Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Kurt Gursu. LPA explained the purpose of the visit.

There are 23 residents residing in the memory care unit. LPA observed 3 care givers, 1 medtech, memory care director, and 1 activity coordinator in the memory care unit. There are 18 residents in the assisted living building. LPA observed 2 care givers and 1 medtech in the assisted living building.

LPA toured the facility inside out with ADM which included the activity areas, kitchen, dining room, restrooms in Assisted Living and Memory Care. LPA randomly toured the following bedrooms: 26, 25, 24, 21, 1, 3, 4, 9, CE27, CE26, CE25, CE3, CE10, CE6. The Facility grounds were inspected, which included a community garden. There was no obstruction to block the walkways. While touring the memory care unit,

During the tour of the memory care LPA tested the delayed egress doors in the memory care unit. All delayed egress doors activated when pressed. Staff responded to the delayed egress within 15 seconds of the egress being activated.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 74 degrees F, and hot water temperature was measured to range from 112-116 degrees F in resident bathrooms.