Facility Evaluation Report

Licensing Program Analysts (LPAs) Hanna Gough and Ruth Martinez made an unannounced visit to the facility to conduct the required annual inspection. LPAs were greeted and granted entry by staff. LPAs met with Administrator (AD) John Goodwin and discussed the purpose of the visit.

The facility is a three story building with resident bedrooms, bathrooms, activity rooms, dining room, staff offices, medication rooms, laundry rooms, memory care unit and outside courtyard with pond. The facility appears clean, safe and sanitary. LPAs toured the facility and observed all resident bedrooms had the required components and furnishings. LPAs observed the restrooms to be stocked with toilet paper, paper towels and textured shower flooring. The water temperature was tested to be between 105.3 and 118.2 degrees Fahrenheit. LPAs toured the kitchen and observed it to be clean and free of vermin. LPAs observed a two day perishable and seven day non perishable food supply on hand. LPAs observed the freezer to be at 40 degrees Fahrenheit with the Administrator already ordering a new freezer that is to be delivered the night of July 16, 2026, and be at the facility until the current one has been repaired. LPAs observed the activities being conducted with residents. LPAs observed the toxins and chemicals to be in locked closets throughout the facility. The housekeeping carts are locked in a closet located in the locked laundry room when not in use. LPAs observed a completed first aid kit at the facility. LPAs observed the Assisted Living medication room to be on the second floor with locked medication carts that are made inaccessible to residents. LPAs observed the memory care unit to have operational delayed egress doors. The memory care medication room was locked and made inaccessible to residents. LPA observed the memory care unit to have a dining room that connects to the main facility kitchen by a locked door. LPAs observed an outdoor gated shaded seating area for resident use that is accessible to the memory care residents and is free of debris and obstructions.