Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Town & Country. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 158 non-ambulatory. Facility has an approved hospice waiver for 30 residents and the facility currently has 21 residents on hospice care. Sara Modugno has an administrator certificate expiring on 09/02/2026.

LPA Lyman along with Memory Care Liaison Lori Wear toured the facility at 8:13 AM. Administrator Sara Modugno joined the tour in progress. LPA toured the physical plant, checked food service, facility records and the first aid kit. Facility appears to be clean, safe, and sanitary. Facility consists of two buildings housing independent, memory care and assisted living residents with multiple outside areas, three dining rooms, beauty salon and activity areas. At approximately 8:15 AM, LPA observed there is door in need of repair in the main entrance area of facility (photo). Resident apartments had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. LPA observed five residents with half bed rails. Water temperature measured between 108.5 and 119.1 degrees F in facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors as well as a first aid manual. LPA observed cleaning supplies are secured. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors are tested annually by Siemons along with fire inspections with the last inspection date of 03/11/2025. Fire extinguishers are fully charged. LPA observed evacuation chair at stairwells. CONT IN 809C DATED 12/18/2025.