Follow-up·August 25, 2023

On 8/25/23 at approximately 2pm Licensing Program Analysts (LPAs) Jennifer Fain and Maja Jensen arrived unannounced to collect documents for a comprehensive quarterly visit. LPAs met with Stephanie Siewe and explained the reason for the visit. On arrival residents were observed in the living room watching tv, congregating in the hallway and resting in their rooms. The kitchen was observed to be sanitary. Dinner was prepped for tacos. Based on the Non Compliance Conference on 4/12/23 the following areas will be assessed: · The Administrator is present for a minimum of 40 hours a week *** August schedule requested and received. · The licensee has not accepted any residents determined by a physician to have a primary diagnosis of a mental disorder unrelated to dementia *** Physicians' reports for residents admitted after 4/12/23 requested and received. · The licensee ensured that they are in compliance with the state Fire Marshall; The facility has a non ambulatory fire clearance for each room that will be used to accommodate a resident with dementia *** 602s requested for all residents . Facility will email by Wednesday, 8/30/23. · Meals were not observed during the visit. LPA Fain will return after all documents are received and reviewed for the Quarterly Health and Safety Check. No Deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Licensee.