Routine inspection·February 24, 2025

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced annual inspection. LPA was greeted by front the receptionist. Executive Director (ED) April Princesa was not present during the initial inspection, but came shortly after. The entire facility has (3) floors, which is licensed for (160) non-ambulatory, of which (67) may be bedridden on the 1 st and 2 nd floor of villas 1 & 2. There is a hospice waiver for (13), and fire clearance approved for delayed egress for the Memory Care, located in villa 2. The current census is 123. Facility license/sketch, rights of resident council, grievance/complaint procedures, emergency disaster plan, resident bill of rights, personal rights, rights of resident council, discrimination notice, theft and loss policy, activity schedule, and evacuation plan visibly posted. Common areas: The first floor, identified the front entrance lounge with a hospitality station that serves coffee, water, and tea. The Administration offices, beauty salon, resident’s rooms, and laundry were also observed. All areas were clean and appropriately furnished for resident’s comfort. Passageways were free from obstruction, and inside temperature was comfortable. The second and third floor consists of resident rooms, dining room, activity, fitness, snack room, mail room, and personal laundry equipment for residents. The third floor also has movie and game room, and library. Dining Room: Passageways were free from obstruction, with adequate lighting. There is a daily menu placed on the table, with chairs and table were comfortable and clean. LPA observed residents eating a variety and healthy food for lunch. Coffee, tea, and water is available throughout the day, as well as a variety of snacks. Resident Rooms : All apartments are provided with a microwave and refrigerator purchased by the facility. Rooms, floors, walls, and carpet areas were clean in good repair. Residents are allowed pets. Inside temperature was cool, and each resident has there own thermostat to regulate. Bathrooms: All were clean, with grab bars, non-skid mats, and shower chairs. There are emergency pull cords located by the toilet for emergency purposes. Residents also have emergency pendants. Due to time constraints, the annual was not able to be completed. LPA will continue inspection at another date and time; reviewing staff, resident, training and medication records and the memory care unit. Exit interview and copy of report provided to ED.