Facility Evaluation Report

At 8:30 a.m. on 01/16/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual visit. LPA met with staff and later the administrator and disclosed the reason for the visit.

A file review was conducted prior to the visit.

The facility was last visited on 12/05/25 for a complaint visit. It is a three-story building with separated areas for assisted living residents and memory care residents. The areas are separated by fifteen (15) second delayed egress doors, activated by numeric keypads. In total, the facility has one hundred eight (108) bedrooms in assisted living, nineteen (19) bedrooms in memory care, private and shared bathrooms, dining areas, recreation spaces, and indoor and outdoor common areas. Its most recent fire clearance was approved on 12/18/25 for a capacity increase from one hundred thirty-eight (138) residents to one hundred sixty (160) residents, of which one hundred twenty-seven (127) may be non-ambulatory, twenty three (23) may be bedridden, and ten (10) may be ambulatory only. The facility serves residents with dementia. Approved hospice waivers for twenty-five (25).

LPA and staff toured the facility inside and out at 11:00 a.m. The main entrance has automatic sliding doors and manual doors for entry. The walkway is covered, maintained, and free of hazards. A designated smoking area is present near the main entrance. Sanitizer and masks are available at the front. Sign-in sheets for guests, residents, and outside agencies were posted. The main lobby contained furniture in good repair, art supplies, music, televisions, and activities. LPA observed a Zumba class with approximately 20 residents at 11:00 a.m. and Bingo at 2:00 p.m. A bistro and beauty salon were located at the southern edge of the lobby area.