Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Executive Director Carl Measer, Assisted Living Director (ALD) Mary Fawell, and Memory Care Director (MCD) David Pinto.

The facility's license shows a maximum capacity of seventy-seven (77) non-ambulatory residents, nine (9) of which may be bedridden. Bedridden residents may only reside in building E, rooms #1-9. In addition, the facility is approved for a hospice waiver for twenty (20). During today’s inspection there were sixty-seven (67) residents in care. Currently, the facility has five (5) residents receiving hospice services. Note, LPA did step out for lunch from 12:20-1:20pm.

LPA and ALD Fawell toured the interior and exterior of the Assisted Living (AL) building, inspecting common areas and a sample of occupied resident rooms. LPA then toured the interior and exterior of the Memory Care (MC) building with MCD Pinto. Both buildings of the facility were clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: One common bathroom sink in the AL building was 108.8F, and two private resident sinks in the MC building read at 108.2F and 107.7F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment.