Facility Evaluation Report

At 9:00am on 02/27/2025, Licensing Program Analysts (LAP) Haner-Tomasko and Jeffries arrived unannounced at the facility to conduct the facility annual inspection and to deliver on 3 separate complaint findings. LPAs met with Administrator Carl Meyer and Director Maria Middleton(S1), announced who they are and the reason for the visit.

At 9:30am S1 and LPAs toured the inside and outside of the facility. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety: The facility is a 3-story building with 97 resident rooms total, 24 are memory care rooms. All rooms have an on-suite bathroom. The memory care unit has a courtyard area for residents to be outside, there are furnishing with umbrellas to protect residents, guest and staff from outside elements. Each floor has multiple community use restrooms, laundry rooms, snack bar and refreshment areas, and an assortment of recreation rooms such as painting room, workout equipment room, and television rooms. There are multiple offices, storage areas, and utility closets throughout the facility. The facility has four stairwells locations each have a fire evacuation chair located at the top of each stairwell. There are two elevators located in the central areas of the facility. The facility has a large reception area for guest and visitors. LPA noted that during the physical walking tour of the facility LPA was able to audit several resident rooms. LPA noted that all rooms were properly equipped by regulation standards. LPA noted that all appliances were in good working condition, the temperature of the facility was regulated between 70-75*(f), and that assisted grab bars were firmly secured on the walls.

Infection Control: The facility has a sign in and out binder for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, and hand soap. Staff are trained annually in infection control precautions. Facility has 30-day supply of PPE.