Facility Evaluation Report

On July 24, 2025, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility to conduct the required 1-year inspection. Upon arrival, LPA made contact with Michael Moodie, Facility Manager, and explained the purpose of the visit.

LPA Adkison and Facility Manager toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to seven (7) resident rooms, common areas, three (3) bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed three (3) resident files and four (4) staff files which contained all required documentation. Medications were observed to be locked in cabinet and were found to be in compliance

All common areas and bedrooms were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Cooking/dining equipment and utensils were present. LPA observed all sharps to stored in a locked cabinet. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. LPA observed one (1) bathroom to have a cloth hand towel and no paper towels. A technical violation was issued and Facility Manager was directed to replace hand towels with paper towels at time of inspection.

The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguisher fully charged and last inspected in September, 2024. Smoke detectors are all operational. All employees requiring background checks are cleared. All required postings are displayed within the facility.The last disaster drill was conducted and documented on July 2025. The facility has been conducting drills every 3 months.

No deficiencies are being cited as a result of this inspection.Exit interview conducted and copy of report was provided to Facility Manager.