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 common areas. Facility is equipped with pull stations and fire sprinklers throughout the facility. Fire extinguisher was observed throughout the facility with a service date of: 09/12/2024. LPA toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Temperature for refrigerator observed maintained at 34 degrees F. LPA observed exits to have a 15-second delay egress. Chemicals stored and locked in house keeping’s room. A sample of resident bedrooms was toured. LPA observed a chemical bottle in R1’s bedroom.

Bathrooms hot water temperature was tested maintained within range between 108.8 to 111.0 degrees F. LPA observed securely fastened grab bars in bathrooms. Nonskid mat/ strips was not observed in room 102, room 202, and room 407. 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.