Facility Evaluation Report

On 2/14/26, at 8:00 am, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct an unannounced annual inspection of the Facility. LPA met with the Administrative Assistant, and reason for the visit was disclosed.

Facility is licensed as a two-story building. Fire clearance issued for fifty (50) non-ambulatory, and twenty (20) ambulatory, for total capacity of seventy (70) residents. Bedridden cleared six (6) residents. Hospice waiver approved for six (6) residents.

At 8:15 am, LPA conducted a tour of the physical plant and observed the following:

Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Hand washing, coughing etiquette, and other necessary signage are posted throughout the facility. Wall thermostat displays a setting of 71.0°F, within the required range. Facility maintains an approved Mitigation and Infection Plan. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted in January, 2026 .