Routine inspection·July 3, 2024

On 07/03/2024 around 12 :30 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA met with Erik Holzherr, Assistant Executive Director (AED) and explained the purpose of the visit. The facility’s fire clearance was approved for 225 non-ambulatory, 50 may be bedridden and 20 are approved for hospice waivers. Upon entry and during the visit, residents were lounging in the facility including but not limited to the common areas, bistro, and courtyard area. The facility has a central medication room that remains locked. First Aid kits are stored throughout the facility. Smoke/carbon monoxide detectors are combined with sprinkler system. Fire extinguisher was last serviced on 05/16/2024. Fire drills are performed monthly and an annual evacuation is performed in conjunction with the local police department. Lunch was served while at the facility. Residents reside in individual apartments and the hot water temperature was a comfortable temperature with the censored faucet in the residents' shared bathroom. There was adequate lighting throughout the facility. Indoor and outdoor passages were free of obstruction. Last fire drill was conducted on 06/2024. LPA reviewed ten (10) resident records and 5 staff records. LPA also reviewed a sample of residents' clinical files. Exit interview conducted and copy of this report reviewed with Erik Holzherr, Assistant Executive Director.