MSH Senior Living

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a continuation of the required annual visit at 02:03 PM. LPA met with facility staff who contacted the Administrator Naira Badalyan via telephone call. The Administrator arrived to the facility at 02:17 PM. Entrance interview conducted and the reason for the visit was explained. The following was observed: RECORD REVIEW: Record review began at 02:17 PM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, consent forms, and personal rights. Six (6) staff files were reviewed. All staff files contained the required documents and trainings. Six (6) resident files were reviewed all resident files contained all required documentation. No deficiencies were observed during record review. MEDICATION REVIEW: Medication review began at 03:38 PM. LPA observed medications for three (3) of six (6) residents. All medications observed were documented properly on their centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 08/25/2025. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. Continued on LIC 809C. INTERVIEWS: During today’s visit LPA interviewed two (2) residents. Both residents interviewed stated that the staff treat them well and are attentive to their needs. Both residents had no concerns with the facility. LPA interviewed one (1) staff member. The staff interview was conducted with the assistance of the facility Administrator acting as a translator. The staff member interviewed was knowledgeable on their role and responsibilities, the resident’s rights, the different forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s updated LIC 500, resident roster, and liability insurance. No deficiencies were observed during today’s inspection. Exit interview conducted and copy of the report was issued.the state’s words, verbatim · CDSS document, Oct 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the annual visit at 02:13 PM. LPA met with facility staff#1 (S1) who contacted the Administrator Naira Badalyan via telephone call. The Administrator was unable to come to the facility during today’s visit. Entrance interview conducted and the reason for the visit was explained. Beginning at 02:15 PM, the LPA, along with S1 toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured lock box to contain knives as well as other sharp objects. LPA observed a cabinet to contain the facility’s complete first aid supplies. LPA observed a wall mounted fire extinguisher to be fully charged and purchased on 07/11/2025. Continued on LIC 809C. COMMON AREAS: This includes the living room, dining area, hallway, and office. LPA observed the living room to be clean and properly furnished at the time of the visit. LPA observed the living room to contain an appropriately screened fireplace, activities for resident use, and a camera. LPA confirmed with the Administrator via telephone call that audio is not recorded. The dining area contained a dining table with adequate seating for resident use. LPA observed a hallway closet to contain extra linens for resident use. LPA observed the office to contain a locked filing cabinet that contained facility files. The facility’s combination fire and carbon monoxide alarms were tested at 02:33 PM and were functional at the time of the visit. GARAGE: LPA observed the garage to contain a washer and dryer, emergency water supplies, and extra care supplies. LPA observed a secured drawer to contain cleaning supplies, pesticides, and laundry detergent. BEDROOMS: There are four (4) bedrooms in the facility; two (2) are dual occupancy rooms and two (2) are single occupancy rooms. LPA and S1 toured all four (4) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #2 is the bedridden approved room and contains a direct exit to the outdoors of the facility. BATHROOMS: There are two (2) bathrooms at the facility. Both bathrooms are designated as shared resident bathrooms. Both resident bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in showers and near toilets, all were properly secured. The water temperature was measured between 105.8 and 108.1 degrees Fahrenheit, which is in compliance with regulation. LPA observed one secured cabinet under a bathroom sink to contain grooming supplies. Continued on LIC 809C. OUTDOOR SPACE: The facility has two (2) emergency exit gates located on either side of the facility; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. LPA observed an appropriately fenced off pool that was locked and inaccessible to residents in care. Due to time constraints, LPA will return at a later date to conduct Staff and Resident record review, medication review, a review of the facility’s infection control plan and emergency disaster plan, interviews with staff and residents, and to collect copies of pertinent facility documents. No deficiencies were observed during today’s inspection. The Administrator has designated S1 to sign this report on their behalf. Exit interview conducted with S1 and copy of the report was issued.the state’s words, verbatim · CDSS document, Sep 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:22 AM. LPA met with facility administrator Naira Badalyan. Entrance interview conducted and the reason for the visit was explained. Beginning at 09:24 AM, the LPA, along with facility administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured lock box to contain knives as well as other sharp objects. OUTDOOR SPACE: The facility has two (2) emergency exit gates located on either side of the facility; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. LPA observed an appropriately fenced off pool that was inaccessible to residents in care. COMMON AREAS: This includes the living room, staff office, and hallway. LPA observed the living room to be in good repair, clean, and properly furnished at the time of the visit. LPA observed the living room to contain an appropriately screened fireplace, activities for resident use, and two (2) couches. The living room also contains a dining table with adequate seating for resident use. LPA observed a camera in the living room and confirmed with the facility administrator that audio is not recorded. LPA observed a hallway closet to contain extra linens. Report Continued on LIC 809-C GARAGE: LPA observed functioning auditory alarms on the door to the garage. LPA observed the garage to contain a washer and dryer, emergency water and food supplies, and extra care supplies. LPA observed a secured drawer to contain cleaning supplies and laundry detergent. The facility’s combination fire and carbon monoxide alarms were tested at 01:31 PM and were functional at the time of the visit. BEDROOMS: There are four (4) bedrooms in the facility; two (2) are dual occupancy rooms and two (2) are single occupancy rooms. LPA and facility administrator toured all four (4) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Auditory alarms were observed on facility exits and all were functional at the time of the visit. BATHROOMS: There are two (2) bathrooms at the facility. Both bathrooms are designated as shared resident bathrooms. Both resident bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in showers and near toilets, all were properly secured. The water temperature was measured between 108.1 and 110.5 degrees Fahrenheit, which is in compliance with regulation. LPA observed one secured cabinet under the bathroom sink to contain grooming supplies. RECORD REVIEW: Record review began at 09:55 AM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, consent forms, and personal rights. Four (4) staff files were reviewed. All staff files contained the required documents and trainings. Four (4) resident files were reviewed all resident files contained all required documentation. No deficiencies were observed during record review. MEDICATION REVIEW: Medication review began at 11:01 AM. LPA observed medications for four (4) of four (4) residents. All medications observed were documented properly on their centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are to be conducted quarterly; the facility’s last emergency disaster drill was conducted on 08/05/2024. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s administrator. INTERVIEWS: LPA interviewed two (2) residents. Both residents interviewed stated that the staff treat them well and are attentive to their needs. Both residents had no concerns with the facility. LPA interviewed one (1) staff member. The staff interview was conducted with the assistance of the facility administrator acting as a translator. The staff interviewed was knowledgeable on their role and responsibilities, the resident’s rights, the forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s updated LIC 500, resident roster, and liability insurance. No deficiencies were observed during today’s inspection. Exit interview conducted and copy of the report was issued.the state’s words, verbatim · CDSS document, Oct 3, 2024

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.