Facility Evaluation Report

At approximately 9:45 a.m. on 01/24/2025, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with the administrator and disclosed the reason for the visit.

The facility was last visited on 12/13/2023 for an annual inspection. It is a single story building with four (04) bedrooms, four (04) bathrooms, kitchen, laundry room, common areas, office, gym, and outdoor areas. It has an approved fire clearance for four (04) nonambulatory residents.

LPA observed a maintained front yard and a ramp with secure hand rails leading to the main entrance. Postings at the front included COVID precautions, facility license, confidential complaints contacts, emergency disaster plan, monthly activity calendar, and the facility sketch.

Walls, floors, windows, screens, and blinds were clean and in good repair. At 10:00 a.m. LPA measured the room temperature to be 70 degrees Fahrenheit. Two (02) residents were observed in the dining room doing a drawing activity. Two (02) staff members were observed cleaning and preparing lunch.

The living room contained a television and furniture in good repair. A fireplace was appropriately covered and turned off. At approximately 10:10 a.m. LPA observed a fully charged fire extinguisher in the kitchen. It was last tested on 01/09/2025 with a tag attached. An office near the kitchen contained confidential resident and personnel files. LPA called the house telephone at 10:15 a.m. The phone was deemed operational. A gym contained exercise equipment and emergency water and food supplies. A closet near the southwest bedrooms contained an adequate supply of fresh linens.