Facility Evaluation Report

Unannounced annual visit made out to this facility on 02/20/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, James Hall, who was briefly interviewed at this time.

It was learned that there were (4) residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (10) residents at any given time.

It was learned that there were (14) residents diagnosed with dementia at this time. This facility does have an approved program to be able to accept and retain residents diagnosed with dementia at any given time.

This facility does have a memory care unit on site at this time.

Current census was 54 residents for both the Assisted Living and Memory Care portions of this entire facility.

A tour of the facility kitchen area was conducted. Food storage units, refrigerator and freezer, were toured. It was observed that there was a sufficient supply of 2-day perishable food quantities available on site to meet the requirements at this time.

Pantry area was toured. It was observed that there was a sufficient supply of 7-day nonperishable food quantities available on site to meet the requirements at this time.

A sample review was conducted for the facility resident bedrooms at this time. It was observed that furniture and furnishings were observed to be functional and maintained in compliance at this time.

A sample review was conducted for the facility resident restrooms at this time. Hot water temperatures were taken to make sure that they measured within the allowed range of 105-120 degrees at all times.

Grab bars and non skid surfaces were observed to be present and maintained in compliance at this time.

Living areas, dining areas, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Laundry rooms, located throughout several wings of this facility on the first floor, were toured. They were observed to be unlocked but did not house any detergents, bleach, or cleaning supplies at this time.

Rooms designated as supply rooms, storage rooms, and equipment rooms were observed to be locked and