Facility Evaluation Report

On 07/23/2025, Licensing Program Analyst (LPA) V Gorban arrived unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Miriam Fickewirth, certification number 7002605740 and expiration date 12/02/2025. LPA conducted facility tour inside and out of facility with staff. Residents observed at the facility after lunch time.

The facility was observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 04/10/2025 Last fire drill recorded in May 2025

Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered once a week.

The facility is comprised of three level sections; three residents’ rooms on the upper level, two residents’ rooms on main level with dining and kitchen, and lower level is three rooms and a laundry . The census during the visit is 4 assisted living residents.

LPA toured resident bedrooms. Residents' rooms were toured and observed adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 115 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area.

Medications were stored in a locked medication closet in the kitchen. The first Aid Kit was observed with all required items. LPA toured the laundry room and observed chemicals were stored and locked in for staff use only. The facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. LPA reviewed facility Plan of Operation, Infection Control Plan, Emergency Disaster Plan and number of staff and residents’ files requested and reviewed during the inspection visit.

Exit interview conducted, no deficiency cited during this visit. Report signed and copy provided for facility records.