Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 12:11 p.m. to conduct a 1-year annual visit to the facility above. LPA met Administrator Ronald Freeman and explained the purpose of the visit.

A tour of the residential areas of the facility was conducted with Administrator. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety: The facility has 97 bedrooms and 97 bathrooms, and 8 public restrooms currently occupying 99 residents and employs 67 staff. LPA toured common areas both in the Memory Care Unit and the Assisted Living areas. Areas reviewed were clean, safe and sanitary. The lighting and lamps are sufficient for the use of the facility and for residents’ comfort. Rooms 207, 224, and 240 were toured, these rooms are currently vacant. Showers have non-skid textured floors, and secured grab bars.

Resident Rights Information: All require postings were posted in the common area of the facility. Personal rights, Rights to Resident Council, and Theft and Loss policy. CCL Complaint poster was 20x26 in size and was at the front entrance. The LTCO poster was posted in the common area hallway of the facility. The current license was posted at entry.

Operational Requirements: The facility has a current plan of operation and infection control plan on file with the department. The facility is approved for a capacity of 122 non-ambulatory, which 12 may be bedridden and a current Hospice wavier is granted for 12. The Facility is operating in compliance with the granted fire clearance.

LPA will return at a later date to complete the annual visit.

Exit interview completed, copy of report printed for Administrator.