Routine inspection·April 21, 2026

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. LPA met with Thania Calixto, Med Tech and explained the purpose of the visit. Anne Breuker, Business Office Director participated in the inspection.Administrator Tyler Barnes became available later in the inspection. The facility is a two-story secured perimeter Residential Care Facility for the Elderly (RCFE). There are currently 37 residents in care with a Dementia diagnosis. There are fifteen (15) residents currently on hospice. The facility is licensed for a capacity of 50 residents of which 39 may be non-ambulatory and 11 may be bedridden. The facility has a hospice waiver for 20. A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and the Long Term Care Ombudsman Advocacy poster. LPA inspected the facility for fire safety, personal accommodations, and food service. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. There are three (3) fire extinguishers on the first floor and two (2) fire extinguishers on the second floor. All fire extinguishers were serviced on 1/6/2026. Each resident's room has a dual smoke alarm and carbon monoxide detector. First Aid kits are kept in the Medication area of the Nurse's station on Floor 2, the kitchen and reception area on Floor 1. LPA observed the kitchen cabinets, refrigerator, and stove are clean. Please continue to 809-C, Pg 2. Residents participate at will in activities such as exercise classes, nature walks, puzzles, games, “Living the Dream”, Happy Hour, virtual travel tours, excursions to local eateries, and scenic rides. Residents receive assistance with Assisted Daily Living (ADLs) needs such as toileting, bathing, showering, eating, feeding, transferring, laundry tasks, light housekeeping, and medication administration. The front of the facility consists of a patio for visitation, concrete steps, concrete ramps, and concrete walkways. The back patio has a barbeque and outdoor furniture conducive for visitation. The facility has 40 resident rooms. There are 4 shared bedrooms and 7 shared bathrooms. Each bedroom has a bed, nightstand, and lights to provide sufficient lighting. Administrator Tyler Barnes and LPA Kontilis noted the water temperature of two residents’ bathrooms measured at 126.4 degrees Fahrenheit (F) at 12:41 pm, 124.7 degrees F at 12:45 pm, 121.2 degrees F at 12:53 pm, and 120.4 degrees F at 12:56 pm. Administrator Barnes stated the circulation pump to the facility boiler had recently been replaced and the thermostat needed to be re-adjusted. Technical violation issued at the time of the visit. Residents' records were reviewed. Admission Agreements, Health Screenings, Needs and Services Plans, Appraisals, Pre-Appraisals, Consent Forms, Physician's Reports have been signed and all records are current. All persons associated with the facility have criminal record clearance. Administrator certificate is valid. Staff files reviewed had criminal record statements, health screenings, current first aid certificates, and all required training. Exit interview conducted. Technical violation issued. Copy of report issued at the time of the visit.