Routine inspection·February 22, 2022

Licensing Program Analyst (LPA) Bernadette Allen and Rohit Lama conducted an unannounced visit to the facility for an annual inspection. LPA met with Administrator Mary Woff. LPA observed that the facility has a mitigation plan to mitigate the spread of COVID-19 in the facility. One central entry point and sign-in policy has been designated for universal entry screening. Routine symptom screening has been initiated at entry for all staff, clients, and visitors. Facility also documents daily temperature and COVID-19 symptom checks, and any change in condition for staff and clients. LPA toured independent Living, Memory Care, and Assisted Living facility inside and out. The facility has charged fire extinguishers, operating smoke alarms, and carbon monoxide detectors. The outdoor and indoor hallways were free of obstruction. Cleaning supplies and medications were kept in a safe and locked place. The facility had a complete first aid kit and emergency supplies for LPA observed a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. The facility menu was available for review. The client rooms had the required furniture and sufficient lighting. There were handrails in all bathrooms to accommodate the needs for bathing and showers have non-slip flooring. The facility had a supply of additional linen and extra hygiene items for the clients. LPA measured the hot water temperature in the client bathrooms. The hot water temperature measured at 105.4 degrees F. LPA observed hand sanitizer throughout the facility and a 30- day supply of PPE. All clients have at least a 30 -day supply of medications. LPA observed that all emergency contact information for the clients have been updated. No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed and provided to the administrator .