Facility Evaluation Report

On 12/28/2025 at 11:00 AM, Licensing Program Analyst (LPA) David Doidge unannounced to conduct a 1-Year Annual Required Inspection. LPA met with Administrator Helen Blain and explained the purpose of the visit.

LPA inspected the dining area, living room, bedrooms, bathrooms, front, side and back yards. LPA observed lighting in all rooms adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. Hallway temperature was maintained at 72 degrees Fahrenheit. The hot water temperature was measured in a shared bathroom at 111.1 degrees Fahrenheit. Food is brought over from kitchen housed in adjacent facility. Food supplies in kitchen were observed good for 2 days of perishables and 7 days of non-perishables. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care.

Smoke detectors and carbon monoxide detectors were in operating condition. Fire extinguisher was last serviced on 04/28/2025. Emergency Disaster Plan was last posted on 11/09/2025. Emergency disaster and fire drills are conducted quarterly; last drill conducted 11/10/2025. First AID kit was observed to be complete.

LPA reviewed four (4) residents records and five had outdated (5) staff records; all were complete.

Exit interview conducted and a copy of this report provided.