Facility Evaluation Report

On 10/14/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived at the facility unannounced to conduct a required 1-year annual inspection. LPA was greeted by two Caregivers. LPA Lindstrom introduced herself and explained the purpose of the visit. A Caregiver called the Administrator, who arrived at the facility at 12:15 PM and an interview followed. The Administrator joined the LPA on a tour of the facility.

The Administrator has an Administrator’s Certificate (#7025797740) that is valid through 6/25/2027. The three Caregivers on duty at the time of the site visit had criminal background clearances and were associated with the facility. The facility had five bedrooms and three bathrooms. The current census is five residents.

The LPA toured the interior of the facility. The entire facility is clean, orderly, and odor-free. The interior is decorated and filled with natural light. The living room, dining room, and family room contained adequate seating for residents. The bedrooms were clean and contained the required furniture. The windows and window screens were intact. The bathrooms were clean and odor-free. The water temperature in the hallway bathroom was 117 degrees Fahrenheit. The bathrooms contained grab bars, a trashcan with a lid, and non-slip mats in the showers. There were extra towels, linens, and supplies in the hallways in the closet. The thermostat was set at 77 degrees Fahrenheit.

The smoke and carbon monoxide detectors were in working order. The fire extinguisher was serviced on 2/20/2025 by Touchdown. The LPA observed logs of quarterly fire drills and an emergency disaster plan that had been reviewed in 2025.