Facility Evaluation Report

On August 5, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Business Office Director, Broneesha Bradford and explained the purpose of the visit.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a 3 story facility; Assisted Living (AL) on the first, second, and half of the third floor and Memory Care (MC) on the other half of the third floor. LPA toured the facility including but not limited to a random sample of resident rooms on each floor, common areas, and kitchen area. LPA observed residents eating lunch, walking around or participating in activities. A comfortable temperature of 74 degrees F is maintained in the facility and lighting is sufficient for comfort. Hot water temperature measured 111-118 degrees F throughout the facility. Overall facility was in clean, odor-free and free from any tripping hazards. Resident rooms and bathrooms observed had all required furnishings, and grab bars in each bathroom.

LPA toured kitchen and observed 2 days for perishables and and 7 days non-perishable. Medications and sharps were locked and inaccessible to residents. Emergency drill are being conducted and logged every 3 months. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of March 2025. First aid kits were observed present and complete.

Five resident records and five staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No citations are issued during the visit. Report is reviewed with the Business Office Director and a copy is provided.