Routine inspection·March 3, 2022

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced Required One (1) year-Infection Control inspection to the above facility. LPA was greeted by Administrator Mercer Jones and explained the reason for the visit. A tour of the physical plant was conducted between: 11:20 am and 12:45 pm and the following was observed: Signs to wear a mask were posted outside the door. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathrooms and on message board. Living and dining room furniture were also checked. The living room is neat and clean. The facility maintains a comfortable temperature at 74 degrees. The smoke detectors are hardwired and interconnected and observed to be functional. Current fire extinguisher with receipt attached was observed. Kitchen area was sufficiently stocked with two (2) days of perishable and seven (7) days of non-perishable food. Sharps are stored in a locked lower cabinet. Medications: LPA observed medication in lower kitchen cabinet to be locked and inaccessible to residents. There was one (1) complete first aid kit stored lower kitchen cabinet. (CONT FROM 809) Bedrooms: The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. One (1) resident currently isolated in C19 quarantine. Bathrooms: LPA observed all bathrooms were clean, properly supplied and had functional fixtures. LPA observed grab bars and non-skid mats in all bathrooms. Residents have sufficient amounts of supplies for personal hygiene. LPA measured the hot water between the required limit of 105-120 degrees Fahrenheit during time of visit. Laundry area is located inside the garage which were observed to be locked. The facility has sufficient stock of PPE locked in a cabinet inside the garage. The facility grounds were free of hazards and the backyard has outdoor furniture with umbrella for shade. LPA reviewed files for the three (3) residing residents. All resident files contained medical assessments, physician orders for medications and centrally stored medication logs. Staff files were also inspected. All staff files inspected had current first aid/ CPR documentation as well as the appropriate training documentation. Medications are given as prescribed. Exit interview conducted/Copy of this report given.