Routine inspection·July 27, 2023

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Robert Barton (Executive Director) and discussed the purpose of today’s visit. This facility is licensed to serve (252) ambulatory residents and (108) non-ambulatory of which (18) may be bedridden. There are (56) residents under Assisted Living. There are no bedridden residents at this time. This facility may retain no more than (10) hospice residents. There are (7) residents under hospice care. Summer House Dementia Unit II is approved for (5) non-ambulatory residents with secured perimeter, locked gate and locked doors. There are currently 21 residents in the Dementia Unit. The total number of residents at this facility is 278. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for (252) ambulatory residents and (108) non-ambulatory of which (18) may be bedridden. There are no bedridden residents at this time. This facility may retain no more than (10) hospice residents. There are (7) residents under hospice care. Summer House Dementia Unit II is approved for (5) non-ambulatory residents with secured perimeter, locked gate and locked doors. There are currently 21 residents in the Dementia Unit. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Refer to LIC 809C for the continuation of this report. The following domains remain pending: · Staffing · Personnel Records Training · Resident Rights- Information · Resident Rights-Incident Reports · Physical Plant & Environment Safety · Planned Activities · Food Service · Incidental Medical Services Exit interview conducted and a copy of this report was provided to Robert Barton.