Routine inspection (multi-day)·January 25, 2024

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to continue annual inspection. LPA met with Haley Thomas during today's inspection. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 6 resident rooms, medication room, staff area, bathrooms, kitchen, common living spaces, outdoor spaces, and activity areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the assisted living side of the facility and the memory care unit with an approved delayed egress. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. Hot water was measured at 118 degrees. LPA reviewed 4 resident medications comparing with current physician orders. LPA interviewed residents and staff. Deficiencies are cited on 809-D. Exit interview conducted and appeal rights provided.