Routine inspection·May 12, 2023

License Program Analyst (LPA) Shannan Hansen arrived at 8:30 AM to conduct an unannounced annual inspection and was greeted by Gary Forer, Director of Sales & Marketing. Resident Care Director (RCD) Ashley Perrone arrived shortly after. Administrator was unable to attend inspection so the Resident Care Director signed report. There is a total of 29 dementia residents and 7 residents under Hospice care. Facility tour/inspection began at 9:00 AM: Beginning at approximately 9:33 AM, LPA toured the community with Building Services Director (BSD) Jason James. The tour of the facility included nine resident apartments, activity rooms, Salon, dining rooms, kitchen and outdoor patios. All interior parts of the facility were found to be a comfortable temperature measuring between 75 to 78 degrees F. Exits and pathways were free from obstructions. Delayed egress doors have audible alarms when doors are opened without access codes. Hot water temperature measured within regulation of 105 to 120 degrees F in nine of nine rooms tested. Bathrooms contained necessary grab bars and showers contained non-slip floor/mats. LPA observed at least a minimum of a 2 day supply of perishable and 7 day supply of non-perishable food necessary for residents in care. Food was found to be handled and stored in a safe manner. Dining rooms and kitchenettes were inspected and maintained per regulation. Menus with snack and beverages are available to residents. Activity schedules are posted. Facility has multiple indoor and outdoor sitting areas and a private dining area. Continued on LIC809C Continued from LIC809 Fire extinguishers were last serviced 11/7/2022. Fire safety system including smoke detectors and carbon monoxide detectors are checked quarterly by facility staff and are on a regular service schedule with a vendor, last inspected 5/10/2023. LPA initiated a file review of five resident files and five personnel files but were unable to complete. LPA was also unable to review medication, and conduct remaining interviews and will return at a later date to complete annual inspection.