Pre-licensing visit·September 28, 2021

Licensing Program Analyst (LPA) JoAnn Rosales made a Pre-licensing visit to the facility. LPA met with Administrator Kim Bergan. On 9/15/21 LPA received a letter from the Applicant Representative Susan McPherson designating Kim Bergan as the Applicant Representative for the Prelicensing visit. This application is a change of ownership from Oakmont of Riverpark #567609936. Component III was conducted in conjunction with this pre-licensing visit. LPA inspected facility for Fire Safety, Personal Accommodations and Services, Medication Procedures, and Food Service. Facility has adequate linen, water and nonperishable food supplies. Facility has 21 private and 6 shared rooms in memory care floor 1, 13 private rooms in assisted living floor 1 and 45 private rooms in assisted living floor 2. All resident units have private bathrooms. Signal system was tested and operable. The common areas were appropriately furnished and lighting was adequate. There is additional entertainment equipment and games for activities. The resident records will be kept in the locked medication rooms and business office. Staff records will be kept in a locked cabinet in the business directors office. Facility has locked medication rooms where resident medications will be kept. Hot water temperature tested at 105.2 degrees Fahrenheit in resident bathroom during today’s visit. LPA observed fire extinguishers properly charged. Administrator provided a copy of the Fire Alarm inspection report from 7/21/21 indicating that the Fire Alarms passed inspection. LPA observed carbon monoxide detectors operating properly. Fire clearance is approved for 140 non-ambulatory residents of which 8 may be bedridden in any apartment on any floor. Continued on 809-C The following needs to be completed/proof submitted prior to the facility being licensed: 1. Current First Aid manual. Exit interview conducted, today's report was reviewed and emailed to the Administrator.