Routine inspection·September 12, 2025

Licensing Program Analyst (LPA) Abeye Duguma met with the Executive Director, Tom Park, for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 9:00a.m. and the following was noted: The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool. The facility is fire cleared for one hundred twenty-one (121) non-ambulatory, of which eight (08) may be bedridden, and a hospice waiver for fifteen (15). The facility is currently occupying ninety-seven (97) residents. The common and dining areas are clean and appropriately furnished. The facility consists of eighty-six (86) resident rooms. A random selection of bedrooms were toured in both Memory Care and Assisted Living. All bedrooms were properly furnished and had appropriate bed linens. The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. The bathrooms were toured and observed to be clean. Nonskid mats and grab bars were observed in all bathrooms. Residents have enough personal hygiene product provided by the licensee. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. (continued on LIC 809-C) Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The facility maintains a comfortable temperature at 77°F. The smoke and carbon monoxide detectors are hardwired, interconnected and inspected periodically. The fire alarms are programmed to dispatch the local fire department. Fire extinguishers are located throughout the facility, observed to be fully charged and last inspected on 01/14/2025. The average hot water temperature was measured at 115.2°F. Facility maintains a complete first aid kit. LPA observed medication to be locked and inaccessible to residents. Laundry detergents, cleaning agents and other toxins are locked away. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.