Facility Evaluation Report

Unannounced annual visit made out to this facility on 07/17/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Sheri Kimbro, who was briefly interviewed at this time.

It was learned that there were (9) residents under the care of home health at this time. A total of (3) residents under home health resided in the Memory Care Unit while (6) residents were under the care of home health in the Assisted Living portion at this time.

There were a total of (7) residents under the care of hospice at this time. A total of (4) residents were under the care of hospice in Memory Care while there were (3) residents under hospice care in the Assisted Living side of this facility.

Kitchen area was toured. Cabinets and drawers were reviewed. Drawers and cabinets housing cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

Food supply was reviewed for 2-day perishable and 7-day nonperishable food quantities at this time. Walk in pantry area, refrigeration unit, and freezer unit were toured. Brief tour of the food preparation line was conducted. Brief interview conducted with the supervising representative for the kitchen at this time.

Dining room, living area, and all other areas designated for resident use were observed to be maintained and observed to be in compliance at this time.

A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be present and maintained in compliance at this time.

A tour of the resident restrooms was conducted. Grab bars and non skid mats were observed to be present and in compliance at this time.

Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees.

Medication carts, located outside of the medication room, were reviewed. Policies and procedures for