Routine inspection·July 7, 2025

On 7/7/2025, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Administrator, Nora Aureus. The facility currently provides care for 5 residents, none of which are receiving hospice services or with a diagnosis of dementia. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located in kitchen was found to be charged. Smoke and carbon monoxide detectors were present and in working order. There was a sufficient supply of both perishable and nonperishable foods, with food stored in the kitchen refrigerator found to have appropriate coverings, enough for residents in care. There was a supply of hygiene products and paper products available for residents. Resident's bedroom have lighting & appropriate furnishings and bedding items. Restrooms for resident use were equipped with non-slip mats, grab bars and kept in good condition. There is a large outdoor backyard patio for resident use. Medications are stored in kitchen and found to be secured. Upon spot review of medications, LPA found that the facility has centrally store medication records updated and in order. LPA conducted a sample file review for residents and found that all residents in care are in need of updated care appraisals. Technical Violation. Upon a sample review of staff files LPA found that all staff are in need of updated 1st Aid & CPR certification. In addition, caregiver staff do not have current annual training on file. Technical Violation. Administrator stated that they are the primary staff present and providing care for residents. Additional staff are on call when needed. Licensee agrees to submit documentation of all items listed by POC date 7/21/2025: - Updated Needs & Service Appraisals for all residents - 1st Aid & CPR Certification for all staff providing care - Proof of staff annual training started Licensee understands that failure to provide documentation of corrections may lead to deficiencies. No deficiencies cited