Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently meeting health, safety, and regulatory standards over time. The most recent report from September 4, 2025, was perfect, showing no deficiencies during the annual inspection. Several complaint investigations were conducted, including allegations of questionable death, fractures, inappropriate staff contact, insufficient staffing, medication mishandling, unsanitary kitchen conditions, and refund disputes; all were found unsubstantiated after thorough reviews. The facility has maintained a clean record without any fines, enforcement actions, or severe findings noted in the available reports. This pattern suggests stable compliance and no emerging concerns in resident care, environment, or staffing.
Deficiencies (last 5 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a September 2025 inspection.
Census over time
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Joanna Lehman | Executive Director | Met with Licensing Program Analyst during inspection |
| Angela Hood | Licensing Program Analyst | Conducted the inspection |
| Phoebie Carcot | Administrator | Named as facility administrator |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensed Program Analyst | Conducted the complaint investigation and delivered findings |
| Joanna Lehman | Administrator | Met with the investigator during the unannounced visit |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Phoebie Carcot | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation |
| Natasha Georges | Administrator | Met with Licensing Program Analyst during investigation |
| Maribeth Senty | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Natasha Georges | Administrator | Facility administrator met during inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation |
| Maribeth Senty | Licensing Program Manager | Oversaw the complaint investigation |
| Dana Stansel | Administrator | Facility administrator involved in the investigation |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Natasha A Georges | Administrator | Met with Licensing Program Analyst during inspection and completed infection control domain. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Natasha A Georges | Administrator | Met with Licensing Program Analyst during the inspection and toured the facility. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melissa Lusby | Licensing Program Analyst | Conducted the complaint investigation and contacted the facility |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Natasha Georges | Administrator | Facility Administrator involved in the investigation |
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