Facility Evaluation Report

On 1/23/2026 at 11:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Administrator Donald Hay .

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. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the dining room was measured at 70.3 degrees Fahrenheit at 1:11 PM. The maximum hot water temperature was 124.7 degrees Fahrenheit, above the safe range of 105 to 120 degrees Fahrenheit. The residents’ bathrooms are equipped with grab bars and slip-resistant mats. There is more than the minimum of a one week supply of nonperishable foods and 2 days of perishable foods. Centrally stored medications, sharps, and toxic cleaners were not made inaccessible in the kitchen to residents in care. The fire extinguishers were fully charged, but had not been serviced or replaced within the past 12 months. They were last serviced on 2/26/2024. The required postings, the Residential Care Facility for the Elderly Complaint Poster ("If you see something, say something"), Personal Rights posters, and the Theft and Loss Policy were not posted as required.