Routine inspection (multi-day)·July 3, 2024

On July 3, 2024, Licensing Program Analyst (LPA) John Calandra arrived at the facility at 9:15 AM to complete the Annual 1-year required inspection. LPA Calandra was greeted by Mary Linde, Chief Executive Officer (CEO) and Martha Nkhoma, Executive Director of Resident Health and explained the purpose of the visit. LPA Calandra reviewed 5 staff files. All were observed to be complete. LPA Calandra also reviewed Centrally Stored Medication Records. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. LPA Calandra interviewed 3 residents and 3 staff No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Mary Linde, Chief Executive Officer and a copy of the report left at the facility.