Routine inspection·June 6, 2023

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 6/6/23 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. Administrator was unavailable. Inspection completed with designee. 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 clear, safe and sanitary. LPA advised that the fire door magnet mechanism be inspected for proper operation. LPA advised that an updated facility sketch be submitted to reflect resident and staff rooms. LPA reviewed 5 resident files and 2 staff files. LPA advised all medication orders be signed (electronic or written), if medications are to be crushed that there is a written order, that the medication administration system does not use pre-poured medications and that emergency drills be recorded for all staff quarterly while residents with dementia are in care. LPA requested licensee submit a copy of liability insurance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.