Routine inspection·July 26, 2023

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 7/25/23 to conduct a Required-1 Year Inspection utilizing the CARE inspection tool. LPA met with Caregiver and explained the purpose of the visit . Administrator arrived to assist. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Residents appear to have all identified care needs met. LPA reviewed 5 resident files and 2 staff files. LPA found staff to be complete with the exception of required medication training for S1. Resident files were found to be complete with the advisories noted below. LPA and Admin discussed the following topics: Resident needs and services plans reviewed and signed by residents, PRN administration records complete and thorough, an activity plan to engage residents to their needs and interests, having a designee present when Admin is absent and maintaining staff training for restricted health conditions. Infection control plan is on file. Licensee was provided a copy of liability insurance. As a result of this inspection, a deficiency is noted. Report reviewed with licensee . Copy of this report and appeal rights provided.