Post-licensing visit·December 14, 2023

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a Post Licensing visit. LPA met with Administrator Jessica Grinberg, toured the facility and reviewed records. At approximately 8:45AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerator and freezer were clean, and food was stored properly. Toxins are stored in a locked closet in the hallway. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were tied into the fire system and found to be in working order. Carbon Monoxide detector was present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and locked. At approximately 9:30AM, LPA reviewed 1 of 1 resident records and found resident to have physician's reports, signed admission agreements, care plans and physician's orders on file. Medication records are thorough and contained physician's orders. At approximately 10:00AM, LPA reviewed 2 of 2 on duty staff records which contained documentation of current first aid and CPR training. 1 of 2 staff records did not contain evidence of required annual training. Administrator informed LPA the staff is up to date in training but the documents are at their other facility. At approximately 10:45AM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternate meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. No citations issued during this visit.