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FACILITY EVALUATION REPORT

The facility underwent an unannounced Case Management - Other visit. The Licensing Program Analyst found adequate supplies of food, and the facility environment, including temperature and cleanliness, was satisfactory. No deficiencies were cited during the inspection.

The facility underwent an unannounced 1-Year Annual Inspection on March 21, 2025. The physical plant, food service, and records were generally observed to be in good repair and safe. The only noted deficiency requires the facility to submit documentation for other employee training.

The facility underwent an unannounced 1-Year Annual Inspection on March 13, 2024. The inspection noted that the facility was in good repair, and various safety and operational areas, including food service, medication storage, and fire safety equipment, were satisfactory. No deficiencies were cited during this visit.

The facility underwent an unannounced 1-Year Annual Inspection. The inspector noted that the facility was in good repair both indoors and outdoors, and all inspected areas, including food service, medication storage, and records, were satisfactory. No deficiencies were cited during this visit.

The facility underwent an annual inspection focusing on Infection Control and Covid-19 Protocols. The inspector noted that the facility has a current Mitigation Plan and observed appropriate postings regarding visitation requirements. No deficiencies or citations were issued during this inspection.

The annual inspection identified multiple deficiencies related to medication storage, chemical/poison storage, and fire safety equipment maintenance. Specifically, unsecured medications in resident rooms and accessible cleaning supplies were cited as immediate health risks. Additionally, the fire extinguishers were found to be overdue for servicing.