Facility Evaluation Report

On March 18, 2026, Licensing Program Analysts (LPAs) Joseph Alejandre and Garlli Tat made an unannounced visit to conduct the required annual inspection. LPAs were greeted and granted entry by staff. LPAs met with Casey Lambert, Director of Resident and Family Services, and explained the reason for the visit. The Executive Director, Sheila Fike, Administrator's Certificate expires on July 17, 2027.

The facility is licensed for 96 non-ambulatory residents. Facility is a single story building with a central courtyard. LPAs and the Director of Resident and Family Services toured the facility. LPAs observed the See Something, Say Something poster (PUB 475) posted in the main entrance of the facility. LPAs observed all the required postings in the lobby area of the facility. LPAs observed the central courtyard has a covered patio with tables and chairs to sit outside. There is a circular path for walking and a gazebo. There is one small raised fountain in the courtyard. No obstacles or hazards observed in the courtyard. The facility is approved for delayed egress. LPAs tested the delayed egress doors. The delayed egress doors are operational.

LPAs observed fire extinguishers throughout the facility. All fire extinguishers are fully charged. The last emergency drill was conducted on January 21, 2026. LPAs toured 8 resident rooms. LPAs observed all the resident rooms had the required bed linens and furnishings. Hot water measured 119.6 to 125.9 degrees Fahrenheit. LPAs observed medication is kept locked in the medication cart stored in the medication room. LPAs inspected the first aid kit. The first aid kit had all the required elements. LPAs observed both (2) medication carts were locked.