Routine inspection (multi-day)·January 9, 2024

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Denise Sutton and explained the reason for the visit. During this visit LPA Flores concluded the inspection and reviewed the following domains from the CARE inspection tool: Infection Control, Staffing, Incidental Medical and Dental, and Disaster Plan. LPA reviewed medication for 5 residents, infection control plan last reviewed on 6/4/23, First Aid/CPR certificates for 5 staff, and Disaster Plan last reviewed 12/17/23. Last fire drill was conducted on 11/28/23. Evacuation chair was order by the administrator invoice was observed. LPA interview 2 staff and 2 residents. No deficiencies were noted during this visit. Exit interview was conducted with Denise Sutton and a copy of this report was provided.