Facility Evaluation Report

On 10/08/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection utilizing the care tool. LPA met with Administrator Carmen Ion and explained the purpose of the visit.

LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but are not limited to: resident bedrooms, bathrooms, common areas, kitchen, garage and backyard. 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 seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher, which is located in the kitchen, was last serviced on 03/21/2025. LPA observed required Licensing posters posted throughout the facility. LPA reviewed drill logs which are conducted quarterly.

LPA reviewed five (5) resident files, which contains signed admission agreements, physician's reports, identification sheets, consent forms, and resident's rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for two (2) residents and found no discrepancies. LPA reviewed a total of two (2) staff record. Staff has training in medications, first aid/CPR, and other various areas.

No deficiencies being cited during today's inspection. Exit interview conducted and report provided.