Facility Evaluation Report

On 07/15/26, 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 Director of Nursing Outpatient Cyndie Holzworth and RCFE Liasion Colleen Alavarez. LPA toured facility with Director of Nursing Outpatient. Administrator Laura Dobson was called and arrived later during visit. Five residents were 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. Fire extinguishers were observed throughout the facility with a service date of: 09/22/25. LPA observed a hard wired smoke detector system that signals directly to the fire department in case of emergency. Medications were observed in medication carts in locked medication room by nurse station. 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. Freezer temperature is maintained at -6 degrees F and refrigerator temperature is maintained at 37 degrees F. Chemicals are stored in locked housekeeping closets, inaccessible to residents. A supply of extra linen and towels are stored in closets accessible to residents.

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 surface. Bathrooms hot water temperature was tested at 108.8 degrees F in room 302, 113.5 degrees F in room 307, 112.6 degrees F in room 303, 114.4 degrees F in room 306, and 116.3 degrees F in room 305, and 1116.2 degree in room 304.