Routine inspection·February 25, 2026

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required Inspection of the facility. At the time of arrival, there were sixteen (16) residents in care and two staff on duty. Lisa Gerr, Administrator arrived at approximately 10:38 am. LPA explained the purpose of the visit. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE) with a capacity of thirty-six (36) residents. The facility is a memory care facility for residents with a dementia diagnosis. The facility has a fire clearance for thirty-six (36) non-ambulatory residents of which thirty-six (36) can be bedridden and has a hospice waiver for ten (10) residents. Currently, there are two (2) residents on hospice and 2 bedridden residents residing in the facility. Administrator and LPA toured the facility to assess the physical environment and accommodations. The following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. Upon entry, there is a gate that requires a code to enter the premises and a phone number posted to the facility for those who do not have a code. Entering through the gate, is a large walkway and driveway leading up to a large front patio with seating areas including patio chairs, tables with umbrellas, couches, and mini-couches. Entering past the patio area, the administrator’s office is located on the west side of the building. Staff files and other confidential information are kept in the medication room located directly inside the front entrance to the right of the area. Entering into the main area of the facility is the dining area/common area on the east side of the building. Socializing, meals, and activities are held in the dining/common area. Please continue to 809-C, Pg 2. The kitchen is located at the back of the dining/common area and is inaccessible to residents in care. LPA observed seven (7) days of non-perishable food items and two (2) days of perishable food items. LPA reviewed personnel records. All staff have had a criminal background clearance and are properly associated to the facility. Due to time restraints, LPA will return at a later date to continue the annual inspection. Exit interview conducted. No deficiencies noted. Due to technical difficulties, copy of report issued via email.