Facility Evaluation Report

Unannounced annual visit made out to this facility on 05/19/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Heather McClosky, who was briefly interviewed at this time.

It was learned that there weren't any residents under the care of home health at this time. There weren't any residents under the care of hospice at this time since this facility did not carry an approved hospice waiver. This facility does not carry a plan of operation to accept and retain residents diagnosed with dementia either.

Kitchen area was toured. Cabinets and drawers were reviewed. Drawers and cabinets housing cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

Dining room, living area, and all other areas designated for resident use were observed to be maintained and observed to be in compliance at this time.

A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be present and maintained in compliance at this time.

A tour of the resident restrooms was conducted. Grab bars and non skid mats were observed to be present and in compliance at this time.

Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees.

Medication cabinet, located as a medication cart in the dining area, was reviewed. Policies and procedures for dispensing, handling, and overall documentation of the resident medications were discussed with the facility designated Administrator at this time.

Food supply was reviewed for 2-day perishable and 7-day nonperishable food quantities. Additional food storage units were observed to be present in the garage area.

Garage area was toured. It was learned that this space was used to store furniture and items for resident use. Additional food supply quantities were observed to be present as well.