Routine inspection·November 29, 2023

Licensing Program Analyst (LPA) Bernadette Allen made an unannounced visit to the facility for the purpose of conducting an annual inspection. LPA met with Administrator, Keely Miller. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: The Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient furniture and lighting and is maintained at a comfortable temperature. There was enough nonperishable and perishable food for the number of residents in care. The facility has a variety of food available for residents, and a menu was available for review. The facility food is stored in a safe and healthful manner. The resident’s bedrooms are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting. All bathrooms were operating in a safe and sanitary conditions. The hot water temperature measured between 105- and 120-degrees F. LPA also observed the facility is equipped with operating carbon monoxide/smoke detectors and fully charged fire extinguishers. Posters such as personal rights and the disaster plan were posted in a common area.The resident’s files were reviewed, and all files had the required documents at the time of the visit. LPA observed that two(2) staff members files were missing current CPR training's a Technical Advisory(TA) was cited and attached to the lic809.LPA, also observed that medications were not signed by staff member at the time it was given and the facility staff did not ensure medications were not transferred between containers which pose a potential health, safety and personal rights risk to residents in care and has been cited on the attached 809-D An exit interview was conducted with Keely Miller- Administrator where this report was discussed and provided at the conclusion of the visit with appeal rights.