Routine inspection·April 8, 2026

Licensing Program Analyst (LPA) Melisa Rankin arrived unannounced to conduct a required annual visit. LPA met with Executive Director Francesca West and explained the reason for the visit. LPA started the physical plant tour. The facility's fire suppression system was last inspected by the Premier Fire Protection on 2/3/2026 and the inspection was satisfactory. The facility's smoke detectors were last inspected by Boyd & Associates in December 2025. Fire extinguishers were last serviced in 7/2025 and those viewed appeared registered as charged. Kitchen: At the time of the visit, the kitchen was clean and appliances appeared operable. There was a sufficient supply of perishable and nonperishable food, properly stored. The menu was posted and copies are available for residents. The kitchen staff have residents with special dietary needs posted in the kitchen identifying each resident’s needs, there is a picture of the resident next to the dietary requirements. Dining area was spacious and can accommodate a capacity of 44 individuals if needed the activity room located nearby can accommodate more for dining. Mealtimes are posted for breakfast, lunch and dinner, but the kitchen is open all day. Snacks and drinks were noted in the dining room as well. Common Areas: The facility is a three-story building. There are resident rooms designated for assisted living residents on all three floors and a separate unit on the first floor is designated for memory care residents. There were no obstructions or tripping hazards observed. The facility maintains a comfortable temperature. There are three stairwells; all are equipped with emergency evacuation chairs. (continued on LIC9099-C) Outside areas: LPA observed appropriate outdoor furniture for residents on both the memory care and assisted living patio areas. There was plenty of space outdoors for visitors, including areas that are shaded. Resident Rooms: LPA toured sample rooms but will review individual resident rooms during return visit. Medications: LPA reviewed a sampling of medications for randomly chosen residents in the memory care unit. Review of records, discussion of processes including PRN Authorization, resident medication cycle refills, and hospice refills. Medications reviewed were not expired, did not have any writing on the labels, and were recorded on the Centrally Stored Medication and Destruction Record (CSMDR). Facility uses an electronic Medication Administration System for record keeping of doses given. LPA will return to complete the final elements of the annual at another time. Exit interview conducted. A copy of the report provided.