Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently clean, organized, and compliant with safety and medication management standards. Several complaint investigations were unsubstantiated, including allegations related to resident care, privacy, safeguarding personal items, and medication administration. The most recent report from September 23, 2025, was a complaint investigation that found no deficiencies and confirmed all allegations were unsubstantiated. Previous annual inspections also showed no deficiencies, indicating a stable compliance record over time. There were no fines, enforcement actions, or severe issues listed in the available reports.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 105
Capacity: 140
Deficiencies: 0
Sep 23, 2025
Visit Reason
Unannounced complaint investigation visit conducted in response to multiple allegations received on 06/21/2021 regarding resident care, privacy, safeguarding of personal items, and provision of activities at the facility.
Findings
All allegations were found to be unsubstantiated based on evidence gathered during the investigation. Activities were observed and reported to be provided despite some residents choosing not to participate. Resident personal items were managed according to facility procedures. Privacy during visits was maintained, and no evidence supported malnourishment claims.
Complaint Details
The complaint investigation addressed allegations of resident malnourishment, lack of privacy during visits, failure to safeguard personal items, and failure to provide activities. All allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Resident weight loss: 18
Facility capacity: 140
Resident census: 105
Investigation date: Sep 23, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Christian Woollard | Community Business Director | Met with Licensing Program Analyst during investigation. |
| James Craddock | Administrator | Provided information regarding resident personal items and facility operations. |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation process. |
Inspection Report
Annual Inspection
Census: 94
Capacity: 140
Deficiencies: 0
May 1, 2025
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of the facility.
Findings
The facility was found to be in compliance with no deficiencies cited. The facility was clean, organized, and well-maintained with all safety equipment operational. Staff files, resident records, and medications were reviewed with no discrepancies observed.
Report Facts
Facility capacity: 140
Census: 94
Fire drill date: Apr 15, 2025
Hot water temperature range: 105.0-120.2
Number of resident rooms toured: 9
Number of staff files reviewed: 6
Number of resident records reviewed: 9
Number of staff interviewed: 4
Number of residents interviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Craddock | Executive Director | Met with Licensing Program Analyst during inspection and discussed visit reason |
| Joseph Alejandre | Licensing Program Analyst | Conducted the annual inspection visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 140
Deficiencies: 0
May 1, 2025
Visit Reason
The inspection was conducted as a case management visit following a report received on April 29, 2025, regarding a possible abuse incident involving a resident during medication administration on April 28, 2025.
Findings
The investigation found that the resident bit staff during medication administration but no evidence of abuse was found. The resident suffered no injuries and law enforcement took no action. No deficiencies were issued as a result of this visit.
Complaint Details
The complaint involved a report that Staff 1 may have forced a resident's mouth open to administer medication. Staff 1 was bitten by the resident during the attempt. The incident was reported to the memory care director and law enforcement was notified but took no action. The resident was assessed with no injuries noted. Based on interviews, no abuse was substantiated.
Report Facts
Time of visit start: 16.01
Time of visit end: 17.15
Date of incident: Apr 28, 2025
Date report received: Apr 29, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| James Craddock | Administrator | Facility administrator who was informed of the incident and contacted law enforcement |
Inspection Report
Annual Inspection
Census: 66
Capacity: 140
Deficiencies: 0
May 29, 2024
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of the facility.
Findings
The inspection found no deficiencies. The facility was toured, safety equipment and emergency supplies were checked, staff files and resident records were reviewed with no discrepancies noted, and residents were observed participating in activities.
Report Facts
Hot water temperature range: 109.0 to 112.6
Staff interviewed: 6
Residents interviewed: 7
Staff files reviewed: 6
Resident records reviewed: 7
Fire drill date: May 13, 2024
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Craddock | Executive Director | Met with Licensing Program Analyst during inspection and discussed reporting requirements |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 140
Deficiencies: 0
Dec 4, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to provide a resident's records to an authorized representative.
Findings
The investigation found that the resident in question was never a resident at the facility and no request for records was received. Therefore, the allegation was deemed unfounded.
Complaint Details
The complaint alleged the facility failed to provide resident's records to an authorized representative. The allegation was investigated and found to be unfounded.
Report Facts
Capacity: 140
Census: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sabrina Priesman | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 140
Deficiencies: 0
Sep 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations including illegal eviction, failure to honor admission agreement, and failure to administer medication as prescribed.
Findings
All allegations were found to be unsubstantiated or unfounded. The investigation revealed no evidence of illegal eviction or failure to honor the admission agreement, and medication administration was found to be compliant with prescribed requirements.
Complaint Details
The complaint investigation addressed three allegations: illegal eviction, facility not honoring admission agreement, and staff failing to administer medication as prescribed. The illegal eviction and admission agreement allegations were found to be unfounded, meaning false or without reasonable basis. The medication administration allegation was deemed unsubstantiated, meaning there was no preponderance of evidence to prove the violation did or did not occur.
Report Facts
Capacity: 140
Census: 77
Complaint control number: 22-AS-20230913081439
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sabrina Priesman | Executive Director | Met with Licensing Program Analyst during investigation |
| James Craddock | Administrator | Facility administrator mentioned in report header |
Inspection Report
Annual Inspection
Census: 100
Capacity: 140
Deficiencies: 0
May 3, 2022
Visit Reason
An unannounced visit was made to conduct the required annual inspection (mitigation) of the facility.
Findings
The inspection found no deficiencies. The facility was observed to be clean, organized, and compliant with COVID-19 precautions, safety measures, and emergency preparedness. No hazards or obstacles were noted.
Report Facts
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Craddock | Executive Director | Met with Licensing Program Analyst during inspection and toured the facility |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection visit |
| Luz Adams | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 101
Capacity: 140
Deficiencies: 0
Jun 1, 2021
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the annual visit for mitigation control at the facility.
Findings
The facility was found to be organized and clean with no deficiencies cited. All medications were secured, fire extinguishers were fully charged, and no hazards or obstacles were observed. The facility's Covid-19 mitigation plan was reviewed and found to be in accordance with guidelines.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Craddock | Executive Director | Greeted Licensing Program Analyst and participated in the facility tour and exit interview. |
| Denise Appleby | Activity Director | Discussed activity calendar with Licensing Program Analyst. |
| Kevin Zahnter | Restaurant Director | Reviewed and discussed menu with Licensing Program Analyst. |
| Joseph Alejandre | Licensing Program Analyst | Conducted the annual unannounced inspection visit. |
Loading inspection reports...
