Most inspections found no deficiencies, with the facility consistently clean, well-maintained, and compliant with regulations. The only deficiency occurred on August 30, 2022, related to infection control, where bathrooms lacked paper towels for hand drying, though cloth towels were available; this was noted as a minor issue with a technical assistance advisory issued. Several complaint investigations were not applicable as no complaints were reported during the reviewed period. The most recent report from October 10, 2025, showed no deficiencies and no immediate health or safety concerns. This suggests the facility has maintained a good compliance record with only isolated minor issues in the past.
Deficiencies (last 4 years)
Deficiencies (over 4 years)0.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, the facility was toured and no immediate health and safety concerns were observed. An exit interview was conducted and a copy of the report was provided to the licensee.
Employees Mentioned
Name
Title
Context
Elizabeth Hengstler
Licensee
Met with Licensing Program Analyst during the visit.
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, the facility was toured and no immediate health and safety concerns were observed. An exit interview was conducted and a copy of the report was provided to the licensee.
Employees Mentioned
Name
Title
Context
Elizabeth Hengstler
Licensee / Administrator
Met with Licensing Program Analyst during the inspection visit.
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, no immediate health and safety concerns were observed. An exit interview was conducted and a copy of the report was provided to the licensee.
Employees Mentioned
Name
Title
Context
Elizabeth Hengstler
Licensee
Met with Licensing Program Analyst during the visit.
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility to issue an amended report to clarify the reported allegation(s).
Findings
No immediate health and safety concerns were observed during the visit. An amended version of a report originally delivered on 12-11-2024 was signed by the facility administrator.
Employees Mentioned
Name
Title
Context
Elizabeth Hengstler
Administrator
Met with Licensing Program Analyst during the visit and signed the amended report.
Abdoulaye Zerbo
Licensing Program Analyst
Conducted the unannounced visit and issued the amended report.
An unannounced one-year required visit was conducted to evaluate the facility's readiness and compliance with licensing requirements.
Findings
No immediate violations or concerns were observed during the visit. The facility was found to be well-maintained with proper safety measures, adequate supplies, and required certifications in place, although no residents were present at the time.
The inspection was an unannounced annual inspection limited to infection control to evaluate the facility's compliance with COVID-19 best practices and mitigation plans.
Findings
The Licensing Program Analyst found the facility successfully incorporating infection control measures including availability of hand sanitizer, PPE supplies, staff training on COVID-19 protocols, and visitor screening. A Technical Assistance Advisory Note was issued due to the absence of paper towels in bathrooms, with cloth towels available for hand drying.
Deficiencies (1)
Description
Bathrooms were missing paper towels for hand drying.
Employees Mentioned
Name
Title
Context
Elizabeth Hengstler
Administrator
Met with Licensing Program Analyst during inspection and discussed infection control practices.
Crystal Colvin
Licensing Program Analyst
Conducted the annual infection control inspection.
Joel Esquivel
Licensing Program Manager
Named as Licensing Program Manager on the report.
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