Post-licensing visit·July 12, 2022

LPA Spaeth conducted an unannounced visit and was greeted by receptionist. LPA's temperature was recorded and LPA answered the COVID questions. LPA was then greeted by the Administrator and LPA stated the purpose of the visit was to conduct a post licensing visit. The Administrator confirmed there are twelve (12) residents at the facility. The Administrator and LPA began the tour of the facility at 11:45 am. LPA was escorted throughout the first floor of the facility. Upon entering the dining hall, LPA observed dining staff wearing a mask and was delivering meals to the memory care section of the facility. LPA observed the key pad was used by staff to enter the memory section. At 11:55 am, LPA observed memory care residents were served lunch in the memory care dining room. LPA observed the memory care section was neat and clean. Staff were assisting residents with lunch and staff were wearing surgical masks. LPA observed the public restrooms located on the first floor which contained wash your hands sign, hand soap, paper towels, grab bars, and a trash can. LPA was then escorted to the second level of the facility. LPA observed a resident apartment which contained bed, linens, grab bars in the bathroom, night stand, night lamp, and comfortable seating. The locked storage room contained additional PPE supplies and other supplies needed for the facility. LPA observed the medications were locked in a room on the second floor and also locked on the first floor. LPA observed the med carts were locked and also securely locked in the room There are no deficiencies to report at this time. Exit interview conducted, appeal rights discussed, and a copy of the report was given to Administrator.