Routine inspection·June 12, 2023

Licensing Program Analyst (LPA) Jason Lund conducted an unannounced annual/required inspection visit. LPA Lund met with Administrator Sister Margaret M. Homa and explained the reason for the visit. The facility has a hospice waiver for 5 residents. Census 37 LPA Lund & Administrator Sister Margaret M. Homa toured/inspected the interior and exterior of the facility. LPA observed an activity calendar and residents engaging in an activity. The facility is found to be clean, sanitary, and in good repair. The facility temperature is at 74.5 degrees F. There are no bodies of water present. LPA observed sufficient food supply and observed a menu. Fire extinguishers (service tag 6/5/2023), sprinkler system (5-year service conducted on 3/19/2022), and carbon monoxide detector are in compliance. First aid kit is complete. LPA reviewed a sampling of (4) resident and (4) staff files (reviewed staff has criminal record clearance). LPA observed centrally stored medications are locked. No deficiencies were observed and cited during this visit. Exit interview held with Sister Margaret M. Homa and a report given.