Routine inspection·August 20, 2024

On 08/20/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection utilizing the care tool. LPA met with Administrator Carmen Ion and explained the purpose of the visit. Facility currently has six (6) resident and a has a hospice waiver for three (3) residents. There is currently no residents receiving hospice services. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but are not limited to: resident bedrooms, bathrooms, common areas, kitchen, garage and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies locked are inaccessible to residents in care. The hot water temperature was measured in the kitchen sink at 109 degrees Fahrenheit, which is within the required range of 105 to 120 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher, which is located in the kitchen, was last serviced on 03/29/2024. LPA observed required Licensing posters posted throughout the facility. LPA reviewed four (4) resident files, which contains signed admission agreements, physician's reports, identification sheets, consent forms, and resident's rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for three (3) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of two (2) staff record. Staff has training in medications, first aid/CPR, and other various areas. No deficiencies being cited during today's inspection. Exit interview conducted and report provided.