Oakcreek

On 12/24/2025 at 10:07 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. Roseline Prasad, Executive Director arrived at 10:55 AM. At 10:55 AM, LPA met ED explained the purpose of the visit. LPA toured the facility including but not limited to 5 resident rooms, bathrooms, activity room, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 112.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/15/2025. Emergency Disaster Plan was last posted on 05/30/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 11/19/2025. LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. Updated copies of the following documents were requested and reviewed during the visit: LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, and Current Administrator’s Certificate. Copy of the current Liability insurance certificate will be submitted to LPA by 12/24/2025 No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 04/18/2025 at 10:05 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct a case management visit regarding an incident that happened on 04/07/2025. LPA met with Roseline Prasad, Executive Director and explained the purpose of the visit. LPA received a special incident report regarding an altercation between R1 and R2 that resulted in R1's hip fracture. ED stated that the incident happened during shift change on 04/07/2025 at 2:30 PM. R1 was transported to hospital and was admitted for hip fracture. LPA spoke with Executive Director and the Resident Care Coordinator (S1) , and reviewed the incident report with them. LPA also toured R1 and R2's rooms. Both residents were in their rooms. LPA requested and reviewed the following documents during the visit: R1 and R2's Physician reports, care plans, Interdisciplinary progress notes for both residents, Staff schedule for 04/2025, Shift schedule, and doctors reports related to the incident. LPA's Review of the progress notes revealed that the responsible parties were called and notified regarding the incident. LPA also interviewed ED who stated that there is a regular check-ins scheduled for R1 and R2 every 15 minutes. ED stated that there is a log that documents the check-ins completed by the caregivers. LPA reviewed the log during the visit. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 12/06/2024 at 10:40 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator Roseline R. Prasad, and explained the purpose of the visit. LPA toured the facility including but not limited to 4 residents’ studios, 3 bathrooms,activity room, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 109 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/20/2024. Emergency Disaster Plan was last posted on 1/20/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/09/2024. LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. The following documents were reviewed during the visit:LIC 500 Personnel Report LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 1/10/2024 at 12:30 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection continuation. LPA met with Larissa Muresan, Resident Care Coordinator and explained the purpose of the visit. LPA toured facility with Larissa on 1/9/24 including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 38 beds, and none are being in used by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71-73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced in March of 2024. First aid kit was observed to be complete. LPA reviewed 5 residents records. LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. LPA reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided via email.

On 4/15/2022 starting at 8:35 a.m., Licensing Program Analysts (LPAs) Catherine Lin and Kelly Nguyen arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator Elizabeth Carson and disclosed the purpose of the visit. Upon entry, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, bathrooms, kitchen, common areas, and outdoor areas. There is one central entry point for universal screening for staff, residents, and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a sufficient 2-day perishable and one-week non-perishable food supply. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff, and visitors. No deficiency cited during visit. Exit interview conducted with Administrator and a copy of this report provided.

On 1/09/2024 Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Resident Care Coordinator, Larissa Muresan and explained the purpose of the visit. The facility’s fire clearance was approved for 38 Non-Ambulatory. The required annual inspection is incomplete and LPA will return to complete inspection at a later date. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided via email.