Facility Evaluation Report

On 07/24/25, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Annual Inspection. LPA met and toured facility with Administrator Douglas Rice.

Facility has sufficient furnishings inside and outside for resident use. The facility was observed to be at a comfortable temperature, clean, and no passageway obstructions or fire hazards. Residents were observed seating in dining area. Facility is equipped with pull stations and fire sprinklers throughout facility. Fire extinguisher was observed throughout the facility with a service date of: 09/12/2024.

LPA toured kitchen. Food are prepared in assisted living facility and transfer in food warmer to facility during meals. LPA observed exits to have a 15-second delay egress. LPA toured a sample of resident bedrooms and was observed to have the required furnishings and with adequate lighting. Medications were stored in a locked medication room in a medication cart. MARs were reviewed and medications were audited. Kitchen was toured. All meals are prepared at Assisted Living facility and transferred to the facility by staff during mealtimes. Midnight snacks are stored and available in the kitchen. A sample of resident bedrooms was toured. Bathrooms’ hot water temperature was tested maintained within range between 105.0 to 113.5. LPA observed securely fastened grab bars in bathrooms. Nonskid mat/ strips was not observed in room A5, room B6, and room C9. A sample of resident files were reviewed.

Due to time constraints, LPAs will return at a later date to finish the inspection tool and issue citations.

Exit interview was conducted. A copy of this report was provided to the Administrator.