Routine inspection·June 9, 2022

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Sales and Marketing Director Tahni Harp and explained the purpose of the visit. Executive Director Leana Silva showed up a little later and assisted with the inspection. Sandra Albarron, Regional Wellness joined in the inspection The facility does not have a Dementia waiver. A hospice waiver for 6 residents is in place. Facility is a 3-story building consisting of 72 resident rooms, 2 common areas, 1 living room/activity room, dining room, kitchen, 2 laundry rooms, and a courtyard patio area. The facility's last fire inspection was conducted on 03/21/2022. The following was inspected and observed during the inspection: · The facility main entrance does have required COVID-19 signs posted at the entrance. · Visitors are screened at the main entrance and a log is kept. · Signs are not posted throughout the facility in common areas, hallways, and public restrooms to promote handwashing, cough/sneeze etiquette, and physical distancing. · Facility has single-person isolation rooms. · Twelve (9) resident rooms were inspected. None of the rooms, (9) resident rooms did not have alcohol based hand sanitizer. Rooms 329 and 206 did not have soap, paper towels or sanitizer. Room 208 did not have soap. Room 210 had no paper towels and sanitizer · Room 308 bathroom sick does not drain properly, wall by grab bar needs painting and window repair. · Fire extinguisher by room by 210 needs broken glass replaced. · Room 210 the wall has water damage and needs to be repaired. Shower facet needs repair or replacement. · 2 nd floor sanitizer dispenser by elevator was empty. · Gate by smoking area does not lock. Also 2 blue water storage tanks, a door and other debris needs to be removed. · Electrical door needs to be replaced or repaired. · Six (4) centrally stored resident medication records were reviewed. · One resident had his medication in his room he shares with spouse and can administer own medication, however, Spouse is unable to administer medication and medication should me in lock box or removed. · The majority residents walking or lounging in common areas were not observed wearing masks but adhering to social distancing guidelines. · 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. Deficiencies were cited. See LIC809D. Exit interview was conducted with Executive Director Leana Silva A copy of the report and appeal rights were issued.