Facility Evaluation Report

At approximately 09:30am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced annual visit. LPA met with the Co-Administrator and disclosed the reason for the visit.

At 09:45am LPA and the Co-Administrator toured the facility inside and out.

This is a one-story building with an office, waiting room, one large activity room, conference room, file room, break room, storage rooms and a MedTech room. The waiting area provided hand sanitizer. The main living room has seating and a grand piano for entertainment. There is a reading room and private dining area for family or visitors to use. Facility maintains a comfortable temperature of 72°F. LPA observed postings such as personal rights, building permits, and the facility’s license. The facility is licensed to accommodate 130 non-ambulatory residents of which 16 can be in a memory care unit. The facility also has an approved hospice waiver for a maximum of 8 residents.

At 10:00am, resident rooms were observed to be clean and sanitary. All bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and sufficient lighting.

The bathrooms were checked for the resident private and shared rooms and the public area of the facility. LPA observed all bathrooms are clean and in good repair and contained fully stocked liquid soap and trash cans. The water temperature was measured between 105.4°F-114.3°F.

The kitchen that prepares all the meals for the facility was observed to be fully stocked with perishable and non-perishable foods.The kitchen work area surface appeared clean, and no food items are stocked with cleaning supplies. Food is restocked regularly at least 2 times a week. The residents with special dietary needs are posted in the kitchen prep area with pictures of the resident and their food choices or required preparation. Continue on LIC809-C