Facility Evaluation Report

Licensing Program Analysts (LPA) Shannan Hansen conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and was welcomed by Resident Care Director, Jodie Niezgoda LVN. There were 40 residents present at the facility, 1 on hospice with a waiver for 5 and 10 in memory care. Administrator AudreAnna Verling was out and unable to attended. Resident Care Director(RCD), Jodie Niezgoda, designee, conducted annual with LPA today.

On 9/15/2022 at 11:10am LPA arrived at the facility and had her temperature checked and logged. All staff are temperature checked and logged each shift and wear masks. LPA toured the facility with Jodie Niezgoda, RCD. During tour, facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, and storage areas were inspected. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerator and freezer were clean, and food was stored properly. Fire Extinguishers were found to be last charged on 8/14/2022 at the time of the visit. Smoke detectors were tested and found to be in working order. Facility has an automatic sprinkler system that was last inspected 3/14/2022. Carbon Monoxide detector was present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure, in medication room. Hot water temperature measured 114.4 degrees F, 117.5, degrees F and, 118.2 degrees F within acceptable regulations of 105 to 120 degrees F in 3 of 3 client’s bathroom faucets. There was a supply of cleaners, hygiene products and paper products available for residents. Toxins are stored in a locked housekeeping closet in the hallway. All resident’s bedrooms have lighting & appropriate furnishings. Disaster Drills are conducted quarterly with the last being a fire drill 8/31/2022.