Facility Evaluation Report

On 9/22/2025 at 8:30AM Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1 Year Annual Required inspection. Upon arrival, LPA met with Administrator, Maria Darlene Bade and explained the reason of the visit. The facility is approved for 6 non-ambulatory and hospice waiver for 3 residents.

LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 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 111.6 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable foods and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 9/19/2024. Emergency Disaster Plan last reviewed 7/15/2025 . First aid kit was observed to be complete. Emergency drill was last conducted on 9/15/2025.

LPA reviewed 4 staff records. 4 of 4 staff are associated and have current first aid training. LPA reviewed 6 residents records.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.