Routine inspection·October 25, 2024

Licensing Program Analyst (LPA) Teresa Camara conducted a required annual visit. LPA met with Executive Director (ED) DeeDee Heninger and explained the reason for the visit. The current Administrator is Christine Fenn but she was unavailable to meet with LPA. A tour of the inside and outside of the facility was conducted with ED. The facility has all required postings. Menus and activity calendars are also posted. Infection Control: The facility has submitted a current Infection Control Plan. The facility has a sign in and out area for visitors at entry with hand sanitizer. The facility has EPA approved disinfectant sprays and cleaners. Trash cans have tight fitting lids. The facility has a sufficient supply of PPE and can obtain more if needed. Operational Requirements: The facility has a current plan of operation. The facility is approved for a capacity of 118 residents with 54 Ambulatory, 60 Non-Ambulatory, of which four (4) may be bedridden in the memory care building rooms 302, 306, and 307. Facility has a current Hospice wavier granted for 15. The Facility is operating in compliance with the granted fire clearance. Physical Plant & Environment Safety: The facility has 14 buildings on the licensed property. The memory care (Gardens) building has 17 apartments with a capacity of up to 20 residents. The assisted living buildings have 66 apartments with a capacity of up to 98 residents. Each apartment has at least one bathroom in assisted living apartments and the memory care units have one half bath in each unit and two shower rooms. In addition, there are four public restrooms. All restrooms and shower rooms had grab bars, non-slip surfaces, toilet paper, soap and paper towels. LPA toured ten resident rooms in all buildings. (continued on LIC9099-C) (continued from LIC9099) The facility has a fenced pool with two locked gates. The clubhouse had a theater room, library and small kitchen. The wellness center had a small kitchen area, seating and was well lit. The dining room was clean with sufficient amount of seating and was well lit. The beauty salon was kept locked while not in use. The maintenance building was kept locked. The building which houses the generator is kept locked. Facility grounds were free of hazards. Kitchen: The facilities main kitchen is clean, safe and sanitary. The facility has a sufficient supply of perishable and non-perishable foods. LPA will return at a later date to finish this annual to review records and medications. No deficiencies observed. Exit interview conducted and report issued.