Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Bilger and Licensing Program Manager (LPM) Liza King arrived unannounced to conduct a follow up visit regarding a complaint investigation and follow up on incident reports receieved. LPM and LPA met with Marilyn Oterl and explained the purpose of the visit.

LPM conducted a tour of the facility and observed:

Memory Care area – resident restrooms do not cont ai n soap for handwashing . Intervie w with the designee reported that soap is not allowed in memory care area, technical guidance was provided by LPM on non toxic soap or soap dispensers that should be in each restroom area. Additionally interview with a family member reported that residents are not allo we d electric shavers , numerous resi dents observed unshaven. Guidance provided that resdients are allowed access to electrical razors. Tour of memory care room s revealed sliders and windows inoperable in the common area and in one room toured. Additionally more than 5 rooms observed to have toxins accessible . Breakfast service was done at 8:30 except for those eating in their rooms and included hot cereal, eggs bacon, sausage and coffee cake. LPM also observed juices, oranges and banannas being served. Res idents were seated in the lobby area, activites were to begin at 9 am which was not observed to occur. Guid ance was provided on allowing resdient s to remain in the dining area which was locked and activities such as morning news, talk shows or music to be on while others congregate in the lobby area reducing the number of residents in that area. Ad ditionally it is acceptable to have a TV or music area in the lobby as long as the fire exit is accessible and clear from traffic in case of emergency. Engageing res idents throughout the memory care area should allow for this and engage the residents. An additional tour was conducted after lunch, no activites were being offered and the dining room was locked again. Additional guidance provided. First hall in MC is malodorous. Temperature comfortable although portable units located throughout building. Linen available in washroom.