Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that resident care and facility operations generally met standards. The only significant issue occurred in September 2022, when the facility failed to prevent an employee from committing financial fraud against a resident, resulting in unauthorized charges over $12,000 and an immediate exclusion order for the staff member. Since then, inspections have been clean, including the most recent report on October 27, 2025, which had no deficiencies. Minor complaints about personal belongings, infection concerns, and staff responsiveness were investigated but not substantiated. The facility’s record shows improvement and consistent compliance with health, safety, and documentation requirements over time.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Census: 88
Capacity: 140
Deficiencies: 0
Oct 27, 2025
Visit Reason
The visit was a case management inspection conducted to obtain further information regarding a resident and to discuss several topics with the facility administrator.
Findings
No deficiencies were cited during the inspection. The Licensing Program Analyst interviewed the administrator and requested resident documents. An exit interview was conducted and a copy of the report was provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Slinkard | Administrator | Met with Licensing Program Analyst during the inspection. |
| Ivan Avila | Licensing Program Analyst | Conducted the case management visit. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 140
Deficiencies: 0
Mar 11, 2025
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations including staff not safeguarding a resident's personal belongings, unexplained injuries to a resident, and unmet incontinence and hygiene needs.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Residents and staff interviews, record reviews, and observations indicated that care plans were followed and residents received appropriate care despite some resident combativeness.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not safeguarding a resident's belongings, unexplained injuries, and unmet incontinence and hygiene needs. Evidence did not support these claims.
Report Facts
Capacity: 140
Census: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ivan Avila | Licensing Program Analyst | Conducted the complaint investigation visit |
| Karen Slinkard | Executive Director | Met with Licensing Program Analyst during investigation |
| Anthony Perez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 94
Capacity: 140
Deficiencies: 0
Feb 6, 2025
Visit Reason
The inspection was an unannounced 1-year annual inspection conducted to ensure the health and safety of residents in care.
Findings
The facility was found to be clean and well-maintained with no immediate health, safety, or personal rights violations observed. Medication storage and documentation were proper, and all reviewed records appeared complete and current. No deficiencies were cited during the visit.
Report Facts
Staff files reviewed: 10
Resident files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Slinkard | Administrator | Met with Licensing Program Analyst during inspection and toured facility |
| Ivan Avila | Licensing Program Analyst | Conducted the inspection visit |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 140
Deficiencies: 0
Nov 20, 2024
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations that a resident sustained an infection due to lack of care or neglect by staff, staff did not safeguard resident's personal items, and staff did not respond to residents' call for assistance in a timely manner.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. The infection was determined not to have resulted from facility care, the resident's personal items were accounted for, and staff response to call buttons was adequate.
Complaint Details
The complaint investigation was unsubstantiated based on record reviews and interviews. Allegations included infection due to neglect, failure to safeguard personal items, and delayed response to call for assistance. The facility's actions and records did not support these claims.
Report Facts
Capacity: 140
Census: 97
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ivan Avila | Licensing Program Analyst | Conducted the complaint investigation |
| Karen Slinkard | Administrator | Met with Licensing Program Analyst during investigation |
| Anthony Perez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 90
Capacity: 140
Deficiencies: 0
Feb 15, 2024
Visit Reason
The inspection was an unannounced 1-year annual inspection conducted to ensure the health and safety of residents in care.
Findings
The facility was found to be clean and well-maintained with functional appliances and adequate supplies. No deficiencies were cited during the visit, and all reviewed documents appeared complete and current.
Report Facts
Staff files reviewed: 8
Resident files reviewed: 8
Water temperature: 109
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Slinkard | Administrator | Met with Licensing Program Analyst during inspection |
| Ivan Avila | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 95
Capacity: 140
Deficiencies: 0
Mar 8, 2023
Visit Reason
The inspection was an unannounced Required 1 Year Inspection Visit conducted to ensure the health and safety of residents in care.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.
Report Facts
Residents on hospice: 5
Hot water temperature: 106.5
Fire extinguisher inspection date: Jun 1, 2022
Resident files reviewed: 5
Staff files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Slinkard | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Ruth Wallace | Licensing Program Analyst | Conducted the inspection and authored the report |
| Stephen Richardson | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 140
Deficiencies: 1
Sep 12, 2022
Visit Reason
The visit was an unannounced case management inspection conducted due to legal/non-compliance issues related to a staff member's fraudulent use of a resident's credit cards.
Findings
The facility failed to prevent an employee from stealing and fraudulently using a resident's credit cards, resulting in unauthorized charges exceeding $12,000. An immediate exclusion order was issued for the staff member involved.
Complaint Details
The investigation was based on a complaint involving a caregiver arrested for knowingly entering a resident’s bedroom to forge and commit crimes by making unauthorized charges to the resident’s credit cards. The complaint was substantiated by police interviews, bank statements, video surveillance, and the staff member's confession.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to keep an employee of the licensee from fraudulently using R1’s bank account and stealing R1’s money for personal use. | Type A |
Report Facts
Unauthorized charges amount: 12000
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaclyn Avila | Licensing Program Analyst | Conducted the case management visit and signed the report. |
| Laura Munoz | Licensing Program Manager | Supervised the licensing evaluation and named in the report. |
| Karen Slinkard | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 140
Deficiencies: 0
Mar 22, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-10-13 alleging that a resident's needs were not met, staff failed medication training requirements, staff did not ensure medication consumption, and staff did not respond timely to a resident's call button.
Findings
The investigation found all allegations unsubstantiated due to lack of preponderance of evidence. Interviews with the administrator and staff, document reviews, and observations did not prove violations. No deficiencies were cited.
Complaint Details
The complaint involved four allegations: 1) a resident did not receive a shower as needed, 2) staff failed to meet medication training requirements, 3) staff did not ensure a resident consumed medication, and 4) staff did not respond timely to a resident's call button. All allegations were found unsubstantiated.
Report Facts
Capacity: 140
Census: 92
Call button response time: 5
Call button response time: 20
Initial training hours: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donna Gurriere | Licensing Program Analyst | Conducted the complaint investigation and met with the administrator |
| Lorene Bower | Administrator | Facility administrator interviewed during investigation |
| Rayna L Bryson | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Capacity: 140
Deficiencies: 0
Mar 15, 2022
Visit Reason
The inspection was a Required-1 Year Inspection conducted to evaluate infection control compliance and overall health and safety of residents at the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lorene Bower | Administrator | Met with Licensing Program Analyst during inspection and involved in infection control domain evaluation. |
| Misty Valencia | Licensing Program Analyst | Conducted the Required-1 Year Inspection and infection control domain evaluation. |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 91
Capacity: 140
Deficiencies: 0
Dec 7, 2021
Visit Reason
The inspection was a Required-1 Year Inspection conducted to evaluate infection control and overall health and safety compliance at the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lorene Bower | Administrator | Met with Licensing Program Analyst during inspection and involved in infection control domain evaluation. |
| Misty Valencia | Licensing Program Analyst | Conducted the Required-1 Year Inspection and infection control domain evaluation. |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on the report. |
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