Post-licensing visit·January 16, 2025

On 01/16/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a post- licensing inspection utilizing the care tool. LPA met with Administrator Anastasiia Kontsemal and explained the purpose of the visit. Today's census is four (4) with zero (0) residents on hospice services. Facility is licensed for capacity of six (6) and hospice waiver of four (4). LPA and Administrator conducted a tour together to ensure the health and safety of residents in care. Areas toured included but not limited to resident bedrooms, bathroom, laundry room, garage and common areas. During the tour, LPA observed three (3) residents in the common area watching television and one (1) resident to be in their room. LPA observed the kitchen to have sharps and medication locked and secured. LPA observed the facility to have two (2) days of perishable and seven (7) days of nonperishable foods. LPA observed fire extinguisher to be last serviced on 03/05/2024. LPA and Administrator completed the post-licensing inspection tool and facility was found to be in compliance. LPA conducted a file review of residents files and personnel files. As a result of today's inspection, no deficiencies cited. Exit interview conducted and a copy of the report was left at the facility.