Luso Care Home LLC

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 06/11/2025 arrival time 11:00am departure time 1:00pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 4 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with staff: 1 Observations by licensing inspector: A tour of the facility was conducted to include inside and outside building grounds. Two resident and two staff records were reviewed, emergency preparedness drills, resident fire and resident emergency drills, fire inspection report, health inspection report, and a staffing schedule. Breakfast/Lunch/Dinner weekly menu and resident activities were observed. Water temperature was tested in the facility. As the residents were observed watching television during the visit. Inspector observed physicians? orders, observed Medication Administration Records ( MAR

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 04/01/2025 arrival time 10:20am departure time 12:40pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 4 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with staff: 2 Observations by licensing inspector: Inspector arrived at the facility for their 60 Day Monitoring Inspection. A tour of the facility was conducted to include inside and outside building grounds. Two resident and two staff records were reviewed, emergency preparedness drills, resident fire and resident emergency drills, fire inspection report, health inspection report, and a staffing schedule. Breakfast/Lunch/Dinner weekly menu and resident activities were observed. As the residents were observed watching television during the visit. Inspector observed physicians? orders, observed Medication Administration Records ( MAR

Type of inspection: Initial Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 1/13/2025 Arrival time: 10:30am Departure time: 11:40am The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 2 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of interviews conducted with staff: 1 Observations by licensing inspector: Inspector completed an Initial inspection for new ownership of the facility. Measurements were taken for requested capacity. A review of required postings were observed inside the facility. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website should the facility be issued a license to operate. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of a licensed facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Shelby Haskins, Licensing Inspector at 804-305-4876 or by email at Shelby.Haskins@dss.virginia.gov Violation Notice Issued: No