Routine inspection·December 4, 2023

On 12/4/23 at approximately 10am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual inspection. LPA Jensen met with Administrator Kent Mulkey and explained the purpose of today's visit. LPA Jensen toured the exterior of the facility and observed all pathways to be clear of obstruction. The grounds were maintained and contained adequate outdoor furniture and shaded areas for resident outdoor activities. LPA Jensen toured the interior of the facility and observed the facility to be sanitary and odor free. The furniture and equipment were observed to be in good repair. LPA Jensen toured 3 resident rooms. LPA Jensen observed a bottle of wine in 1 room and Lysol disinfectant spray, wound care solution and scissors in another room. The disinfectant spray, wound care solution and scissors appeared to be supplies that were being used by a home health nurse or hospice care worker. All resident rooms were adequately furnished and had adequate lighting. A signal system is available in all resident rooms and was verified to be in good working order. The water temperature in resident rooms was measured at 106 degrees Fahrenheit which is in compliance. The thermostat for the facility was set at 77 degrees which is in compliance. LPA Jensen toured the kitchen and observed lunch being prepared. The kitchen was observed to be sanitary. The refrigerator and freezer temperatures were in compliance. LPA Jensen observed a 2 day supply of perishable food however there was less than a 7 day supply of non-perishable food on site. The Ansul system was last serviced in November of 2023 and is in compliance. There are two dining rooms available for residents. A menu is posted for the month. LPA Jensen tested the carbon monoxide detectors and determined them to be in good working order. The smoke detectors are hard wired. LPA Jensen reviewed the disaster emergency plan and determined it to be in compliance. LPA Jensen reviewed 10 staff files. 1 of 10 files had a first aid certification that expired December of 2022. 1 of 10 files did not have a first aid certification on file. LPA Jensen reviewed 4 resident files. 2 of 4 resident files did not have Physician's report that was completed within the last year. LPA Jensen requested copies of the Infection Control Plan and LIC 500. Technical assistance was provided for the facility to designate an Infection Control Preventionist. The Inspection tool was used during the course this inspection. An exit interview was conducted and a copy of this report, an LIC 811 and appal rights were provided.