Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required visit. LPA was met by Administrator Misty Speegle and explained the purpose of the visit. Census:72

This facility is licensed to serve and retain 80 residents who are 60 and over. Of which 12 may be non-ambulatory in rooms 15-20 only. Census 72

LPA Lund reviewed 7 residents files. 7 out of 7 resident files were current and up to date. LPA reviewed 7 staff files. 7 staff files were current and up to date. A tour/Inspection of the facility was conducted with Administrator Misty Speegle & LPA Jason Lund. The facility has 3 separate wings that house residents who are in shared bedrooms at this time. A tour of the facility resident rooms was conducted. Resident furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Resident restrooms were toured and observed to be able to meet the needs of the residents at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees at this time. Medication carts were observed to be present. Policies and procedures were discussed with facility staff in terms of dispensing, documenting, and overall administration of resident medications. First aid kits were observed to be present and contained all of the necessary components at this time.