Facility Evaluation Report

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct the annual continuation inspection. LPA met with Administrator James Dial during today's inspection. Currently there are 112 residents of which 6 residents are receiving hospice care.

LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 6 resident rooms, medication room, staff area, bathrooms, kitchen, common living spaces, outdoor spaces, and activity areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA measured the hot water to be 117 degrees Fahrenheit. There is a locked rooms for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete.

LPA reviewed 15 resident files and 15 staff files. LPA reviewed 5 resident medications comparing with current physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated training completed. LPA observed a copy of current liability insurance.

No deficiencies observed during inspection.

Exit interview conducted and copy of report provided.