Routine inspection·May 18, 2021

Licensing Program Analyst (LPA) Pauline Beschorner arrived at the facility on May 18, 2021 at 9:57 AM to conduct an Annual/Required Visit. Upon LPA arrival, LPA's temperature was checked at the front desk and LPA signed a COVID questionnaire. LPA met with Executive Director Mandy Taylor. Taylor accompanied LPA on a tour of the inside and outside of the facility and the following was observed: All staff are wearing a surgical mask while working at the facility. LPA observed the dining area to be blocked off and prepared for lunch. LPA observed 2 chairs at each table and Taylor told LPA that all residents are able to eat in the dining area at this time. When a resident has been diagnosed with COVID a tray of food is taken to the residents room by a caregiver on foam/Styrofoam and placed in the residents kitchen area. LPA observed the outside entertainment area to have table and chairs with umbrellas for protection of the residents. Taylor stated that only vaccinated residents can sit at one table without masks however, if a resident has not been vaccinated the table must wear masks. All entertainment is being provided outside at this time. LPA spoke with the Health Services Director Gabrielle Rossi who stated that she oversees the Med-Room audits all training for all staff in-services and residents as need, and confirms that infection control of the facility is being completed one time/shift. LPA observed the facility has at least a 30-day supply of PPE and all infection control procedures are being followed. An exit interview was conducted and a copy of this report was provided to Executive Director Mandy Taylor. No citations or technical violations are being issued at this time.