Routine inspection·April 18, 2022

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Infection Control Inspection. LPA met with and explained the purpose of the visit with Administrator Donna Hurley. LPA entered through the central entry point where Health Screening area and hand sanitizer was observed. Infection control procedures which were observed or reviewed by LPA include: Daily symptoms screenings (for staff, residents and visitors), testing, visitation requirements , quarantine/isolation procedures, staffing, PPE and daily infection control procedures. All 35 residents and staff are fully vaccinated. LPA toured the facility inside and out. Required postings as well as Covid-19 and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Facility has designated visitation areas available. LPA observed 30-day resident medication and available PPE. LPA observed adequate supply of food, paper goods and disinfecting products. Bathroom sinks are stocked with liquid soap and paper towels, hand washing signs observed. No deficiencies cited during today’s visit. A copy of this report and an exit interview was conducted with the Administrator. LPA requested the following updated forms by 4/25/22: LIC 308, LIC 309, LIC 400, LIC 402, LIC 500, LIC 610E, LIC 9020, Copy of current Liability Coverage.