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25 | On 07/20/2023, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured facility with Administrator.
Facility has one entrance/exit point. LPA observed residents watching television after lunch.
The facility was observed to be at a comfortable temperature, of 79 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. Department phone number and infection prevention information signs were posted thought the facility.
Fire extinguisher was observed with a service date of 06/19/2023. All six resident's rooms were observed to be with comfortable temperature and free of debris. Water temperature was tested and recorded reading of 115 degrees F.
Medications observed to be locked in a cabinet in the ….room and LPA reviewed MAR, it appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet in the laundry room. An outdoor covered seating area was observed for residents in care. Side gate was self-closing and self-latching.
LPA reviewed Staff and Resident files. Sample of residents’ files were reviewed. Resident files observed to have update emergency contact information, Admission agreement, and current medical assessment, and Needs and Service plans.
No deficiencies were observed. Exit interview conducted. Report was signed and copy of this report was provided for facility records. |