Routine inspection·June 15, 2021

Licensing Program Analyst (LPA) Victoria Willis arrived unannounced to conduct an Annual Required inspection and met with Administrator, John Schoonover. Upon arrival, LPA was screened by Administrator and screening was documented. LPA was asked to sanitize hands prior to walking into the facility. LPA conducted a walk-through of the facility with the Administrator and observed Covid-19 posters throughout that included hand washing signs in restrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout the facility and infection control has been discussed with residents and staff. Residents are encouraged to wear masks when outside of their rooms and staff are required to wear them while in the facility. Observed staff had masks on during this visit. Commonly touched surfaces are disinfected on each shift. Facility is allowing residents to have meals in the dining room and furniture is set up for social distancing. Common areas are also set up for social distancing. LPA and Administrator discussed resident activities and visitation. Facility has a designated visitation area. Caregivers have completed PPE training and Administrator is currently looking at options for N-95 fit testing. Facility has submitted and received approval for their Covid Mitigation Plan. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) including but not limited to masks, face shields, gowns and hand sanitizer. Facility maintains a 30 day supply of medication. Facility has a 100% vaccination rate of staff and residents so is not required to surveillance test. LPA confirmed that Administrator has reviewed PINs 21-17-ASC and 21-17.1-ASC for new guidance regarding visitation, communal dining, ect. Administrator and LPA discussed their Emergency Disaster Plan. LPA requested that facility add an additional temporary shelter location. No deficiencies cited during this inspection.