Routine inspection·December 2, 2021

On 12/02/2021 at 4:16 PM, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual visit to Wholesome Life Senior Living. LPA met with Administrator and disclosed the reason for the visit. The census of residents was 4. Facility has a Mitigation Plan, approved by the Regional Office, to mitigate the spread of COVID-19 in the facility. At approximately 3:11 PM on 11/30/2021, LPA conducted facility tour inside and out At approximately 3:47 PM on 11/30/2021, LPA and staff reviewed CARE tool. LPA completed and delivered report on 12/2/2021. ENTRY: Before entering, LPA saw four signs on the front door requiring social distancing, the use of face masks, as well as certain visitors prohibited. LPA observed one central entry point designated for the screening of all residents, staff, and visitors, and hand sanitizer was available upon entry. Staff screened LPA for symptoms and temperature prior to entering the facility. LPA signed in and recorded temperature on a sign-in log. The screening station also had hand sanitizer for visitor use. LPA saw a symptom screening log (+/- temperature and symptom check) for all staff and residents. Staff monitors resident temperatures twice daily. TOUR: Once inside, LPA observed signs posted promoting handwashing practices, social distancing, reporting signs and symptoms of COVID, and wearing masks. LPA observed two residents in the common area. Furniture appeared to be clean and in good repair. Seating was arranged to accommodate social distancing for all residents. 1 out of 1 staff and 2 out of 2 residents in the living room wore face coverings. The facility utilizes the living room as a visitation area. The outside patio also offers visitation space. Staff noted the facility, especially high traffic areas, are cleaned twice a day at a minimum. Bathrooms: LPA observed 3 out of 3 bathrooms with functional sinks, fully stocked liquid soap, trash cans with tight fitting lids and signs directing proper handwashing technique. 1 out of 3 bathrooms contained a personal hand towel for drying, while paper towels were available outside of the restrooms. Staff provides paper towels with each restroom use for safety reasons. Bedrooms: LPA observed 6 private bedrooms, all of which were clean and in good repair. All windows were clean with functioning blinds and screens. One bedroom was vacant. Outside: LPA observed adequate amounts of gowns, N95 masks, incontinence supplies, and sanitizer in outdoor storage area. LPA also observed masks and gloves in staff room. The outdoor area was clean and free of debris. Staff informed LPA all residents have been notified about facility infection control policies. Staff also noted the facility has procedures for when to test staff and residents to monitor the spread of the virus and mitigate outbreaks, and the facility tests staff during hiring process and residents before admission for COVID-19. Staff showed LPA a vacant room which can be used for isolation purposes. Staff stated they are knowledgeable of proper PPE donning and doffing, and they are able to serve meals and medication if residents undergo isolation. Facility is able to serve all meals and deliver medications to residents in isolation, and the Facility developed a plan to ensure appropriate cleaning of isolation rooms. Exit interview conducted. Report emailed to Administrator.