Routine inspection·October 30, 2025

On October 30, 2025, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Cliff Keene, Administrator, and explained the purpose of the visit. Administrator license expired 06/2025. Administrator is in the process of renewa and will forward certificate to LPA upon receipt. Resident Service Director, Wendy Anderson (LIC#7022998740) maintains an administrator license which is current and expires in 08/2026. 79 residents and 5 direct care staff were present in the facility during the inspection. LPA and Administrator toured the facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, four (4) resident bedrooms, kitchen, facility courtyard and exterior pathways, med room, and four resident restrooms. All areas observed were found to be clean and in good repair. LPA observed each bedroom to have the required furnishings, working lights, and windows with screens. Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA observed a whiteboard in the kitchen area and binder documenting resident's special dietary needs. LPA observed medications to be locked in the med room and inaccessible to residents in care. LPA observed all toxins and cleaning supplies to be locked in housekeeping closets and inaccessible to clients. The facility has a multitude of activities for residents to participate in including crafts, exercise classes. bible study and more. The facility provides residents with a calendar of events/activities for residents to view. LPA observed fire extinguishers which were last inspected in June 2025. The facility's annual fire inspection was completed in October and all smoke and carbon monoxide detectors were found to be in working order. LPA observed a disaster drill log with the last drill recorded in September 2025. The facility is conducting fire drills monthly and additional disaster drills quarterly. LPA observed a complete first aid kit ready for emergency use. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of six (6) residents' files and five (5) staff files which contained all required documentation. All current staff are fingerprint cleared and associated to the facility. All care staff currently in the facility were CPR/First aid trained. The facility has been properly reporting all special or unusual incidents to Licensing. No deficiencies are being cited as result of this inspection. Exit interview conducted. A copy of this report was provided, via email, to Administrator, Cliff Keene, via email.