Health check·February 4, 2026

On February 4, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Health Checks. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator Janine Cuyson was notified via telephone and later arrived to assist with the inspection. On today's visit, LPA observed four residents in care and two care giving staff present. LPA observed residents to be in clean clothes. LPA, accompanied by a caregiver staff, conducted a tour of the physical plant. LPA inspected the four resident bedrooms and observed them to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed that Resident #4 (R4) had full bed rails on her bed, however, R4 is currently not receiving hospice services. LPA observed resident beds to have clean linens and blankets. LPA observed the lights in each of the resident's bedroom to be operational. LPA inspected the two shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. The water in each of the resident bathrooms was operational and measured between 109.4 to 111.9 degrees Fahrenheit. LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the facility has a three day emergency food and water supply stored in the attached two car garage. No health or safety concerns were observed during the visit. LPA observed all of the facilities utilities to be operational during the visit. LPA additionally conducted interviews with three staff and four residents during the visit. Three out of the three staff interviewed confirmed that they are up to date on their salary and have been paid on time. CONTINUED ON LIC809-C LPA reviewed the files for the four residents in care. LPA observed that there was no Pre-Admission Appraisal on file for Resident #1 (R1). LPA observed that there was no Reappraisal on file for R1. LPA observed that the Reappraisals on file for Resident #2 (R2) and Resident #3 (R3) were outdated. LPA also observed that there were no functional capability assessments on file for the four residents in care. All staff present during the visit were background cleared and associated to the facility. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809-D pages. An exit interview was conducted with Administrator Janine Cuyson. A copy of the report and Appeal Rights were provided.