Routine inspection·February 19, 2025

On 2/19/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator, Virna Austria who was informed of the purpose of the visit. The facility has a fire clearance to serve two (2) non-ambulatory and four (4) ambulatory elderly residents. The facility was granted a hospice waiver for three (3) residents and LPA was informed none of the facility's current residents are receiving hospice services. LPA toured the facility with Administrator Austria and observed the facility is made up of a two-story home with six (6) resident bedrooms, two (2) resident bathrooms, a kitchen, dining room and living room. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor passageways were free of obstruction. The facility has more than two-day supply of perishable foods and seven-day supply of non-perishable foods, which are stored in a safe and healthful manner. Medications are secured in a locked medication cart near the dining room. Administrator Austria tested one of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed charged fire extinguishers mounted throughout the facility last serviced on 4/18/2024. The facility's certificate of liability insurance expires on 3/12/2025. Staff present have a criminal record clearance and are associated with the facility. Resident files reviewed had updated physician's reports and signed admission agreements. The living room fireplace is adequately screened. LPA observed several board games, puzzles and activities available for resident use. Long Term Care Ombudsman's contact information, complaint procedures, facility sketch and emergency phone numbers are visibly posted near the front entrance. 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 Austria.