Facility Evaluation Report

At 4:00pm on 05/19/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct a continuation of the facilities annual inspection.. LPA met with Administrator, Susan Marsh, announce who he is and the reason for the visit.

This is a four bedroom, two bathroom, living room, kitchen and dining room, laundry room and garage. LPA noted that the dish washer is currently removed and Administrator is considering adding shelves where dishwasher was placed. Administrator will proved an updated to LPA within 14 days of the annual inspection as the construction of the shelves or putting back the dishwasher back in its original location.. Medications are locked in a cabined in the dining room. First Aide Kit is located on the top of the medication cabinet. LPA noted that the fire extinguisher in green and in the prime and is located in the kitchen, LPA noted that the facility has at least two days of perishable foods and seven days of non-perishable foods on hand for residents and staff. LPA noted that the facility has popper linins and bedrooms have furniture in accordance to regulations requirements. LPA noted that there are smoke detectors located throughout the facility and carbon monoxide detector located in the hallway and was tested, and functioning. LPA noted that the single resident currently at the facility has a complete file and has been a resident at the facility approximately 24 years continuous. LPA did to issue any violations or citation as a result of the facility physical tour.

Administrator and LPA conducted a full review of the annual care tools module and did not find any violations or citations. LPA note that there were no violations or citations issued as a result of this facilities annual inspection

Exit interview, report read, and report provided.