Facility Evaluation Report

THIS IS A CONTINUATION OF THE REQUIRED 1 YEAR ANNUAL COMMENCED ON 5/15/24

On 5/16/24 Licensing Program Analyst Maja Jensen arrived at facility unannounced to continue a required 1 year annual inspection. LPA Jensen met with Executive Director Mary McClure and explained the purpose of today's visit.

On 5/15/24 LPA Jensen toured the grounds and physical plant. All paths on the grounds were observed to be free of obstruction. There are shaded areas and patio furniture for the residents to enjoy outdoor activities. There are no bodies of water on the property. LPA Jensen observed a broken hand rail on an exterior patio that was marked with caution tape. LPA Jensen confirmed with the Maintenance Director and the Executive Director that the rail has been broken for approximately one week and repairs are currently in process. LPA Jensen also reviewed documentation confirming a contractor is scheduled for repairs as of 5/17/24.

LPA Jensen toured the physical plant. The facility was observed to have adequate furnishings and lighting. There are night lights available in the hallways. The facility maintains an adequate supply of linens. All medications and toxins are inaccessible to residents in care. The first aid supplies were observed to be complete. There is an evacuation chair located in the stairwell. The elevator in the main hall was determined to be in working order. The fire extinguishers were last serviced in January of 2024 and are in compliance. The carbon monoxide detectors were tested and in good working order. The facility is equipped with an interior fire sprinkler system.

LPA Jensen toured the kitchen. A two day supply of perishable food was observed and a 7 day supply of non-perishable food was observed. On 6/16/24 the lunch menu consisted of Grilled Ruben on Rye with beet salad and jello. Various snacks, desserts and fresh fruits were also available. The menu is posted in a variety of places and a menu is also printed for the individual rooms.