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25 | At approximately 11:15AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with house manager Shadie Fitzgerald. At approximately 11:30AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure.
At approximately 11:45AM, LPA reviewed 5 of 7 resident records and found 1 of 5 residents did not have a current physician's report. LPA was informed resident did see their physician on 10/31/2022 and they must have misplaced the report. A new appointment is scheduled on 03/24/2023. 5 of 5 records contained current and signed admission agreements and physician's orders on file. Medication records are thorough and contained physician's orders for each resident. Hospice care plans were up to date for each hospice resident.
At approximately 1:45PM, LPA reviewed 5 of 5 staff records all of which contained the required documentation. Evidence of current first aid and CPR training were current for staff on duty. LPA interviewed 1 staff and 5 residents during this inspection. |