Post-licensing visit·March 30, 2022

Licensing Program Analyst (LPA) Bethany Mirlohi arrived to conduct a post Licensing inspection. LPA met with licensee Nicoleta Hegseth during today's inspection. LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. In addition, staff screened LPA upon entrance. LPA toured the facility with administrator. Currently there are 2 residents with one receiving hospice services. LPA toured kitchen, common living areas, resident rooms and staff room. Bedrooms and bathrooms were clean and in good repair. LPA observed the backyard and found exits to be clear and accessible. LPA observed residents to appear to be comfortable. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA reviewed 1 staff file and 2 resident file. LPA reviewed 1 resident medications, and compared with Centrally Stored Medication record and physician orders. All records were found to be up to date and complete. LPA reviewed employee files, and found sufficient training and a current 1st aid certificate. In areas that were evaluated, no deficiencies observed during inspection. Exit interview conducted.