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25 | Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. LPA was greeted, granted entry by staff and explained the reason for the visit. LPA met with Administrator (AD) Troy Byington who was present during the annual inspection. AD Byington has a current Administrators certificate that expires 11/5/23.
At 11:25 AM LPA Haley began the tour of the facility, During the today's visit there were 101 residents present. A screening station was observed at the entrance of the facility with temperature thermometer, and log book, observed at the reception desk.
The inspection began on the first floor. LPA Haley observed a large living room area with a TV and a bookshelf full of books. Several residents were observed in the living room area sitting down. There was a large dining room right next to the living room where more residents were observed sitting down at the dining tables. During the inspection LPA Haley checked random resident rooms and hot water temperatures. All resident rooms that were inspected were clean, well organized, and had all the necessary requirements: night stand, chair, lamps/lights and storage space. Bathroom water temperatures were recorded in the range of 105 - 113.9 degrees Fahrenheit. While inspecting the first floor, LPA Haley observed a storage room with plenty of PPE supplies: face mask, gowns, gloves, shoe covers, and wipes.
During the inspection LPA toured the memory care unit. There is a separate kitchen area where residents were observed eating lunch. Across from the kitchen in the memory care unit there's an activity room with a TV and a computer.
Around 11:43 AM LPA Haley inspected the 2nd floor. A medication room with a large medication cart was observed. In the medication room there was a drawer with first aid supplies. Both of the medication carts keep a first aid kit with all required elements, and there's an additional first aid kit on the wall across from the Med room. While on the 2nd floor LPA Haley inspected a few more rooms.
Continued on LIC 809 C Dated 7/28/22
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