Facility Evaluation Report

License Program Analyst (LPA) Hansen arrived unannounced to conduct an Annual Required – 1 yr. Infection Control inspection to this facility. LPA was welcomed by Stacy Vermeulen, General Manager/Administrator. There is a total of 81 residents at the facility with no residents currently on Hospice/waiver for 6.

LPA toured the facility on 10/5/2022 at 9:00 AM with Administrator Stacy Vermeulen; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on 6/1/2022 at the time of the visit. Facility smoke detectors are hard wired and sound directly to the fire station. Smoke detectors and fire sprinklers are inspected, and inspection records are current with the last inspection being conducted on 10/4/2022. Every resident apartment has an individual smoke detector in addition to being hard wired, and smoke detectors were found to be operational on today’s visit. LPA observed Carbon monoxide detectors to be operational during the visit as well. There are emergency lights in many of the fixtures in the common areas of the facility that come on should a power outage occur. Facility is in process of installing generator cable box in case of power outage to be used with a rental generator. Residents’ medications are centrally stored and locked in med room. Facility has a 30-day supply of medication for residents. The facility has no special care plan of operation and programming for residents with Dementia. Facility serves residents without dementia. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per Title 22 Regulations. There are special provisions made for individuals with special dietary needs. Facility keeps a variety of items on the menu, and facility makes residents aware at admissions agreement of residents having the responsibility over their own special dietary needs. Food is available for residents any time of the day. There are daily activities scheduled for residents: morning exercises 6 days a week, Bocce Ball, Bingo, live music and excursions outside of facility.