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25 | Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPAs were greeted and granted entry into the facility by Director of Residential Services/ Administrator Stephanie Jukic and explained the reason for the visit. Administrator Stephanie Jukic has an administrator certificate expiring on 02/23/2024.
At 09:30 AM, LPA toured the facility with Administrator Jukic and Facilities Director Jimmy Troge. Facility has 44 residents in assisted living and 28 residents in memory care during today's visit, with 7 on hospice. Facility has a beauty salon, chapel, activity rooms, movie theater and library as well as multiple dining rooms and a bistro area. LPAs observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. LPAs observed both the Assisted Living and Memory Care Unit. Assisted Living resident rooms are single occupancy and had the required elements as well as restrooms stocked with soap/ sanitizer. Memory Care rooms are single and double occupancy. Memory Care has delayed egress doors and an enclosed outside patio for residents. Facility screens all visitors to the facility and LPAs observed the screening/ sanitizing station in the entrance of the facility. Facility utilizes a visitor sign in sheet and documents temperatures and potential health symptoms. Facility has all required department postings. First aid kits have all required items. Facility utilizes the electronic medical record. Facility mitigation plan/ Infection control has been submitted and approved. LPAs observed an ample supply of emergency food and water. Smoke detectors tested operational during today's visit. Sprinklers and smoke detectors are also tested by an outside company and last inspection was on 11/14/2022. All stairways have an emergency evacuation chair. LPAs toured the outside grounds and observed multiple shaded outside visitation areas. Residents participate in activities such as exercise, music, and outings in the community. Facility has ample supply of PPE and cleaning supplies. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPAs reviewed select resident files during the visit and all files are up to date including emergency information. Based on the observations made during today's visit, NO deficiencies are noted. Exit interview conducted and a copy of this report was left at the facility. |