Routine inspection·February 14, 2023

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 2/14/23 to conduct a Annual Inspection utilizing the infection control domain. LPA met with the Administrator and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed the departments current required COVID-19 protocols. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA were screened by facility staff upon entering the facility. LPA toured the interior and exterior of the independent (IL) living, assisted living (AL) and memory care (MC) buildings and grounds of the facility to ensure health and safety of residents in care. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Infection control Leader completed the infection control domain and facility was found to be in substantial compliance at this time. LPA is aware of fire safety requirements recently in process of repair and upgrade. These issues are addressed in a separate report. LPA requested licensee update their staff roster in Guardian to accurately reflect current employees, submit an LIC 500 and proof of liability insurance. During today's visit, LPA was provided a new mobile phone contact number. No deficiencies are being cited as a result of this inspection. Exit interview conducted and copy of report left at the facility.