Routine inspection·May 29, 2024

Licensing Program Analyst (LPA) Spaeth conducted an unannounced visit and was greeted by the caregiver. The Administrator was called and arrived at 10:00 am. LPA stated the purpose of the visit is to conduct an annual inspection. The facility is licensed for five non-ambulatory residents and one bedridden resident. LPA confirmed there are five residents in the facility. LPA and the Administrator toured the facility at 10:00 am until 10:30 am. Kitchen - The refrigerator was dirty and LPA explained the appliance needs to be clean at all times. LPA did not observe an adequate supply of perishable and non-perishable food. Common Areas –The living room and dining room are combined and contained comfortable seating along with dining room table and chairs. The family room contained comfortable seating and a television. Residents’ Rooms – The rooms contained a bed, linens, night stand, lamp, chest of drawers and a closet. Bathroom – The bathroom contained grab bars, slip resistant mats, paper towels and a covered trash can. The water temperature was tested at 10:15 am and was 121.1 degrees F. Backyard –The backyard contained comfortable seating. The gate leading from the backyard to the front yard was not locked. Medications - The medications were locked in a cabinet located in the living room. The first aid kit was also locked in the cabinet. Laundry Area – The washer and dryer are located in a laundry area. The laundry detergent was located in the locked garage. Egress System -LPA Spaeth observed the egress system was working when exiting the facility. Smoke/Carbon Monoxide Detectors - The smoke/carbon monoxide detectors were tested at 10:30 am and were properly working. Residents’ Records -LPA reviewed residents' records at 10:30 am until 11:00 am and LPA did not observe any issues with the records. Staff Records - LPA reviewed five staff records at 1:15 pm until 2:15 pm. Based upon LPA's observations, the following deficiencies were cited (see 809-D page). Exit interview conducted, appeal rights discussed and a copy of the report was given.