Facility Evaluation Report

L icensing Program Analyst (LPA) Amy Rodgers conducted a visit to issue a deficiency for a visit that was conducted on August 1, 2025 and August 13, 2025. LPA was greeted by and granted entry by Administrator Cathy Allen.

On August 1, 2025, and August 13, 2025, LPA observed four locked gates surrounding the B building, which houses the facility's memory care area. During the tour on August 13, 2025, LPA accompanied the Heartland Fire Marshal, the Executive Director, and the Director of Environmental Services. The inspection included the delayed egress building exit doors as well as the fenced perimeter. There are a total of seven (7) delayed egress(DE) exit doors, and five (5) perimeter gates. Four (4) of the five(5) perimeter gates lock, and one is delayed egress.

Two (2) building B DE doors lead directly to open areas outside the fence perimeter. Three (3) building B DE doors open into a patio area surrounded by a fence and locked gates. Two (2) DE doors, located on the Northeast side of Building B, exit to a fenced side walkway, of which one gate is locked and one gate is delayed egress.