Facility Evaluation Report

Unannounced Annual visit made out to this facility on 06/13/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, Nicole Ell, who was briefly interviewed at this time.

Current census was 4 residents, of which (3) residents, were out of this facility attending their respectable day programs at this time. It was learned that (1) resident was out of this facility at the hospital at this time.

It was learned that there weren't any 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 (6) residents under the care of hospice at any given time.

It was learned that this facility does have a program to be able to accept and retain dementia residents at any given time. It was learned that there were (2) residents diagnosed with dementia at this time.

It was learned that there weren't any residents receiving services through home health at this time.

It was learned that there weren't any residents deemed to be bedridden at this time.

Dining area, living area, 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.

Linen closet, located in facility restroom, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time.

Kitchen drawers and cabinets were opened and reviewed.

Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured.

Additional food storage units located in the laundry room were observed to be present and functional at this