Facility Evaluation Report

At 9:30am on 06/17/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct that annual facility inspection. LPA met with administrator Halina Garbacz announced who he is and the reason for the visit. Director of Operations, Bryant Barron (DO) participated in the inspection process.

This facility has twenty-two resident rooms are set up for double resident occupancy, however all rooms are currently single occupancy do to current census numbers. There is a large TV/Activity room a larger community dining/activities room, commercial kitchen, and 8 assorted office rooms for multi functional use including a full office for medication room (clinic), which also has a full first aide kit. And there are two public restrooms, a hallway shower room and one side of the facility has jack and Jill bathrooms, the other side has on suite bathroom. This facility has a large open center court yard and a large garden and yard are on the south side of the building with several areas of seating and shade from umbrellas and trees for residents and visitors. LPA noted the water temperature tested at at North West corridor of the facility exceeded regulation standards, a citation was issued. LPA noted that DO called plumber and scheduled an appointment same day to address exceeded water temperature. LPA noted several fire extinguishers located throughout the facility all primed and charged in the green indicating functional. LPA observed at least two days of perishable foods and at least 7 days of non perishable foods for at least 15 residents and staff. LPA noted that all walkways and all doors and windows were free and clear of debris. LPA conducted review staff and resident files. LPA noted that there were one violations of water exceeding regulation temperature perimeters noted during the facility full physical walk through.

Administrator and LPA conducted a full review and the annual control tools modules. LPA noted not other citations in the care tool review.

Exit interview, report read, citation and appeal right issued, and report provided.