Routine inspection·December 2, 2021

LPA Spaeth conducted an unannounced annual visit and arrived at 9:20 am. LPA observed the COVID signs on the front door and was greeted by the Administrator, Cynthia Taylor. Upon entering the facility, Administrator took LPA's temperature and asked LPA to sign in. LPA answered the Covid questions. Administrator confirmed there are four residents living in the facility, which are ambulatory residents. LPA observed the living room and dining room which contained comfortable seating. LPA was directed to the family room and kitchen combination. LPA observed comfortable seating in the family room. A kitchen table was also located in the area alongside the kitchen. At 9:45 am, LPA observed the knives were locked in a kitchen cabinet. LPA Spaeth observed the wash your hands sign, hand soap, and paper towels. LPA observed the refrigerator was stocked with fresh fruit, vegetables, and dairy products. All items in the refrigerator were covered and the refrigerator was clean. The freezer contained frozen meats. The pantry was well stocked with cereal and canned vegetables. LPA was escorted to the locked laundry room and observed the washer and dryer along with laundry detergent. LPA was directed to the backyard and observed comfortable seating in the backyard and the side gate was not locked. LPA Spaeth observed the locked garage which contained PPE supplies which contained N-95 masks and other PPE supplies. The Administrator then escorted LPA to the second floor and LPA observed a resident room for two residents. The beds were six feet apart and were clean. The residents' room contained lamp, night stand and chest of drawers. LPA observed another resident room and two residents were watching television. LPA observed the bathroom which contained wash your hands sign, hand soap, paper towels, and a trash can. At 11:00 am, LPA observed the medications were locked in a two-drawer cabinet. There are no deficiencies to report at this time. Exit interview conducted, appeal rights discussed, and a copy of the signed report was provided to the Administrator.