Facility Evaluation Report

On 8/29/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom visited the facility unannounced to conduct a case management visit regarding the fire that occurred at the facility the morning of 8/26/2025. LPA Lindstrom met with Administrator Jacob Harryman (S1), introduced herself, and explained the purpose of the visit.

LPA Lindstrom interviewed S1, S2, and S3. S1 stated that on 8/26/2025, a fire broke out in the living room of a resident’s apartment (R1). R1 was in the apartment at the time of the fire. Staff (S2) rescued R1 within moments of the smoke alarm sounding in their apartment and staff evacuated all residents and staff from the facility within ten minutes. S2 stated that they determined that the alarm was sounding in R1’s apartment, entered R1’s room, and saw R1 sitting in a chair on their balcony. S2 observed smoke and flames about a foot high in the corner of the living room near an outlet located on the back of a kitchen counter. S2 stated that they observed R1’s oxygen concentrator in this corner near the outlet and that the oxygen concentrator tubing that stretched from the machine, across the living room, and beneath the balcony door was on fire. S2 went onto the balcony, removed the oxygen tubing canula from R1’s nose, lifted R1 up, and carried them out of the apartment to safety.

S2 stated that they called 911 at 7:07 AM and that the fire department arrived approximately ten minutes later. S2 stated that R1 uses an oxygen concentrator at all times. S2 stated that staff did not supply oxygen to R1 from the time she was evacuated from her apartment until the fire department arrived on scene. S1 stated that R1 was transported to the local hospital for smoke inhalation.