Routine inspection·October 10, 2022

Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced visit for the purpose of conducting the required annual inspection focused on Infection Control Domain. LPA met with Administrator Anna Rempel, purpose of the visit was discussed. This is an RCFE with a capacity of 99. The facility is licensed to serve 85 ambulatory residents and 14 non-ambulatory residents. All non-ambulatory residents on the first floor only. The facility has a hospice waiver approved for 15 residents. The Facility is a two story building with 52 rooms with bathrooms in each room, office, lobby, TV Room/ Activity Room, 2 dining rooms, kitchen, storage, laundry and outside patio. On todays visit LPA(s) followed the Infection control domain, toured the physical plant, reviewed eight (8) resident and five (5) staff files, and the medication records for five (5) residents. LPA conducted interviews of (4) staff and (4) residents. LPA observed required amount of perishable and non-perishable food items, fully stocked first aid kit, sufficient linen supplies, hygiene supplies, security cameras located in common areas, required postings were observed. Fire alarms, carbon monoxide detectors and the signalling systems are interconnected and notify the fire department when triggered. Fire panel last serviced observed to be serviced. Toxins and sharps locked and inaccessible to residents. Fire extinguishers fully charged. Facility has an approved mitigation plan on file. Physical plant clean and free of debris. Infection control domain completed. No deficiencies are cited at the time of this visit. Exit interview was conducted and a copy of the report provided to Administrator Anna Rempel.