Facility Evaluation Report

On 03/26/25, Licensing Program Analyst (LPA) Debbie Palacios arrived at the facility to conduct an unannounced annual inspection. LPA met with Administrator, Roland Gandy and explained the purpose of the visit. The facility serves residents that reside in assisted living, memory care. The residents range from being aged 60 and over, and 120 are non-ambulatory. The facility has an approved hospice waiver for 18 residents.

LPA conducted a tour of the interior and exterior of the facility. The facility was observed to be clean, clutter and odor free. LPA toured the kitchen and observed a 7-day supply of non-perishable and 2-day supply of perishable foods were present. five (5) resident apartments were inspected and observed to be clean and furnished with a bed, chest of drawers, chairs and adequate lighting. The bathrooms were observed to be clean and equipped with grab bars in the shower and near the toilets. The medications and hazardous items were stored in a locked room, and are inaccessible to residents in care.

Carbon monoxide & smoke detectors were tested and observed to be operable. Delayed egress devices were operable on all exit doors. Resident call buttons and pendants were tested and observed to be operable. There are no known guns or ammunition on the premises. There are were no bodies of water were observed.

Records review: Five (5) resident files were reviewed, and all 5 resident files were observed to have the required documentation such as medical assessments, admission agreements, pre appraisal assessments. Five (5) staff records were reviewed and all files contained the required trainings and valid first aid/CPR certification. LPA reviewed the facility's Fire Drill logs and noted the facility's last fire drill was conducted on 01/23/25 .

During today's visit, LPA did not observe any immediate violations or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided.