Facility Evaluation Report

On 8/7/26, Licensing Program Analyst (LPA) Kyle Wellington arrived unannounced to conduct an annual inspection. LPA met with Executive Director (ED), Bree Lofvendahl, who was informed of the purpose of the visit. The census at the facility is fourteen (14) residents. LPA received a resident roster from ED. LPA toured the inside and outside of the facility with Resident Services Director (RSD), May Ann Valledor. LPA conducted an observation and record review for the inspection.

Facility Overview: Facility is a one story building with seven (7) resident bedrooms, seven (7) resident bathrooms, one (1) staff/visitor restroom, medication room, kitchen, dining room, commons area, activity room and attached garage. There are no pools, bodies of water or firearms at the facility. Facility has a fire clearance for fifteen (15) non-ambulatory seniors of which fifteen (15) may be bedridden. Hospice waiver was granted to the facility for six (6) residents.

Infection Control: LPA observed hand sanitizers and soap dispensers throughout the facility. Cleaning equipment and cleaning supplies were kept in the locked garage and available for regular facility maintenance. LPA reviewed the facility’s infection control plan which met the department’s requirements.

Physical Plant: LPA observed the inside and outside of the facility to be clean, safe and well kept. The floors, windows and doors were clean and well maintained. Common area and dining room furniture was in good repair. Residents’ bedrooms contained the required bedding, lighting and furniture. Residents' bathrooms had paper towels, soap, grab bars and non-slip floors in the showers. Laundry equipment appeared to be in good working condition. Laundry supplies were kept in the locked garage. The outdoor area was free of hazards and contained furniture and shaded area for the residents.