Facility Evaluation Report

On 5/22/2025, Licensing Program Analysts (LPAs) Daiquiri Boyd and Shawna Doucette arrived unannounced at the facility to complete an Annual Inspection. LPAs were met by caregiver staff and were told they had called Administrator (AD) Nicole Morehead and that she was pulling in.

Kitchen toured, there was not a sufficient supply of food observed for perishable, as there was only a half gallon of milk for the 34 residents in the facility. There was not a sufficient supply of non-perishable foods on hand, LPAs did not observe a 7 day supply of goods. Facility had menus posted on the dining room wall. LPA's took photos of freezer, refrigerator, and dry goods shelves. In the dining area there is an ice machine where they can get self service ice. AD stated that they receive a weekly supply of food, due for delivery tomorrow and the supplier is Jordano's Supply. There is no supply of diabetic diet foods on hand for residents.

There were 18 resident bedrooms, each room houses 2 residents. Resident rooms all had their own bathrooms. Temperature in room #9 was recorded by LPA at 135.1 degrees F. LPAs observed proper hand rails and grab bars. Non-skid mats were available. Room #16 was toured and the water temperature measured at 127.1 degrees F. Hand washing and personal hygiene items were seen on hand.

A tour of the outside was conducted and a shaded courtyard was observed with tables and chairs for residents to sit and visit. There was an area with trash receptacles appropriate for smoking.

6 resident files and 4 staff records were reviewed. AD reports that they currently only have one bedridden client. Current first aid and CPR were reviewed and found to be in compliance.