Pre-licensing visit·May 19, 2021

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility for the purpose of conducting a Pre-Licensing inspection. LPA Colvin met with Executive Director/Administrator Rance Leth and toured the facility. Fire Clearance was granted for 220 non-ambulatory residents on 3/17/21. LPA Colvin toured the facility and the following was observed: The property consists of one building for Assisted Living residents and a secured wing for Memory Care, which includes a delayed egress. Resident suites consist of shared and private suites, with each suite having a private bedroom and shared bathroom. LPA Colvin tested the hot water two resident bathrooms and the staff break room, and observed the water temperature to reach 109 degrees. Pool and spa on site are in a fenced area which is inaccessible to Memory Care residents. All suites are furnished according to regulation. Fire extinguishers are located throughout the facility and are fully charged. LPA Colvin observed the main kitchen to be clean and sanitary with operable appliances. Memory Care has a smaller for holding prepared food for each meal. Facility was observed by LPA to store food in a safe and healthful manner, and has a sufficient supply for 2 days of perishable food, and a 7 day supply of non-perishable food items. The emergency disaster plan, personal rights and complaint procedures are posted throughout the facility. The facility has stocked first aid kits in their Wellness Center, along with a minimum of 30-day supply of PPE. Cleaning supplies and toxins were inaccessible and kept in locked storage. Resident files are kept in an electronic form as well as a hard copy form and are kept in each cottage. Facility has an emergency exit plan in place an posted in plain view at the facility, along with operational smoke detectors and carbon monoxide detectors, as well as multiple fire extinguishers. The administrator's certificate is current and expires in 2022. No deficiencies were observed during this visit. An exit interview was conducted where this report was provided to Administrator Rance Leth.