Facility Evaluation Report

On April 18, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced to conduct a Case Management Incident visit, and met Austin Irwin, Executive Director. LPA introduced herself and explained the purpose of the visit.

LPA Mixson toured the facility, along with Executive Director and made observations pertaining to the incident. There were sufficient staff present and 141 residents currently. There are no imminent health and/or safety concerns observed at the time of visit. LPA requested and received pertinent documentation.

LPA Mixson did not observe any health and/or safety hazards inside or outside of the facility at the time of this visit. LPA observed the facility utilities to be operating without issue. LPA Mixson assessed the available food and observed there was a variety of food types available for the residents in care. The food supply meets the requirement of a two-day supply of perishable foods and a seven-day supply of non-perishable foods. The medications were found to be in sufficient supply, locked, and inaccessible to the residents in care.

Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and/or welfare of the residents in care. No deficiencies were observed or cited during today's visit.

An exit interview was conducted, and a copy of this report was provided to Executive Director, Austin Irwin.