Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced visit to conduct a required annual. Facility is licensed for 78 non-ambulatory residents. Facility has an approved hospice waiver for 10 residents.. Administrator Jeremy Gilmore has an administrator certificate expiring on 10/21/2027.

LPAs Lyman and Mendivil along with Administrator Gilmore toured the facility at 10AM. LPAs toured the physical plant, checked food service, facility records and the first aid kit. The facility consists of three stories including a library, bistro, cinema room, game room and hair salon. Memory Care is accessible through secured door near dining room. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105 degrees F and 118.7 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Emergency pull cord response times were immediate. Common areas were clean and clear of hazards, doorways were free of obstructions. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Facility had posted appliance temperatures and all were in range. Dining room has varied menu choices for residents. Smoke detectors and fire/ sprinkler inspections are conducted by a third party on 02/03/2026. Fire extinguishers were fully charged. LPAs reviewed the emergency disaster plan and plan is thorough and complete. Facility conducts emergency drills with the last drill conducted on 03/20/2026. .