Most inspections found no deficiencies, with the facility consistently maintaining a clean environment, proper infection control, and adequate care and supervision. The most recent report from May 15, 2025, was perfect with no deficiencies noted. Earlier complaint investigations mostly found allegations unsubstantiated, though a few substantiated issues included a 2021 finding of missing grab bars in a resident’s bathroom and a missed medication dose, as well as a 2022 substantiated complaint about restricting private visitations. These deficiencies were isolated and not repeated in subsequent inspections. Overall, the facility’s record shows improvement and adherence to regulations over time.
An unannounced 1-year required inspection was conducted to evaluate compliance with licensing requirements and verify facility conditions.
Findings
The facility was observed to be clean, clutter and odor free with sufficient food supply and operable safety equipment. No citations were issued during the inspection. Resident and staff files were reviewed and found compliant with required certifications and clearances.
Report Facts
Residents receiving hospice services: 19Assisted living census: 73Memory care census: 28Fire extinguishers per floor: 4Hot water temperature range (assisted living): 111Hot water temperature range (memory care): 116Last fire extinguisher inspection date: Dec 22, 2024Last emergency drill date: Feb 26, 2025
Employees Mentioned
Name
Title
Context
Mariano Q. Hernandez
Executive Director
Met with Licensing Program Analyst during inspection; holds valid administrator's certification expiring 12/09/25.
An unannounced complaint investigation was conducted due to an allegation that staff were not addressing a change in a resident's condition.
Findings
The investigation, which included observations, interviews, and records review, found the allegation to be unfounded. Resident notes and interviews indicated no recent change in condition or unmet care needs.
Complaint Details
The complaint alleged that staff were not addressing a change in Resident #1's condition, including pain, toileting challenges, and vomiting. The allegation was found to be unfounded after review of resident notes, medication records, and interviews.
Report Facts
Facility capacity: 143Census: 119
Employees Mentioned
Name
Title
Context
Mariano Hernandez
Executive Director
Met with Licensing Program Analyst during investigation and provided information regarding resident condition and facility practices.
Javina George
Licensing Program Analyst
Conducted the complaint investigation visit and findings.
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be in compliance with all applicable regulations, with no violations observed or cited. The physical plant, medication storage, food service, care and supervision, and records were all reviewed and found satisfactory.
Report Facts
Capacity: 143Census: 120
Employees Mentioned
Name
Title
Context
Mariano Q. Hernandez
Administrator
Met with Licensing Program Analyst during inspection
An unannounced annual inspection was conducted to evaluate the facility's compliance with regulatory requirements.
Findings
The facility was found to have adequate infection control measures, a clean and well-maintained physical plant, proper food service provisions, and sufficient care and supervision. No deficiencies or violations were explicitly noted in the report.
An unannounced annual inspection was conducted focusing on infection control measures at the facility.
Findings
The facility had adequate infection control measures in place, including hand hygiene supplies and PPE, but lacked Covid-19 postings which the Executive Director agreed to post. No deficiencies were noted at the time of the visit.
Report Facts
Covid-19 positive cases: 3Staff present: 93
Employees Mentioned
Name
Title
Context
Quinn Hernandez
Executive Director
Met with Licensing Program Analyst during inspection and agreed to post Covid-19 posters
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2019-10-15 regarding the facility restricting private visitations.
Findings
The investigation substantiated the allegation that the facility restricted private visitations, as evidenced by the presence of facility staff and the resident's private nurse during a resident interview, which restricted the resident's privacy.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. The allegation was that the facility was restricting private visitations, which was confirmed during the investigation.
Deficiencies (1)
Description
Failure to accord residents dignity in their personal relationship with staff and others, evidenced by facility staff and resident nurse being present during a resident interview, thus not allowing for a private interview.
Report Facts
Capacity: 143Census: 112Plan of Correction Due Date: Apr 27, 2022
Employees Mentioned
Name
Title
Context
Javier Prieto
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Quinn Hernandez
Director
Met with Licensing Program Analyst during the investigation
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2020-02-14 regarding multiple allegations including resident fracture due to staff neglect and insufficient staffing.
Findings
The investigation found insufficient evidence to substantiate the allegations. The resident was assessed as a fall risk and monitored, medications were administered as prescribed, and medical information was safeguarded. No deficiencies were cited during the visit.
Complaint Details
The complaint involved allegations of resident fracture due to staff neglect, failure to report falls, insufficient staffing, failure to safeguard medical information, failure to provide medical care, and improper medication administration. The investigation concluded these allegations were unsubstantiated.
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2019-10-15 regarding alleged failures in communication and notification to a resident's responsible party.
Findings
Based on interviews and documentation reviewed, there was insufficient evidence to substantiate the allegations that the facility failed to notify the resident's responsible party of changes in care, failed to promptly answer communications, or failed to allow prompt access to resident records. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint involved allegations that the facility failed to give the resident's responsible party written notice of change in care, failed to promptly answer communications from the responsible party, and failed to allow prompt access to resident's records. The investigation concluded the allegations were unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 143Census: 93
Employees Mentioned
Name
Title
Context
Javier Prieto
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Quinn Hernandez
Director
Met with Licensing Program Analyst during investigation
Licensing Program Analyst Javier Prieto conducted an unannounced annual inspection to evaluate the facility's compliance with licensing requirements.
Findings
The facility was toured and found to be in compliance with no deficiencies observed or cited. Infection control procedures were discussed and appeared adequate.
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations received on 2020-09-01 regarding facility conditions and care practices at Atria Park of Vintage Hills.
Findings
Two allegations were substantiated: grab bars were not installed in residents' bathrooms posing a safety risk, and staff failed to distribute medication to a resident as prescribed. Two other allegations regarding incontinence care and adherence to admission agreements were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for allegations that grab bars were missing in residents' bathrooms and that staff failed to distribute medication to a resident. Other allegations about incontinence care and admission agreement compliance were unsubstantiated.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Maintenance and Operation: Grab bars were not installed next to the toilet in resident R1's bathroom, posing a potential health and safety risk.
Type B
Incidental Medical and Dental Care: Resident R1 did not receive prescribed medication on 08/25/2020, posing a potential health and safety risk.
Type B
Report Facts
Capacity: 143Census: 77Plan of Correction Due Date: Jul 8, 2021Plan of Correction Due Date: Jun 18, 2021
Employees Mentioned
Name
Title
Context
Deborah Mullen
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Bryce Matthews
Administrator / Executive Director
Facility representative met during investigation and named in findings
An unannounced complaint investigation visit was conducted in response to allegations received on 09/04/2020 regarding neglect/lack of supervision resulting in resident injury and failure to follow the resident's care plan.
Findings
The investigation included interviews and record reviews and found the allegations unsubstantiated due to insufficient evidence to prove the violations occurred.
Complaint Details
The complaint involved two allegations: 1) neglect/lack of supervision causing resident injury from an unwitnessed fall, and 2) failure to follow the resident's care plan. Both allegations were found unsubstantiated after investigation.
Report Facts
Facility capacity: 143Resident census: 77
Employees Mentioned
Name
Title
Context
Deborah Mullen
Licensing Program Analyst
Conducted the complaint investigation
Bryce Matthews
Executive Director
Facility representative met during investigation
Karen Clemons
Licensing Program Manager
Named in report as Licensing Program Manager
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