The above facility is a two-story commercial building. Administrator Ms. Mascardo, LPA Richard toured the facility which consisted of the following: The first-floor Lobby/receptionist area, business office/copy area, medication room, Administrator's office, record office, twenty four (24) bedrooms and bathrooms, emergency supply room, storage rooms, 3 living rooms, 2 dining rooms, kitchen, resident's private laundry room, commercial laundry room, activity room,

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

The Memory Care Unit (MCU) has 8 bedrooms and bathrooms, a living room/dining room, an Activity/TV area, and men's and women's public restrooms.

The second floor consisted of 52 resident bedrooms and bathrooms, a doctor’s office, a Home Health agency office, men's and women's public restrooms, men's and women's employees' restrooms, a resident's private coin laundry room, TV room, library/living room, game room, storage rooms, and storage closets, and an upstairs patio area.

Administrators Ms. Mascardo and LPA Richard observed 25 residents' bedrooms that had the required furniture: a bed, one chair, a nightstand, adequate lighting, a closet, and drawer space. There was ample space to accommodate each resident comfortably. Documents are posted as mandated. Bedrooms contain the required furniture, and Bathrooms are clean and operational. Personal accommodation was observed for safety, privacy, and comfort, including grab bars and non-slip surface mats. The kitchen was observed for its ability to prepare and serve food. The food service was reviewed for appropriate quantity and proper storage; there was an ample supply of perishable and nonperishable food. The resident’s medications were reviewed for proper storage, documentation, and system implementation.

Medications are locked, and records are current. Common areas observed for the ability to safely serve the needs of the residents, including cleanliness, and being clear of any potential hazards to the residents. The first aid kit is fully stocked with a manual, smoke detectors, sprinklers, and carbon monoxide detectors were in compliance, the hot water temperature was measured at 119.3F on the first floor, and 119.1F degrees Fahrenheit on the second floor, fire extinguishers are fully charged, adequate linen supply, the residents' emergency call light is operable, the facility telephones are in working condition, resident's bedroom windows have no sliding window lock with thumbscrews, all exit doors were in compliance, the yard was free of debris hazards, and trash cans were properly covered. The last Fire/Emergency Drill was conducted on 09/15/2026. The facility fees are current.

There were no deficiencies cited.

Exit interview conducted. A copy of this report was provided to the Administrator Maria Mascardo.