Nazareth House

FACILITY EVALUATION REPORT

The facility underwent an unannounced Required Annual Inspection. The inspection noted that the facility does not feature a secured perimeter or delayed egress doors. Otherwise, the facility appeared compliant, with pathways clear, necessary supplies present, and required safety equipment functioning.

The facility underwent an unannounced Required Annual Inspection. The LPA found that pathways were clear of obstructions, and the facility was adequately stocked with supplies and equipment. All observed areas, including safety features and food storage, were compliant with regulations.

The facility underwent an unannounced Required Annual Inspection. The Licensing Program Analyst conducted a tour, interviewed residents and staff, and reviewed records. No deficiencies were cited during this visit, though a return visit is required to complete the full annual inspection.

The facility underwent a required One-Year Inspection and the Licensing Program Analyst observed no deficiencies in the areas evaluated. The report noted that the facility maintains proper safety measures, including operational fire and CO detectors, and that staff treated residents with dignity.

The investigation was conducted following a complaint regarding rate increases. The department found that the facility failed to provide written notice of rate increases to the responsible parties for multiple residents, specifically citing failure to notify within two business days of service changes. This deficiency is cited under HSC 1569.657(a) and represents a potential personal rights risk.

The facility underwent an unannounced case management visit to follow up on a Death Report. The Licensing Program Analyst toured the facility, reviewed records, and interviewed staff. No immediate health or safety concerns were observed during the visit, and no deficiencies were cited.

The facility underwent an unannounced Required 1-Year Visit. The Licensing Program Analyst reviewed the facility file and conducted a tour, observing the clients in care. No deficiencies were cited or observed during this inspection.