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25 | At approximately 9:45 a.m. on 08/21/24, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with the administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out.
The facility was last visited on 06/14/23 for a complaint visit. It is a four story building with 112 resident rooms, public and shared bathrooms, kitchen and dining areas, common areas, outdoor areas, business offices, activity rooms, gym, medication room, salon, and underground garage. It has an approved fire clearance for 136 residents, of which 25 may be non-ambulatory. Approved hospice waivers for ten (10).
At the main entrance, LPA observed postings for personal rights, rights of resident councils, confidential complaint contacts, facility license, facility sketch with evacuation routes, and ombudsman contacts. The front parking area was maintained and monitored by concierge. A doorbell is used for after-hours entry. The lobby contained furniture in good repair. Walls, floors, windows, screens, and blinds were clean and in good repair. At approximately 10:15 a.m. LPA measured the room temperature to be 74 degrees Fahrenheit. The southern hallway had business offices, the medication room, activity rooms, and the gym. The medication room was attended and inaccessible. Medications were locked and some were stored in the designated refrigerator. A complete first aid kit, two (02) medication carts, and emergency water supplies were also located in the med room. Activity rooms contained art supplies and reading materials. The gym was clean, and a resident was observed using the equipment. A jacuzzi outside was appropriately gated and locked. Patio furniture was shaded and in good condition. At approximately 10:30 a.m. LPA observed a fully charged fire extinguisher in the hallway. It was last inspected on 07/30/24. Daily activities and menus were posted in the elevators and throughout the hallways. The dining room was sanitary. The kitchen contained adequate supplies of perishable and non-perishable foods. The stove hood was clean. Appliances were in good condition. The kitchen was inaccessible. Cleaners were stored separate from the food storage areas. At approximately 10:45 a.m. the walk-in refrigerator and freezer temperatures were measured to be 38 and -2 degrees Fahrenheit, respectively. The laundry area was inaccessible and contained detergents, a washer, an iron press, and a dryer for large resident linens and facility linens. All appliances were in working order.
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