Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently clean, well-maintained, and in good repair. Several complaint investigations were unsubstantiated, including one involving alleged neglect and another concerning a self-reported medication error, both of which did not result in any citations or health risks. The most recent report from October 23, 2025, was also free of deficiencies, showing continued compliance with licensing requirements. No fines, enforcement actions, or severe issues were noted in any of the reports. Overall, the facility’s record reflects stable and satisfactory operations without significant concerns.
Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 66
Capacity: 96
Deficiencies: 0
Oct 23, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All required safety equipment and licensing postings were present and functional. Staff and resident records were reviewed and found to be in order.
Report Facts
Maximum capacity: 96
Current census: 66
Non-ambulatory residents allowed: 88
Bedridden residents allowed: 8
Hospice waiver residents allowed: 25
Hot water temperature: 111
Ambient temperature: 76
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randal Newton | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Ramon Serrano | Licensing Program Analyst | Conducted the inspection and authored the report |
| Robyn Clark | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 65
Capacity: 96
Deficiencies: 0
Aug 19, 2025
Visit Reason
Licensing Program Analyst Ramon Serrano conducted an unannounced Case Management Visit to deliver an amended complaint investigation report and discuss the purpose of the visit with the Executive Director.
Findings
No deficiencies were cited or observed during this visit. An exit interview was conducted and appeal rights were provided.
Complaint Details
The visit involved delivery of an amended complaint investigation report, but no deficiencies were found or cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randal Newton | Executive Director | Met with Licensing Program Analyst during the visit and participated in exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Case Management Visit and delivered the amended complaint investigation report. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 96
Deficiencies: 0
Apr 10, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including neglect resulting in rib fractures and failure to administer medications as prescribed.
Findings
The investigation determined that the alleged victim was not a resident of the facility, and therefore the allegations were found to be unfounded and dismissed.
Complaint Details
The complaint was investigated and determined to be unfounded as the alleged victim was not a resident of the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randal Newton | Executive Director | Met with during the investigation and provided information confirming the alleged victim was not a resident. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced complaint investigation visit. |
Inspection Report
Follow-Up
Census: 63
Capacity: 96
Deficiencies: 0
Feb 24, 2025
Visit Reason
An unannounced collateral visit was conducted as a follow-up for an unrelated complaint investigation for another facility.
Findings
During the visit, the Licensing Program Analyst interacted with staff and residents and obtained facility records. An exit interview was conducted with the Executive Director and a copy of the report along with Licensee Rights was provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randal Newton | Executive Director | Met during the visit and participated in the exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced collateral visit. |
| Robyn Clark | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 96
Deficiencies: 0
Feb 3, 2025
Visit Reason
The visit was conducted in response to a self-reported medication error involving Resident 1, where Parkinson's disease medication was given instead of an antibiotic.
Findings
The Licensing Program Analyst conducted a wellness check and staff interviews, finding no health or safety issues and no deficiencies cited or observed during the visit.
Complaint Details
The complaint involved a medication error for Resident 1, which was self-reported on January 30, 2025. The physician was notified and instructed monitoring for side effects, but no side effects were expected.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randal Newton | Executive Director | Met with Licensing Program Analyst during the visit and involved in the exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Case Management Visit and investigation. |
Inspection Report
Original Licensing
Census: 61
Capacity: 96
Deficiencies: 0
Sep 17, 2024
Visit Reason
The inspection was an announced Pre-Licensing visit conducted to evaluate the facility for licensing approval.
Findings
The facility was found to be clean, well-maintained, and in good condition with no deficiencies noted. Safety features such as smoke and carbon monoxide alarms were present, and hot water and ambient temperatures were within acceptable ranges.
Report Facts
Hot water temperature: 115
Ambient temperature: 74
Census: 61
Total capacity: 96
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randal Newton | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Ramon Serrano | Licensing Program Analyst | Conducted the announced Pre-Licensing inspection |
Loading inspection reports...
