Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection at the above-named facility. Administrator Jade Alma was present at the time of arrival. There were 48 residents in care in the Assisted Living unit with 1 medication technician, 2 caregivers from home health agencies on duty. Resident Services Director was also on duty. In the “Compass Rose” Memory Care unit, there were 16 residents with 1 medication technician and 2 caregivers on duty. The Compass Rose Coordinator who currently oversees the activity programming for the Memory Care unit of the facility was also on duty.

LPA explained the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) and is home to residents with a dementia diagnosis, and 99 non-ambulatory residents of which 10 may be bedridden. There are 11 residents currently on hospice.

The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside.

Throughout the facility, there are approximately 14 fire extinguishers and 5 fire pull alarms. The pull alarms alert the local fire department when activated. Fire inspection was most recently conducted on 5/20/2025.

LPA observed the dining areas are clean. LPA observed kitchen cabinets, refrigerator, stove, and counters are clean.