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25 | Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit to the facility. LPA met Lee Ann Hefner, administrator and the purpose of today's inspection was explained. The facility is licensed to serve age range 60 and over, approved for (142) non-ambulatory, including eight (8) may be bedridden. Delayed egress was approved. The facility had approved hospice waiver for twelve (12) for residents residing in bedrooms# 101,102,103,104,121,122,123, and 124.
LPA conducted staff/resident interviews, used CARE inspection tool, conducted physical plant, reviewed food supply/medications and records/ staff/residents’ records. Facility fees were current. Administrator certificate was current until 3/29/25.
The building was a three-story building which was consisted of a front lobby, memory care unit, common areas, resident rooms and private bathrooms, public bathrooms, dining rooms, central restaurant style kitchen, offices, housekeeping closets, activity rooms, bar area, beauty salon, theater room, laundry and linen storage and supply rooms, and medication rooms. The memory care unit was located on the first floor. A delayed egress door system and alarm system were operational. The signal system were tested and staff arrived within 8 mins. Physical plant was conducted in room 114, 117, 135, 230, 224, and 327. Residents’ bedrooms and bathrooms were in compliance. Hot water temperature was measured in a range of 114.2 to 115.1 degrees Fahrenheit which was within Title 22 Regulation guidelines. Landline telephone systems were operational and available for resident use. Smoke/carbon monoxide detectors were monitored by a fire alarm company and last service was on 5/10/24. Fire extinguishes were fully charged.
(-continued on LIC 809 C-) |