Facility Evaluation Report

Licensing Program Analyst Nadia Shahbazian arrived at the facility at 10:00AM today to conduct a One (1) year Required visit. LPA met with Angela Smith-Executive Director/Administrator and explained the purpose of this visit.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools during today's visit. A tour of the physical plant was conducted between 12:30AM through 2:45PM with Executive Director and LPA observed the following:

The facility is licensed to serve (130) elderly adults ages 60 and above, of which (100) can be non-ambulatory and (30) Bedridden. The facility has an approved hospice waiver for (12). Current census is (81) with (4) residents on hospice care.

The facility is an eight story building consisting of the following: the administrative offices, main dining room, living room, main laundry room, medication room, staff room, commercial kitchen, activity room, common bathrooms, 2 patios and lobby, located on the first floor. The second floor is fire cleared for the Memory Care Unit which is equipped with a delayed egress system. Floors 3 through 8 house assisted living residents.

Required postings were observed in the lobby and throughout the facility. The facility's smoke/mono-oxide detectors are hard wired, facility is equipped with fire sprinkler system. Fire drill was last conducted on October 03, 2025. There are fire extinguishers throughout the facility hallways on all floors; all extinguishers were last serviced on July 14, 2025.