Facility Evaluation Report

On 10/23/2025, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Administrator and Chief Operating Officer (AD) Christine Regan, certification number 7018654740, and expiration date LPA conducted tour inside and out of facility with AD. Residents observed at the facility during lunch time.

The facility comprised assisted living section with a census of 15 residents and independent living section with a census of 180 residents. During the facility tour, rooms and hallways were observed to be at a comfortable temperature of 76 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 08/21/2025. Per records, last emergency drill conducted on 08/12/2025

Dining area and Kitchen were toured. LPA interviewed Director of Dinning. Food delivered to the facility 6 days a week. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer (with temperature -2 degrees F), refrigerator ( with temperature 39 degrees F), and pantry (no perishable food reviewed by staff . Food is delivered by US Foods twice a week on Tuesdays and Fridays. Refrigerator temperature was maintained at 39.0-degree F. and freezer was maintained at -2-degree F.

Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested and within regulation requirements. LPA observed securely fastened grab bar and non-skid mats missed in couple rooms toured