Routine inspection·August 22, 2023

Licensing Program Analyst (LPA) Jenny Olson arrived at the facility unannounced to conduct a required annual visit at 9:30 a.m. LPA met with Administrator and informed them of the reason for the visit. Records: LPA reviewed resident and staff records. LPA reviewed ten (10) resident files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, and current needs and services plan. All files were complete. LPA reviewed ten (10) staff files for, but not limited to, the following: personnel records, health screening, criminal record statements, current first aid certification. All files were complete. KITCHEN: Facility has 2 large assisted living buildings each having a septate kitchen. LPA toured kitchens around 2:15pm. Kitchen appliances were clean and in operable condition. The facility has a sufficient supply of perishable and non-perishable food as well as emergency food and water. MEDICATIONS: Medications review began around 3:15 p.m. The medications are centrally stored and locked in a med cart in a medication room. Medications are labeled and checked for expiration dates. LPA advised the Administrator to ensure that all the necessary information is properly documented on the CSMAR. At 2:45 p.m., LPA interviewed three (3) care staff members. During today’s visit, the LPA obtained copies of the following: staff roster, resident roster and current liability insurance. Exit interview conducted. A copy of the report was issued.