Routine inspection·May 25, 2023

On 04/26/2023 at 9:30 AM, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the CARE Inspection Tool. LPA met with Executive Director (ED), Cassiana Bush, and explained the purpose of the visit. At 9:40 AM, LPA, ED, and Memory Care Director Wendy Middleton toured the interior and exterior of the facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, medication room, and courtyard. 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 one (1) week and perishable foods for a minimum of two (2) days. The hot water temperature was measured in the bathroom at 105 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguishers were last serviced on 03/01/2023. Fire drill is scheduled to be conducted on 05/31/2023. LPA observed medications to be locked and inaccessible to residents in care. At 10:05 AM, LPA reviewed a total of five (5) residents' files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, 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 five (5) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of five (5) staff record. Staff has training in medications, first aid and CPR, and other various areas of care provision. No deficiencies being cited during today's inspection. Exit interview conducted and report provided.