Facility Evaluation Report

On 05/26/2026, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator Kristi Quigley who was informed of the purpose of the visit. The facility has a fire clearance for 137 non-ambulatory elderly residents, of which 37 may be bedridden. On 05/04/2026, the facility was granted a hospice waiver increase to house a total of 35 terminally ill residents at a time. Administrator reported that 30 residents are currently receiving hospice services at the facility.

LPA toured the facility with Administrator Quigley and observed the facility is made up of a two (2) story building designated for assisted living and memory care. LPA observed charged fire extinguishers, fire alarm systems, and carbon monoxide detectors throughout the facility. Indoor and outdoor passageways were free of obstruction. No bodies of water were observed on the premises. The facility has several areas with outdoor shaded seating available for resident use. LPA toured the kitchen and observed the facility has a two-day supply of a perishable foods and seven-day supply of non-perishable foods. LPA also observed resident dietary information cards identifying each resident's prescribed dietary needs and restrictions. The facility's sous chef also reported that kitchen staff accommodate all residents' prescribed dietary needs. There are several activities available for resident leisure at the facility. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and pull alarm cords. Medications are secured in medication carts, only accessible to authorized personnel such as wellness nurses and medication technicians. Laundry detergents, disinfectants and cleaning solutions are secured in the locked commercial laundry room and house keeping storage closets. The Long Term Care Ombudsman's contact information, residents' personal rights, complaint procedures and facility sketch are visibly posted near the dining room. Administrator Quigley provided the facility's updated contact information and reported there are no changes in the licensee entity or corporate structure. Quigley's administrator's certificate expires on 02/14/2028. No issues or concerns were observed during today's visit. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Quigley.