Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry at 1:15pm and met with Lorna Smith, Administrator.

The facility is a single-story, five bedroom, two bathroom home with an approved fire clearance of six non-ambulatory residents; of which six may be on hospice. The facility currently has a census of five residents receiving care and four are on hospice.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 107.0 and 113.7 degrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on March 30 2021. The facility’s last fire drill was conducted on March 22, 2025.

LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand . There were extra canned goods and non-perishable items in the garage. Hazardous chemicals were locked, both under the sink and the garage, and knives and sharps were secured in a locked drawer. All appliances were in working order and a washer and dryer were in the garage.