Facility Evaluation Report

On 4/26/24 LPA Grace Donatoconducted an unannounced annual visit to the facility. LPA met with the administrator Deborah Dahlen and explained the purpose of the visit.

LPA toured the facility inside and outside. While touring the facility it was observed that the temperature was af 78 deg F. Hot water was also tested and temperature was 108 deg F. Each resident rooms were checked. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. All residents are comfortable and taken care of. Carbon monoxide monitor is working properly. All fire extinguishers have been checked. Bathrooms were observed to be in good repair equipped with non-skid mats and grab bars. There is also adequate amount of food. 2 days for perishables and & 7 days non-perishable. Sharps and toxic materials are locked. Emergency drills are done quarterly.

Medication review was done and all medications are accounted for and centrally stored medication records are updated.

Three staff records and two resident records was reviewed. All staff has criminal record clearance and are associated with the facility. Resident records are checked and all are complete and updated.

Licensee to submit Liability Insurance to LPA.

No deficiency cited today. Report is reviewed and copy is provided.