Post-licensing visit·March 20, 2024

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 3/20/2024 to conduct a Required-1 Year Inspection utilizing the infection control domain. 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. 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. The home was found to be clean, safe and sanitary. Licensee advised to review sample menu with residents and modify the menu as needed for resident preferences and health needs. LPA reviewed 3 resident files and 2 staff files. Staff and resident files are incomplete. Licensee advised on required forms an better organization. Licensee advised regarding use of Guardian for transfer requests. Licensee advised regarding valid signed medication orders. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.