Facility Evaluation Report

Licensing Program Analyst (LPA) Vaid conducted an unannounced Annual Required Visit on 08/15/2024 at 8:50 am. The parking lot and front of facility is clean and free of debris. LPA was met by Administrator Taliaferro and explained the purpose of the visit. Facility is licensed to serve residents over 60 years old. The facility cares for elderly residents and is allowed to care for three-hundred ten (310) non-ambulatory residents of which twenty-five (25) may be bedridden residents. The facility currently has an approved hospice waiver for thirty (30) residents. LPA Vaid requested copies and obtained of Personnel Report and Resident Roster.

Tour of the physical plant was conducted and was led by Administrator Taliaferro. The facility is low-rise 4 story building located near a residential area and several retail centers.

Front Lobby: Was clean and well maintained. No hazards were observed. LPA Vaid observed PPE supply station upon entry to the facility.

Kitchen: LPA Vaid observed sufficient 2 days of perishables and 7-day supply on non-perishables. Walk in refrigerator thermostat was observed to read 37 degrees F. LPA Vaid observed staff preparing for dinner. LPA Vaid observed staff wearing gloves and hair netting while preparing and handling food. Kitchen appliances were observed to be clean and in working order. LPA Vaid observed fully charged fire extinguishers in this area. Emergency food supply is stored all throughout the first floor.

Dining Room: Dining room was observed to be clean and contained plenty of seating. LPA Vaid observed three (3) servers taking residents orders and bringing out their meal. Meals are prepared with strict dietary guidelines as ordered by the physicians. Menu is prepared with residents input.

Linen/Laundry/Supply Room: Contained plenty linens, towels, and hygiene products. Toxins and cleaning supplies are inaccessible to residents.