Routine inspection·October 28, 2024

At 9:45am on 10/28/2024, Licensing Program Analyst (LPA) De Leon arrived at the facility unannounced to conduct the annual inspection. LPA met with Administrator Liza Hix and explained the purpose of the visit. This facility has 64 bedrooms/bathroom. This facility is 3 stories, the first floor there is a large waiting and entrance way with front desk. There is an enclosed center courtyard, there is a kitchen and dining room, resident rooms, mail room, storage rooms and facility offices. The second floor has a beauty salon, storage rooms, central medication room, activities room and resident suites. The 3rd floor has resident rooms, locked storage closets, and an activities/library room. The grounds also have independent living facilities located next door and plenty of outside seating and walking ways for residents. There is a designated smoking area in the back parking lot of the grounds. Administrator and LPA conducted a tour of the facility, LPA observed, all floors, kitchen, dining room, all activities rooms, medication room and 10 residents rooms. LPA noted that there are fire extinguishers placed throughout the facility all in the green and currently tagged for service. LPA noted that the facilities walkways and exits were free and clear of debris or obstructions. LPA noted that the food supply met regulations for 2 days of perishables and 7 days of non-perishables for more than 46 residents. LPA conducted an audit of medications, medications was stored in original container, no medications were expired and no labels were altered. LPA reviewed 5 staff files, all required forms were present. LPA reviewed 5 resident files, all required forms were present. No other violations, or citations were discovered during this annual inspection. LPA interviewed 3 staff and 2 residents. Exit interview, copy of report printed for Administrator.