Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with the Executive Director, Tom Park, for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 9:00 AM and the following was noted:

There is one entrance being utilized at the facility. The facility consists of eighty-six (86) rooms. The rooms consists of single or shared occupancy. A random selection of bedrooms was toured both in Memory Care and Assisted Living. All bedrooms were properly furnished and had appropriate bed linens. The rooms were observed to be sanitary. The bathrooms were toured and observed to be clean and properly stocked with towels and soap. Nonskid mats and grab bars were observed in all bathrooms.

The facility is fire cleared for one hundred twenty-one (121) non-ambulatory, of which eight (08) may be bedridden, and a hospice waiver for fifteen (15). The facility is currently occupying ninety-nine (99) residents.

The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool. Laundry detergents, cleaning agents and other toxins are locked away.

Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents.