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25 | Licensing Program Analyst (LPA) Dwayne Mason Jr. made an unannounced visit to the facility for purpose of conducting required 1-year annual inspection. LPA arrived at the facility and was greeted at the facility by the Concierge, Ashley Stewart. Eric Medor, General Manager joined the LPA for the inspection upon LPA;s arrival. The LPA explained the reason for the inspection.
The two-story facility houses Assisted Living (AL) and Memory Care (MC) apartments. The first floor houses 10 AL apartments, 19 MC apartments, three activity rooms/areas, med room, two common dining rooms, 1 private dining room, kitchen, sitting areas, staff offices, family room, spa, two common bathrooms and courtyard. The second floor houses 36 AL apartments, reading room, salon, staff lounge and laundry room. LPA observed the facility to be clean and sanitary. LPA toured 4 apartments. All apartments have the necessary furnishings and private bathrooms. Hot water measured was observed to be between 105 and 120 degrees Fahrenheit. LPA observed all windows were screened. Medications are locked in the Med Rooms. The facility has an activity calendar including the following activities: exercise, comedy, religious activities, movie/tv shows, board games and more. There is a 2-day supply perishable food and a 7-day supply of non-perishable food on hand. Emergency food and water are located in storage on the second floor. LPA observed a walk-in refrigerator, a walk-in freezer, a walk-in pantry and noted the kitchen has working appliances and can be locked from all entrances. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents and will be stored and double locked in the laundry rooms. LPA reviewed a document called Fire Alarm & Emergency Communication System Inspection & Testing Form. This form indicated that the facility smoke/carbon monoxide alarms and sprinkler system were tested on 9/6/2023 by Southeast Fire & Security.All fire extinguishers are fully charged. The service tags indicates they were last serviced on 2/12/2024. Emergency Phone Numbers, Exit Plan, Activity Calendar & Menu are all posted and available for review.
No deficiencies were noted. LPA issued two technical assistances regarding the Disaster Plan and postings. An exit interview was conducted and a copy of this report was provided to the facility. |