Routine inspection·October 17, 2025

At approximately 9:30 a.m. on 10/17/25, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with the licensee and disclosed the reason for the visit. LPA and the licensee toured the facility inside and out. The facility is a single story building with six (06) bedrooms, three (03) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for six (06) nonambulatory residents, of which one (01) may be bedridden in Bedroom #3. The facility plans residents with dementia. Approved hospice waivers for five (05). The front entrance is gated and unlocked. Fruit bearing trees were observed in the front and back yards. Both yards were maintained. Handrails at the front and rear doorways were secure. A new artificial hedge was installed near the pool. Shaded seating areas were observed at the front and rear of the facility as well. At the front door, LPA observed postings for the facility sketch, administrator certificate, emergency disaster plan, personal rights, theft and loss policy, rights of resident councils, nondiscrimination notice, confidential complaint contacts, and ombudsman contacts. Walls, floors, windows, screens, and blinds were clean and in good repair. At 10:00 a.m. LPA measured the room temperature to be 75 degrees Fahrenheit. The living room contained a television, reading materials, board games, puzzles, and furniture in good repair. A fireplace was appropriately covered. LPA also observed an office area near the main entrance. At 10:10 a.m. the house telephone was called and deemed operational. At approximately 10:20 a.m. LPA observed a fully charged fire extinguisher in the kitchen. Hallways and resident rooms contained night lights. Hallway closets contained hygiene supplies, paper supplies, and adequate amounts of fresh linens. At 10:30 a.m., smoke and carbon monoxide detectors were tested and operational. Smoke detectors are hard-wired and functioned simultaneously. LPA observed an adequate supply of perishable and non-perishable foods in the refrigerator, freezer, and pantry. The pantry also contained sufficient emergency food and water supplies. Appliances were clean and in good condition. Sharps were locked below the counter top. Cleaning solutions were locked below the sink. Medications and confidential files were locked in a cabinet near the dining area. A washing machine and dryer were located near the kitchen. Both appliances were in working order. Two (02) out of two (02) exit gates were unlocked. Exit paths were free of debris and tripping hazards. Ramps and hand rails were secure and sturdy. The pool in the back yard was gated, inaccessible, and locked. The garage was locked and contained extra supplies, tools, and an extra refrigerator. The facility has six (06) bedrooms. All bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Beds with wheels were locked and secured. Four (04) out of four (04) auditory alarms were tested and functioning. The facility has three (03) bathrooms. Two (02) bathrooms are private to Bedrooms #3 and #6. The shared bathroom is located near Bedroom #1. All bathrooms contained paper towels, handwashing instruction sign, liquid soap, trash cans with tight fitting lids, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 10:45 a.m. LPA measured the water temperature to be 118.1 degrees Fahrenheit in the shared bathroom nearest the main entrance. At 11:00 a.m. LPA and the licensee reviewed the Compliance and Regulatory Enforcement (CARE) tools. Due to the facility having no residents or staff, a file review was not conducted. During today’s inspection, no immediate health or safety hazards were observed. Exit interview conducted. Copy of report provided.