Routine inspection·July 17, 2023

Unannounced annual visit made out to this facility on 07/17/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Sheri Kimbro, who was briefly interviewed at this time. Current census was 84 residents. It was learned that there were (9) residents under the care of home health at this time. A total of (3) residents under home health resided in the Memory Care Unit while (6) residents were under the care of home health in the Assisted Living portion at this time. There were a total of (7) residents under the care of hospice at this time. A total of (4) residents were under the care of hospice in Memory Care while there were (3) residents under hospice care in the Assisted Living side of this facility. Tour of this facility was conducted. Kitchen area was toured. Cabinets and drawers were reviewed. Drawers and cabinets housing cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Food supply was reviewed for 2-day perishable and 7-day nonperishable food quantities at this time. Walk in pantry area, refrigeration unit, and freezer unit were toured. Brief tour of the food preparation line was conducted. Brief interview conducted with the supervising representative for the kitchen at this time. Dining room, living area, and all other areas designated for resident use were observed to be maintained and observed to be in compliance at this time. A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be present and maintained in compliance at this time. A tour of the resident restrooms was conducted. Grab bars and non skid mats were observed to be present and in compliance at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Medication carts, located outside of the medication room, were reviewed. Policies and procedures for dispensing, handling, and overall documentation of the resident medications were discussed with the facility medication technician at this time. Fire extinguishers were observed to be placed throughout this facility and were annually inspected on 04/03/2023 by the local fire equipment company, Edison Fire Extinguisher, and in compliance at this time. First aid kits were observed to be present and contained all of the required components at this time. Linen closet, located in facility hallway, was observed to contain a sufficient supply of blankets, sheets, and towels for resident use. Laundry areas, located along facility hallways, were observed to be made available to the residents at this time for those who were capable of doing so. Laundry detergents, bleach, and all other cleaning supplies were observed to be stored elsewhere where they were locked and made inaccessible to the residents at this time. Exterior grounds of this facility was toured. Facility perimeter fence, side gates, and emergency exits were reviewed. Additional shed in the backyard area was reviewed and observed to be contain materials and items intended for upkeep and maintenance of this facility. The following forms were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's annual visit. Exit Interview