Routine inspection·August 22, 2022

Licensing Program Analyst (LPA) Patrick Shanahan, arrived at the facility in order to conduct an infection control annual. The LPA was greeted by a facility staff, who was observed not to be wearing a mask. The LPA entered the home and was not screen per the covid-19 protocol. LPA also observed a visitor at the facility who was also not screened prior to being allowed entry. LPA toured the facility and observed in room number 3 a resident with a full bed rail. The administrator did not have a prescription for the bed rail during the visit. A tour of the kitchen also revealed that the facility did not have a sufficient amount of perishable food for the residents in care. At about 2:10 PM, groceries were observed to be delivered to the home and a copy of the receipt was emailed to LPA. The smoke alarm and the carbon monoxide detectors were tested, and functioned properly. The fire extinguisher was last serviced on 8/23/21 and was functional. The LPA was also able to go through the cash recourses for one resident and the amounts appeared to add up and no discrepancies were observed. Exit interview conducted, deficiencies cited and report issued