Routine inspection·July 5, 2023

Licensing Program Analyst (LPA) Kimberly Viarella conducted an unannounced visit today for the facility’s annual inspection. LPA met with the Designated Facility Administrator Larry Potter (Administrator Certificate # 6007187740, expiration 06/29/23. Proof of renewal application and paid fees was provided and dated 04/19/23.) LPA also met with the Director of Wellness, Stephanie Judd. The LPA explained the reason for the visit and conducted a brief interview. Census was 89 residents in care, with a hospice waiver for 10 at this time. This facility is licensed for the following: NON AMB/BEDRIDDEN CLIENTS PERMITTED IN RM’S 239-259 ON THE SECOND FLOOR AS 2 VERTICAL EXIT ENCLOSURES ARE PROVIDED. ROOMS ON THE GROUND FLOOR ARE PERMITTED FOR BEDRIDDEN/NON-AMB A PERMANENT BASIS/MORE THAN 14 DAYS. Client Groups Served: ELDERLY The facility was not designed to separate individuals based on their levels of care and offered services to residents living independently needing no or little assistance from staff, as well as those who required assistance with activities of daily living. There were also residents with dementia, however the facility did not have a memory care unit/neighborhood and they received their services within the larger facility community as did the residents on hospice. The Designated Facility Administrator began the tour in the kitchen. The fire extinguisher was inspected on 06/21/2023, by Jorgensen Co. The hood was inspected 04/2023. Food supply was adequate for 2-day perishable and 7-day nonperishable. Opened packages in the refrigerator were dated. A storage container of Thick It was dated 06/01/22 which indicated when it was opened and shelved. This LPA noted that there was no expiration date. The Executive Chef called the manufacturer and was told that the product had a shelf life of 2 years after being opened. He added the expiration date to the container. This inspection will be continued on 07/06/2023.