Facility Evaluation Report

The LPA toured the facility including, but not limited to, residents’ rooms, bathrooms, kitchen, common areas and the backyard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. The temperature in the living room was measured at 70.8 degrees Fahrenheit. The hot water temperature was measured at 106.2 degrees Fahrenheit, within the safe range of 105 to 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and slip-resistant mats. There is more than the minimum of a one-week supply of nonperishable food and 2 days of perishable food. Centrally stored medications, sharps, and toxic cleaners are inaccessible to residents in care.

The LPA observed required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. Fire extinguisher was fully charged and last replaced 12/01/2025. The Emergency Disaster Plan was last reviewed on 12/01/2025. Emergency, disaster, and fire drills are conducted quarterly; the most recent drill was conducted on 10/30/2025. First aid kit was observed to be complete. Liability insurance certificate expires on 6/10/2026.

The LPA reviewed 5 resident records and 5 staff records; all were complete.

No citations were issued during the inspection.