Deficiencies per Year
4
3
2
1
0
Inspection Report
Original Licensing
Capacity: 58
Deficiencies: 0
Apr 2, 2024
Visit Reason
The facility requested to increase the number of beds from 28 to 58 involving renovation of the 3rd floor wings E, F & G to add 30 new HFA beds to the existing 28 HFA beds.
Findings
The facility is approved to add 30 assisted living beds to the existing 28 memory care beds, making a total capacity of 58 beds. Renovations include handicap accessible bathrooms, installation of sprinkler heads, and adequate communal spaces exceeding required square footage.
Report Facts
Bed increase: 30
Total capacity: 58
Day and dining room space: 1740
Required space: 900
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Kennedy | Authorized Representative/Administrator/Licensee Designee | Requested the bed increase and renovation |
| Brender Howard | Licensing Staff | Prepared and signed the licensing report and recommendation |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing report and recommendation |
| Pier-George Zanoni | Engineer | Provided final engineering report for the renovation project |
| Michael Pool | Approved BFS for the renovation project |
Inspection Report
Renewal
Census: 26
Capacity: 28
Deficiencies: 0
Feb 28, 2024
Visit Reason
The inspection was conducted as a renewal inspection to evaluate compliance with applicable licensing statutes and rules for the facility license renewal.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended.
Report Facts
Number of staff interviewed and/or observed: 8
Number of residents interviewed and/or observed: 26
Number of others interviewed: 1
Facility capacity: 28
Inspection Report
Renewal
Deficiencies: 0
Feb 17, 2023
Visit Reason
The document serves as a renewal notification following an administrative review of licensing activity for the past year, confirming substantial compliance with public health code and administrative rules for home for the aged facilities.
Findings
The review revealed substantial compliance with applicable regulations, resulting in the renewal of the facility's 12-month license effective from 2023-01-28 to 2024-01-27.
Report Facts
License effective period: License valid from 2023-01-28 to 2024-01-27
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender L Howard | Health Surveyor | Signed the renewal notification letter |
Inspection Report
Original Licensing
Capacity: 28
Deficiencies: 0
Dec 3, 2019
Visit Reason
The inspection was conducted as part of the original licensing study for McGivney Way, a home for the aged with programs for aged and Alzheimer's disease or related condition care.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules. The facility was approved for a temporary 6-month license with a maximum capacity of 28 beds.
Report Facts
Licensed beds: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Kennedy | Authorized Representative/Administrator | Named as the applicant's authorized representative and recipient of technical assistance |
| Andrea Krausmann | Licensing Staff | Conducted the licensing study and signed the recommendation |
| Russell B. Misiak | Area Manager | Approved the licensing study report |
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