Facility Evaluation Report

On 08/27/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit. LPA met with the executive director Holly Suiter and explained the purpose of today's visit. There are currently 136 residents in assisted living and 21 in memory care.

This is a multi-level facility approved for all residents allowed to be non-ambulatory, five bedridden, and a hospice clearance for 14 residents. This facility does have a secured memory care area. The physical plant was toured inside and outside of the facility to ensure the safety of the clients. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored and locked and secured in the kitchen. Perishable and non-perishable food supplies are observed as in place. Kitchen grade fire extinguisher is observed as in place and with an inspection date of 06/08/2024. First aid kit is observed as complete with required items as observed in medication room. Medications are observed to be locked in cabinets and medication cart in the medication room. LPA reviewed resident medications at random and observed them as current. LPA observed that there are multiple fire extinguishers in place on each floor with an inspection date of 07/07/2025 smoke detector, carbon monoxide detectors are observed in place through out the facility, and central heating and air conditioning. Laundry areas are also observed as fully operational. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill was conducted in May 2025. Water temperature was measured at 108F in resident rooms at random and 111F in a common bathroom. Cleaning supplies are observed to be inaccessible to residents in care. Resident rooms are observed at random. LPA observed two resident rooms and both appeared clean, free of odors, and contained all the required furniture per regulatory recommendations.