Routine inspection·June 27, 2024

On 06/27/24, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced annual visit to the facility listed above. LPA met with Administrator, Bessie Coello, and the purpose of today’s visit was explained. The facility is licensed for 6 residents over the age of 60, five (5) non-ambulatory of which 1 may be bedridden. The facility has an approved hospice waiver for 2 residents. File Review/Interviews LPA reviewed the files for the six (6) residents and observed they had the required documents. LPA interviewed three (3) residents, and both were happy with the care they receive at the facility. LPA reviewed the administrator and two (2) staff files and found they contained the required documents, certification, and training. The administrator’s Administrator Certificate is valid till 01/01/25. Medication LPA observed all Centrally Stored Medications secured in a locked filing cabinet, in a locked staff room, and are inaccessible to residents. All medications were observed in their original packaging. LPA reviewed the medications and Medication Administration Record (MAR) for the six (6) residents. Six (6) out of six (6) resident’s MARs and medication are consistent with properly documented records. Infection Control Upon entry, LPA observed a sanitizing station and visitor sign-in log. LPA observed on the table there is a thermometer, hand sanitizer and masks available. LPA observed all visitor temperature was taken and logged. LPA observed all required Infection Control signs posted in the facility. Due to time constraints, LPA will return to complete the annual visit. During today's visit, LPA did not observe or site any deficiencies. An exit interview was conducted with Administrator, Bessie Coello, and a copy of this report was provided.