Routine inspection (multi-day)·July 3, 2023

At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to complete the annual inspection that began on 06/22/2023. LPA met with Administrator Mary Schramm and reviewed records and discussed the emergency disaster plan. At approximately 9:30AM, LPA reviewed 10 of 52 resident records. 10 of 10 contained current assessments, Physician reports and signed admission agreements. At approximately 10:50AM, LPA reviewed 10 of 36 staff records. LPA observed 10 of 10 records contained documentation of completed required annual training and current First Aid/CPR certification. At approximately 11:15AM, LPA reviewed the facility emergency disaster plan. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has the required evacuation stair chairs in place. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducted and documented a disaster drill on 1/11/2023 and a fire drill on 06/27/2023. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Verification of control of property LIC500- Personnel Report Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.