Routine inspection·September 14, 2023

On 9/14/2023 LPA Tryon visited the facility to conduct an annual inspection. LPA met with Executive Director Nathan Condie. LPA toured the facility with Mr. Condie including common areas, kitchen, dining room, food storage; about 8 resident apartments, hallways, outdoor areas (there are 3 separate enclosed outdoor areas with seating, landscaping, etc.); activity areas, TV room, med room, offices, exercise room/gym, laundry rooms. The kitchen looked clean, appropriately furnished, with good supplies of fresh, frozen and dry goods appropriately stored. Refrigerators/freezers were at appropriate temperatures. Food looked to be of good quality and quantity. The visit took place over lunch hour, so the staff was busy serving the meal. Meals appeared appetizing and portions appeared to be large. There was a staffed buffet line in the dining room where residents could view and choose different options for themselves. LPA learned residents can also order other menu items if they do not want the items on the buffet for that day. Rooms appeared to be nicely set up and furnished with appropriate furniture. Facility appears in good condition and clean overall. Bathrooms were clean and in good repair, grab bars/non-skid surfaces present. Medications are centrally stored and locked in med carts; and the door to the medication room is also locked. Fire system installed and was recently checked out. Fire extinguishers present and charged. Residents interviewed seemed happy with the facility, food, etc. LPA reviewed the CARE Tool with Mr. Condie. LPA reviewed 10 resident files and 6 staff files. Staff have criminal record clearance, initial and ongoing training, physical exams, etc. Resident files include appropriate documentation including admission agreements, physician reports, assessments, etc. At this time the facility appears to be in substantial compliance with the regulations. No deficiencies were cited, exit interview conducted.