Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a continuation of the required annual visit at 08:45 AM. LPA initially met with facility staff. Licensee was contacted via telephone and arrived at the facility at 08:55AM. Entrance interview conducted.

During today's visit, LPA reviewed and observed the following:

INTERVIEWS: Beginning at 08:53AM, LPA interviewed 2 (two) staff and 2 (two) residents.

MEDICATION REVIEW: Began at 09:20AM. Medications for 5 (five) residents were observed. All 5 (five) of 5 (five) residents' prescription medications were observed to be maintained and administered in compliance with regulation.

No citations issued. Exit interview conducted. A copy of today's report was provided.