Facility Evaluation Report

On 09/09/2025, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator, Marie Hill who was informed of the purpose of the visit.

LPA toured the facility with Administrator Hill. The facility is made up of one (1) building designated for memory care. The facility is licensed for 96 non-ambulatory residents of which 10 may be bedridden. The facility also has an approved hospice waiver for 35 residents and LPA was informed there are currently 12 residents on hospice. The facility has an activity room, several dining areas, and outside shaded seating available for resident use. Indoor and outdoor passageways are free of obstruction. There are no bodies of water on the premises. LPA observed fire alarm systems, carbon monoxide detectors and charged fire extinguishers mounted throughout the building. LPA toured the kitchen and obseved the facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable food items. Food is stored in a safe and healthful manner. Medications are stored inside medication carts in the locked medication room, which only accessible to authorized personnel such as medication technicians. Cleaning solutions are stored in the housekeepers' lockers that are secured with master locks inside the locked laundry room. Resident files reviewed had updated physician's reports and signed admission agreements. Staff files reviewed had the required records. LPA reviewed the facility's Fire/Internal Disaster Drill noting their last fire drill was conducted on 07/22/2025. Long Term Care Ombudsman's contact information, complaint procedures, resident's personal rights and emergency disaster plan were visibly posted near the front entrance. No deficiencies were issued during today's visit. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Hill.