Routine inspection·May 6, 2026

On 05/06/26, Licensing Program Analysts (LPAs) M. Vega arrived to the facility unannounced to conduct the required annual inspection, LPAs were greeted by Administrator - Norshell Brewer, stated the purpose of the visit and were allowed entry into the facility. LPAs toured the facility inside and out with Administrator. LPAs observed the facility to be 2 stories with 63 rooms in Assisted Living and 13 rooms in the Memory Care unit named “Journey”. Memory Care unit was observed to have a 15 second delayed egress system with a keypad and alarm. LPAs observed a hydro therapeutic tub located on the first floor in journey room and another on the second floor. Room 137 (1st floor) restroom water temperature reading was 115.3 degrees F and room 219 (2nd floor) restroom water temperature reading was 114.0 degrees F. Bedrooms were observed to have the required lighting and furnishings and were free from odor and any passageway obstruction / fire hazards. Facility temperatures throughout the facility were observed to be comfortable. Cleaning supplies were observed to be locked in janitorial closet located next to laundry room. LPA toured the kitchen observed the required 7-day supply of Non-perishable food and 2- day supply of fresh perishables to be properly stored. Menus for the facility were observed. LPA toured the kitchen and dining area which was being cleaned and prepped for dinner. LPAs observed a daily special and weekly menus posted at the entrance of the dining area. Facility has an Executive chef and a e-menu system that tracks daily meals and special diets for each resident in care. Continued on LIC 809C Medications were observed to be locked in Med carts located in a Wellness room and thought the areas of the facility. A sample medication audit was completed. LPA observed two Med technicians conduct a medication distribution as well. Facility has an Emergency Disaster plan and the Infection control plan on file. Emergency Disaster and Fire Drill logs were observed. Carbon monoxide detectors were observed throughout the facility and an annual inspection is conducted of those systems and sprinkler system as well. Fire Extinguishers throughout the facility were observed with a service date of 10/06/2025. A sample of Resident were reviewed and observed to have the required documentation and forms. Needs and service plans and physician’s reports were current. Home Health and Hospice care plans were also observed in resident files with physician orders. An exit interview was conducted with Administrator. A copy of this report was discussed and provided to Administrator at the time of visit. No deficiencies cited on today's visit. Signature confirms receipt of this report.