Facility Evaluation Report

At 9:45am, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA met with Staff #1, who granted access to the facility. The Administrator arrived shortly after and LPA explained the reason for the visit.

At 10:00am LPA conducted a tour of the physical plant and observed the following:

Facility is licensed for capacity of six (6) Bedridden and an approved hospice waiver for six (6) residents.

Facility has an awake staff. Facility maintains a temperature of 75°F.

LPA observed there to be sufficient stock of one-week perishable foods and two-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. All knives were observed to be locked in the kitchen drawer. The fire extinguisher is located in the kitchen and dining areas and were last serviced on 02/19/2025. Facility maintains a temperature of 72°F. Medications were stored in the kitchen cabinet and observed to be locked and inaccessible to residents in care. Resident/staff files are kept in a metal cabinet, located in the dining area and kept locked. There is a complete first-aid kit in the cabinet with all required supplies and with the first aid manual. There are six (6) bedrooms designated for residents’ use, and three (3) and 1/2 (half) bedrooms. Bedrooms are appropriately furnished and have appropriate lighting. Bathrooms have soap, paper towels and all trash cans have a lid. Extra towels and linens were readily available. The hot water temperature measured at 106.2°F. Laundry is located by the garage.