Facility Evaluation Report

On 09/23/2025, Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to the community to conduct a Health and Safety check. LPA Campbell met with Administrator Little and explained the purpose of the visit to ensure the health and safety of residents. There are currently 7 staff present and 29 residents.

The community is currently licensed to serve 32 ambulatory and nonambulatory clients that are age 60 and over. The community is also approved for 2 hospice residents as well. During a tour of the community, LPA Campbell observed resident bedrooms that were sufficiently furnished with beds that were made. Residents were observed watching TV in their rooms or the common area.

LPA Campbell observed an adequate 2 day perishable and 7 day nonperishable food supply. The refrigerator and cabinets were reviewed in the kitchen. Sharps were made inaccessible to residents in locked cabinets. Medications were locked in a closet in the staff office where it can be locked and inaccessible to residents.

LPA Campbell conducted a brief interview with R1. R1 was lying in their bed in the room that they share with their roommate watching the single TV present in the room. When questioned about their status, R1 stated that they loved the community and liked their room. They also stated that the only thing they wanted was their TV that had been left.

Based on the observations made during this visit, there are no deficiencies being cited. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.