Weathersby and Tucker accompanied Cloyd inside the facility to inspect the kitchen, resident rooms, and review of (R2 & R6) resident medication. In addition, five residents and four staff members were interviewed, and more facility records were reviewed.

LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. Fire extinguishers were last serviced on 9/4/2023.

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.

Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid strips was in place, hot water temperature properly measured at 114F. Common areas were clean and clear of hazards, doorways were free of obstructions.

The Infection Control Policy– General Policy, (1) Resident and Services Agreement, Liability Insurance, Hospice Plan of Care Template, Employee Training Courses, Plan of Operation (including Dementia, Hospice, and Bedridden), and Quarterly Fire Drills were reviewed.

Due to time constraints an Annual Continuation visit will be conducted. A copy of this report was discussed and left with the Administrator, Sabrina Tucker.