Facility Evaluation Report

On 1/31/23 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required one year annual visit. LPA Jensen met with Executive Director Brittany Andrews and explained the purpose of today's visit.

The facility is a two story structure with a capacity to serve 86 resident and a current census of 77. The grounds were observed to be maintained and clear of obstruction and debris. There is pond on the premises that was observed to be gated and locked. There is sufficient outdoor furniture for the residents to participate in outdoor activities and pergolas for shade.

The interior of the facility was toured including common areas, dining room, kitchen, life enrichment room, guest reception areas, resident apartments, laundry room and medication room. The facility was observed to be sanitary and free of odor. LPA Jensen observed and tested carbon monoxide detectors and determined them to be in good working order. LPA Jensen observed the fire extinguishers were last serviced in November of 2022 and are in compliance. The Ansul System was observed to be last serviced in November of 2022 and is in compliance. LPA Jensen observed the facility to maintain a first aid kit that was complete with scissors, tweezers, a thermometer, various wound dressings and 1st aid manual. The facility has stair wells that are quipped with evacuation chairs. The temperature in the common areas of the facility was observed to be set 72 degrees which falls within the required regulatory range of 68-85 degrees. The facility is currently undergoing window replacement on the upper level. An upper level window in the main hall was removed this morning and is being replaced with an expected completion same day. The work area was sectioned off with caution tape.