KITCHEN: The LPA inspected the kitchen/food service area at 10:46 a.m. 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 expiration dates were clearly marked. The knives and sharps are stored locked under the kitchen sink inaccessible to residents in care. At 10:48 a.m., the hot water temperature was measured in the kitchen sink, and it measured 106.7 degrees Fahrenheit.

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. At 10:30 a.m., the smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed to be in compliance with a charge date of 04/26/2024. LPA observed required postings throughout the common space. There is a working telephone on premises.

Continued on LIC 809C...

GARAGE: The garage is attached and inaccessible to residents in care at the time of the visit. There are two (2) additional refrigerators with perishable foods in good condition. The facility has a sufficient amount of emergency food and water. LPA observed a sufficient supply of Personal Protection Equipment (PPE). Detergents and cleaning solutions were observed inside two (2) locked cabinets at the time of the visit.

BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. Emergency exits and passageways were observed free of obstruction. There was one (1) gate that self-latches. No bodies of water were noted at the time of the visit.

BEDROOMS: There are four (4) resident bedrooms and one (1) staff bedroom. One (1) bedroom is for double occupancy, and three (3) bedrooms are single occupancy. LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There is a cabinet by the hallway with additional clean linens and towels for resident use.

RESTROOMS: There are two (2) full restrooms and one (1) half restroom for resident use. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. The hot water temperature was measured in all three bathrooms, and they measured between 105- and 107-degrees Fahrenheit between 10.33 a.m. and 10:41 a.m.

RECORDS: Records review began at 11:05 a.m.; five (5) resident records were reviewed for, but not limited to: signed admission agreements, current medical assessments with TB results, Consent for Treatment form, and current needs and services plan. All records were complete.

Continued on LIC 809C...

MEDICATIONS: Medications review began at approximately 1:20 p.m.; medications are centrally stored in a locked cabinet adjacent to the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. PRNs have physicians order on file. Medications are properly documented on the centrally stored medications and destruction record. Medications appeared to be given as prescribed at the time of the visit.

Exit interview. No citations issued. Report was reviewed and a copy was provided.