Facility Evaluation Report

On 12 5/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required one year annual visit. LPA Jensen met with Executive Director (ED) Theresa Pettapiece and explained the purpose of today's visit.

LPA Jensen toured the grounds and observed all paths to be free of obstruction. There are two enclosed areas with outdoor furniture and shaded areas for client enjoyment. The facility has raised garden beds that residents can maintain. A delayed egress system is in place.

LPA Jensen toured the interior of the facility. The facility has a lobby seating area upon entry that is adjacent to a conference room used for family care conferences, training and other administrative needs. The resident rooms and common areas are configured in a number 8 formation to encourage residents to walk and easily find their way back to their rooms. The facility staffs with nurses, medication technicians, care providers and there is a wound specialist is available as well. There are currently 10 hospice residents and the facility has a hospice waiver for 15. The nurses station is centrally located with several arm chairs directly outside the station and this area has become a a popular gathering junction for residents. There are also multiple "club rooms" where residents can congregate and watch movies or do activities or meet with family. LPA Jensen inspected multiple occupied living units and found them to be sanitary and adequately furnished. LPA Jensen also inspected the staff room, management offices and laundry room. The laundry room is locked and inaccessible to residents in care. The facility has a machine that attaches labels to clothing and every piece of clothing, including socks are labeled with the resident's name and room number. Adequate linens were observed to allow for frequent bedding changes. The thermostat was set at 74 degrees for the comfort of the residents. LPA Jensen inspected the bathrooms. There are grab bars available. The bathroom water temperature in a common area was determined to be within the required range.