Facility Evaluation Report

On 3/27/26, Licensing Program Analyst (LPA) Kyle Wellington made an unannounced visit to the facility to conduct an annual inspection. LPA met with the Administrator (Admin), Shaun McGuirk, who was informed of the purpose of the visit. Admin informed LPA there are 121 residents and 132 staff members at the facility. The facility has a fire clearance to serve 170 non-ambulatory residents of which 10 may be bedridden on the first floor only. The facility has an approved hospice waiver for 10 residents with 7 residents currently receiving hospice services. LPA received a resident and staff roster from the Admin. LPA did an observation of the inside and outside of the facility with the Admin and conducted record reviews for the inspection.

The facility contains two (2) three story buildings for memory care and assisted living residents and one (1) two story commons building that contains a kitchen, dining room, activities rooms and common areas available for resident use. There are multiple outdoor shaded areas with seating. Indoor and outdoor passageways along with entrances and exits were free of obstructions. There is a swimming pool and spa on the property that is surrounded by a fence with locked gates. There are fire alarm systems, carbon monoxide detectors, and charged fire extinguishers throughout the facility. The fire extinguisher service tags noted the fire extinguishers were last serviced on 9/30/25. LPA reviewed the fire safety certificate performed by the San Marcos Fire Dept conducted on 6/18/25 noting the facility passed its fire safety inspection. LPA reviewed the facility's Fire/Disaster Drill noting the facility's last fire drill was conducted on 8/28/25. LPA observed the laundry and supply rooms to be locked and inaccessible to residents, LPA toured the kitchen and observed food prepared and stored in a safe and clean manner. The facility has a two day supply of perishable foods and a seven day supply of non perishable foods. LPA observed a white board with on the kitchen wall noting residents' food allergies and dietary needs. LPA observed medications secured in medication carts, only