Facility Evaluation Report

On 02/26/2026, Licensing Program Analyst (LPA) Graham Gunby arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Executive Director (ED), Sheri Kimbro, and explained the purpose of the visit.

LPA and staff toured the interior and exterior of the facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, and courtyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of one (1) week and perishable foods for a minimum of two (2) days. Toxic and cleaning supplies locked and is inaccessible to residents in care. Medications are locked and inaccessible to residents in care. The hot water temperature was measured in the bathroom at 113 degrees Fahrenheit. First aid kit was complete. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguishers were last serviced on 10/15/2025. Fire drill was last conducted in January 2026. LPA observed required Licensing posters posted throughout the facility.

LPA reviewed a total of eight (8) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of five (5) staff record. Staff training were completed.

No deficiencies being cited during today's inspection.

Exit interview conducted with Executive Director, Sheri Kimbro, and report provided.