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25 | On 12/30/2024, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Carolyn Heinan and explained the purpose of the visit.
LPA toured the facility inside and outside including a random sample of resident rooms, common areas, activity room and kitchen area. While touring the facility it was observed that the temperature was at 72 deg F. Hot water was also tested in the resident rooms and the temperature was 112 deg F. All personal belongings are intact. Facility has sprinkler system. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid floor. Resident call buttons are functioning. There is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter.
Five resident records and three staff records were reviewed. Resident records are updated, complete and signed. Facility has a certified administrator on site with complete certification and training requirements. Facility accepts hospice residents and are in compliance with the required waiver requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.
LPA requested the following to be emailed: Liability Insurance.
LPA received a copy of Deed..
No deficiencies are cited at this time. Report is reviewed and a copy is provided. |