Facility Evaluation Report

At approximately 8:40 AM Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Case Management inspection and met with Administrator Anne Nakiyuka.

The purpose of today's inspection was to confirm that areas of concern with the facility's new Memory Care unit noted during a 3/4/2025 inspection have been addressed/corrected. The areas of concern are:

Memory Care unit entrance door located in Memory Care lobby/waiting room to be repaired and delayed egress operational from both sides as well as faulty wire repaired/replaced.

Memory Care kitchen faucet to dispense hot water with temperatures measuring within regulation.

Memory Care range/oven to have barrier in place making any hot elements inaccessible to residents in care.

Bathrooms in Memory Care kitchen to dispense hot water with faucet functionality such that Memory Care residents can use them without difficulty.

Each Memory Care resident unit will need a slip-resistant mat, strips, or flooring in all bathtub and shower floors. All slip-resistant mats, strips, or flooring must be in good repair and maintain slip-resistant properties.

The three [3] exit areas: The north-facing Dovetail exit door, Building H stairwell exit door, and Building I stairwell exit doors to have a barrier preventing Memory Care residents from accessing non-secured area of the facility.

At approximately 9:15 AM LPA toured the Memory Care unit with Administrator Nakiyuka.