Routine inspection (multi-day)·January 10, 2024

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a required annual continuation visit. LPA met with Administrator Herbert Perey and explained the reason for the visit. The LPA completed record review and medication review. STAFF RECORDS: LPA reviewed staff records for two staff. Training was complete. All staff have CPR/First Aid certifications. All staff scheduled to work at the facility are fingerprint cleared and associated to the facility. RESIDENT RECORDS and MEDICATION: LPA reviewed two residents' records. Resident files included pre-admission appraisals, needs and services plans, physician's reports, and admission agreements. Medications appear to be given as prescribed based on review of medications and the centrally stored medication and destruction records. EMERGENCY DISASTER PLAN: The emergency disaster plan was complete. The facility conducts disaster drills quarterly on each shift. LPA interviewed two staff; there were no concerns. LPA attempted to interview two residents. One resident was unable to answer questions due to their condition and one resident was sleeping. No deficiencies observed during today's visit. Exit interview conducted. Report emailed to Administrator.