Routine inspection·November 24, 2025

Licensing Program Analysts (LPAs) Erik Zaragoza and Gabriela Castro conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Lindsey Director for the facility, and explained the purpose of the visit. There are eighty-eight (88) residents currently living in the facility. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Physical Plant/Environment Safety: · The facility is a two-story building that contains the following: First floor consists of resident rooms with individual bathrooms, 1 living room, Dining Rooms, courtyard, 3 offices, medication room, kitchen, and laundry area. The second floor of the facility consists of the following: resident bedrooms with individual bathrooms, laundry room, outdoor porch seating area, and Activity room. LPA toured eight (8) resident bedrooms, and all of them had hot water temperatures that measured within the required 105 – 120 Degrees Fahrenheit range. The facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has multiple fully charged fire extinguishers throughout the facility. Due to time constraints, the annual will be completed at a later date. Exit interview held and a copy of the report will be emailed to the Clinical Director and Wellness Coordinator as LPAs printer is non-operable.