Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Morgan Holien Administrator Certificate 6064643740 expires 3/25/26.

At approximately 9:30am 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 was found to be stored in a safe manner with open items covered. In addition to open items being covered, LPA discussed with Admin that all opened items should also be labeled with date of opening. LPA and Admin observed disinfectants and cleaning solutions in unlocked cabinet in ancillary Assisted Living Dining room ( deficiency cited, see 809D ). Hot water temperature was within regulation at 123.6 degrees F; however, LPA, chef, and Admin discussed putting up warning signs of water temperature over 125 degrees F as a precaution.

Facility has Independent Living (IL) and Assisted Living (AL) residents. Facility does not offer Memory Care. LPA toured selected AL resident rooms: #149, #151, and #161. All bedroom bathrooms were equipped with an emergency pull cord and grab bars. Water temperature in sink accessible to residents in care measured at 116.2 degrees F in room #149, 113.8 degrees F in room #151, and 117.1 degrees F in room #161, which are within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 12/7/24. Smoke/Carbon Monoxide detectors located throughout the facility are hardwired, last serviced by vendor on 10/29/24. Facility’s last quarterly disaster drill was conducted 11/26/24. Facility equipped with elevators, last service date 5/2/24.