Routine inspection (multi-day)·August 5, 2025

Licensing Program Analyst (LPA) Kimberly Ramirez and LPA Gabby Castro conducted subsequent annual inspection on 8/05/2025. LPAs identified themselves and met with Administrator Keith Kasin and discussed the purpose of today’s visit. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: This facility is licensed to serve fourteen (14) ambulatory residents and five hundred sixty (560) non-ambulatory residents over the age of 60. This facility may retain no more than fifteen (15) hospice residents. There are eight (8) residents under hospice care at this time. This facility provides care to assisted living residents in 4 different wings of the facility. Pinecrest census – seventeen (17), Cedar Court census – ten (10), Maple Court/Birch Court census – forty-nine (49), and twenty-four (24) in Southwood Lodge Memory Care. The Southwoods Lodge Memory Care is approved for delay egress. The total census for this facility is two hundred seventy-seven (277) as of 08/5/2025. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: See 809-C for continuation. Infection Control: Staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed required annual training, CPR and First Aid for eight (8) out of the eight (8) personnel records reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for eight (8) out of the eight (8) personnel records reviewed. Staffing: Administrator Certificate for Keith Kasin (70005649740) expires 08/10/2026. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication rooms and in bubble packs and/or original containers. The facility uses the Medication Administration Record (MAR) electronic log to document medications given. The facility provides incidental medical services. Resident Records/Incident Reports: LPA Ramirez reviewed Resident files for eight (8) residents. Resident files are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. No deficiencies were observed during this inspection. Exit interview was conducted. A copy of this report was provided.