Facility Evaluation Report

Licensing Program Analysts (LPA) Elizabeth Irra conducted an annual inspection visit. LPA met with Adriane Runge and discussed the purpose of today’s visit.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Facility has an Infection Control Policy (binder) in place.

Operational Requirements: Facility is adhering to the operational requirements. This facility is approved for (97) non-ambulatory residents (7 of which may be bedridden and 15 of which may be under hospice). There are currently (47) residents in the assisted living facility and (25) memory care residents.

Physical Plant & Environment Safety: LPA toured facility grounds. Fire smoke alarms and carbon monoxide detectors observed. The fire extinguishers are located throughout the facility and appear to be full (last service date 03/27/24). Signal system tested and operable. Last emergency drill was conducted on 08/29/24. Emergency evacuation chairs were observed at the stairways. Hot water temperature measured within regulations. The hot water supply measured at the following temperatures: 106.5* to 110.0*. Bathrooms have non-skid surfaces and grab bars.

Staffing : Facility is adhering to staffing requirements.

Refer to LIC 809C for the continuation of this report.