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25 | Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection at the above-named facility. LPA arrived at 11:30 AM and was greeted by Staff 1 (S1). Administrator Mark Cortes was present at the time of arrival. There were 41 residents in care in the Assisted Living unit with 1 medication technician, 2 caregivers on duty, and 1 activities coordinator on duty. In the “Compass Rose” Memory Care unit, there were 20 residents with 1 medication technician and two caregivers. The Compass Rose Lifestyle Director who currently oversees the activity programming for the Memory Care units of the facility was also on duty.
LPA explained the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) and is home to non-ambulatory residents with a dementia diagnosis. There are 5 residents currently on hospice.
Entrance interview conducted:
The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside.
Throughout the facility, there are approximately 12 fire extinguishers and 5 fire pull alarms. The pull fire alarms alert the local fire department when activated. Fire inspection was most recently conducted on 6/6/2023. There are approximately 81 dual carbon monoxide detectors and smoke alarms throughout the facility.
The kitchen area was sufficiently stocked with two-day perishables and seven days of non-perishables. Snacks and beverages are readily available for Residents. LPA observed the dining areas are clean. LPA observed kitchen cabinets, refrigerator, stove, and counters are clean.
Assisted Living Residents participate in activities such as special occasion celebrations, music entertainment, Boce ball, physical therapy, and excursions to local eateries and retail businesses. Memory Care residents participate in activities such as special occasion celebrations, music entertainment, and scenic drives. A "Cycling without Age" activity is available for residents in Assisted Living and Memory Care.
Please continue to 809-C, Pg 2. |