View Ridge Care Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide services that ensured a resident's abilities in activities of daily living (ADLs) did not diminish for 1 of 2 sampled residents (Resident 19) reviewed for activities of daily living. This failure put residents at risk for physical decline and decreased quality of life.Findings Included .Resident 19 admitted to the facility on [DATE] with diagnoses to include developmental disability and need for assistance with personal care. Review of Resident 19's Brief Interview for Mental Status (BIMS - an assessment tool used to screen for cognitive impairment) dated 10/23/2025 documented a score of 8 out of 15, indicating the resident had moderate impairment. Review of Resident 19's care plan, dated 10/29/2025, documented they required limited assistance by one staff with personal hygiene and oral care. In an observation and interview on 11/19/2025 at 10:03 AM, Resident 19 stated they did not know where their toothbrush was located and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide the assistance with activities of daily living (ADL's) for 1 of 2 sampled dependent residents (Resident 58) reviewed for ADL's. The facility failed to provide one-to-one feeding assistance to Resident 58. This failure placed residents at risk for inadequate nutrition and unmet care needs and a diminished quality of life. Findings Included.Resident 58 was admitted to the facility on [DATE] with diagnoses to include transient cerebral ischemic attack (TIA- A short-term block in blood flow to the brain that causes symptoms similar to a stroke), dementia, muscle weakness and lack of coordination.Review of Resident 58's care plan, dated 09/23/2024 and revised on 08/27/2025, documented they required one-to-one assistance to eat their meals.In a continuous observation starting at 11/20/2025 at 12:01 PM, Resident 58 was observed in common area, across from the nurse's station, with their lunch on an overbed table in front of them. Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide 1 of 4 residents (Resident 58) consistent equipment and assistance to maintain their mobility. This failure placed residents at risk for decline in functional ability, frustration, and a diminished quality of life.Findings included. Review of the facility's undated policy titled, Restorative Nursing, showed the facility would ensure residents received the highest practicable level of care and the restorative program was to assist residents to get to their highest practicable level through physical exercise and rehabilitation. Procedures included making progress in the resident's electronic chart and updating the resident's care plan with measurable goals and timelines, weekly reviews/meetings of the charting by the restorative manager, restorative programs reviewed and noted in the resident's chart summarizing the program, goals, and progress. Resident 58 was admitted to the facility on [DATE] with diagnoses to include transient…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that dialysis communication documents were filled out before and after the resident had their dialysis appointments for 1 of 1 resident (Resident 8) reviewed for dialysis. This failure placed Resident 8 at risk of inadequate information given to the dialysis staff, a lack of assessment and documentation upon arrival back to the facility, undetected dialysis complications, and a decreased quality of life.Findings included .Resident 8 was admitted to the facility on [DATE] with diagnoses to include End Stage Renal Disease (ESRD) (final stage of kidney disease where kidneys can no longer function adequately requiring dialysis), malnutrition (body does not receive enough protein and calories to maintain proper health) and epilepsy (neurologic disorder characterized by recurrent seizures).In an interview on 11/18/2025 at 1:54 PM, Resident 8 stated they thought the facility and dialysis clinic should have better communication.Review of Resident 8's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure the medical records reflected the accurate weight for 1 of 4 residents (Resident 81) reviewed for weights and 1 of 2 residents (Resident 58) and for complete records to include hospice communication/documentation. These failures placed residents at risk for inaccurate medication dosage calculation, unmet care needs and possible medical complications.Findings included.<RESIDENT 81> Resident 81 was admitted to the facility on [DATE]. According to the admission Minimum Date Set (MDS-an assessment tool) assessment, dated 10/21/2025, the resident was cognitively intact, and the weight entered in Section K was 179 pounds (lbs.). In an interview on 11/20/2025 at 8:19 AM, Resident 81 stated they were just weighed and it was 248 lbs. The resident added they had gained three lbs. Resident 81 stated they used to weigh more than 300 lbs. and was working on losing more weight. The resident stated they have not weighed less than 200 lbs. Record review of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure food was stored, prepared, and served under sanitary conditions in 1 of 1 facility kitchens, 1 of 2 dining rooms (1st floor) and 2 of 2 nourishment refrigerators (1st and 2nd floors). The facility failed to ensure the dishwashing machine maintained adequate hot water temperature, to ensure the kitchen and dining room ceilings were free of dust and lint, to ensure the nourishment refrigerators were clean and sanitary, to ensure food preparation equipment surfaces were sanitary, and to ensure overhead light fixtures were sanitary and in good repair. These failed practices placed residents at risk for foodborne illnesses. Findings included . In an observation on 08/27/2024 at 9:50 AM, the 2nd floor nourishment room refrigerator and freezer were observed to have sticky residue and scattered food/debris, and the freezer had approximately ½ inch of ice on the walls and upper and lower surfaces. In an observation on 08/27/2024 at 10:02 AM, the 1st floor nourishment room refrigerator and freezer units were…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure 2 of 3 medication carts (Carts 3 and 4) and 1 of 1 medication rooms (first floor medication room) had unexpired medications and/or biologicals and medications were stored at the proper temperature. These failures placed residents at risk of receiving compromised medications and biologicals. Findings included . Review of a facility policy titled, Medication Storage in the Facility, dated 03/30/2023, showed: Outdated medications were to be removed from inventory; Facility should maintain a temperature log in storage area and record temperatures at least once a day; If vaccines are stored in the refrigerator the temperature should be checked at least two times a day.; When the original seal of a multidose vial is broken, the container will be dated; Expiration date of a vial will be 30 days once opened. <CART 4> During an observation on 08/28/2024 at 9:42 AM, Medication cart 4 was reviewed with Staff M, Licensed Practical Nurse (LPN).…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to identify a significant change and complete a timely Significant Change in Status Assessment (SCSA) within the required 14-day timeframe for 1 of 4 residents (Resident 7) reviewed for Hospice Services. Failure to complete the SCSA timely placed the resident at risk for unmet care needs, decreased quality of care and diminished quality of life. Findings included . Review of the Long-Term Care Resident Assessment Instrument (RAI) 3.0 User's Manual, Version 1.18.11, dated October 2023, stated a Significant Change in Status Assessment must be completed no later than 14 days from the Assessment Reference Date and no later than 14 days from the determination date of the significant change in status. (For purpose of this section, a significant change means a major decline in status that will not normally resolve itself without further intervention by staff or by implementing standard disease-related clinical interventions, that has an impact on more than one…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were completed accurately for 1 of 4 residents (Resident 14) reviewed for Activities of daily living and 1 of 1 resident (Resident 6) reviewed for dental care. This failure placed residents at risk for inaccurate care planning and decreased quality of care. Findings included . <Resident 14> Resident 14 admitted [DATE] with diagnoses that included Schizophrenia and Bipolar disorder. Review of Resident 14's Medication Administration Records for the prior six months showed the resident frequently refused ordered medications and treatments. Review of Resident 14's progress notes from April 1, 2024, through August 26, 2024, showed Resident 14 exhibited behaviors such as yelling, cursing and refusing cares. Review of the Annual Minimum Data Set (MDS-an assessment tool) assessment dated [DATE] showed Resident14 exhibited no behaviors or refusals of care in the reference period. Review of the Quarterly MDS…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure the Pre-admission Screening and Resident Review (PASRR - a federally required screening of all individuals who has both an Intellectual Disability (ID) or Related Condition (RC) and a serious mental illness (SMI) prior to admission to a Medicaid-certified nursing facility or a significant change of condition) form was completed prior to admission and according to the guidelines specified for 2 of 5 sampled residents (Resident 5 and 47) reviewed for unnecessary medications. Incomplete or inaccurate PASRR's placed residents at risk for inappropriate placement and/or lack of access to specialized services for residents with identified mental health diagnoses or disability. Findings included . Review of the facility's PASRR policy dated 07/11/2024 showed the policy was in place to assure that the facility has reviewed a PASRR and determined if a potential resident was acceptable for admission into this facility. <RESIDENT 5> Resident 5 admitted to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation and record review the facility failed to develop a comprehensive care plan for 1 of 2 sampled residents (Resident 6) reviewed for comprehensive care planning. Failure to ensure person centered care plans were developed and implemented placed residents at risk for unmet care needs and diminished quality of life. Findings included Resident 6 was admitted to the facility on [DATE] with diagnoses that included Congestive Heart Failure (CHF- a chronic condition in which the heart doesn't pump blood as well as it should), Chronic Obstructive Pulmonary Disease (COPD - a group of diseases that block airflow and make it difficult to breath), Diabetes Mellitus Type 2 (a disease that occurs when your blood sugar is too high), Cataract (clouding of the normally clear lens of the eye), displacement of intraocular lens (a lens implanted in the eye usually as part of a treatment for cataracts). According to the admission Minimum Data Set (MDS - an assessment tool) assessment dated [DATE], the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure resident-centered care and treatment was provided in accordance with professional standards of practice when the facility failed to ensure consistent communication and collaboration of care occurred between the facility and hospice care for 1 of 2 resident's (Resident 29) reviewed for hospice services. The facility failed to ensure the management of a high-risk medication (anticoagulant used to regulate how much the blood clots), including when to test for appropriate dose of the medication were communicated appropriately between the facility provider and the hospice provider. The facility failed to ensure the comprehensive care plan was revised and updated consistent with the residents' goals and choices for end-of-life care. This failure placed residents at risk for not receiving necessary comfort care services, unmet care needs, and a diminished quality of life. Findings included . Review of the facility contract with Glacier Peak…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review the facility failed to ensure pharmacy services were provided to meet the needs of 1 of 2 residents (Resident 29) reviewed for hospice services. The failure to ensure medications were acquired and administered as ordered, and follow facility processes for medications not available, placed residents at risk for adverse events related to missed medications. Findings included . Review of the facility policy titled, Ordering and Receiving Non-Controlled Medications, dated January/2023 states all medications should be reordered in advance. All medications orders must be communicated to the pharmacy timely to provide the correct quantity. Resident 29 admitted to the facility on [DATE] with diagnoses to include major depressive disorder, and insomnia. The admission Minimum Data Set (MDS - an assessment tool) assessment, dated 07/05/2024 showed the resident had intact cognition. Review of Resident 29's physician orders showed an order for Trazadone HCL (antidepressant medication)…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure 1 of 5 Residents (Resident 22) reviewed for unnecessary medications were free from unnecessary psychotropic medications. Facility staff failed to identify/monitor target behaviors for antipsychotic medication and attempt a Gradual Dose Reduction (GDR) for an Antipsychotic medication. These failures placed residents at risk to receive unnecessary psychotropic medications and experience adverse side effects. Findings included . Resident 22 re-admitted to the facility on [DATE] with diagnoses to include dementia (a mental disorder in which a person loses the ability to think, remember, learn, make decisions, and solve problems). According to the Quarterly Minimum Data Set (MDS- an assessment tool) assessment dated [DATE], the resident was rarely or never understood due to severely impaired cognition, exhibited no hallucinations or delusions, exhibited physical behaviors such as grabbing, hitting 1 to 3 days in the reference period. Resident 22 was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure residents with physical impairment and/or swallowing difficulty were fed by staff that were properly trained for 1 of 2 staff (Staff L) observed providing feeding assistance to residents in the second-floor assisted dining room. This failure placed residents at risk of choking and aspiration (inhalation of food or fluid into the lungs) and a diminished quality of life. Findings included . During the entrance conference meeting on 08/26/2024 at 11:20 AM, Staff A, Administrator, and Staff B, Director of Nursing Services, stated they did not have paid feeding assistants in the facility. During an observation on 08/28/2024 during the breakfast meal, six residents were sitting at individual tables. One staff member was present assisting residents. At 8:22 AM, Staff L, Activities Manager, entered the dining room and sat beside Resident 22. Staff L was observed giving Resident 22 several bites of food and drinks of a beverage. Review of Resident 22's care plan, print date 08/28/2024, showed the resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure staff followed procedures to prevent the spread of disease for 2 of 3 rooms (room [ROOM NUMBER] and 216) reviewed for Transmission Based Precautions (TBP) and failure to store respiratory equipment in sanitary conditions for 1 of 2 residents (Resident 252) reviewed for respiratory care. Failure of staff to follow appropriate use of Personal Protective Equipment (PPE), perform hand hygiene consistently and properly store respiratory equipment, placed residents and staff at risk of transmitting a communicable disease and a decreased quality of life. Findings included . Review of facility policy titled Enhance Barrier Precautions review date 03/22/2024, defined Enhanced Barrier Precautions (EBP) as the use of gown and gloves for use during high-contact resident care activities. High-contact resident care activities included dressing, changing linens, changing briefs, and wound care. Review of the facility policy titled Nebulizer -…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to store and prepare foods in accordance with professional standards in 1 of 1 kitchen reviewed. Failure to ensure foods stored in the refrigerator, freezer, and dry storage were labeled and dated after opening, failure of staff to wash their hands, and failure to wear a hair net in food preparation areas had the potential to spread food borne illness. Findings included . Review of the facility's undated policy titled, Hairnet Use, showed that all persons entering beyond the red line/clean kitchen area must wear a hairnet and gloves must be changed and hand hygiene performed each time the hairnet was touched. Review of the facility's policy titled, Dry Storage, Refrigerator, Standards of Specific Items, dated May 2017, stated that food items stored in bins should be clearly labeled and dated with use-by-date and prepared food items should be covered to protect from contamination during storage. On 05/08/2023 at 9:15 AM, the following observations in the kitchen were made with and verified by Staff C, Dietary…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, the facility failed to ensure that 1 of 2 residents (Resident 7) reviewed for positioning and mobility was provided with a splint per Occupational Therapy's (OT) recommendations. Failure to provide a splint based on therapy recommendations had the potential for loss of Range of Motion (ROM) to affected joint and increased pain. Findings included . Review of a facility policy titled, Resident Mobility and Range of Motion Policy, dated 01/24/2023, showed residents with limited range of motion will receive treatment and services to increase and/or prevent a further decrease in ROM. Review of a facility policy titled, AFO (ankle foot orthosis), cast, brace, or splint, dated 12/09/2022, showed that a device will be Care planned, set up with restorative if needed and/or placed on the TAR (Treatment Administration Record) for daily check of placement and comfort if needed. Resident 7 admitted to the facility on [DATE]. Diagnoses included Parkinson's disease (progressive…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure a physician's order was followed for the management of the humidifier on the oxygen concentrator for 1 of 2 residents (Resident 23) reviewed for oxygen administration. Findings included . Resident 23 admitted to the facility 02/07/2022 with diagnoses including interstitial pulmonary disease (progressive scarring of the lung tissue), Obstructive Sleep Apnea (intermittent breathing cessation while sleeping), and heart disease. Review of Resident 23's Minimum Data Set (assessment of resident abilities and needs), dated 02/01/2023, revealed a Brief Interview for Mental Status score of 15 out of 15, indicating resident was cognitively intact. Review of the current physician's orders showed an order dated 02/15/2022 to change the oxygen tubing weekly, and if humidifying, change the bottle weekly and as needed on Saturday. Review of Resident 23's care plan revealed a focus of oxygen (O2) therapy related to respiratory illness, initiated 05/20/2022. There was an intervention for O2 via nasal cannula (oxygen…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure an assessment and physician order was obtained for medications to be left at bedside for 1 of 1 resident (36) reviewed for self-medication program. Failure to assess if the resident had the cognitive and physical ability to keep medications at the bedside put residents at risk for using medication incorrectly and medications not being secure. Findings included . Review of a facility policy titled, Self-Medication Administration, dated 09/16/2022, showed that residents were assessed prior to having medications at bedside and a physician order would be obtained. Resident 36 admitted to the facility on [DATE]. During an observation and interview on 05/08/2023 at 10:15 AM, Resident 36 was observed applying Bengay (topical pain ointment) to their knees. Resident 36 stated that they also used Aspercreme (topical pain ointment) some days and that the facility knew she had them at the bedside. On 05/08/2023, a review of the clinical record…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.