Routine inspection·January 22, 2025

Licensing Program Analysts (LPA) Kevin Mknelly and Kayla Adkison arrived at the facility unannounced on 1/22/25 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with Administrator who assisted with the visit. 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 interviewed stated no care concerns. LPA reviewed 6 resident files. Files are complete and well organized. 3 of 6 resident service plans did not have signatures for review by resident and or representative. LPA reviewed 5 staff files. Files are complete. 1 of 5 staff did not have documentation of required dementia care training presently at the facility, and advisory was issued. LPA requested Administrator submit: a copy of Admin Cert and LIC 500. A deficiency is being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility.