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32 | BATHROOMS: There are three (3) bathrooms. Two (2) are designated for resident use and one (1) is a staff/guest restroom. Resident restrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed in the bathrooms. The water temperature was measured in both resident bathrooms and measured within the required range.
OUTDOOR SPACE: The backyard has a covered patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. There were no bodies of water on the premises.
GARAGE: Garage was observed locked and contained extra food, PPE and incontinence supplies, and emergency food and water.
RECORD REVIEW: Began at 02:55PM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. All four (4) staff files and five (5) resident files observed were in compliance with regulation.
MEDICATION REVIEW: Began at 04:04PM. Medications for two (2) residents were observed. All medications observed were labeled, stored, and properly documented at the time of the visit.
INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the
facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are conducted quarterly, with the last drill conducted on 09/21/2023. Emergency disaster plan was observed to be complete and updated annually, as required.
INTERVIEWS: During today's visit, LPA interviewed two (2) staff and two (2) residents.
No deficiencies cited. Exit interview conducted. A copy of today's report was provided.
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