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25 | Licensing Program Analysts (LPAs) Kimberly Lyman and Claudia Gutierrez conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPAs were greeted and granted entry into the facility and explained the reason for the visit. Administrator Kelly Anderson arrived during the visit. Kelly Anderson has an administrator certificate expiring on 2/24/23.
At 9:50 AM, LPAs toured the facility with Administrator Kelly Anderson. Facility has 4 residents in care during today's visit with 1 resident on hospice care. LPAs observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident rooms had the required elements. Facility screens all visitors to the facility and LPAs observed the screening/ sanitizing station in the facility. Facility utilizes a hand written visitor sign in sheet. Facility takes resident and staff temperatures daily and documents. LPAs observed the first aid kit has all required items. Smoke detectors tested operational during today's visit. LPAs observed sufficient supply of emergency food and water as well as emergency supplies. LPAs observed multiple shaded outside visitation areas. Exit gate was unlocked. LPAs observed the locked medication area. Facility utilizes a medication administration record. Facility provides activities in the form of exercise and social hour. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPAs reviewed all resident files during the visit and all files have updated emergency information as well as required documents. All residents and staff are vaccinated for Covid-19.
Licensee to forward a copy of the mitigation plan to LPA Lyman by 04/11/2022.
No deficiencies noted during today's visit. Exit interview conducted and a copy of this report was left at the facility. |