Facility Evaluation Report

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Jason Alfons. Administrator (AD) Michelle Nesbitt arrived shortly after.

For today’s visit, LPA observed a total of five residents in care and three staff members on duty.

LPA Ramirez toured the interior and exterior portions of the facility with AD Nesbitt. The facility is a single level structure and is licensed for six non-ambulatory residents, of which six may be on hospice and zero bedridden. There are a total of seven bedrooms, of which six are private resident bedrooms, and one private bedroom for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Four residents are currently using half-rails for postural support. Appropriate physician orders on file for all four residents. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of three full bathroom and four half bathrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 107.2-110.9 degrees Fahrenheit.

Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged, and had a service tag dated April 8, 2026. One fire extinguisher was located by the kitchen and one in the garage