Routine inspection (multi-day)·July 30, 2024

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 05/22/2024. At 1:00 p.m., the LPA met with the Administrator, Annie Osborn and explained the reason for the visit. RECORD REVIEW: Starting at 1:05 p.m., the LPA reviewed records for five (5) residents and all regularly scheduled staff. Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, and consent forms. All files were in order. The LPA conducted a personnel file review for all staff regularly scheduled and reviewed for, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Personnel files reviewed were observed to be in compliance. At 1:43 p.m., the LPA conducted a review of medication and medication documentation with the Administrator for five (5) residents. No errors observed during the medication review. At 2:10 p.m., the LPA conducted a brief physical plant tour to ensure there are no health and safety hazards. No deficiencies cited at this time. Exit interview conducted. A copy of the report of provided.