Facility Evaluation Report

Licensing Program Analysts (LPA) Sabrina Calzada and Kevin Mknelly and Long Term Care Ombudsman (LTCO) arrived unannounced to conduct a case management inspection to follow up on recent concerns brought to their attention.

LPA's and LTCO met with Lacy Berry, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA's completed required COVID-19 testing protocols, contacted the facility to confirm if there are any positive Covid-19 diagnoses, and completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19. Additionally, LPA's were screened per Covid-19 precautionary measures upon entering the community. LPA's ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 or surgical Mask.

During today's inspection, the following was discussed:

timely receipt of new medication order and in getting medication filled

The following documentation was requested to be provided by 12/8/21:

December staffing schedules (received 12/2/2021)

October/November 2021 staffing time cards

There are no deficiencies cited in this report from today's inspection.

Exit interview with Administrator. Copy of report to be emailed to Administrator following the inspection.