Follow-up·April 24, 2026

Licensing Program Analysts Steve Chang and Manuel Monter conducted an unannounced visit for wellness check and met with Regional Coordinator Specialist from corporate Melissa Desterhouse (RCS). RCS stated the current census is 80 including 29 Memory care residents and 51 assisted living residents. RCS stated there are 4 caregivers and 1 Med Tech in Memory care unit and 2 caregivers and 1 Med Tech Assisted living unit. RCS stated there are 4 residents on hospice care. LPA toured the facility with Wellness Director (WD), RCS, and Maintenance Director (MD). LPA toured the first floor dining room and kitchen. The temperature of the freezer was observed at -2 degree F and the temperature of the refrigerator was observed at 38 degree F. 2 day perishable food supplies and 7 days non perishable food supplies were observed sufficient. The salon room, theater, and activity room, common restrooms, and one resident room in the first floor were checked. Elevators were observed functional. LPA checked the delayed opening exit doors of the memory care unit. When the delayed opening exit doors were pushed, the alarms sounded but the exit doors were able to open without delay. Fire extinguishers were found on service on 03/31/2026. Memory care unit dining room, a resident room, and activity room in memory care unit were checked. Continue on LIC809-C. LPA toured the third floor of assisted living unit. Medication cart was observed locked. Fitness center and resident rooms were checked. LPA toured the forth floor of assisted living unit. Medication cart was observed locked. Spa room, Medication room, and resident were checked. Medication room was unable to locked. The refrigerator and closet in Medication room were observed locked. Evacuation chairs were observed at the two stairs. LPA toured the office area and restroom in the basement. LPA requested resident roster and LIC500. LPA interviewed 8 care staff. Exit interview was conducted with RCS. A technical assistance was provided. The report was provided to RCS for review and for signature. A copy of the report was provided to RCS.