Routine inspection (multi-day)·February 28, 2023

Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a case management annual continuation, utilizing the infection control domain. LPA met with caregiver, Donna Marie Neveus and explained the purpose of the visit. Caregiver contacted Administrator immediately. Today's census is 4. There is (1) resident on hospice services, facility has a hospice waiver of (2). Administrator arrived to the facility at 2:55 PM. LPA and Administrator conducted a tour of the facility. In areas toured included but not limited to: kitchen, dining room, resident bedrooms, bathroom, staff room, and common areas. LPA observed the facility to be at 75*. LPA observed the fire extinguisher to be serviced 01/11/2023. LPA observed the facility to have 2+ days of perishable foods and 7+ days of non-perishable foods. LPA observed medication and toxics to be locked and secured but observed the knife drawer was not. LPA observed the up to date Administrator Certificate posted by entrance. LPA and Administrator discussed the possibility of removing fire doors. LPA stated she will provide Metro Fire contact information to Administrator. At this time, deficiencies were observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights will be provided to Administrator via email.