Routine inspection (multi-day)·August 28, 2024

On 8/28/24 at 10:46 am, Licensing Program Analyst (LPA) Rankin made an unannounced Case Management Annual Continuation visit to the facility above. LPA met with Liza Hix, Administrator, and explained the purpose of the visit. Physical plant/Outdoor space were toured for a second time due to the size of the facility. The facility has two separate garden areas with nice walkways for residents to enjoy. The garden fountain is in compliance. Items noted as potential fall hazards were addressed and fixed to ensure client safety when walking the garden paths. Facility is in compliance with fire clearance. Emergency Disaster Preparedness plan is current, and forms were posted. The facility provides disaster drills quarterly. The fire extinguishers were charged. The dual smoke and carbon monoxide detectors are present and hard wired throughout the facility and were in inspected this year by an outside company. Facility has an evacuation stair chair in Neighborhood 3 for the evacuation gate. The Storage/Laundry Room have sufficient amounts of personal hygiene products which are provided by the licensee and all cleaning products, toxins are stored and locked away inaccessible to residents in care. Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger, sharps, cleaners were locked separately in cupboards. The facility has a license for 84 Non-Ambulatory which 84 may be bedridden. The facility does have delayed egress. The facility does have hospice and home health visits to the facility for residents in care. Staff files : All required training is scheduled and trainer is up to date on requirements. Staff records were checked for expired or missing certificates and clearances: LPA conducted a file review of 6 staff for criminal record clearances/associations/and current First Aid. Records were complete. Exit interview conducted, and the report printed and given to administrator.