Facility Evaluation Report

On 01/06/2026 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced at the facility to conduct a required 1-year annual inspection utilizing the CARE tool. LPA met with Executive Director (ED), Christal Anderson, and explained the purpose of the visit. The facility has a hospice waiver for sixteen (16) residents. Currently, there are eleven (11) residents under hospice care.

LPA and ED conducted a tour of the interior of the facility. Areas toured included but not limited to: resident rooms, kitchen, dining rooms, medication room and common areas. LPA observed residents in common areas with staff participating in activities. The residence was found to be clean, safe, sanitary and in good repair. LPA observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. In areas toured, LPA did not observed any violation of health, safety and personal rights.

LPA conducted a file review of ten (10) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed ten (10) staff files. A review of staff files indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current training completed.

As a result of todays inspection no deficiencies observed.

Exit interview conducted and a copy of the report was provided.