Facility Evaluation Report

On August 29, 2023 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with administrator and explained the purpose of today's visit.

LPA toured the facility inside and outside including the bedrooms (3 shared bedrooms), 2 full- bathrooms, kitchen, living and dining rooms. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, but no nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 94-95 degrees F. LPA observed stairs to the garage were dirty and sticky, garbage can in the kitchen was dirty, garbage can and toilet paper holder in the female bath/shower room were dirty and rusty.

During the Central stored medication review, LPA observed, toxins and sharps objects were not locked and accessible to residents. Resident #1 (R1) was given a medication that was not prescribed by the physician and 6 out of 6 resident's medication records have omissions from 8/26/2023 - 8/29/2023 AM and the administrator stated that the medications were given by staff failed to sign it.

Emergency drills, and staff training records were reviewed and observed to be inadequate.

Food supplies were observed to be adequate.

Facility is equipped with smoke detectors and carbon monoxide detectors.