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25 | Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE tool. LPA met with Teresa Webb and explained the reason for the visit. Administrator arrived 15 minutes later.
The facility is licensed to serve the elderly ages 60 and above. First floor only was approved for non-ambulatory, with a hospice waiver for two (2). Facility has a food preparation waiver. The facility is a two story building located in a residential/commercial area and consist of 69 rooms with private bathrooms (eight of this rooms are in the second floor), dining room, living room, a kitchen, an outdoor patio.
LPA conducted a tour with Teresa Webb and observed the following:
The facility is in good repair indoor and outdoor. The living/dining area is clean and has sufficient seating furniture in good repair. The fireplace located in the living room is covered. The kitchen was observed with... LPA observed 5 resident rooms each had sufficient lighting, the required furniture and bedding supplies. Each bathroom was observed clean, in good repair, with skid mats, and grab bars. Water temperature was tested in each bathroom between 105.8-111.3 degrees F. which is within the required 105-120 degrees F. No large bodies of water were observed. Patio has sufficient shaded seating area. Mediation room was observed locked. Cleaning supplies were inaccessible to the residents.
LPA reviewed 5 resident files and medication, and 5 staff files. Administrator certificate was observed for KIm Commodore #6018823740 exp: 10/10/24. LPA interview 3 residents and 3 staff.
No deficiencies were noted during this visit.
Exit interview was conducted with Kim Commodore Administrator and a copy of this report was provided. |