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25 | At 9:10 a.m. on 08/30/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual visit. LPA met with staff and disclosed the reason for the visit. At approximately 9:15 a.m. staff called the Administrator and LPA disclosed the reason over the phone. LPA and staff toured the facility inside and out.
The facility was last visited on 03/14/2022 for a complaint visit. It is a single story building with 4 bedrooms, 2 bathrooms, kitchen, garage, common areas, office area, staff area, and outdoor areas. It has an approved fire clearance for 6 nonambulatory residents, of which 1 may be bedridden. The facility serves residents with dementia. Approved hospice waivers for 2.
LPA observed a resident sitting on the front porch. Ramps leading to the facility were in good repair. Facility postings at the front and in the office included Administrator certificate, facility license, emergency disaster plan, personal rights, ombudsman contacts, confidential complaint contacts, emergency contacts, and COVID precautions. LPA was screened for infectious disease. The screening station contained hand sanitizer, N95 masks, paper towels, digital thermometer, and visitor log. The visitor log tracks name, symptoms, and vaccination status.
The facility has 3 shared bedrooms for residents and 1 staff bedroom. Resident bedrooms contained nightstands, lamps, storage, and beds with adequate bedding. Residents were lying in bed and watching television in Bedroom #1 and Bedroom #2. At approximately 9:25 a.m. the residents reported they are in good health and enjoying their stay. All furnishings were clean and in good condition. 4 out of 4 auditory alarms were on and functioning. The staff bedroom contained two beds and three duffel bags. Walls, floors, ceilings, windows, screens, and blinds were clean and in good repair. The living room contained a television, couch, and a partition which divided another staff area. The staff area contained a bed, table, and chair.
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