Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by concierge. LPA met with Alicia Dixon, Residential Care Director. Administrator Lauren Cottman arrived later. Administrator certificate # 7028976740 expires 9/21/26. Facility currently has 80 residents in care, ten (10) of which are currently on hospice. Facility has an Assisted Living (AL) unit and two separate (2) Memory Care (MC) Units: The Gardens and The Courtyard.

At approximately 9:45am 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 2 day supply of perishable and 7 day supply of non-perishable food. Food items located in main kitchen and both ancillary MC kitchens were not stored in a safe manner and open items were not covered or closed. Items found uncovered or unsealed or both include: tuna and egg salad, chicken tenders, frozen hamburger patties, frozen veggie patties, box of frozen peas, mini lemon pies, piece of cake, bread, buns, crisp rice dry cereal, and ice cream containers ( deficiency cited, see 809D ). Ice cream found with frost bite and containers of strawberries had some berries with fuzzy black and blue substance present on berries. Container of granulated sugar had active flies buzzing inside container as it was not properly sealed shut ( deficiency cited, see 809D ). LPA and Admin observed steam heat bins in both MC units to be on and very hot to the touch. Admin and Sean Bannister, Generations Program Director immediately removed items in steam bins and will formulate a new method of delivering hot food from the main kitchen to the MC units. LPA and Admin observed bleach and other toxins stored in main kitchen next to food preparation area ( deficiency cited, see 809D ) . LPA and Admin observed unlocked kitchen cabinet under sink in both MC units to contain disinfectants and cleaning supplies ( deficiency cited, see 809D ). LPA and