Facility Evaluation Report

On 07/09/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived unannounced at the facility to conduct a required annual inspection. The LPA met with Designated Facility Administrator (DFA) Larry Potter. The LPA introduced herself, explained the purpose of the visit, and conducted an interview with the Administrator. The DFA accompanied the LPA on a tour of the facility.

The facility is a two-story building that is licensed for one hundred and ten residents. The facility has a hospice waiver for fifteen. The census was eighty-eight at the time of this inspection. The facility was remodeled in 2024, including new flooring, paint, and furniture throughout the common areas of the facility. In addition, the upstairs activity area was outfitted with a large screen television and theater chairs, and the staff room was expanded and a kitchenette was added to it.

The DFA began the inspection tour on the first floor in the large dining room located just inside the entry way. The room was carpeted and contained many tables and padded chairs. The room has a high ceiling and is lit by hanging light fixtures and natural light from windows. The LPA observed lunch being served between 11 AM and 1 PM. Service was restaurant style –staff takes residents’ orders at the table and food is delivered to the tables. There is a small adjacent private dining area separated from the main room by windows and a door with glass panes, which can be reserved by residents for private events. The LPA then toured the bistro, a small room near the dining area that has a small food service station and several tables. The dining room and bistro are both used for activities, including bingo, jeopardy, exercise classes, and word games.