Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Pamela Junge and discussed the purpose of the visit. The facility currently has twenty-four residents in care.

The facility is a one-story building with fifteen resident bedrooms, eight bathrooms, living room, kitchen, dining room, staff office, and attached two car garage. The facility appears clean, safe and sanitary. LPA observed the required sized see something say something poster and ombudsman poster at the entrance to the facility. LPA observed all resident bedrooms had the required components and furnishings. LPA observed the restrooms to be stocked with toilet paper, paper towels and nonslip mats in the showers. LPA tested the water to be between 105-115.1 degrees Fahrenheit in the resident restrooms. LPA observed a clean supply of linens located in the southern resident hallway. LPA observed the centrally stored medication cart in the dining room to be locked and made inaccessible to residents in care. LPA observed extra medication storage in the locked staff bathroom and made inaccessible to residents in care. LPA observed the kitchen to be clean and vermin free. LPA observed a two day perishable and seven day non perishable food supply on hand. LPA observed the appliances to be in working order. LPA observed knives to be in a locked cabinet and made inaccessible to residents in care. LPA observed a locked cabinet next to the stove that stores the toxins and chemicals and made inaccessible to residents in care. LPA observed the staff office and no issues noted. LPA observed the garage to be used for extra storage space. The garage holds two full size freezers and two full size fridges for extra food storage for residents in care. LPA observed the emergency food and water supply stored in the garage. LPA observed an extra supply of toxins and chemicals in the garage in a locked cabinet located by the washer and dryer.