Crest Home For The Elderly

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staffs do not ensure residents medications are secured and locked. Staff do not ensure that residents are taking medication as prescribed.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unnannounced visit for the purpose to deliver findings on the allegations listed above. LPA met with Administrator Janette Racelis and explained the purpose of the visit. The investigation consisted of staff interviews, facility tour, and resident interviews. For the allegation, Staffs do not ensure residents medications are secured and locked. LPA Hernandez observed medication room to be locked and secured. LPA Hernandez spoke with Staff #2 (S2) who stated residents are asked to come to medication room and facility staff will pass out resident’s medications accordingly. LPA conducted (4) resident interviews. 4 out of the 4 residents indicated medication room is kept secured and locked at all times. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 17, 2025 · control 56-AS-20240725085934

Allegation investigated: Resident sustained injury while in care Facility fire alarm is covered up to prevent residents from pulling it Resident hygiene needs are not met Staff does not ensure that residents have incontinence supplies Residents are not provided a variety of quality foods of a sufficient quantity Resident files are incomplete Resident medications are mismanaged Facility Medication records (MAR) are inaccurate Administrator is not at the facility a sufficient amount of time

Licensing Program Analyst (LPA) Magda Malcore conducted an unannouced complaint visit to the facility. LPA met with Licensee Ghislaine (Gigi) Ramasar and informed the purpose of the visit. The investigation consisted of LPA observations, pertinenant record review, interviews with staff and residents. Regarding the allegation, resident sustained injury while in care, the Licensee, four (4) staff, and six (6) residents interviewed deny the allegation that resident sustained injuries while in care. Regarding the allegation, facility fire alarm is covered up to prevent residents from pulling it, LPA observed the facility's pull alarm plastic cover can be lifted and the alarm can be pulled. The cover is not taped or bolted down to prevent from opening. Regarding the allegation, resident hygiene needs are not met, LPA observed a sufficient supply of tooth paste, soaps, shampoo, lotion, stored at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 15, 2025 · control 18-AS-20220323122333

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff denied residents access to their rooms Staff yelled at the residents while in care Facility has inadequate staffing Staff do not seek timely medical attention for the residents Staff do not meet a resident's diabetic needs

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility for the above allegations. After introducing self, LPA met with Administrator Oscar Ramasar and Ghislaine (Gigi) Ramasar, and discussed the purpose of the visit. Regarding the allegation, staff denied residents access to their rooms, interviews with the Administrator, four (4) staff, and five (5) residents reveal not enough evidence to corroborate the allegation. Regarding the allegation, staff yelled at the residents while in care, interviews with the Administrator, four (4) staff, and five (5) residents reveal not enough evidence to corroborate the allegation. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 28, 2025 · control 18-AS-20220330102307

Allegation investigated: Staff neglect led to the death of multiple residents. Staff did not prevent resident from sustaining a pressure injury.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Florence Nahin and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews and document review. For the allegation, Staff neglect led to the death of multiple residents and Staff did not prevent resident from sustaining a pressure injury. LPA Hernandez conducted five (5) resident interviews. 5 out of the 5 residents stated facility staff help assist residents with all medical needs. Additionally, Resident #1 (R1) who allegedly had a pressure injury was in fact not a wound but a rash. Staff #1 and Staff #2 stated the resident refuses to take showers which contribute to the rash. For additional former residents Resident #6 and Resident #7 were treated accordingly for their pneumonia and flu-like symptoms. LPA Hernandez observed documents containing doctor visits and notes for all three residents.the state’s words, verbatim · CDSS document, Apr 11, 2025 · control 56-AS-20230104144903

Allegation investigated: Residents in care engaged in inappropriate interactions. Staff did not follow proper reporting requirements.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unnannounced visit for the purpose to deliver findings on the allegation listed above. LPA met with House Manager Florence Nahin and explained the purpose of the visit. The investigation consisted of staff interviews and resident interviews. For the allegation, Residents in care engaged in inappropriate interactions. LPA Hernandez conducted (6) resident interviews. 4 out of the 6 residents stated residents in care do not engage in inappropriate interactions at the facility. Additionally, LPA Hernandez conducted (3) staff interviews. 3 out of the 3 staff stated no inappropriate interactions with residents in care occur at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 11, 2025 · control 56-AS-20230803151014

Allegation investigated: Staff are not adequately supervising resident(s) resulting in resident(s) wandering from the facility while in care.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unnannounced visit for the purpose to deliver findings on the allegation listed above. LPA met with House Manager Florence Nahin and explained the purpose of the visit. The investigation consisted of staff interviews and resident interviews For the allegation, Staff are not adequately supervising resident(s) resulting in resident(s) wandering from the facility while in care. LPA Hernandez spoke with Administrator Ghislaine Ramasar regarding former resident. Administrator Ghislaine stated former resident did leave the facility without staff knowing. Additionally, former resident was found three hours after they went missing. Substantiatedthe state’s words, verbatim · CDSS document, Apr 11, 2025 · control 56-AS-20231113111520

Allegation investigated: Staff handled resident in a rough manner. Resident sustained bruising while in care. Resident was financially abused while in care.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unnannounced visit for the purpose to deliver findings on the allegation listed above. LPA met with House Manager Florence Nahin and explained the purpose of the visit. The investigation consisted of staff interviews and resident interviews For the allegation, Staff handled resident in a rough manner. LPA Hernandez conducted (3) resident interviews. 3 out of the 3 residents stated they have not witnessed facility staff handle any of the residents in care in a rough manner. Additionally, LPA Hernandez conducted (3) staff interviews. 3 out of the 3 staff stated they have not handled any residents in care in a rough manner. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 11, 2025 · control 56-AS-20240122114325

Allegation investigated: Facility is financially abusing resident in care.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unnannounced visit for the purpose to deliver findings on the allegation listed above. LPA met with House Manager Florence Nahin and explained the purpose of the visit. The investigation consisted of staff interviews and resident interviews. For the allegation, Facility staff is financially abusing residents in care. LPA Hernandez conducted (3) resident interviews. 2 out of the 3 residents stated the facility is not financially abusing them and have not witnessed the facility abusing other residents in care. 1 out of the 3 residents stated the facility has been financially abusing them. LPA Hernandez conducted (2) staff interviews. 2 out of the 2 staff stated the facility is not financially abusing residents in care. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 17, 2025 · control 56-AS-20241125112929

Allegation investigated: Facility staff is forcing residents to take medications. Facility staff is opening resident's mail without permission.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unnannounced visit for the purpose to deliver findings on the allegation listed above. LPA met with House Manager Florence Nahin and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews and facility tour. For the allegation, Facility staff is forcing residents to take medications. LPA Hernandez conducted (6) resident interviews. (4) out of the (6) residents stated staff does not force them to take their medications and have not witnessed any staff forcing other residents to take their medication. (2) out of the (6) staff stated staff does force them to take their medications. LPA Hernandez conducted (4) staff interviews. (4) out of the (4) staff stated they do not force residents to take their medications and have not witnessed any staff forcing residents to take their medications. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 26, 2024 · control 56-AS-20241220111135

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not properly supervise resident, resulting in resident wandering away.

Licensing Program Analysts (LPAs) Raquel Hernandez and Mary Rico conducted an unnannounced visit for the purpose of investigating the above allegation. LPAs met with House Manager Florence Nahin and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews and facility tour. For the allegation, Staff did not properly supervise resident, resulting in resident wandering away. LPA Hernandez conducted (4) resident interviews and (4) staff interviews. During resident interview R1 admitted to leaving the facility without care and supervision. Additionally, 3 out of the 4 staff admitted R1 left without care and supervision. Substantiatedthe state’s words, verbatim · CDSS document, Oct 18, 2024 · control 56-AS-20241015113034

Allegation investigated: Staff are mismanaging residents medication

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with licensees Oscar and Gigi Ramasar and explained the elements of the complaint. Regarding the allegation that staff are mismanaging residents medication; LPA interviewed resident #1 (R1), R2, R3, R4, R5, and R6, all stated that their medications are being dispensed as prescribed in the presence of staff and at their appropriate times. An audit was conducted of the facility medication room and resident files that reveal medications are dispense appropriately. LPA observed staff training files and are current. All medications are locked in their med tech cart, in a locked med room. ***continued on LIC 9099C*** Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 3, 2024 · control 56-AS-20240626154350

Allegation investigated: Staff did not contact authorized representative of resident injury.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with caregiver Florence Nahin explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews document reviews, and facility tour. For the allegation, Staff did not contact authorized representative of resident injury. LPA Rico conducted four (4) staff interviews, 4 out of the 4 staff stated they are responsible to contact authorized representative regarding any incidents that occurs. 2 out 4 of the staff stated that R1 did not have an injury but had reoccurring wound care on (L) knee from the clinic since 2020 and the authorized representative was informed. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 22, 2024 · control 18-AS-20220411110422

Allegation investigated: Resident sustained injury in care. Staff did not contact authorized representative of resident injury.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Administrator Ghislaine Ramasar and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, document reviews, and facility tour. For the allegation, Resident sustained injury in care. LPA Rico conducted four (4) staff interviews. 4 out of 4 staff informed LPA that R1 did not sustained an injury while in care. 2 out of the 4 staff informed LPA R1 is independent but would refuse to change their clothes for a week. Due to resident's refusals R1 abdomen skin became irriated. In addition, R1 confirmed they would refuse to change their clothes. R1 also indicated they were receiving treatment for their abdomen skin but did not have an injury. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 22, 2024 · control 18-AS-20220411144445

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not dispense medications to a resident.

This unannounced visit by Amy Goldenberg, Licensing Program Analyst (LPA), is to initiate the 10 day visit to investigate the above-mentioned complaint allegation. LPA met with Oscar and Ghislaine Ramasar and reviewed the elements of the allegation. During the course of this investigation LPA reviewed one (R1) resident record, R1's medications and records and interviewed three (3) staff. LPA interviewed four (4) residents. It is alleged that the facility staff are refusing R1 their pain medication. Investiagation revealed the following information: R1 has resided at the facility since 08/08/2023. Four (4) of four (4) residents interviewed deny that staff refuse to provide them their medications. R1 denies that staff withold their medications from them when interviewed. Three (3) of three(3) staff interviewed deny witholding medications. Interviews indicate that R1 often asks for medication between doses and has to be reminded of their dosage times. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 22, 2023 · control 56-AS-20230815154625