Facility Evaluation Report

O n 07/02/26, the department conducted an unannounced annual required inspection visit using the CARE Inspection Tool. The department met with the Administrator, Gregg MacEllven, and the purpose of the visit was explained. The department was granted access to the facility. The facility is licensed to operate for (6) non-ambulatory elderly adults aged 60 and above. The facility is approved for one (2) hospice waiver. Currently, there are (2) hospice residents in care.

The facility is a single-story home located in a residential neighborhood. It consists of the following: six (6) private rooms, one (1) staff room, two (2) bathrooms, a living area, a dining area, a kitchen, an office, a laundry area, and an outside patio area. All bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. The water temperature properly measured between 105-120 F. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to residents, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards.

The department conducted a review of six (6) residents records, six (6) Resident Medication Administration Records (MAR) and three (3) staff records and observed them to be complete and in order. First aid kit observed along with manual, fire extinguishers were fully charged, carbon monoxide and smoke detectors were operational, and the last fire/emergency drill was completed on 03/03/26. Facility fees are current; liability insurance is active (Identity Insurance Services Policy #ISCAH00000319-00 exp. 02/24/27).

No deficiencies were cited during this inspection.

An exit interview was conducted, and a copy of this report was provided.