Routine inspection (multi-day)·December 19, 2024

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to continue the 1 Year required annual inspection. LPA met with Administrator Agnes Ajel and reviewed records. LPA observed 5 staff present during this inspection. LPA reviewed 5 of 5 staff records and found all to contain evidence of required annual training and current first aid/CPR certifications. All other required documents were present. Administrator certificate expired on 11/4/2024 but all required training has been completed and the renewal application has been submitted on time. At approximately 12:00PM, LPA reviewed 6 of 8 resident records and found all to contain the required documents. Care plans have all been updated within the last 12 months. All physician assessments are current. Admission agreements are present and signed by both parties. Residents receiving hospice services have a hospice care plans on file. At approximately 1:00PM, LPA discussed the facilities evacuation plan with the Administrator. Facility will review their procedures and update as needed. No citations issued during today's visit.