Routine inspection·June 10, 2024

On 6/10/2024, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator, Jonetta Eads who was informed of the purpose of the visit. LPA toured the facility and conducted staff and resident interviews, and reviewed records. The facility is made up of a 3-story building designated for assisted living and memory care, and has a fire clearance for a 140 non-ambulatory residents of which 25 may be bedridden. The facility has an approved hospice waiver for 25 and LPA was informed there are 12 residents currently receiving hospice services at the facility. During the tour, LPA observed the facility has large dining rooms, a large kitchen, and various activity rooms for resident leisure. There is an outdoor in-ground gated pool secured with a lock. Outside shaded seating areas are available for the residents. Indoor and outdoor passageways are free of obstruction. LPA observed fire alarm systems, carbon monoxide detectors, and charged fire extinguishers throughout the building. LPA toured the kitchen and observed food was stored in a safe and healthful manner. The facility met Departmental requirements for 2-day perishables and 7-day non-perishable food items. Resident interviews revealed kitchen staff accommodate residents’ dietary needs and the facility offers different outings each week. Medications are secured in medication carts inside medication rooms, only accessible to authorized personnel such as wellness nurses and medication technicians. LPA reviewed random resident and staff files. Resident files reviewed had updated physician's reports and signed admission agreements. Staff files reviewed had a criminal record clearance and a valid first aid/CPR certification. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Eads.