Facility Evaluation Report

On 01/30/2026 at 9:30AM, Licensing Program Analysts (LPAs) T. Syess-Gibson and L. Hall, arrived unannounced to continue the 1-Year Annual Required inspection visit. LPAs met with James Hall, Executive Director (ED) and explained the purpose of the visit. Administrator certificate #7014180740 expires:11/19/2027. Facility’s fire clearance was approved for 104 non-ambulatory, 40 ambulatory residents, and 6 bedridden residents.

LPAs toured the facility with Administrator including but not limited to apartments, bathrooms, kitchen, common area, med tech room, and outside. LPAs observed a swimming pool behind a locked gate. LPAs toured apartments #124, #255 and #313. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the resident’s shared bathroom was measured at 113.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-slip shower mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/29/2026. First aid kit was observed to be complete. Emergency Disaster Plan was last updated on 02/07/2025. Fire drill was last conducted on 12/17/2025.