Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required Inspection of the facility. At the time of arrival, there were fourteen (14) residents in care and two staff, Business Office Manager, and Administrator Lisa Gerr on duty. LPA met with Lisa Gerr, Administrator and explained the purpose of the visit.

The facility is a one-story Residential Care Facility for the Elderly (RCFE) with a capacity of thirty-six (36) residents. The facility is a memory care facility for residents with a dementia diagnosis. The facility has a fire clearance for thirty-six (36) non-ambulatory residents of which thirty-six (36) can be bedridden and has a hospice waiver for ten (10) residents. Currently, there are two (2) residents on hospice and no bedridden residents residing in the facility.

LPA and BOD toured the facility to assess the physical environment and accommodations. The following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights.

Upon entry, there is a gate that requires a code to enter the premises and a phone number posted to the facility for those who do not have a code. Entering through the gate, is a large walkway and driveway leading up to a large front patio with seating areas including patio chairs, tables with umbrellas, couches, and mini-couches.

Entering past the patio area, the administrator’s office is located on the west side of the building. Staff files and other confidential information is kept in the administrator’s office.

Entering into the main area of the facility is the dining area/common area on the east side of the room. Socializing, meals, and activities are held in the dining/common area.