Facility Evaluation Report

On 07/24/24 at 9:25AM, Licensing Program Analyst (LPA) Gina Saucedo and Licensing Program Manager (LPM) Troy Agard arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo and LPM Agard met with the Administrator, Ivy Sharpe and disclosed the purpose of the visit.

LPA asked for the census, resident, and staff rosters and files. A physical tour was conducted at 11:15AM and observed the following:

The entire facility has a total of 110 (one-hundred and ten) beds. Forty-three (43) are currently in the memory care unit and 44 (forty-four) in the Assisted Living area being occupied. All the rooms are on the second floor. The floor is divided by assisted living and memory care. The assisted living is on your left-hand side of the facility and the memory care is on your right-hand side of the facility. The second floor consists of a medication room which is in the memory care section. The memory care section has their own activity, dining hall, enclosed patio and enclosed garden. There is also a delayed egress on the doors. The assisted living side has their own activity room upstairs. The assisted living side has access to the ground level which is the first floor which has the laundry room area, beauty salon, dining hall, kitchen access to the patio area, another activity room area and a staff lounge. The parking structure can be entered from this area.

Random Bedrooms and Bathrooms were randomly selected to tour and were observed to have appropriate furniture, lightening, bedding, and televisions. Random Bathrooms were observed to have grab bars and non-skid mats. Hot water temperature was tested randomly for and measured 110–115-degree Fahrenheit.

The chemicals are inaccessible to the residents which can be accessed via the kitchen area in a locked door.