Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Executive Director (ED) Liana Foote and discussed the purpose of the inspection. The facility currently has sixty-eight residents in care.

The facility is a three story building with resident apartments, memory care unit, library, activity rooms, two dining rooms, kitchen, laundry room, medication rooms, offices, courtyard, and underground parking. The facility appears clean safe and sanitary. LPA observed the required departmental postings throughout the facility. LPA observed resident apartments had the required components and furnishings. LPA observed the toxins and chemicals to be in the locked housekeeping closets. LPA observed the common restrooms to be stocked with toilet paper and paper towels. LPA observed the showers to have non-slip flooring in the resident apartment restrooms. LPA tested the water in resident apartment restrooms to be between 99.6-105.4 degrees Fahrenheit. LPA observed the kitchen to be free of vermin. LPA observed the dining rooms in both the memory care unit and the assisted living unit to be clean. LPA observed a two day perishable and seven day nonperishable food supply on hand. LPA observed the knives to be stored in the main kitchen on the third floor in the assisted living unit of the facility. LPA observed that no knives were stored in the memory care unit and are brought over from the assisted living kitchen if needed and stored in a locked drawer. LPA observed the medication rooms in the memory care unit and the assisted living unit to have locked medication carts in the medication rooms. LPA observed the emergency food and water to be in the basement stored in supply closets. LPA observed the courtyard to have shaded seating for resident use in the memory unit and the assisted living unit. LPA observed fire extinguishers throughout the facility to be charged and with a service date of April 17, 2025. LPA and ED tested the response time of the signal system to be six minutes. Continue on LIC809-C