Facility Evaluation Report

Licensing program Analyst (LPA) Jason Lund arrived unannounced to conduct a required/one-year inspection. LPA met with, Administrator Andrew Frisch and explained the purpose of today’s visit. Census:15

LPA Lund & Administrator Andrew Frisch toured/inspected the facility. All outdoor and indoor passageway are free and clear of obstruction. Facility is maintained at a temperature of 70 degrees F. No pools or bodies of water were observed during today's visit. LPA observed at least one week of nonperishable and two (2) days of perishable foods. Toxic chemicals are stored away in a locked cabinet next to the water heater. Centrally stored medications are locked in a cabinet inside the staff room. Each room is equipped with a bed for each resident working lights and a nightstand. Facility has functioning smoke detectors in living room, hallway, and in each resident room. Carbon monoxide detectors are located in the hallways upstairs and downstairs and were tested. Fire extinguishers in the kitchen are full and were last inspected on 6/14/2023.

LPA reviewed four residents’ files. LPA observed signed admission's agreements, signed personal rights statements, completed medical assessment and a completed needs and service plan. medication administration record was reviewed. No errors were observed by LPA.

No deficiencies were cited during today's inspection and exit report given.