Facility Evaluation Report

At 1:15 PM on 02/08/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with Administrator and disclosed the reason for the visit.

LPA conducted a physical plant tour at 1:20 PM. LPA heard 4 out of 5 auditory alarms functioning. LPA advised Administrator to acquire a functioning alarm for the back exit by the laundry room.

LPA viewed adequate fresh food in the refrigerator and freezer. A pair of scissors were dirty and in the sink. LPA advised staff and Administrator to lock up all sharp objects.

A resident with dementia walked around the facility, and staff told resident to sit down two times. Staff provided redirection back to the couch after two minutes of the resident walking around.

Administrator noted nurse and Licensee were at the facility 30 minutes before LPA arrival. Administrator recommended future staff training with Hoyer Lift, oxygen, and repositioning. LPA agreed.

LPA spoke with 4 out of 5 residents in care. All residents reported doing well, and one reported coming from outdoor exercise and lunch.

LPA conducted exit interview and issued report.