Post-licensing visit·December 12, 2024

On 12/12/24 Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility unannounced to conduct a post licensing inspection. LPAs met with Administrator Daniel Luca and explained the purpose of the visit. LPAs and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to: resident bedrooms, bathrooms, kitchen, living room, and common areas. Resident bedrooms were properly furnished and maintained. Bathrooms were observed to be clean and sanitary. Facility food supply is in compliance with two (2) days of perishable and seven (7) days of non-perishable food items. Smoke and carbon monoxide detectors are operational. The Fire extinguisher was serviced on 01/16/24. Grab bars were present at the toilet and in the shower. All exits were unobstructed. All toxins, medications, and sharps were locked and stored away. Required postings are posted throughout the facility. LPAs reviewed four (4) resident 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. LPAs compared medications to those being given for two (2) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPAs reviewed two (2) staff record. Staff has training in infection control, first aid and CPR, and other various areas of care provision. No deficiencies being cited during today's inspection. Exit interview conducted and a copy of the report was left at the facility.