Facility Evaluation Report

LPA Spaeth conducted an unannounced visit and was greeted by the caregiver (S1). LPA stated the purpose of the visit is to complete a case management visit to follow up on food service and care/supervision. LPA observed S1 was wearing a mask. LPA's temperature was checked and LPA was asked to sign in and answer the COVID questions at the sign in station. S1 confirmed there are three residents. One resident was asleep in room, one resident was eating lunch, and the third resident was away from the facility. LPA toured the facility with S1 at 12:30 am until 12:55 am. LPA viewed residents' files at at 1:45 until 2:15pm. During LPA's tour LPA observed the following:

Common areas - LPA observed the living room, dining room, and kitchen are all combined as one large room. Within the living room section, LPA observed comfortable seating along with a television set. The dining room section contained dining room table and chairs.

Kitchen – LPA observed the medications, knives, hygiene items and the first aid kit were safely locked in the kitchen. The cleaning supplies were locked underneath the kitchen sink. Paper towels and hand soap were located at the kitchen sink. LPA viewed the refrigerator and pantry. LPA observed a seven day supply of non-perishable items and a two day supply of perishable items. LPA also observed the kitchen was neat and clean.

Residents’ rooms - LPA observed one resident’s room which contained a bed, linens, lamp, lamp stand, chest of drawers and closet.

Bathrooms - There are two bathrooms in the facility. LPA was able to view one bathroom. The bathroom contained hand soap, paper towels, and trash can. There were no safety issues to report. LPA was informed the second bathroom is in the master bedroom. A residents was resting in the master bedroom.