Facility Evaluation Report

On 01/22/2026, Licensing Program Analyst (LPA) Jill Nakagawa, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Blaine Lyons, Administrator and explained the purpose of the visit.

LPA Nakagawa and Mina Kutulas, Director of Resident Services toured facility together to ensure health and safety of residents in care. Areas toured included but are not limited to: common areas, resident bedrooms of Memory Care unit, common restrooms, kitchen, dining room, activities rooms and several resident apartments. LPA observed the facility to be clean, in good repair and odor-free. Each bathroom inspected was equipped with the necessary grab bars, non-skid flooring or shower chair, paper towels and hand soap. Water temperature measured approximately 113 degrees F throughout the facility, which is within regulation. LPA observed each bedroom to have the necessary furnishings with working lights and windows with screens. LPA observed organized activities held throughout the day in Memory Care and outings planned for Assisted Living. The dining area was clean and sanitary and the layout made it easy for residents with walkers and wheelchairs to access the tables and move about to socialize. The newly renovated Great Room had an operating fireplace with screen, and comfy chairs set up for easily accessed social spaces.

Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. LPA observed several fire extinguishers which were fully charged and last serviced on 1/11/2026. Fire inspection of fire/smoke detectors as well as fire drill for all shifts was held on 1/11/2026.

In the areas toured no immediate health, safety, or personal rights violations were observed.