Facility Evaluation Report

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced visit to the facility for the required annual inspection. LPA Rodriguez was greeted and met with facility by Business Office Manager (BOM) Sharin Belanger and Wellness Director (WD) Mary Clark. LPA Rodriguez observed the PUB475 "See Something, Say Something" poster posted in the hallway. LPA Rodriguez observed the administrator certificate for Shannon Howell which expires on 8/15/2025.

LPA Rodriguez toured the interior and exterior portions of the facility with BOM Belanger. The facility is a three level structure and is licensed for 155 non-ambulatory residents, of which 15 may be on hospice and 0 may be bedridden. Currently, there are a total census of 150 residents in care. LPA Rodriguez conducted random bedroom checks, of which bedrooms were observed to have furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Water temperature in restrooms were measured to be between 113.1-116.2 degrees Fahrenheit.

Smoke and carbon monoxide detectors were operational and most recent fire inspection took place on 6/25/25, of which inspection was passed. LPA Rodriguez observed that facility had fire extinguishers that were charged, mounted, located in multiple areas of the facility, and dated for July 2025. Auditory alarms and wander guard functions were also tested and observed to be operational. The restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. LPA Rodriguez observed that the pull cord in the resident bathrooms, and resident call buttons were operational. LPA Rodriguez observed evacuation chairs in the stairwells. Facility does not have delayed egress doors. LPA Rodriguez observed the emergency disaster evacuation plan is posted and located behind the front desk.