Facility Evaluation Report

On 9/5/2023, Licensing Program Analysts (LPAs) K. Kaur and K. Brown arrived unannounced at the above facility to conduct an Annual Inspection. LPAs introduced selves, stated the purpose of the visit and met with Executive Director Trina Sinift

LPAs conducted facility tour with Administrator. All pathways, entrances and exits were clear from obstruction. LPAs toured locked office storage rooms, and laundry rooms. LPAs observed facility common areas which were furnished with sufficient seating. The tour continued to the facility dining room and facility kitchen. The kitchen was observed clean, in good repair with necessary items and appliances. LPA observed non-perishable and perishable foods. At 11:39 AM LPA observed the Ice Machine to have brown buildup underneath the door lift area.

LPAs toured several resident rooms which were observed to be furnished with required furniture and adequate lighting. Fire extinguishers observed throughout the facility with service date of July 13, 2023. Bathrooms were properly equipped with non-slip mats and grab bars. Hot water temperature was tested between 105 degrees F and 120 degrees in several resident bathrooms. Carbon monoxide detector tested and operational in two hallways. Memory care toured with dining area/ Kitchen; several rooms toured. Residents observed with several care givers in commons areas playing music and exercising. LPA observed delayed egress doors. Facility observed with a signal system. LPA toured an enclosed patio area with sufficient seating and shade for recreational purposes.

Cleaning supplies and chemicals are kept locked maintenance room. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report. Staff files were reviewed for good health. It was verified that there are at least two staff on duty who are CPR certified.