Facility Evaluation Report

On 9/20/2024, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted and granted entry by staff after stating the purpose of the visit. Executive Director (ED) Christine Greenway arrived to the facility to assist with inspection on today's date.

The facility is licensed for one hundred eleven (111) non-ambulatory residents, eight (8) Bedridden with approved hospice waiver for fifteen (15) residents. Currently, there are nine (9) Hospice residents present during today’s visit.

Facility is a three story building plus basement housing 44 apartments in the assisted living and 32 apartments in the memory care unit. At 9:00AM LPA toured inside and outside physical plant with Executive Director and reviewed staff files, observed emergency food & water, recorded water temperatures, began inspection tool kit, began resident interviews and observed Liability insurance, fire drill and observed Annual Fire Inspection logs.

Due to time constraints, Annual Inspection needs a follow up visit to complete full inspection. LPA will conduct a follow up visit to complete inspection.

LPA conducted exit interview with Executive Director Christine Greenway