Facility Evaluation Report

Licensing Program Analyst (LPA) Graham Gunby arrived unannounced to conduct a 1-year annual inspection and met with Mira Marcus, Business Director, explaining the purpose of the inspection. The facility is licensed for (142) residents, (127) of whom may be non-ambulatory and (12) of whom may be bedridden with a hospice waiver for (20). Currently there are (48) residents in the Memory Care Unit, (42) residents in the Assisted Living and (30) in Independent Living Unit. There are (13) residents under hospice care currently. 120 total residents.

LPA toured the interior of the Assisted Living Unit (ALU), including the common areas, main kitchen, activities room, gym, salon, library and medication room. The separate Memory Care Unit (MCU) was also toured where many activities were observed. In all areas toured, there were no health and safety concerns. LPA observed 2+day perishable food and 7+day non-perishable food in the main kitchen. The facility also has an emergency supply of food. Freezer/refrigerator temperatures are checked daily. Specific resident diets are posted in the main kitchen, and weekly menus are posted in common areas. Hot water temperature was checked at 118*F. The fire system was last serviced on 06/18/2025. Fire drills have been completed. All required postings are in the common areas.

LPA reviewed (10) resident files - (5) from ALU and (5) from MCU. All files were complete and contain current physician's reports/care plans. (5) staff files were reviewed. All staff are cleared/associated and have completed initial/ongoing training as required and have current First Aid/CPR certifications on file. Facility vehicle records show monthly checks are completed.

There are no deficiencies issued during today's inspection.

Exit interview conducted. Copy of report provided to the Administrator.