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There is a facility pool, and LPA toured the area with Nelson. Access to the pool is restricted by way of a key fob and the three (3) doors were secured during the LPA's visit. LPA tested one of the exit doors equipped with a delayed egress door and confirmed working properly. There were a total of four (4) delayed egress exit doors. There were a total of 11 fire extinguishers inspected that had been serviced in February 2024.
Today's inspection consisted of parts of South Tower, Assisted Living, and the Care Center. The hot water temperature was measured by maintenance once a month. LPA observed smoke alarms were present in each room. The appliances in the resident rooms were in working order. Each room observed was clean, sanitary, and in good operating condition. It was also observed pull cords in each of the residents' rooms. All bathrooms inspected had grab bars installed by the toilets and shower areas. Cleaning supplies for the housekeeping staff were secured in the housekeeping closet. The signal system was tested in the presence of Nelson; staff responded in less than one (5) minutes. Some of the residents also utilize a pendant that can be worn to request staff assistance in emergencies. The pendant was also tested in the presence of Nelson, and staff responded in less than one (1) minute.
Medications were labeled, as required and stored in locked areas. LPA observed several medication carts that were locked and secured. In independent living, all residents keep their medication locked in a medication cabinet. Keys to the medication cabinets were kept and controlled by appropriate staff with responsibility for medication management. All required postings were observed in the facility in assisted living. LPA interviewed staff and reviewed multiple staff and resident records/files. LPA interviews did not raise any licensing concerns. The files that LPA reviewed contained the required documents. Confidential records were stored in locked areas. Facility staff conducted an emergency drill on May 20, 2024, LPA verified that emergency drills were conducted at least quarterly in some cases every two (2) months. Fire drills were conducted each month. The facility updated its disaster and emergency preparedness plan on May 10, 2024. Liability insurance was current, expiration date 12/31/2024.
No violations were observed during the visit.
During the visit, an exit interview was conducted with the Director of Resident Services, Syril Nelson, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided. |