Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection at the above-named facility. Administrator Shelly Ramos was present at the time of arrival. Resident Services Director was also on duty. Resident Services Director oversees Assisted Living and the Memory Car Unit at this time.

During today’s visit, there were 47 residents in care in the Assisted Living unit with one (1) medication technician, one (1) medication technician/caregiver, and two (2) caregivers on duty. In the Memory Care unit, “Compass Rose”, there were eighteen (18) residents with one (1) medication technician and (2) caregivers on duty. Currently, the Resident Services Director oversees the activity programming for the Memory Care unit of the facility.

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 twelve (12) 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 10 fire extinguishers and 5 fire pull alarms. The pull alarms alert the local fire department when activated. Fire inspection was most recently conducted on 9/3/2025.

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