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25 | On 08/13/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection utilizing the care tool. LPA met with Administrator Mircea Puha and explained the purpose of the visit.
LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, laundry room, garage and common areas. In areas toured LPA observed required furniture, and lighting throughout the resident bedrooms and facility. LPA observed resident bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. Knives are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen at 115.2 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. LPA observed the fire extinguisher located near entrance which was last serviced on 11/03/23. LPA observed required Licensing posters posted throughout the facility.
LPA reviewed four (4) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for two (2) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed two (2) personnel records. Staff has training in medications, first aid, CPR, and other various areas of care provision.
No deficiencies being cited during today's inspection.
Exit interview conducted and report provided. |