This home is licensed to serve age range 60 and over, six (6) non ambulatory of which one (1) may be bedridden. Approved hospice waiver for six (6). There were four (4) residents in care during the time of this visit. The facility is located in a residential area. A tour of the single-story facility included: 4 resident bedrooms, 2 bathrooms, living room, kitchen, dining area, attached garage, front yard, and backyard.

LPA toured the facility and observed the following: Each resident’s bedroom has the required furniture and bedding. There is extra clean linen and towels in hallway closet. Smoke detectors/carbon monoxide were observed in each room and throughout the facility and are properly operating. The facility has one (1) fully charged fire extinguishers which is kept in kitchen. Cleaning supplies and toxic substances are inaccessible to clients in a locked storage in garage as well as within other locked cupboards in kitchen. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. There is an extra refrigerator in garage with more food. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The bathrooms are clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. The shower has non-skid mat The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction.

No deficiency was observed during today’s visit. Exit interview was conducted with Administrator Nora and a copy of report was provided.