Facility Evaluation Report

Licensing Program Analyst (LPA) Vaid conducted an unannounced annual inspection visit. LPA met with Administrator Crystene Char and the purpose of today's visit was discussed. The facility has a capacity of 90 residents and licensed to serve elderly residents age 60 and above. The facility is approved for fifty-six (56) non-ambulatory residents. The facility has eight (8) hospice waiver on file, eight (8) residents are on hospice, and four (4) residents with dementia. Administrator certificate is current and expiring on 12/20/2026.

The annual inspection consisted of applying CARE tools; conducting physical plant; reviewing food supply, staff and residents’ files, and medication; and interviewing of staff/residents.

The facility is a two-story building with 63 resident rooms. The facility consists of seven (7) office rooms, reception area, med room, library, activity room, dining room, kitchen, two (2) laundry rooms, two (2) housekeeping storage rooms, staff lounge, and courtyard. Four (4) public restrooms are available which are clean and operational.

1.Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place.