The facility was last inspected on 05/01/2019 for an annual inspection. It is a single story building with a lobby, offices, 27 shared bedrooms with private bathrooms, 2 public bathrooms, 5 shower rooms, library, laundry rooms, medication room, kitchen, dining area, recreation rooms, and courtyard. It has an approved fire clearance for 78 residents of which 8 may be non-ambulatory.

Screening: Upon entry, LPA observed 4 signs posted on the main entrance. Signs pertained to the visitation policy, vaccination requirement, testing requirement, and masking requirement. LPA rang doorbell and was greeted by staff. Staff took LPA temperature and screened for symptoms. LPA recorded temperature and symptoms in a visitor log. The screening station contained a digital thermometer, hand sanitizer, visitor log, and resident log. Staff explained all residents are screened when returning from outings.

Offices: Office rooms near the lobby contained the facility call system and facility files. Confidential complaint poster, Ombudsman contact, personal rights, house rules, emergency disaster plan, activity schedule, and weekly menu were posted in the hallway. Signs related to COVID precautions were posted throughout.

Laundry: LPA observed a small, locked laundry room near the office. The room contained two washers and two dryers. All machines were functional. Detergents were locked above the machines. A large laundry room was located near the northeast exit.

Storage: The janitorial closet near the laundry rooms was locked. It contained cleaning solutions and tools. Other locked storage areas in the hallways contained supplies and emergency water.

Outdoor area: Residents were smoking in the patio area. Furniture was in good condition.

COVID unit: The facility has a unit with at least 6 rooms dedicated for any COVID positive residents. Signs were posted on the front stating “Do not enter” and “Stop”. All rooms had closing doors and two beds in each. The unit was unoccupied.

Medication Room: At approximately 3:00 p.m. LPA observed Staff providing medication to a resident. Staff confirmed the room remains locked when they are not present. Assistant Administrator noted all residents line up for medication. Staff remind residents when they are late or absent. LPA suggested a sign for physical distancing when lining up. Administrator stated the blue tape marks for 6 feet distance had been removed by residents.

Shower room: 1 of the 5 shower rooms was inspected. It contained grab bars, a non skid surface, and pull cords for the call system.

Bathroom: A resident bathroom contained a night light, grab bars, pull cords for the call system, handwashing instruction sign, liquid soap, and personal hand towel.

Common areas: At 3:02 p.m. LPA measured the internal temperature at 75 degrees Fahrenheit. All floors, windows, ceilings, and walls were clean and in good condition.

Safety: The facility has fire alarms at all exits. Evacuation routes are clearly labelled and posted throughout the facility. Emergency exit routes were unlocked and free from obstruction. At approximately 2:45 p.m. LPA observed 2 fully charged fire extinguishers in the hallway. Both were last inspected on 03/02/2022. The facility has fire sprinklers in all hallways and rooms. Surveillance cameras are used in hallways. Resident rooms contain pull cords and switches for assistance. At 3:52 p.m. LPA measured water temperature in a resident bedroom to be 109.4 degrees Fahrenheit. At approximately 3:54 p.m. smoke detector was tested to be functional.

During today's visit, the facility is in compliance with Title 22 regulations, no citations issued.

Exit interview conducted. Copy of report issued.