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25 | Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 1/2/24 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with the Executive Director (ED)/ Administrator and explained the purpose of the visit. .
LPA and ED toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedroom, medication rooms, kitchen and dining, and The Harbor (Memory Care section). In the areas toured no immediate health, safety, or personal rights violations were observed. The facility is clean and well maintained.
Residents observed appeared to be assisted as needed with an appropriate number of staff present.
The licensee utilizes an electronic records system. LPA was assisted by management team members to review required documentation.
LPA reviewed 5 resident files. Files were complete. LPA interviewed 4 residents. R1 resident is in process of a exception request, by licensee, for a health condition.
5 Staff files were reviewed. Files are complete.
LPA received a copy of liability insurance certificate.
No deficiencies are being cited as a result of todays inspection.
Exit interview conducted. Report provided copy provided. |