Facility Evaluation Report

04/02/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently 85 residents in care, of which 36 are in memory care. Facility has an approved fire clearance for 118 non-ambulatory, of which 8 can be bedridden. Facility has a hospice waiver for 15. LPA was greeted by Business Office Director, Deborah Smith.

LPA and Maintenance Director toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. Facility has a dietary poster in the kitchens that states dietary restrictions for residents.

Facility has multiple common areas such as activity rooms, reading room, a salon, theater room, and a gym. All rooms were furnished and in good repair. LPA observed a monthly activities calendar. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured at 116.2, 115.8, 110.3, and 106.2 which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected September 2025. Facility has combination smoke and carbon monoxide detectors as well as a sprinkler system that is serviced by an outside vendor. LPA observed evacuation chairs located at each of the two stairwells. Medications were found to be centrally stored.

LPA is unable to finish inspection. Inspection will be continued at a later date.

Exit interview conducted and copy of report was provided.