Correction check·October 17, 2022

On 10/17/2022, Licensing Program Analyst (LPA) conducted an unannounced visit to the facility for the purpose of following up on the plan of corrections resulting from the annual inspection visit led on 10/14/2022. LPA was greeted and granted entry by caregiving staff after explaining the purpose of the visit. At approximately 11:00am, LPA requested caregiver to demonstrate where the cleaning supplies are currently stored. Caregiver shown the storage under the sink is still in use and has not been equipped with any securing device at the time of this visit. No cleaning supplies are stored in the laundry closet at this time. At approximately 11:05am, LPA requested caregiver to show the medication storage. Centrally stored medication is adequately stored in a secure closet in the hallway leading to the bedrooms. Residents are observed in the common areas or relaxing in their bedrooms and have all adequately been dressed as per their request. Three of the four type A violations observed on 10/14/2022 are cleared at this time. However a deficiency remains in effect in regard to the safe storage of cleaning supplies and toxic substances. An immediate civil penalty for failure to correct the deficiency observed on 10/14/2022 and confirmed on 10/17/2022 is assessed. LPA conducted an exit interview, reviewed the report with the facility staff and left a copy of the report along with appeal rights at the facility.