Routine inspection·September 9, 2025

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an annual required inspection. LPA was greeted by the front receptionist, who was informed the reason of the visit. Administrator Susan Park was contacted and arrived shortly after, she was explained the purpose of today's visit. Today's census was (89. Facility is licensed to care for (120) non ambulatory elderly residents with a hospice waiver for ten (10). A complete physical plant inspection of the inside and outside was conducted with Administrator. The following areas were observed during the visit. Physical Plant: The facility is a single story building, which consist of 98 rooms; rooms are either private or shared. The front lobby, is a common area for residents to lounge. The main entrance/lobby area is used as the central entry point for everyone. A check-in station is set up at the front desk with a receptionist. There are empty rooms used for storage, and there are administration offices. There is one (1) large activity room/living room, across the activity room is a separate area for library, bingo activity area, pool table, computer room and a room designated for arts and crafts. It has a large dining room, laundry room, nurse's station, medication room and a basement parking. The interior and exterior physical plant was inspected. Exit doors have delayed egress alarms. Smoke and carbon monoxide detectors are operational and located in resident's room. There are fully charged fire extinguishers throughout the hallways,current inspection dates. The facility has a fire suppression system. Cleaning supplies and toxic substances are inaccessible to residents. Hot water temperature were measured from various resident's rooms, and were in within the required Licensing requirements. There is sufficient space to accommodate both indoor and outdoor activities........ Continue on 809-C An activity calendar was observed posted in the hallway. Food Service: The kitchen was inspected and has sufficient supply of 2-day perishable & 7 day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. The food is properly stored in the refrigerator (clean, labeled and well maintained). Pesticides and cleaning supplies are kept away from the food preparation areas. Kitchen is kept clean and free from rodents. Personnel Records-Training: Staff files were reviewed for criminal background clearance and training. Personnel records have health/TB screenings and First Aid/CPR training. They have the required training. Resident Records: Resident files were reviewed containing admission agreements, Physician's Report, Appraisal, Medical/Functional assessments, Needs and Services Plans, TB clearance, Personal rights. Medication: Medication is stored in the medication room which is locked and is inaccessible to residents in care. No health and safety issues noted at the time of this visit, exit interview conducted and copy of report provided to Administrator.