Facility Evaluation Report

On 04/16/2025 at 10:00AM, Licensing Program Analyst (LPA) T. Syess-Gibson, arrived unannounced to continue the 1-Year Annual Required inspection visit. LPA met with General Manager (GM), Lydia Hertzler and explained the purpose of the visit. Administrator certificate #7005283740 expires 08/25/2026. The facility’s fire clearance was 135 non-ambulatory and 15 bedridden residents. Facility has hospice waiver for 15 residents.

LPA toured the facility with Maintenance Director including but not limited to apartments, bathrooms, kitchen, med tech room, activity room, spa salon, Wellness center, common area and outside. LPA toured apartments #103, #115, #135 and #160. All outdoor and indoor passageways are kept free of obstruction. LPA observed a pool on the independent living side of the facility inaccessible to the Garden House residents. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109.5 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 04/14/2025. First aid kit was observed to be complete. Fire drill was last conducted on ##/##/####.