Facility Evaluation Report

On 06/11/24 at approximately 1:00PM LPAs K. Nguyen and G. Luke arrived unannounced at the above location to conduct a required annual inspection. Upon arrival, LPAs met with Rickman and explained to her the reason for the visit.

LPAs inspected the following but not limited to areas to include common living spaces, dining room, kitchen, shared restrooms, reception, activity room, outdoor spaces and random resident rooms and bathrooms. LPAs measured and observed the hot water temperature in random resident bathrooms on the 1st and 2nd Floors at 107.5 degrees Fahrenheit. LPAs observed that the facility temperature was 76 degrees Fahrenheit via thermostat.

Facility has an 7 day supply of non-perishables and a 2 day supply of perishables. The fire extinguishers appeared fully charged last inspected on 5/28/2024. The memory care unit was inspected and found to be equipped with delayed egress. The facility has interconnected pull-type fire alarms and sprinklers throughout. Smoke detectors and carbon monoxide detectors were observed throughout the facility. All required posters were found posted and visible in the facility. Medications were observed locked and centrally stored in medication rooms and locked medication carts. First aid kit was complete with manual. Facility has a disaster plan and the last disaster drill was conducted on 04/29/2024. LPAs conducted a review of resident and staff records.