Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility.

LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 122.9 degrees Fahrenheit in resident bathroom sink, which is not within the required range of 105 to 120 degrees.

Fire extinguishers and carbon monoxide detectors are operational. LPA observed centrally stored medications are kept locked, however the hinges need to be replaced. (Advisory given)

LPA reviewed and compared resident medication vs. resident medication logs. The facility used the wrong date packet of medication. The date of the packet started was 10/27/2024. The facility has the right dated medication for the week however, they used the wrong one. The medication are the same, but the start dates are wrong. (Advisory given)