Routine inspection·November 26, 2025

On November 26, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director (ED) Jennifer Kornmann was present and assisted on today's visit. LPA observed that Jennifer Kornmann has a valid Administrator certificate which expires on June 13, 2026. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for one hundred and twenty four non-ambulatory residents, of which six may be bedridden, and has a hospice waiver for fifteen. The facility consists of two single-story buildings, the front building is used for assisted living residents and the back building is used for memory care residents. Each building consist of resident apartments, with bathrooms located in suite, a dining hall, multiple activity rooms, multiple storage rooms, a wellness center, a beauty salon, a medication room, and staff offices. LPA, accompanied by the ED, conducted a tour of the exterior portions of the facility. LPA observed the See Something, Say Something (PUB 475) poster mounted on the wall by the entryway of the facility. LPA inspected resident apartments in both assisted living and memory care. LPA observed resident apartments to be clear of any hazards. LPA observed resident apartments to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. Resident beds had clean linens and blankets. LPA observed additional linens to be stored in a hallway closets. LPA inspected the bathrooms in each of the residents apartments and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 115.5 and 119.8 degrees Fahrenheit. CONTINUED ON LIC809-C LPA inspected the commercial kitchen located in the assisted living building. LPA observed the kitchen has a two day perishable and seven day nonperishable food supply on hand. LPA observed knives and sharps to be inaccessible to residents. LPA observed the facility has a three day emergency food and water supply. LPA observed chemicals and toxins to be stored in a locked closet inaccessible to residents in care. LPA observed multiple fire extinguishers to be mounted on the walls in both buildings. Fire extinguishers were observed to be charged and serviced as of August 21, 2025. LPA observed the facility passed their most recent fire inspection visit conducted on October 21, 2025, which consisted of testing the smoke detectors, carbon monoxide detectors, and fire sprinklers. LPA observed the facility conducted their most recent emergency disaster drill on October 23, 2025. The facility has a medication room located in each building. The centrally stored medications are kept in locked medication carts in their respective buildings. LPA observed that First Aid kits are also stored in the medication rooms and they have all the required components. LPA inspected all other common areas such as the dining rooms, activity rooms, beauty salons, and wellness centers and observed them to be clear of any hazards. LPA, accompanied by the ED, conducted a tour of the exterior portion of the facility. LPA observed the facility has an outdoor area for each buildings. LPA observed the outdoor areas for each building to be free of any hazards or obstructions. LPA observed shaded outdoor seating areas with furniture for resident use. There are no bodies of water on the premises. LPA reviewed ten resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents’ medication and medication records. LPA reviewed ten staff files. LPA observed that Staff #3 (S3) did not complete the required twenty hours of annual training, and only had twelve hours of annual training documented for the year of 2024. All staff are background cleared and associated to the facility. Based on today's observations, a deficiency is being cited on the attached LIC809-D. An exit interview was conducted with Executive Director Jennifer Kornmann. A copy of the report and Appeal Rights were provided.