The facility is a five level structure licensed for 164 non-Ambulatory residents with a hospice waiver for 15. This facility offers Residential Care for the Elderly. LPA observed residents in care and staff members on duty. LPA, along with BOM Paranda toured the interior and exterior portions of the facility. The first floor is for common areas which includes kitchen, dining area, theater room, activities room, hair salon and some storage rooms. Kitchen was in good repair and inaccessible to the residents. Food supplies, linens, toxics, medications, personal hygiene items were checked. LPA toured the kitchen and saw a walk-in refrigerator and freezer. Residents were eating in the dining area which was observed to be clean and in good repair. Facility met the minimum two day supply of perishable and seven day supply of non-perishable food stock requirements. Facility had adequate supplies of personal protective equipment in place. Fire extinguishers were mounted and charged. Smoke detectors are centrally wired and checked by the local Fire Department. Emergency/Fire Drills are conducted last one being 10/04/2024. Resident rooms were selected at random for inspection from floors 2 through 5. Resident rooms were observed with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Resident bathrooms were observed to be in good repair and provided with grab bars. Hot water was within regulatory requirements. LPA noticed PUB 475 poster posted in a prominent location. Facility has an outside patio with shaded seating for residents and guest. Grounds were free of tripping hazards. Staff and resident records were reviewed. Medication was observed to be in a centrally stored location and medication reviewed appeared to have been dispensed accurately.