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

Licensing Program Analyst (LPA) Miller made a subsequent visit to facility on 9/3/24, to conduct the annual inspection that was initiated on 1/30/24. LPA met with Administrator and explained the purpose of the visit. LPA interviewed staff and obtained relevant documentation. LPA conducted a cursory tour of the facility and visited 3 resident rooms and one vacant room. Rooms are well lit, clean and free of odor. LPA noted that the facility is clean and in good repair, exits are clear and free of all hazards. LPA previously conducted a medication audit and found that Centrally Stored Medication Record (CSMR) and Medication Administration Record (MAR) to be current and accurate. LPA did not find any violations, during the physical tour walk through. LPA conducted 4 of 5 staff interviews, and zero resident interviews. The facility keeps confidential files for each staff member. Staff have annual training completed for various subjects/topics and hours for 2023 and 2024. No citations or violations were issued on this annual inspection. Exit interview conducted, report read, and report printed for Administrator.