Routine inspection (multi-day)·January 23, 2026

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to complete the annual inspection. LPA met with Administrator Stephen MacDonald during today's inspection. Currently there are 12 residents receiving hospice care. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 7 resident rooms, medication rooms, staff area, bathrooms, kitchen, common living spaces, outdoor spaces, and activity areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the assisted living side of the facility and the memory care unit with a delayed egress. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed 15 resident files and 14 staff files. LPA reviewed 4 resident medications comparing with current physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated training completed and CPR and first aid certificates present. LPA observed a copy of current liability insurance. No deficiencies cited during today's inspection. Exit interview conducted and copy of report provided.