Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted, granted entry by staff and explained the reason for the visit. Administrator (AD) Claudia Lusca was called and arrived a short time later and was present the remainder of the inspection.

During the visit, random resident rooms were inspected, and hot water temperatures were measured. All resident rooms that were inspected were clean, well organized, and had all the necessary requirements: night stand, chair, lamps/lights and storage space. Resident bathrooms were clean and organized. All grab bars were tightly secured to the wall. Hot water temperatures were recorded in the range of 111.5 – 118.4 degrees Fahrenheit.

The kitchen was clean and well organized. LPA Haley observed temperature logs on all the refrigerators. The facility has a two-day supply of perishable food items and seven-day supply of nonperishable food items.

The exterior portion of the facility was clean, and well organized. LPA Haley observed plenty of shaded areas with tables and chairs. Walkways were clean, clear, and free of obstruction. No bodies of water were observed.

The facility conducts various emergency evacuation drills, the last evacuation drill was conducted in May 2025, and a Fire evacuation drill was conducted in August 2025.

During the tour fire extinguishers were observed mounted on the walls in different areas of the facility, and smoke detectors were observed in all the resident rooms that were randomly inspected.