Routine inspection·June 13, 2025

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with House Manager Melissa Cherry. According to the facility’s license, the facility has a maximum capacity of six residents. Administrator arrived at the end of the inspection. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Water temperature was measured at 112.5 degrees F. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water present. Per Melissa, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was present. First aid kit was complete and readily accessible. Resident records reviewed had required documentation. Staff records reviewed contained required documentation. Hospice resident with full bed rail had medical documentation. No residents were active on oxygen. No deficiencies were cited on todays visit. An exit interview was conducted with Melissa, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.