Facility Evaluation Report

On 04/05/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management - health checks inspection. LPA contacted Administrator via telephone, introduced self and stated the purpose of the visit. Administrator has a prior obligation and will not be able to attend this inspection. LPA received verbal permission to meet with facility staff. LPA met with Medical Assistant, Ashley Phillips.

Residents at the above facility have been temporarily relocated due to the facility being treated for pests. Facility has relocated to a hotel. Residents observed to be in rooms watching TV and outside for break. Staff are sectioned in zones to monitor residents. There one to two residents per room. Food service is delivered to residents and provided by a catering company. Facility has a room designated as a supply room which includes PPE, additional linens, and hygiene products. Facility has also designated a room to administer medications. Medication locked and inaccessible to residents in care. Facility plans to relocate back to the above facility between 4/17/2023 - 4/19/2023.

Exit interview was conducted. A copy of this report was discussed and provided to Medical Assistant, Ashley Phillips, whose signature on this form confirms receipt of this document.