Routine inspection·November 5, 2025

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Deanne Edwards. This visit began by touring Memory Care. LPA, AD and Memory Care Director (MCD) observed multiple resident rooms. The rooms were found to be clean and contained required furniture, bedding and personal items. Bathrooms were in good repair with safety requirements in place. Hygiene items, cleaning and disinfecting supplies were properly stored and inaccessible to the residents in Memory Care. Residents were observed in common areas and in the dining room. LPA conducted a Medication Audit in Memory Care. LPA and AD toured Assisted Living. Apartments were found to be clean, containing required furniture, bedding and personal items, Bathrooms were in good repair with safety requirements in place. Residents were seen throughout the facility in their apartments, as well as common areas, participating in an activity or waiting for lunch in the dining room. LPA toured the facility kitchen with the Chef and AD. The kitchen was found to be clean and organized. Flooring was in good repair; necessary food preparation items were properly stored. Appliances were clean and in working order. The walk-in refrigerator and freezer were observed including temperature logs in place. LPA observed required food supplies, emergency food, water as well as paper products. Resident medications are centrally stored and locked in both Memory Care and Assisted Living. The facility has multiple visitation and common areas available. LPA walked the outdoor areas to find the grounds to be well kept with walkways, sitting areas and gardens. Doors and passageways are unobstructed throughout, including outdoors. See page 2 of this report Page 2 - Annual Inspection An annual Fire and Sprinkler System Inspection was conducted by Jorgensen Fire Co. on 5/22/25. Fire Extinguishers were serviced 7/7/25. LPA reviewed Fire and Emergency Drill logs. Required postings were observed in the entry and lobby area. Emergency Disaster and Infection Control Plans were reviewed. Due to time constraints, LPA will return to conduct record review of resident and employee files and complete the inspection. There were no citations issued today. An Exit interview was conducted with AD and a copy of this report was provided.