Routine inspection·May 29, 2024

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 5/29/24 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. 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, staff rooms upstairs and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care. citation was issued and several advisories discussed including securing potentially unsafe items and clearing walkways. LPA reviewed 5 resident files. Advisories issued for documents not present and for improved organization. LPA reviewed 2 staff files. staff training documentation needed. Licensee to submit updated copies of LIC 500, Resident Roster and infection control plan. Deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report and appeal rights left at the facility.