Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 10:01 am to conduct a 1-year annual visit to the facility above. LPA met Administrator Tammy Westwood and explained the purpose of the visit.

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

Infection Control: The facility has submitted a current Mitigation Plan, Infection Control Plan, Emergency Disaster Plan and provided plans to the department. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has a 30-day supply of PPE. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and waste baskets have tight fitting covers.

Physical Plant & Environment Safety: The facility is clean, safe, and sanitary. LPA was authorized to enter and inspect facility. The dual smoke and carbon monoxide detectors are hard wired along with a sprinkler system and are operational, last reviewed and tested by an inspector on 5/28/24. Fire extinguishers located in several areas throughout the property were inspected on 6/12/24 and were charged in the green. There are no issues noted at this time fire clearances. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The facility kitchen is clean, safe, and sanitary. The showers have non-skid mats and/or surfaces. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care. The facility has telephone and internet service for resident use.