COMMON AREAS: At the time of the visit, the living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 77 degrees. The smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers was observed to be in compliance and purchased on 02/18/2025. The LPA observed required postings throughout the common space. There is a working telephone on premises. Working auditory alarms were observed in all exit doors at the time of the visit. Night lights were present in the hallways. The facility has a sufficient amount of emergency food and water. The LPA observed a sufficient supply of Personal Protection Equipment (PPE). LPA observed cameras in the common areas, and throughout the exterior perimeter of the facility.

KITCHEN: Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. The knives and sharps stored in a locked drawer inaccessible to residents in care. Cleaning supplies were also observed locked and inaccessible under the kitchen sink.

BEDROOMS: There are four (4) resident bedrooms. Two (2) bedrooms are single occupancy, and two (2) bedrooms are double occupancy. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. At the time of the visit bedroom #1 and bedroom#4 were occupied as shared rooms. Continues on LIC 809C...

LAUNDRY ROOM: The washer and dryer were observed inaccessible to residents in care in a locked room adjacent to the kitchen. Laundry detergents were observed locked and inaccessible inside the laundry room.

OUTDOOR AREA: The backyard has a covered patio area equipped with furniture for resident use. Emergency exits and passageways were observed free of obstruction. No bodies of water were noted at the time of the visit. The property is gated. LPA observed the gated door to be single action lock.

GARAGE: There is a detached garage located on the property. The LPA observed garage to be locked and being used as a staff office. Office was inaccessible to residents in care at this time.

RECORDS: Records review began at 12:20 p.m. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the annual appropriate training. All files were in order.

MEDICATIONS: Medications review began at 1:30 p.m.; medications are centrally stored and locked in a cabinet in a locked file cabinet by the hallway; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review.

The LPA reviewed the following documents:

No deficiencies cited. Exit interview conducted. A copy of the report was issued.