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25 | On 2/24/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator, Mark Melton who was informed of the purpose of the visit. The facility has a fire clearance to serve one (1) ambulatory and five (5) non-ambulatory elderly residents. The facility also has an approved hospice waiver for four (4) and LPA was informed three (3) residents are currently receiving hospice services at the facility.
LPA toured the facility with Administrator Melton and observed the facility is made up of a one-story home with six (6) resident bedrooms, three (3) resident restrooms, a kitchen, dining room, living room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods. Medications are secured in a locked closet. Additional clean linens and towels were available in a hallway closet and cabinet. Administrator Melton tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed them to be hardwired and operational. LPA also observed a charged fire extinguisher mounted near the dining room. The facility's certificate of liability insurance expires on 2/18/2026. Staff present have a criminal record clearance and are associated with the facility. Resident files reviewed had updated physician's reports and signed admission agreements. LPA observed board games and books available for resident leisure. Long Term Care Ombudsman's contact information, complaint procedures, facility sketch, and emergency phone numbers are visibly posted near the front entrance and in the living room. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Melton. |