Routine inspection·May 19, 2025

On 05/19/2025, Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA met with Administrator, Jonetta Eads who was informed of the purpose of the visit. LPA conducted a tour the facility The facility consists of 3-story building designated for both assisted living and memory care. There is an approved fire clearance for a 140 non-ambulatory residents of which 25 may be bedridden, with there currently being (1) bedridden resident. In addition the facility has an approved hospice waiver for 25, with (12) residents currently receiving hospice services. LPA observed the following during today's inspection , LPA observed the facility to have several amenities to promote and encourage socialization such as a movie theater, beauty salon, fitness center, library and computer area, sports bar/game room, (2) wellness centers/medication rooms, wine bar and activity room, as well as dog park. The facility has a built in pool that is surrounded by a locked fence. The medications are locked in medication carts in the wellness centers. The facility is also utilizing an electronic Medication Authorization Record (MAR). The facility food supply was observed to meet the requirements of a 2-day perishables and 7-day supply of non-perishable food items. The facility has several fire extinguishers throughout the community that fully charged with the tags in tact and were last serviced on 11/29/24. The hot water and signal system (pull cords) were tested in random resident apartments. The pull cords were observed to be operable and the water temperatures to be within regulatory limits ranging from 108.6-113.5 degrees Fahrenheit. The facility has a fire alarm system consisting of smoke and carbon monoxide detectors. Emergency disaster drills are being conducted on a monthly basis, the last drill was conducted on 04/30/25. LPA conducted a random review of resident and staff files. The staff were observed to have obtained criminal record clearance and to be associated to the facility. The staff files were observed to have the required training. Med techs are the only position required to have CPR certification. The Executive Director Jonetta Eads was observed to possess a valid administrator certificate that expires on 08/16/26. LPA observed for the resident files reviewed had updated physician's reports, with one pending as well as signed admission agreements. The facility was observed to have valid liability insurance that expires on 05/01/26, and for the annual licensing fees that were due on or before 06/30/25 to have been paid. The governing body was observed to be active and in good standing. Based on today's inspection there were no deficiencies observed. An exit interview was conducted and a copy of this report, 809C, glossary, and LIC911-Confidential names list was reviewed and provided to Administrator Jonetta Eads.