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25 | On 7/3/24 at 1:25pm Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct an 1 year required visit/annual inspection. LPA met with Administrator Sandy Krasovec, where LPA explained the purpose of the visit.
At the time of the visit were (15) residents and (5) staff present. The facility is licensed to serve 16 non ambulatory elderly residents, age 60 and above. 2 of whom may be bedridden in bedrooms 9 or 10 only. There is an approved hospice waiver for (5), as well a locked perimeter fenced gate approved. There are currently 4 residents receiving hospice services.
The facility is two story home consisting of 11 bedrooms and bathrooms. The facility was observed to be clean and clutter free. The medications, sharps and hazardous items were observed to be locked and inaccessible to residents in care. There are no pools or bodies of water on the premises, or known guns or ammunition. The emergency disaster drills are being conducted on quarterly basis and the last drill was on 5/31/24.
The facility has an ample supply of personal protective equipment (PPE), hygiene items, and linen. The facility was observed to have a 2 day supply of perishable and 7 day supply of non perishable food items. The facility was observed to have the required postings. The hot water temperature was measured and found to be within regulatory limits.
A review of records was conducted, resident records had medical assessments, admission agreements. The staff present were observed to have obtained criminal record clearance, and had valid CPR certification. The administrator has a valid administrator certificate.
Based on today's inspection there were no deficiencies cited.
An exit interview was conducted and a copy of this report was provided to Administrator Sandy Krasovec. |