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25 | On Wednesday, November 23, 2022 at 12:00pm, Licensing Program Analyst (LPA) Troy Agard conducted an unannounced required annual visit with a primary focus on Infection Control measures using the new CARE Inspection Tools. Upon arrival at the facility, LPA Agard conducted a risk assessment in the front lobby. LPA verified that the facility has an approved mitigation plan report.
The facility is licensed for eighty-four (84) bedridden residents, of which eight (8) may be on hospice. Currently, there are no hospice residents present during today’s visit.
LPA met with Keith Gaines, Resident Care Specialist and they both toured the inside and outside grounds of the facility. LPA was properly screened for Covid-19 symptoms and temperature was checked.
During the tour, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the facility entrance; visitors log with Covid-19 screening and temperature log. PPE supplies are readily available to staff, and an additional supply of PPE is stored in the facility storage. Sufficient paper, cleaning, and disinfecting supplies were observed. The facility’s designated visitation is in the den, telephone room, resident’s bedroom or front patio area. LPA observed staff, residents, and visitors maintain 6 feet physical distancing. All staff and visitors were observed wearing a face covering. LPA observed required postings throughout the facility.
The facility has no memory care unit associated with the RCFE. Potentially dangerous items such as toxins are kept inaccessible to residents. Some rooms were visibly inspected. Beds in shared bedrooms are more than 6 feet apart/3 feet head-to-toe apart. Beds and bedding supplies are sufficient, adequate lighting provided throughout the facility, storage for resident personal belongings was observed and adequate.
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