Routine inspection·May 26, 2021

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Administrator Barbara Tyler and explained the purpose of the visit. The facility does not have Dementia residents. A hospice waiver for 8 residents is in place. Facility is a 2-story building consisting of 73 resident rooms, 2 activity rooms, beauty salon, dining room, laundry room, and a courtyard patio area. The facility's last fire inspection was conducted on 4/11/2021 by Fire Safety Service Inc. Administrator certificate expires 7/13/2022 . The following was inspected and observed during the inspection: The main entrance of the facility is temporarily closed due to major plumbing issues on the 1st floor. Visitors are screened in the main entrance and then directed to enter the facility through the rear. COVID-19 Infection Control Practices were observed in common areas, isolation rooms/wing areas, and resident rooms. COVID-19 infection control signs were observed in all common rooms, and hallways. Facility has two (2) designated isolation areas. Fourteen (14) resident rooms were inspected. Five (5) rooms did not have hand sanitizer. Eight (8) centrally stored resident medication records were reviewed. Five (5) out of the 8 residents were missing medications. Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. Staff responsible for direct care and supervision were observed wearing masks. Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed. Lunch dining service was observed. All residents were socially distanced according to local public health guidelines. Staff and resident files were not reviewed during today's visit. Deficiencies were cited. See LIC809D. Exit interview was conducted with Administrator. A copy of the report and appeal rights were issued.