The current census is 5 residents. All bedrooms are private rooms. Bedrooms #1, #3, #4, #5 and #6 are occupied. Bedroom #2 is vacant. The resident in Bedroom #4 is out of the facility on dialysis.

LPA Reed entered through the facility’s designated main entrance at the front door. Administrator screened LPA for COVID-19 symptoms and took LPA’s temperature. LPA requested that Administrator track visitor symptom screenings and temperature checks for documentation purposes. LPA asked if the facility has signs for the front door for COVID-19 precautions. Administrator responded that four COVID-19 signs are usually posted on the door, but recent winds blew them off. Administrator showed signs for COVID-19 precautions, mask requirements, and prohibiting guests with symptoms with old tape on them. They were in the kitchen in a pile near the front door. LPA advised Administrator to reattach them as soon as possible. LPA observed hand sanitizer upon entry. LPA observed emergency contacts posted, along with personal rights postings.

At 2:08 PM, LPA Reed and Administrator conducted the facility tour inside and out.

LPA observed signs on Bedrooms #1, #2, #4, #5, and #6. The signs contained information for good health habits, droplet precautions, social distancing, and proper cough etiquette. LPA also observed handwashing signs in Bathrooms #1, #2, and #3. All bathrooms contained trash cans with tight fitting lids, soap, paper towels or personal towels, and sinks. All bathrooms also contained non-slip mats in the showers and handrails around toilets and in showers.

LPA observed gloves, sanitation wipes, and gowns stored in each resident’s bedroom. LPA also observed an adequate supply of face masks, N95 masks, gloves, face shields, and gowns in storage in the yard.

Administrator provided vaccination records for 5 out of 5 residents and 4 out of 4 staff.

Administrator confirmed that visitation occurs in each resident’s private room or outside at the patio.

The facility has incurred zero positive COVID cases in the past two years. Administrator Ida and Staff Anna remained in the facility as much as possible to reduce disease transmission.

Administrator confirmed that all newly hired employees must provide proof of COVID-19 vaccination.

New residents need to quarantine for 14 days at the facility and provide proof of a negative COVID-19 test within 72 hours. Facility also requires proof of vaccination for new residents.

At approximately 2:47 PM, LPA and Administrator reviewed the facility’s mitigation plan (approved on 04/30/2021) to make sure administrator was following current infection control recommendations.

Administrator and staff check temperatures and symptoms on a daily basis, but do not maintain documentation. LPA required that staff and administrator must document temperatures and symptoms of residents and staff on a daily basis. Administrator will maintain documentation of screenings and temperature checks and show proof of an ongoing log to LPA by 10/21/2021.

Orchid Facility has a contract with 1Heart Caregiver Services in case of a staffing shortage, as noted in mitigation plan. Administrator will follow up with LPA to provide proof of COVID-19 related trainings for staff. Administrator reads the Provider Information Notices provided by the Department and educates staff and residents. Administrator is the head of infection control and monitors all visitors and residents. The facility reduces risk of transmission by providing virtual visitation to residents and outside visitation through windows.

LPA conducted exit interview with Administrator.

LPA will email report to Administrator