Structure:

The facility consists of (80) units in the assisted living area and (20) in the memory care unit. Each room has its bathroom, kitchen, living room, bedroom, and laundry room. The six-story facility is situated in a residential/commercial neighborhood. The structure includes: living, bistro, main dining, private dining service area, discovery room, (2) fitness studio, library, theater, learning center, creative studio, exhibition kitchen, club room, (2) salons, (2) elevators, (7) guest restrooms, (8) administrative offices, and outdoor terraces. The terraces included tables and chairs, along with several water fountains and fire pits. The passageways, walkways, and steps are free from obstructions.

Resident's Bedroom:

Each resident unit has a bedroom. The facility had three (3) rooms with (1) a full-size bed, one (1) chair, one (1) night stand, one (1) dresser, and one (1) table lamp. All rooms had ample storage in the closets. The facility allows residents to either furnish their rooms with their own furniture or utilize furniture provided by contractors associated with the facility.

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

Each unit has a bathroom. All bathrooms have a working toilet, washbasin, and shower with grab bars. Each floor has public men’s and women’s restrooms.

Linens & Hygiene Supplies:

Beds have the required linen/supplies which include pillowcases, mattress pads, fitted sheets, blankets, and bedspreads. The facility also provides linen and furnishings for residents who may require their own, as well as hygiene supplies.

Emergency Phone Numbers, Exit Plan & Menu:

Emergency phone numbers, exit plan, and menu are posted and readily available for review throughout the facility. There are fire extinguishers on each floor and in the kitchen and fully charged. All rooms have a telephone line available and internet services. All exit stairways had emergency evacuation chairs.

Food Service:

Dishes, cups, and flatware are stored in the kitchen, inspected, and in good condition. Knives, cutlery, and other sharp kitchen utensils are stored in drawers in the kitchen. Food supply is adequately stored in the kitchen and consists of perishables and non-perishables food.

Smoke Detectors:

Smoke and carbon monoxide detectors throughout the interior. Hardwired smoke detectors throughout the common areas and in each resident’s room. Carbon monoxide in each resident’s room. The facility is equipped with central air and heat throughout the common areas. Resident rooms all have individual air and heating available.

Water Temperature:

The water temperature ranged from 105.0 - 118.2 degrees F. throughout the kitchen and bathrooms.

Toxins:

All toxins are stored in storage closets on all floors with housekeeping.

Each unit had a stove burners, microwave, washer, and dryer in the assisted living units. The commercial kitchen also had small appliances which included a toaster, blenders, coffee makers, and microwaves. There are several commercial refrigerators in the kitchen. The refrigerator has a measured temperature of at least 45 degrees Fahrenheit for appropriate food storage. A freezer is at (45) zero degrees Fahrenheit.

Medications, First-Aid Kit & Book:

Several first aid kits are available and stored at the front desk, kitchen, and medication rooms. They have at least the following: a thermometer, tweezers, scissors, antiseptic, bandages, gauze, and a current first-aid manual. The resident’s medications will be stored in the memory care medication room and in the third-floor assisted living medication room.

Records for staff and residents are stored inside the Human Resources office in locked cabinets.

Reading Material, Games, Equipment & Materials:

The facility has board games, books, magazines, and other recreational materials for resident use, stored in the activity, recreational, and library rooms.

No jacuzzi or pool in the area. The facility's Plan of Operation allows pets.

A Fire Clearance inspection conducted on March 11, 2026 with approval for a capacity for (24) ambulatory, (88) non-ambulatory, and (12) for bedridden.

Security:

Currently the facility does not have interior surveillance cameras in common areas.

Evaluation Report Continues

(LPA) Dabuet conducted the Pre-Licensing inspection along with the information provided about how to operate the facility within substantial compliance with Component II PowerPoint.

An exit interview was conducted, and a copy of this report has been furnished to the applicant, Tracy Flahterty. (LPA) Dabuet will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application.

END OF REPORT