Health check·September 13, 2024

On September 13, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced to conduct a Case Management Health and safety visit, and met with the Administrator, Anna Wilson. LPA introduced herself and explained the purpose of the visit. LPA toured the facility, along with the Administrator and made observations and requested and received pertinent documents. There are no imminent health and/or safety concerns observed at the time of visit. Administrator informed LPA that all requirements for the Change of Ownership has been completed and the new application for the Emergency Approval to Operate (EAO), will be completed by close of business today. LPA discussed the documents required and the need to submit documents as soon as possible as the EAO has expired. Administrator provided copies of previous EAO's and email from CAB Analyst. Administrator informed LPA that the Fire Suppression System is being updated and waiting for approval from fire department. LPA Mixson did not observe any health and/or safety hazards inside or outside of the facility at the time of this visit; LPA observed perimeter with a locked secured black iron gate with a sounding alarm when opened. LPA observed all facility utilities to be on and operating without issue. LPA observed bedrooms to have the required furnishings per regulations. LPA Mixson assessed the available food supply and observed there was a variety of food types, and the supply exceeds the requirement of a two-day supply of perishable foods and a seven-day supply of non-perishable foods. The medications were found to be in sufficient supply, locked, and inaccessible to the residents and are delivered by Quality Care Pharmacy. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. An exit interview was conducted, and a copy of this report was discussed and given to the Administrator, Anna Wilson.