Inspection Reports for
Enso Village, a Kendal Affiliate

The inspection found that all previously noted issues in the Memory Care unit, including door functionality, hot water temperatures, oven barriers, refrigerator lock removal, slip-resistant flooring, and exit door barriers, have been corrected. No deficiencies were cited during this visit, and the Memory Care unit was approved for resident occupancy.

No deficiencies were cited during the visit. Licensing Program Analysts reviewed resident records and requested copies of specific records related to the incident.

The facility has several areas requiring correction before admitting Memory Care residents, including repairing the Memory Care unit entrance door to function as a delayed egress door, ensuring hot water availability in kitchen faucets, removing refrigerator locks, adding barriers to prevent resident access to hot stove elements, installing slip-resistant mats in bathrooms, and securing exit doors to prevent elopement. No deficiencies were cited at the time of inspection.

The facility was found to be clean, well-maintained, and compliant with safety and sanitation standards. No deficiencies were cited during the inspection. The Assisted Living expansion was inspected, and a written safety plan is required before occupancy.

The inspection found that floors 3-4 of buildings I, H, G and floor 2 of building G were approved for 222 non-ambulatory residents, but not for Assisted Living or Memory Care occupancy. Water temperatures in resident-accessible sinks slightly exceeded the allowable range. No deficiencies were cited during this visit.

The facility meets licensing requirements but the new building "The Meadows" with 20 independent apartments requires final approval by the local fire district and installation of permanent railings before residents may move in. The administrator agreed to submit photos of the railings and a written safety plan for potential risk areas.

The facility has completed most construction areas identified in Phase 2 except for the Zendo, which remains locked for safety. The local fire department approved floors 2-4 for 98 residents with restrictions on non-ambulatory residents, and the Meadows building is pending fire department approval, limiting total approved capacity to 98 instead of the requested 118.

The facility is completing final construction work including painting, wall touch ups, electrical outlet covers, landscaping, and a sidewalk for additional independent living apartments. No deficiencies were cited during this visit.

The facility was toured and found to have approved fire clearance for 82 residents. Some water temperatures exceeded allowable limits but the facility has taken steps to reduce temperatures. Construction areas were secured and inaccessible. Required postings were observed and safety features such as grab bars and evacuation chairs were in place.

The applicant/administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness during the COMP II telephone interview.