Facility Evaluation Report

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA met with care staff during today's visit. Care staff reported administrator was at an appointment during LPA's visit.

LPA toured the facility and observed outdoor area, kitchen, resident room, staff room, and common areas. LPA observed all exits were clear. LPA toured kitchen and observed 2-day perishable and 7-day non-perishable amount of food. LPA reviewed 6 of 6 resident records and all appeared to be up to date. LPA reviewed 6 resident medications and observed missing medications. LPA observed R1 has an order for senna once time daily, and medication is not available. LPA observed R2 had two over the counter medications, multivitamin and ferrous sulfate, marked given on MAR but there is no medication available in facility.

Deficiencies cited during today's inspection. Citations on 809-D. Civil penalties assessed for repeat violation.