Facility-requested visit·May 10, 2024

Licensing Program Analyst (LPA) Iby Strong conducted a Case Management visit regarding an application for increase in capacity. LPA identified herself to and discussed the purpose of the visit with Business Manager Vicky Mammo. Administrator Susan Sorensen arrived after. Licensee applied for an increase in capacity from 70 to 110 residents, as the facility added a new build on the premises to hold a locked memory care unit (Building B). Fire Clearance was approved on April 4, 2024, for a total capacity of 110, all whom may be non-ambulatory of which 20 may be bedridden. The Fire Clearance also included locked perimeter/delayed egress for Building B only. LPA Strong spoke with Fire Inspector Lyons by telephone to verify information. During the tour, LPA observed the physical plant and residents' accommodations, Building B is currently vacant, but holds required furnishings for future residents. Resident bathrooms are equipped with hand rails and non-slip material; locked medication rooms are present; sufficient space to conduct activities is available; facility posting requirements were present in a common area; laundry service is available; the facility administrators certification is current; no pool or other body of water is present on the facility grounds; per the Administrator there are no guns, weapons or ammunition located on the property. LPA and Administrator discussed continuing operation requirements, record keeping and physical plant compliance. No deficiencies were issued during this visit. An exit interview was conducted with Administrator, to whom a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided at the conclusion of the visit.