Facility Evaluation Report

On 10/2/25 Licensing Program Analyst Christi Coppo arrived at facility at 10am and knocked for about 10 minutes. LPA waited for about 20 minutes for a call back but no call back from licensee received. No one home and no one answering phone. LPA will return at later date.

On 11/13/25 LPA returned to facility to conduct annual inspection. At approximately 9:45am LPA Coppo reached acting Administrator, Keith Copper via telephone. Keith advised LPA that he would be at facility in about 20 minutes. LPA waited in car as no one present at facility. Keith arrived at approximately 10:40am.

Facility currently has two (2) residents in care none of which are currently on hospice.

At approximately 10:45am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 7 day supply of non-perishable food; however, facility did not have a 2 day supply of perishable food ( deficiency cited, see 809D ). LPA noticed that both doors to the kitchen were locked. However, per Admin, residents have access to the kitchen whenever they are home. Keith explained that the staff lock the kitchen doors when leaving the facility, for no specific reason other than that is how they do things here. Food was found to be stored in a safe manner. LPA discussed having frozen milk but no fresh milk. LPA discussed with Admin that frozen milk could present as a potential health hazard if not thawed properly. LPA observed kitchen cabinet under sink to to be free of all cleaning supplies. Cleaning products and laundry soaps are located in a locked closet. Garage had rat poison but is inaccessible to residents in care. LPA noticed rodent trays under kitchen sick and rat poison in garage, but per Admin the rodent problem is no longer active. LPA did not see any rodent droppings present in facility.