Routine inspection·February 11, 2025

At approximately 8:05AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Administrator Angela Stevens in the parking lot. She informed LPA she would not be able to stay as she had an appointment. LPA met with Business office manager Lucy Jones for the inspection. At approximately 8:30AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Facility has a backup generator to supply power in an emergency. Medication is centrally stored and secure. Activity supplies were plentiful and a schedule of activities was posted. At approximately 9:00AM, LPA reviewed 8 resident records. Eight of eight records contained current and signed admission agreements, current physician reports and resident care plans. Medication records are thorough and contained physician's orders for each resident. At approximately 9:45AM, LPA reviewed 8 staff records. 8 of 8 records contained documentation of completed annual training as required. Evidence of current first aid and CPR training was current. At approximately 10:30AM, LPA reviewed the facility emergency disaster plan. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts and documents disaster drills Quarterly. LPA received evidence of Liability insurance during this visit. No citations issued during today's visit.