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25 | Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Administrator William Farris. The facility's license shows a maximum capacity of five (5) non-ambulatory residents, of whom one (1) may be bedridden in Room #1 or Room #3. Hospice waiver for three (3). During today’s inspection there were three (3) residents in care.
LPA with Administrator Farris toured the interior and exterior of the facility and inspected each room. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. The swimming pool on the premises was gated, locked, and inaccessible to residents. Per Administrator Farris, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, fire extinguishers, and facility telephone were all in working order. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.
LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas.
No deficiencies were cited during the inspection. An exit interview was conducted with Administrator Farris to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
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