Routine inspection·September 9, 2021

Unannounced annual visit made out to this facility on 09/09/2021 by this LPA who was met by the facility designated Administrator, Rikki Perezchica, who was briefly interviewed at this time. Current census was 178 residents. This facility is licensed to serve and accept up to 277 residents who are deemed to be ambulatory and non ambulatory as well. This facility is composed of (3) separate buildings with multiple floors as well. All buildings are controlled through key cards and passcodes for entry. Tour of the facility campus was conducted. Dining areas, living areas, and all other areas intended for resident use were toured. It was observed that furniture and furnishings were sufficient and able to meet the needs of the residents at this time. Kitchen area was toured. It was learned that kitchen staff are separate in terms of duties and did not double as care providers. Food storage units, facility refrigerator unit and freezer unit, were reviewed for adequate 2-day perishable and 7-day non perishable quantities at this time. Pantry area housing dry goods and products was toured. Medication rooms, located in each building, were toured. Policies and procedures were discussed with the medication technicians at this time in regards to dispensing, documenting, and communication for all involved parties. Medication carts were being used with narcotic lock boxes and separate refrigeration units for such medications. First aid kits were observed to be present and contained all of the required components at this time. Fire extinguishers were observed to have been annually inspected on 03/24/2021 by the local fire equipment company and found to be in compliance at this time. A tour of the resident bedrooms was conducted. Bedroom furniture and furnishings were observed to be sufficient and in compliance at this time. A tour of the resident restrooms was conducted. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. Grab bars and non skid mats/surfaces were observed to be present and in good repair at this time. Activity center was toured as well. Linen supplies were reviewed and observed to be in compliance at this time. A tour of the exterior grounds was conducted. A review of the perimeter fence, side gates, and exterior exits was conducted. This LPA requested the following forms and documents from this facility to be updated and submit into CCL: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's annual visit. Exit Interview