Routine inspection·October 11, 2025

On 10/11/25, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with the Administrator John Nemeth. The facility is licensed to serve six (6) residents aged 60 and over, all of which six (6) may be non-ambulatory. It has a hospice waiver approved for six (6). The facility currently has three (3) residents receiving hospice care. The rooms are approved for non-ambulatory/bedridden, and the facility is approved for delayed egress/secured perimeter/secured locked perimeter. The facility is a two-story family home located in a residential neighborhood. The facility consists of six (6) resident bedrooms, five (5) bathrooms, a living room, a dining area, an office/laundry space, and an elevator. The dining room includes a fireplace with a secure metal protective screen cover, ensuring it remains inaccessible to residents. There is a patio/courtyard, shaded areas, an indoor/outdoor activity area on the left side of the house, and a balcony on the second floor. The facility is clean, sanitary, and in good repair. Continue to LIC809-C. The Administrator accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, a non-skid mat was in place, and hot water temperature properly measured at 113 degree Fahrenheit. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards and doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and tonics were kept in a locked drawer and cabinet. First Aid kit was available. Two fire extinguishers, last serviced February 7, 2025, was observed in the kitchen area and on the second floor. Five (5) staff records were reviewed, five (5) out of five (5) staff records had current first aid certificates and required criminal record clearances or criminal record exemptions. Five (5) resident records were reviewed and, five (5) out of five (5) resident records had medical assessments and pre-appraisal. Continue to LIC809-C. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with Administrator John Nemeth.