Inspection Report Summary
The most recent inspection on April 7, 2025, identified deficiencies related to resident safety and transfer protocols involving incorrect emergency identification paperwork during a hospital transfer. Earlier inspections also noted issues with governance, including the absence of a social worker on the quality assurance committee, and compliance concerns regarding infection control specialist responsibilities. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not noted in the recent reports, and no substantiated complaints appeared. The facility’s inspection history shows recurring governance and procedural issues, with no clear pattern of improvement or worsening over time.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a April 2025 inspection.
Census over time
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Danielle Torres | Executive | Personnel contacted during inspection |
| Christiane Gellatly | RN | SALSA personnel contacted during inspection |
Inspection Report
Plan of Correction| Name | Title | Context |
|---|---|---|
| Danielle Torres | Executive Director | Signed the Plan of Correction and named as responsible staff member overseeing corrective actions. |
| Christiane Gellatly | Resident Services Director | Named as responsible staff member overseeing corrective actions. |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Wayne Dixon | ED | Personnel contacted during inspection |
| Elizabeth Salo | SALSA | Personnel contacted during inspection |
| Lashonda Moody | RN Designee | Personnel contacted during inspection |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Wayne Dixon | ED | Personnel contacted during inspection |
| Elizabeth Salo | SALSA (FMLA) | Personnel contacted during inspection |
| Lashonda Moody | RN Designee | Personnel contacted during inspection |
| Karen Donato | RNC | Report submitted by |
Inspection Report
Plan of Correction| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Author of the letter and contact for plan of correction response. |
| Patti Smith | Licensed Clinical Social Worker (LCSW) | Added to the Governing Authority Committee as part of the plan of correction. |
Inspection Report
RenewalInspection Report
Plan of Correction| Name | Title | Context |
|---|---|---|
| Lisa Mierek | Executive Director | Named as responsible person for ensuring compliance with all applicable regulations and laws in the plan of correction |
| Elizabeth Heiney | Supervising Nurse Consultant | Author of the letter and contact for questions concerning the instructions in the notice of violation |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Lisa Mierelk | Executive Director | Personnel contacted during inspection |
| Jennifer Whittaker | RN | Personnel contacted during inspection |
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