Routine inspection·August 3, 2021

Licensing Program Analyst (LPA) Wendell Smith made an unannounced required annual visit. LPA met with administrator designee and explained the reason for this visit. he physical plant was toured inside and out. Property consist of five (5) bedrooms of which four (4) are designated for residents use and three (3) bathrooms designated for residents use; facility has a kitchen, dining/living room and designated office area. The facility has been fire cleared for five (5) non-ambulatory and one (1) bedridden. There are two (2) shared rooms and two (2) private rooms designated for residents. LPA observed all resident bedrooms to be appropriately furnished. LPA observed bathrooms to have grab bars and non skid material. Hot water temperature was tested and found to be at 116 degrees F. LPA toured facility common areas and found them to be appropriately furnished. The facility smoke alarms/carbon monoxide were tested and found to be in working order. LPA checked the kitchen area for the ability to prepare and store food. LPA observed there to be a sufficient amount of perishable and non perishable food. LPA observed there to be a sufficient amount of emergency supply food also. LPA observed a washer and dryer . The supply of extra bed and bath linen is adequate. All required postings observed on the wall near the office area. Alarms on all exterior doors were engaged at the time of visit. The outside was toured and observed free of visible hazards. There is a pool on the premises which was observed fenced/locked. Backyard is set-up with patio furniture for residents use. Facility currently has four residents on hospice at the time of the visit. Exit interview conducted.