Routine inspection·June 6, 2024

On 06/06/24, 9:45 AM Licensing Program Analyst (LPA) Raymond Comer conducted an unannounced Annual required visit and inspection of the Facility, met with Administrator, Vanessa Jewell, and reason for the visit was stated. Facility is licensed as a complex occupying six (6) floors and a penthouse. Fire clearance approved for (110) non-ambulatory, and an additional ten (10) bedridden. Hospice waiver approved for fifteen (15) residents. At the time of this inspection, there are six (6) residents receiving hospice care services, and two (2) bedridden residents. At 10:05AM , LPA conducted a tour of the physical plant with the Administrator and observed the following: Physical plant was inspected for cleanliness and condition . Facility’s main doors is the primary entry/exit access. Screening area is located immediately upon entrance. As the Facility provides dementia care, LPA observed the delayed egress system working properly. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Covid 19 prevention protocols are posted. Hand washing, coughing etiquette, and other necessary signage are posted throughout the facility. Room temperature is comfortable; wall thermostat displays a setting of 78.0°F. within the required range. The facility maintains an approved Mitigation and Infection Control Plan. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 5/15/2024. [Continued on LIC 809-C] Resident records: A total of seven (7) Resident files were reviewed for current IPP and/or needs and services plans, physician report, admission agreements, pre-admission appraisals\reappraisals, centrally stored medication logs, and resident identification. Resident records appeared to be complete and current. Due to time constraints, LPA was unable to complete the required Annual inspection visit. LPA will complete at a later date. Exit interview conducted/Copy of report given to Administrator, Vanessa Jewell.