Facility Evaluation Report

On 11/21/2023, Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct a Pre-Licensing Visit. LPA met with applicant Nicole Ell, Administrator and Albert Ell, Vice President and explained the purpose of the visit. The purpose of this Pre-Licensing Visit is due to a change of ownership. Current census is 39 residents at this time. The facility has a fire clearance for 40 non-ambulatory and 16 bedridden residents. LPA observed the secure file room where staff and resident files are kept locked in a file cabinet.

A tour of the facility was conducted. It was observed that a new resident in a shared bedroom did not have a chest of drawers yet but her family would be bringing one for her. The facility stated that they will provide a bed, night stand, chair, lighting and drawers if the resident is not able to provide it for themselves.

A tour of the kitchen was conducted. LPA observed a sufficient amount of 2 day perishable and 7 day non-perishable food supply to meet the residents needs. Knives were observed to be locked and made inaccessible to the residents in care. The refrigerator had a temperature of 39 degrees Fahrenheit and the freezer -4.6 degree Fahrenheit. A tour of the pantry was conducted where the facility holds extra non-perishable food supplies. The facility regularly rotates out emergency food supplies to maintain freshness.