Routine inspection·April 19, 2023

Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced on 04/19/2023 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Administrator, Diana Kurtz, and explained the purpose of the visit. At 2:20 PM, LPA toured the interior and exterior to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, four (4) resident bedrooms, two (2) bathroom, kitchen, and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of one week and perishable foods for a minimum of two days. Toxic and cleaning supplies locked and is inaccessible to residents in care. The hot water temperature was measured in the kitchen at 109 degrees Fahrenheit. First aid kit was completed. LPA observed fire extinguisher/carbon monoxide alarms to be in working order and the fire extinguisher to be last serviced 06/06/2022. LPA observed the facility's disaster drill records. Fire Drill was last conducted on 03/01/2023. At 2:40 PM, LPA reviewed a total of three (3) resident files. Residents' files contain signed admission agreements, physician's reports, identification sheets, releases, appraisals, and resident's rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for three (3) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of two (2) staff records. Staff has training in medications, first aid and CPR, and other various areas of care provision. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.