Deficiencies per Year
4
3
2
1
0
Inspection Report
Original Licensing
Capacity: 184
Deficiencies: 0
Jul 23, 2025
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility to operate as a home for the aged.
Findings
The facility was found to be in substantial compliance with licensing statutes and administrative rules. The building and services meet the requirements for a home for the aged with a licensed capacity of 184 beds. Fire safety inspections were completed and approved, and the facility has appropriate staffing and safety systems in place.
Report Facts
Licensed capacity: 184
Rooms on first floor: 46
Rooms on second floor: 48
Rooms on third floor: 49
Inspection dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Flora Khaimov | Authorized Representative/Administrator/Licensee Designee | Participated in the on-site inspection and is the authorized representative for the facility |
| Brender Howard | Licensing Staff | Author of the licensing study report |
| Larry DeWachter | BFS Supervisor | Conducted fire safety inspection and disapproved on 06/16/2021 |
| Austin Webster | Health Facilities Engineering Section Engineer | Completed occupancy approval and provided room sheets |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing study report |
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