Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit to continue the annual inspection started on 8/20/2025. LPA was greeted by, identified herself to, and explained the purpose of the visit with General Manager Karl Miller.

The facility has a licensed capacity of 200 residents, 75 may be non-ambulatory and has a hospice waiver for 7 residents. During today’s visit, the facility had a census of 177 residents. The Administrator for the facility is Jessica Sommer and their certificate was valid and current.

During visits on 8/20/25 and 10/28/25, LPA inspected a random sampling of resident rooms and bathrooms, common areas, kitchen, and outside space. No bodies of water, delayed egress, or secured perimeter were observed on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. LPA observed linens and hygiene products for resident use. The facility’s ambient and water temperature were measured within regulatory requirements at multiple locations. LPA observed locked storage for resident medications and hazardous and/or toxic chemicals, both of which were stored separately from food supplies. According to Karl Miller, no firearms or weapons are stored on the premises. LPA observed a minimum supply of 2-days of perishable food and 7-days of non-perishable food. The refrigerator and freezer temperatures were kept within requirements. Staff present at the facility had a criminal background clearance and association. LPA reviewed multiple resident and staff records. LPA was away from the facility from 12:10pm and 1:10pm.

No deficiencies were cited on today’s date. An exit interview was conducted with General Manager Karl Miller, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).