Inspection Report Summary
Most inspections found no deficiencies, with the facility generally maintaining safe, clean conditions and adequate staffing. Several complaint investigations were unsubstantiated, including allegations about food service, resident records access, and staff neglect leading to resident death. Some deficiencies were cited in earlier reports, primarily related to resident care documentation, medication administration, and safety features like a non-functioning call cord and exit monitoring. The most recent inspection on August 1, 2025, was clean with no deficiencies noted, showing improvement since the last annual inspection in August 2024 that included medication and equipment issues. Isolated findings related to staff conduct and reporting were addressed, including suspension and termination of a staff member for improper treatment of a resident.
Deficiencies (last 6 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a August 2025 inspection.
Census over time
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Btittney Martinez | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Ryan Gardner | Licensing Program Analyst | Assisted in the complaint investigation |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Brittney Martinez | Executive Director, LVN | Facility Executive Director involved in investigation and exit interview |
| Sheryl Hendricks | District Director of Clinical Services, RN | Facility Clinical Director involved in investigation and exit interview |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Brittney Martinez | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Brittney Martinez | Executive Director | Met with Licensing Program Analysts during inspection and named in report. |
| Renese Howell-Small | Licensing Program Analyst | Conducted inspection and signed report. |
| Raquel Hernandez | Licensing Program Analyst | Conducted inspection. |
| Melody Brown | Licensing Program Analyst | Conducted inspection. |
| Karen Clemons | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Brittney Martinez | Administrator | Met with Licensing Program Analyst during the visit and received the report. |
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced Health and Safety check visit. |
| Efren Malagon | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and made the unannounced visit |
| Brittney Martinez | Administrator | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Brittney Martinez | Facility Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Mary Rico | Licensing Program Analyst | Conducted the inspection visit |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Brittney Martinez | Administrator | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Brittney Martinez | Administrator | Facility administrator present during the visit and exit interview. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the evaluation. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation |
| Maritza Lujan | Administrator | Provided information regarding release of records |
| Brittney Martinez | Executive Director | Met with investigator during the visit |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jennifer Sanchez Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during the visit |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Sanchez Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during investigation |
| Maritza Lujan | Administrator | Facility administrator named in the report |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jennifer Sanchez Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during the investigation |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Joe Chavez | Maintenance Director | Met with Licensing Program Analyst during inspection and discussed infection control practices. |
| Brittany Martinez | Executive Director | Confirmed staff have been fit tested for N95 masks and received the exit interview report. |
| Jennifer Semin | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Efren Malagon | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jennifer Semin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Jennifer Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during investigation and exit interview |
| Carol Ann LeRose | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jennifer Semin | Licensing Program Analyst | Conducted the case management visit and cited the deficiency |
| Jennifer Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during the visit |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maritza Lujan | Executive Director | Facility representative met during investigation and involved in discussion of allegations |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during the inspection |
| Amy Goldenberg | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Nedra Brown | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Natalie Gayoso | Licensing Program Analyst | Conducted the complaint investigation |
| Maritza Lujan | Administrator | Facility administrator interviewed during the investigation |
Loading inspection reports...



