Facility Evaluation Report

On 08/19/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a Required Annual inspection. LPA introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met with Administrator Laura Dobson.All five resident was present during inspection.The facility has 6 single occupancy rooms located in the 300 wing of the Hoffmann Hospice Home.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed. Facility kitchen is shared with Hoffmann Hospice Home. Food supply was checked and appeared to have an adequate supply in facility pantry, walk in refrigerator, and walk in freezer. Expired can foods observed. Freezer temperature is maintained at 0 degrees F and refrigerator temperature is maintained at 36 degrees F. Chemicals are stored in locked housekeeping closet, inaccessible to residents. A supply of extra linen and towels are stored in closets accessible to residents.

Medications were observed in medication cart in locked medication room by nurse station. LPA checked medications and reviewed MARs. Fire extinguisher was observed throughout the facility with a service date of: 09/23/24. Common areas were observed to be spacious with adequate seating. All 6 rooms are fully furnished with adequate lighting according to regulation and are free from odor and debris. Bathrooms were observed with securely fastened grab bars and non-skid flooring.

Bathrooms hot water temperature was tested at 111.3 degrees F in room 306, 112.8 degrees F in room 307, 112.6 degrees F in room 305, 110.9 degrees F in room 304, and 112 degrees F in room 303. Carbon monoxide was observed functional during inspection. LPA observed a hard wired smoke detector system that signals directly to the fire department in case of emergency. Emergency lighting is observed throughout the building and flashlights are charged and readily available.