Facility Evaluation Report

On 9/18/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced 1-year required visit to the facility. LPA Flores was greeted by receptionist Karolina whom contacted the Clinical Service Director, Nikki Hultquist. LPA informed Nikki of the purpose of the visit and a tour of the facility was conducted. LPA observed the following during the visit:

The facility has a census of (57) fifty-seven residents to which (3) three residents were out of the community. The facility is licensed for (82) eighty-two non-ambulatory residents to which (20) twenty may be bedridden. The facility is a single-story structure which consist of (64) sixty-four bedrooms along with shared, Jack and Jill style, bathrooms. Resident bedrooms are equipped with the required bedding, lighting, seating, and furniture. The shared bathrooms were observed to have the required grab bars and slip-resistant properties for each toilet and shower areas. The facility kitchen was observed to be in clean and sanitary condition. Facility food supply met the required (2) two-day supply of perishables foods and (7) seven-day supply of non-perishable foods. A monthly activities calendar is posted near the dining room area. There is a locked location for chemicals and sharp items in the kitchen. Medication was observed to be locked and inaccessible to residents. During the visit, LPA observed facility staff orchestrating a planned activity for the residents. There are no bodies of water located on the property. The facility remains free of odor. Indoor/outdoor passageways are kept free of obstruction. LPA observed a covered patio with sufficient seating. Per Executive Director, TJ Taylor, there are no firearms and/or ammunition on the premises.