Correction check·May 16, 2022

At approximately 11:20 a.m. on 05/16/2022 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced Plan of Correction (POC) visit. LPA met with Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out. LPA was screened upon entry. LPA observed 3 out of 3 staff wearing masks. At approximately 11:40 a.m. administrator showed LPA both exit gates were unlocked. Administrator explained that one key unlocks all doors, and staff were informed. At approximately 11:45 p.m. LPA observed all medications locked in central storage in the dining room. At approximately 12:00 p.m. administrator noted that the facility had maintained a screening station for over a year, but had since removed the station. LPA explained the necessary components of the station, and administrator to show proof of correction by POC due date. Exit interview conducted. Copy of report provided.