Most inspections found no deficiencies, including the most recent report on October 9, 2025, which was clean and showed compliance with all regulations. Earlier in 2025, a complaint investigation substantiated a failure to assist a resident with dressing and hearing aid care, but other allegations in that complaint were unsubstantiated. A licensing inspection on October 1, 2025, cited one deficiency for a caregiver whose criminal record clearance was not properly transferred, though this did not appear in later inspections. No fines, enforcement actions, or severe issues were reported in any of the inspections. The overall trend shows improvement, with recent reports indicating the facility is meeting regulatory requirements.
The inspection visit was an unannounced continuation of the annual inspection initiated on 2025-10-01 to evaluate compliance with licensing requirements at the facility.
Findings
No deficiencies were observed or cited during the inspection. The facility was found to be in compliance with all applicable regulations, including proper food storage, medication management, resident room furnishings, safety measures, and staff background clearances.
Report Facts
Residents observed during inspection: 7Staff response time: 2.4Hot water temperature: 111.9Inspection start time: 9Inspection end time: 13.5
Employees Mentioned
Name
Title
Context
Sara Weininger
Executive Director
Met with Licensing Program Analyst during inspection and participated in exit interview
Kimberly Viarella
Licensing Program Analyst
Conducted the inspection visit and authored the report
Inspection Report Original LicensingCensus: 59Capacity: 70Deficiencies: 1Oct 1, 2025
Visit Reason
An unannounced post-licensing inspection was conducted to evaluate compliance following the facility's licensing.
Findings
The facility was generally in compliance with licensing requirements including food storage, resident room furnishings, medication storage, and fire safety equipment. One deficiency was cited regarding a caregiver whose criminal record clearance was not transferred to this facility, posing an immediate risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
One caregiver did not have their criminal record clearance transferred to this facility, violating criminal record clearance requirements.
Type A
Report Facts
Staff with background clearances: 80Deficiencies cited: 1Plan of Correction Due Date: Oct 2, 2025
Employees Mentioned
Name
Title
Context
Sara Weininger
Designated Facility Administrator/Executive Director
Met with Licensing Program Analyst during inspection and responsible for associating employee with clearance
An unannounced complaint investigation visit was conducted following a complaint received on 2025-01-28 regarding allegations that staff did not assist a resident, yelled at residents, threatened residents, and restricted food/drink from a resident.
Findings
The investigation included interviews and record reviews. The allegations that staff yelled at residents, threatened residents, and restricted food/drink were found to be unsubstantiated due to insufficient evidence. However, the allegation that staff did not assist a resident with dressing and hearing aid care was substantiated, resulting in a citation for failure to provide required personal assistance.
Complaint Details
The complaint investigation was triggered by allegations that staff did not assist a resident, yelled at residents, threatened residents, and restricted food/drink from a resident. The allegation of failure to assist a resident was substantiated, while the other allegations were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to provide personal assistance with dressing, hearing aid care, and access to clean clothing to a resident as required, posing a potential health, safety, and personal rights risk.
Type B
Report Facts
Capacity: 70Census: 54Deficiency count: 1Plan of Correction Due Date: Jul 18, 2025
Employees Mentioned
Name
Title
Context
Vincent Moleski
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Sara Weininger
Administrator
Facility administrator met during investigation and exit interview
Inspection Report Original LicensingCensus: 51Capacity: 70Deficiencies: 0Sep 10, 2024
Visit Reason
The visit was conducted to perform a Pre-Licensing Inspection of the facility to evaluate compliance and readiness for licensure.
Findings
The inspection found no health or safety concerns, with all required areas and equipment meeting regulatory standards. No violations were cited during this visit, and there are no objections to licensure at this time.
Report Facts
Rooms in building: 52Bedridden residents: 7
Employees Mentioned
Name
Title
Context
Sara Weininger
Executive Director/Administrator
Met with Licensing Program Analyst during inspection and responsible for facility
Victoria Brown
Licensing Program Analyst
Conducted the pre-licensing inspection
Stephen Richardson
Licensing Program Manager
Named in report as Licensing Program Manager
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