The facility is licensed to operate for seventy-six (76) nonambulatory residents and have a hospice waiver for seven (7) residents. The facility is a single-story structure. It consists of the following: fifty-eight (58) resident bedrooms, sixty-nine (69) bathrooms, eight (8) offices, lounge area, main dining area, small dining area, private dining room, kitchen, an outdoor covered seating areas, beauty salon, meeting room, chapel, craft room, ice cream parlor, library, storage rooms, laundry room, ceramic room, waiting room, and a tower room.

LPA Kim toured inside and outside of the physical plant with ED Farris. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 8, Resident Room 16, Resident Room 18, Resident Room 19, Resident Room 33, Resident Room 38, Resident Room 39, Resident Room 46, Resident Room 49, and Resident Room 50. Bathrooms were found to be clean and operational. The water temperature measured at 116.2 degrees F to 119.3 degrees F. A comfortable temperature of 72 degrees F was maintained in the facility.

LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency safety drills were last conducted on November 21, 2024, and conducted quarterly.

Evaluation Report Continues on LIC 809-C Evaluation Report Continues on LIC 809-C

LPA Kim conducted an audit of ten (10) resident files (R1-R10), ten (10) staff files (S1-S10), and medication and medication administration review that were all in order and complete. LPA Kim conducted one (1) staff interview and seven (7) resident interviews.

No Deficiencies were cited during the time of the visit.

An exit interview was conducted, and a copy of this report was provided to Executive Director Kat Farris.