Routine inspection (multi-day)·April 7, 2023

On 4/7/2023 at 11:10AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Business Office Manager, Jacqueline Scott. During visit, LPA interviewed 3 staff starting at 11:43AM. At around 12:30PM, LPA reviewed staff training records and observed staff completed training which includes dementia, emergency, resident rights, hospice, ADL (Activities of Daily Living) care, and other topics. At 2PM, LPA reviewed two residents' medications with their centrally stored records and MAR (Medication Administration Records). LPA observed medications were written on the centrally stored records and MAR showed medications were administered as prescribed by physician. No deficiencies are being cited on this date. Exit interview conducted and a copy of this report provided.