Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to the facility, to conduct a annual inspection of the facility. LPA met with Sister Margaret Homa and explained the purpose of the visit. The facility is a 49 bed facility there are some care conditions that are currently self managed in the facility, 1 catheter, 1 colostomy, 2 diabetics. 3 clients are currently on hospice.

LPA physically inspected the facility, including 6 bedrooms and bathrooms of the residents, exteriors, evacuation route gate, kitchen. Facility is clean, traffic areas are unobstructed and well lit.

Kitchen has adequate supply of food to accommodate 2 days perishable and 7 days non perishable. The LPA observed lunch, meat and veg, adequate in quality for consumption regulation and quantity for nutrition regulation. The residents during the service seemed happy with the food in a general sense. Kitchen has adequate lockable storage for sharps and toxics to be stored seperately from each other and food. Kitchen has daily menu posted on a community channel that broadcasts to the Resident's TV's, and takes input during the intake process for prefered foods and dietatry restrictions. Alternate meals provided for medical necessity or convenience are possible with advance notice to the kitchen. Senior Chef claims to have adequate equipment to serve the menu. Kitchen is clean, grease traps look good.

Bedrooms/bathrooms have hardware in good repair, and all required furniture and furnishings. Some clients have extensively personalized their room, others have not. Water temperature was measureed low and high at differenct sinks in the facility, LPA asked the senior maintenance staff to recalibrate the water heaters to deliver between 105-120*F to all the residents rooms on the water circuit.