. Bathrooms are equipped with grab bars and non-skid floors. Resident bedrooms were observed to be in good repair. Carbon monoxide monitor is working properly. Fire extinguisher have been checked dated 7/8/23. LPA toured the kitchen, food supply is enough for the 2 remaining residents until they are transferred.
Two 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 20hr requirement. Facility has a certified administrator on site with complete certification and training requirements. Facility accepts hospice residents and are following the required waiver requirements. LPA attempted to interview the two residents. One staff member was interviewed.
Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.
While touring the facility outside, there’s a lot furniture, household items to be picked up for trash due to facility will be non-operational after the last resident has been transferred. Health and safety issues being the reason why facility will be non-operational.
No deficiencies are cited at this time. Report is reviewed and a copy is provided. |