Facility Evaluation Report

On 11/12/2025 at 9:45 AM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPA stated the purpose of the visit to Marilyn Judan, Administrator.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in medication cabinet located in the kitchen. Smoke detectors and carbon monoxide detectors were observed in working condition. Fire extinguishers were observed to be full and last serviced on 10/18/2025. Temperature in the facility was measured at 72.0 degrees Fahrenheit. Water temperature is 113.7 degrees Fahrenheit.

The LPA observed required postings in the facility, including the Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations.

Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. .

One week of nonperishable and 2 days of perishable food and water supplies were available.