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25 | Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility to conduct an annual licensing inspection. LPA met with Snezana Djukic, Administrator, and discussed the purpose of the visit.
A tour of the facility was conducted inside and out. LPA, accompanied by the Administrator, conducted a general overall inspection, which included but was not limited to the following: Facility physical plant, food service, medication management, record review and facility administration. The facility is licensed to serve thirty-one (31) elderly residents ages 60 years and above all of whom may be non-ambulatory. A Hospice waiver is approved for two (2) residents. LPA conducted resident and staff interviews.
During today's inspection, LPA observed the following: Indoor and outdoor passageways were observed to be free from obstruction. There are no pools or bodies of water. Per Administrator, there are no firearms or other dangerous weapons in the facility. Poisons and cleaning agents were observed to be secured and inaccessible to residents in care. Facility fire clearance is maintained in conformity with State Fire Marshal regulations. LPA toured random rooms in the facility. Resident rooms had the required furnishings and sufficient lighting available. The hot water temperature measured at 107.9 degrees F. The facility has functioning carbon monoxide detectors, multiple smoke detectors, and multiple operable fire extinguishers. The facility was stocked with a two-day supply of perishable food items and a seven-day supply of nonperishable food items. Staff records were reviewed and contained CPR/First Aid training, Health Screening Reports, and annual training. Resident records were reviewed and had a current Physician's Report, Resident Appraisal, Identification and Emergency Information, Admission Agreement, and Centrally Stored Medication and Destruction Records. Medications were stored in a locked medication room and were labeled and maintained in compliance with label instructions. The last drill was held on 8/20/2023 and drills are conducted quarterly.
No deficiencies were observed during today's visit. This report was discussed with Administrator. A copy of this report, along with Licensee/Appeal Rights, was provided sat the conclusion of the visit. |