Most inspections found no deficiencies, including the most recent report from November 14, 2024, which was clean and showed the facility operating within capacity and meeting regulatory standards. An earlier inspection on November 7, 2023, cited two minor deficiencies related to outdated medical assessments and missing care plans, but no serious issues or enforcement actions were noted. The October 19, 2022 report also found no deficiencies and confirmed good infection control practices during the pandemic. Several complaint investigations were not part of these reports, and no fines or license actions were listed in the available records. The overall trend suggests improvement, with the latest inspection showing no deficiencies after the isolated issues found in 2023.
The visit was conducted as a required comprehensive annual inspection of the facility.
Findings
The facility was found to be operating within its licensed capacity and in compliance with regulations. No deficiencies were cited. The physical plant, food service, care and supervision, and record reviews were all satisfactory.
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst Ryan Gardner to evaluate compliance with licensing regulations.
Findings
The facility was found to be operating within its approved capacity and generally maintained in good repair with sufficient staffing and supplies. However, two Type B deficiencies were cited related to the lack of an updated medical assessment for one resident and the absence of needs and services plans for three residents.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Resident R1 did not have an updated medical assessment; the most recent was dated 3/23/2022.
Type B
Needs and services plans were missing for three out of three resident files reviewed.
The visit was conducted as a required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to be in compliance with no deficiencies cited. The facility has a COVID-19 infection control plan in place, adequate PPE supplies, and follows best practices for infection prevention.
Report Facts
PPE supply duration: 30Staff present: 2
Employees Mentioned
Name
Title
Context
Veronica Angulo Franco
Caregiver
Met with Licensing Program Analysts during the inspection and discussed infection control practices.
Ryan Gardner
Licensing Program Analyst
Conducted the inspection visit.
Paola Guerrero
Licensing Program Analyst
Conducted the inspection visit.
Karen Clemons
Licensing Program Manager
Named in the report as Licensing Program Manager.
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