Facility Evaluation Report

On July 2, 2026, Licensing Program Analyst (LPA) Ernand Dabuet and Retired Annuitant Nicol Wesley conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with GREGG MC ELLVEN administrator. The Department explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory of which may be (6) bedridden residents ages 60 and over. The facility is approved hospice waiver for six (6) residents. Currently there is only one (1) hospice resident in care.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, three (3) bathrooms, a living area, a dining area, a kitchen, a garage, a laundry area, a staff room, and rear patio.

The Department toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. A water temperature of 118.0 and 119.4 degrees F. A comfortable temperature was maintained in the facility.

The Department observed the facility to be appropriately furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there are sufficient perishable and non-perishable food available and maintained adequately. The fire extinguishers were charged, and smoke detectors and carbon monoxide were operable. The facility conducted a Fire Drill on on June 1, 2026.