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25 | Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by the Concierge at 8:25 AM and met with Resident Care Director (RCD). During today’s visit, LPA met with Janette Hill, Executive Director (ED).
The facility is a three level building with an approved fire clearance of nine ambulatory; eighty-eight non-ambulatory residents of which fifteen are approved for hospice. The facility currently has a census of sixty-seven residents in care. As of July 1, 2024 the community is transitioning to Integral Senior Living and Discovery Senior Living.
During today’s visit, LPA toured the facility with RCD and inspected the physical plant testing hot water temperatures in five of five resident bathrooms, and testing delayed egress on Memory Care exits. Two of three stairwells had evacuation chairs. LPA observed the observation deck and toured both the North and South Towers while visiting resident apartments. The hot water temperatures in resident bathrooms measured between 109.4 and 116.7 degrees Fahrenheit. Smoke detectors were tested by vendor Fire Alarm Systems on April 5, 2023. The Fire Marshall and Maintenance Director are currently working on testing the fire alarms for the past month and is still ongoing. Fire extinguishers were charged and serviced on August 7, 2024. The facility’s last fire drill was conducted by Direct Supply TELS on November 13, 2024 for all three staffing shifts.
LPA inspected the facility kitchen and food supply with Culinary Director and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand with the required emergency water and supplies to accommodate all residents and staff. Food modifications are posted for all line staff to see and temperature logs and cleaning logs were observed.
(Continued on LIC 809-C) |