Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry and met with Administrator (AD) Elena Weiner at 8am.

The facility is a single story building with a fire clearance of seventy six non-ambulatory and seventy six bedridden. A hospice waiver is approved for fifteen residents. Currently there are forty-seven residents in care and eight residents receive hospice services. The facility was a comfortable 74 degrees.

LPA toured the facility with AD and tested the hot water temperature in four of four resident bathrooms. The hot water temperatures ranged between 112.4 and 115.9 degrees Fahrenheit. The fire alarms, carbon monoxide detectors and sprinkler system were inspected by an outside vendor on October 22, 2025 and passed inspection. The fire extinguishers were charged and inspected on May 6, 2025. The fire extinguishers will be inspected in two weeks for 2026 and the next fire alarm inspection for the facility will be scheduled in July 2026. The last fire drill was conducted on January 13, 2026.

During the visit LPA observed residents listening to music in the television area and participating in activities such as ball toss and Bingo. Hazardous chemicals were stored and locked in three different locations: the kitchen, a locked storage room and in the laundry area; which is a separate area outside of the building which residents do not have access to. Washer and dryers were operational. All secured chemical areas had binders with Material Safety Data Sheets (MSDS) and pictures of the chemicals. Upon touring the kitchen, the facility had more than two-days of perishable items and seven-days of non-perishable food on hand.