Food and Facilities Licensing

Health Care

This unit ensures the protection of the public health and quality of care through a program of inspection and investigation of licensed health care facilities such as nursing homes and large and small assisted living facilities.  A team of nurses is responsible for enforcing local, state and federal regulations relating to resident (s) rights, quality of care and quality of life in nursing homes and large and small assisted living facilities. Nurse surveyors determine if nursing homes are in compliance with Federal, State and County laws and regulations in order to be licensed to receive Medicare/Medicaid funds.  In addition, nurse surveyors inspect Domiciliary/Assisted Living facilities to determine compliance with State and County laws and regulations. Health Care Facility inspections are unannounced and are conducted on site. In addition, this program licenses small group home facilities for three or more unrelated individuals.

Surveyor duties include, but are not limited to:

  • Off site review of the nursing home and domiciliary facilities surveys and complaints.
  • Tour of the facility to get an overview of the facility, staff residents and environment.
  • Resident record review.
  • Evaluation/observation:  Medication administration, pressure sore treatments, food/dining service, environment, rehab services, physician services, nursing services, social work services, activities, care plans and  MDS reviews (an assessment tool used to gather information regarding a resident" condition to provide staff with ongoing assessment information necessary to develop a care plan and to provide appropriate care and services for each resident).
  • Resident, family and resident council interviews.
  • Conduct complaint investigations.
  • Investigate alleged abuse and neglect.
  • Participate in bioterrorism preparedness planning and operations.