Inspection Reports for
Quail Park at Shannon Ranch

3440 W Flagstaff Ave, Visalia, CA 93291, United States, CA, 93291

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

55% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2023
2024
2025
2026

Census

Latest occupancy rate 133% occupied

Based on a January 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

40 80 120 160 200 240 Mar 2022 Oct 2022 Mar 2023 Feb 2024 Apr 2024 Jan 2026

Inspection Report

Complaint Investigation
Census: 93 Capacity: 150 Deficiencies: 0 Date: Jan 15, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-10-25 alleging that staff did not meet a resident's oral hygiene needs while in care.

Complaint Details
The complaint alleging staff did not meet resident's oral hygiene needs was found to be unfounded after investigation revealed the resident was not at this facility.
Findings
The investigation found the complaint to be unfounded as the resident referenced in the allegation was not a resident at this facility. No deficiencies were cited and the complaint was dismissed.

Report Facts
Capacity: 150 Census: 93

Employees mentioned
NameTitleContext
Sarah HurtLicensing Program AnalystConducted the complaint investigation
Kim SantosFacility AdministratorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 107 Capacity: 150 Deficiencies: 0 Date: Jan 15, 2026

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint alleging a questionable death at the facility.

Complaint Details
Complaint alleging a questionable death was investigated and found to be unfounded.
Findings
The investigation found that facility staff were not responsible for medication management and were not required to perform regular scheduled checks. The complaint was determined to be unfounded.

Employees mentioned
NameTitleContext
Les XiongLicensing Program AnalystConducted the complaint investigation and delivered findings.
Kim SantosMet with the Licensing Program Analyst during the investigation and received the report.
Jeff MoyerAdministratorNamed as facility administrator.
Melinda HoffmannSupervisorSupervisor overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 93 Capacity: 150 Deficiencies: 0 Date: Jan 15, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-09-08 regarding staff stealing resident belongings, staff going through resident personal belongings, resident's door disrepair, and facility elevator disrepair.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff stealing resident belongings, staff going through resident personal belongings, resident's door in disrepair, and facility elevator in disrepair. No evidence was found to prove the allegations occurred.
Findings
All allegations were investigated and found to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited. The resident's door was operational though needed to be pulled tightly to close, and the elevator was in disrepair but multiple elevators were available.

Report Facts
Capacity: 150 Census: 93

Employees mentioned
NameTitleContext
Sarah HurtLicensing Program AnalystConducted the complaint investigation
Kim SantosAdministratorFacility Administrator met during inspection and exit interview
Brenda ChanSupervisorSupervisor named in the report

Inspection Report

Complaint Investigation
Census: 93 Capacity: 150 Deficiencies: 3 Date: Jan 15, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-09-11 regarding medication administration, reporting requirements, and showering needs of residents.

Complaint Details
The complaint investigation was substantiated based on evidence including missed medications documented in the MAR, failure to report incidents and communicate with responsible parties, and inconsistent assistance with resident showering. The preponderance of evidence standard was met for all allegations.
Findings
The investigation substantiated all three allegations: staff did not ensure resident's medication was administered as prescribed, staff failed to follow reporting requirements, and staff did not ensure resident's showering needs were met. Multiple missed medications and inconsistent showering were documented, and failure to notify responsible parties was found.

Deficiencies (3)
Resident 1's MAR documents multiple missed medications including on 09/18/25 p.m., and 09/19/2025 both a.m. and p.m., posing an immediate health, safety, or personal rights risk.
Resident 1's Responsible party was not notified of communication with home health agency affecting Resident 1's care, posing a potential health, safety, or personal rights risk.
Resident 1 was not being assisted as needed with showers, posing a potential health, safety, or personal rights risk.
Report Facts
Capacity: 150 Census: 93 Deficiencies cited: 3 Plan of Correction Due Dates: Jan 27, 2026 Plan of Correction Due Dates: Feb 9, 2026

Employees mentioned
NameTitleContext
Sarah HurtLicensing Program AnalystEvaluator conducting the complaint investigation
Kim SantosFacility AdministratorMet with evaluator during investigation and exit interview
Brenda ChanSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 105 Capacity: 150 Deficiencies: 0 Date: Mar 28, 2025

Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with licensing requirements.

Findings
The facility appeared clean with no obstructions or fire clearance issues. All common areas and resident bedrooms met required accommodations. Safety equipment such as smoke detectors, carbon monoxide detectors, and fire extinguishers were operational and up to date. No deficiencies were observed during the inspection.

Report Facts
Food supply duration: 2 Food supply duration: 7 Water temperature: 115 Fire extinguisher service date: 2024

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection
Les XiongLicensing Program AnalystConducted the inspection
Melinda HoffmannLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 105 Capacity: 150 Deficiencies: 0 Date: Mar 28, 2025

Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analyst L. Xiong to evaluate the facility's compliance with licensing requirements.

Findings
The facility appeared clean with no obstructions or fire clearance issues. All common areas and resident bedrooms met required accommodations. Safety equipment such as smoke detectors, carbon monoxide detectors, and fire extinguishers were operational and up to date. Water temperature was within acceptable limits. No deficiencies were observed during the inspection.

Report Facts
Water temperature: 115 Fire extinguisher service date: 2024 Inspection start time: 1028 Inspection end time: 144

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection
Les XiongLicensing Program AnalystConducted the annual inspection
Melinda HoffmannLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Capacity: 150 Deficiencies: 0 Date: Mar 7, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-07-18 alleging that facility staff handled a resident in a rough manner and inappropriately spoke to a resident in care.

Complaint Details
The complaint investigation was unsubstantiated. Although the allegations may have happened or be valid, there was insufficient evidence to prove the alleged violations did or did not occur.
Findings
The investigation found the allegations to be unsubstantiated based on interviews and records review, with no preponderance of evidence to prove the alleged violations occurred.

Employees mentioned
NameTitleContext
Les XiongLicensing Program AnalystConducted the complaint investigation visit.
Jeff MoyerAdministratorFacility administrator met with the evaluator during the investigation.
Peggy SilvieraOffice ManagerFacility office manager met with the evaluator during the investigation.
Melinda HoffmannSupervisorSupervisor named in the report.

Inspection Report

Complaint Investigation
Capacity: 150 Deficiencies: 0 Date: Mar 7, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-07-18 alleging rough handling and inappropriate speech by facility staff towards a resident.

Complaint Details
The complaint alleged that facility staff handled a resident in a rough manner and spoke inappropriately to a resident in care. The allegations were investigated and found to be unsubstantiated.
Findings
The investigation found the allegations to be unsubstantiated due to lack of preponderance of evidence proving the alleged violations occurred.

Report Facts
Facility capacity: 150

Employees mentioned
NameTitleContext
Les XiongLicensing Program AnalystConducted the complaint investigation visit
Jeff MoyerAdministratorFacility administrator met during investigation
Peggy SilvieraOffice Manager met during investigation

Inspection Report

Follow-Up
Capacity: 150 Deficiencies: 0 Date: Jun 4, 2024

Visit Reason
Licensing Program Analyst Katie Brown conducted an unannounced case management follow-up visit to review information regarding a previously reported incident and death report submitted by the facility.

Findings
No violations were identified during the investigation and no citations were issued. The Department reviewed the information obtained and concluded the case management follow-up visit without findings.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the case management follow-up visit.
Katie BrownLicensing Program AnalystConducted the unannounced case management follow-up visit.
Sergiy PidgirnySupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Capacity: 150 Deficiencies: 0 Date: Jun 4, 2024

Visit Reason
The visit was an unannounced case management follow-up to obtain information regarding an incident report and death report submitted by the facility.

Findings
No violations were identified during the investigation and no citations were issued.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the visit.
Katie BrownLicensing Program AnalystConducted the case management follow-up visit.
Sergiy PidgirnyLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Follow-Up
Census: 100 Capacity: 150 Deficiencies: 1 Date: Apr 2, 2024

Visit Reason
The visit was conducted as a follow-up on an incident report submitted to the Fresno Community Care Licensing office regarding a medication administration error.

Complaint Details
The visit was triggered by a complaint regarding Resident 1 not receiving as-needed medication as ordered between 2/23/24 and 2/25/24. The complaint was substantiated as a deficiency was issued.
Findings
The facility failed to ensure that Resident 1 received as-needed medication as ordered, and the medication administration record (MAR) was not updated to reflect changes made by the hospice agency. A deficiency was issued and a civil penalty assessed for a repeat violation.

Deficiencies (1)
Licensee did not ensure that Resident 1’s medications were received as ordered by the physician. New orders were not inputted to the MAR, resulting in Resident 1 not receiving medications as ordered, posing an immediate health and safety risk.
Report Facts
Capacity: 150 Census: 100 Plan of Correction Due Date: Apr 2, 2024 Discharge Date: Mar 8, 2024

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the visit and involved in plan of correction
Karen SutherlandHealth Service DirectorMet with Licensing Program Analyst during the visit
Katie BrownLicensing Program AnalystConducted the unannounced case management visit and authored the report
Sergiy PidgirnySupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Follow-Up
Census: 100 Capacity: 150 Deficiencies: 1 Date: Apr 2, 2024

Visit Reason
The visit was an unannounced case management follow-up on an incident report regarding a resident not receiving as needed (PRN) medication as ordered, and failure to update the medication administration record (MAR) accordingly.

Complaint Details
The visit was triggered by an incident report alleging failure to administer PRN medication as ordered and failure to update the MAR accordingly. A civil penalty was assessed for a repeat violation.
Findings
The facility failed to ensure that Resident 1 received medications as ordered by the physician, and did not update the MAR to reflect hospice agency changes. A deficiency was issued for this repeat violation, posing an immediate health and safety risk.

Deficiencies (1)
Licensee did not ensure that Resident 1’s medications were received as ordered by the physician. New orders were provided but not inputted to the MAR, resulting in Resident 1 not receiving medications as ordered, posing an immediate health and safety risk.
Report Facts
Census: 100 Total Capacity: 150

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the visit and involved in plan of correction
Karen SutherlandHealth Service DirectorMet with Licensing Program Analyst during the visit
Katie BrownLicensing Program AnalystConducted the case management visit and authored the report
Sergiy PidgirnyLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 101 Capacity: 150 Deficiencies: 0 Date: Mar 21, 2024

Visit Reason
The inspection was an unannounced annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.

Findings
The facility was found to be clean, odor free, and well maintained with no deficiencies issued. Safety equipment and emergency preparedness were verified, and required documentation was requested for submission.

Report Facts
Fire extinguisher service date: May 23, 2023 Last fire drill date: Jan 4, 2024 Hot water temperature range: Hot water measured between 108 and 110.9 degrees Fahrenheit Food supply duration: 7 Food supply duration: 2

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analysts during inspection and received report

Inspection Report

Annual Inspection
Census: 101 Capacity: 150 Deficiencies: 0 Date: Mar 21, 2024

Visit Reason
The inspection was an unannounced annual inspection conducted by Licensing Program Analysts to assess compliance with regulatory requirements.

Findings
The facility was found to be clean, odor free, and well maintained with no deficiencies issued. Safety equipment and emergency preparedness were verified, and required documentation was requested for submission.

Report Facts
Hot water temperature range: 108 Hot water temperature range: 110.9 Fire extinguisher last serviced: May 23, 2023 Last fire drill conducted: Jan 4, 2024 Non-perishable food supply: 7 Perishable food supply: 2

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analysts during inspection and received report
Alexandria WaltonLicensing Program AnalystConducted inspection and signed report
Melinda HoffmannLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 102 Capacity: 150 Deficiencies: 1 Date: Feb 12, 2024

Visit Reason
The visit was conducted to follow up on incident reports submitted to the Fresno Community Care Licensing office, specifically regarding medication administration outside physician parameters and bruising incidents.

Complaint Details
The visit was complaint-related, following up on incidents including medication administration outside physician parameters and bruising to a resident's arms. The deficiency was substantiated and an immediate health and safety risk was identified.
Findings
A deficiency was issued for failure to comply with regulations when facility staff administered medication to a resident outside the parameters set by the resident's physician, posing an immediate health and safety risk. A plan of correction was developed and reviewed with the administrator.

Deficiencies (1)
Facility staff administered medication to resident R1 outside of the parameters set by R1’s physician, violating CCR 87465(a)(4).
Report Facts
Capacity: 150 Census: 102 Deficiencies cited: 1 Plan of Correction Due Date: Feb 13, 2024

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and involved in plan of correction development
Alexandria WaltonLicensing Program AnalystConducted the inspection and authored the report
Melinda HoffmannSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 102 Capacity: 150 Deficiencies: 1 Date: Feb 12, 2024

Visit Reason
The visit was conducted as a follow-up on incident reports submitted to the Fresno Community Care Licensing office, specifically regarding medication administration outside physician parameters and bruising incidents.

Complaint Details
The visit was complaint-related, following up on incidents including medication administration outside physician parameters and bruising to a resident's arms. A deficiency was substantiated related to medication administration.
Findings
A deficiency was issued for failure to comply with regulations when facility staff administered medication to a resident outside the parameters set by the resident's physician, posing an immediate health and safety risk. The visit included review and development of a plan of correction with the administrator.

Deficiencies (1)
Facility staff administered medication to resident R1 outside of the parameters set by R1’s physician, violating section 87465 Incidental Medical and Dental Care.
Report Facts
Capacity: 150 Census: 102 Deficiency count: 1 Plan of Correction Due Date: Due date is 02/13/2024 (date only, no numeric value extracted)

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and involved in plan of correction
Alexandria WaltonLicensing Program AnalystConducted the inspection and signed the report
Melinda HoffmannLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection

Inspection Report

Census: 103 Capacity: 150 Deficiencies: 0 Date: Feb 6, 2024

Visit Reason
The inspection was an unannounced Case Management - Health and Safety inspection conducted to review a Special Incident Report involving a resident's unwitnessed fall and subsequent death.

Findings
During the inspection, the Licensing Program Analyst toured the facility, reviewed the resident's file, and found no citations or deficiencies.

Report Facts
Capacity: 150 Census: 103

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection
Katie BrownLicensing Program AnalystConducted the Case Management - Health and Safety inspection
Sergiy PidgirnySupervisorSupervisor overseeing the inspection

Inspection Report

Census: 103 Capacity: 150 Deficiencies: 0 Date: Feb 6, 2024

Visit Reason
The inspection visit was an unannounced Case Management - Health and Safety inspection conducted to review a Special Incident Report involving a resident's unwitnessed fall and subsequent death.

Findings
During the visit, the Licensing Program Analyst toured the facility, reviewed the resident's file, and found no citations or deficiencies.

Report Facts
Capacity: 150 Census: 103

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection
Katie BrownLicensing Program AnalystConducted the Case Management - Health and Safety inspection
Sergiy PidgirnyLicensing Program ManagerNamed in report header

Inspection Report

Census: 102 Capacity: 150 Deficiencies: 0 Date: Mar 29, 2023

Visit Reason
The inspection was an unannounced case management - other inspection conducted by Licensing Program Analyst Malia Thao to review the facility's compliance and amend a previous report.

Findings
No deficiencies were cited during this inspection. The Licensing Program Analyst amended a previous report (LIC809) issued on 02/21/2023.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the inspection and acknowledged receipt of the report.
Malia ThaoLicensing Program AnalystConducted the unannounced case management inspection and amended the previous report.
Melinda HoffmannSupervisorNamed as supervisor overseeing the inspection.

Inspection Report

Census: 102 Capacity: 150 Deficiencies: 0 Date: Mar 29, 2023

Visit Reason
The inspection was an unannounced case management - other inspection conducted by Licensing Program Analyst Malia Thao to review the facility's compliance and amend a previous report.

Findings
No deficiencies were cited during this inspection. The Licensing Program Analyst amended a previous report (LIC809) issued on 2/21/23.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and acknowledged receipt of the report.
Malia ThaoLicensing Program AnalystConducted the inspection and amended previous report.
Melinda HoffmannLicensing Program ManagerNamed in the report header.

Inspection Report

Annual Inspection
Census: 96 Capacity: 150 Deficiencies: 1 Date: Feb 21, 2023

Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and updated guidance.

Findings
No deficiencies were cited during the inspection. Observations included residents having access to disinfectants, cleaning solutions, and a knife set, but no deficiency was issued due to resident capability and physician reports. The facility was advised to review resident access to potentially dangerous items based on individual assessments.

Deficiencies (1)
Residents had disinfectants and cleaning solutions accessible in their apartments and one resident had a knife set on the kitchenette counter, which could pose a danger if not properly assessed.
Report Facts
Residents sampled with disinfectants/cleaning solutions accessible: 10 Residents sampled with disinfectants/cleaning solutions accessible: 9 Census: 96 Total Capacity: 150

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and named in report
Malia ThaoLicensing Program AnalystConducted the inspection
Melinda HoffmannSupervisorNamed as supervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 96 Capacity: 150 Deficiencies: 1 Date: Feb 21, 2023

Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.

Findings
No deficiencies were cited during the inspection. Observations included residents having access to disinfectants, cleaning solutions, and a knife set, but no deficiency was issued due to resident capability to manage medications and hygiene items. The facility was advised to review resident-specific physician reports to ensure safety.

Deficiencies (1)
Residents had disinfectants and cleaning solutions accessible in their apartments and one resident had a knife set on the kitchenette counter, which could pose a danger if not properly managed.
Report Facts
Residents sampled with disinfectants/cleaning solutions accessible: 10 Residents sampled with disinfectants/cleaning solutions accessible: 9

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and named in report
Malia ThaoLicensing Program AnalystConducted the inspection and signed the report
Melinda HoffmannLicensing Program ManagerSupervisor named in the report

Inspection Report

Complaint Investigation
Census: 89 Capacity: 150 Deficiencies: 0 Date: Oct 5, 2022

Visit Reason
An unannounced complaint investigation was conducted following allegations including resident injuries, improper use of a hoyer lift, medication timing issues, staff not following doctor's orders, unqualified staff, and early morning resident wake-up times.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included multiple resident injuries, improper use of a hoyer lift, medication not dispensed on time, staff not following doctor's orders, unqualified staff, and early morning wake-up times. The complaint was dismissed as unfounded or unsubstantiated after review and interviews.
Findings
The investigation found that the resident did fall but proper procedures and medical attention were provided. There was no prescription for a hoyer lift and the resident could get up with assistance. Medication times were being adjusted with doctor approval, staff were appropriately trained, and residents were not made to get up early. All allegations were unsubstantiated or unfounded due to lack of evidence.

Report Facts
Capacity: 150 Census: 89

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during complaint investigation
Shawna DoucetteLicensing Program AnalystConducted the complaint investigation visit
Sergiy PidgirnySupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 89 Capacity: 150 Deficiencies: 0 Date: Oct 5, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2022-06-06 regarding resident injuries, medication administration, staff qualifications, and care practices.

Complaint Details
The complaint investigation addressed allegations including resident sustaining multiple injuries, improper use of a hoyer lift, medication not dispensed on time, staff not following doctor's orders, unqualified staff providing care, and residents being made to get up early. All allegations were found unsubstantiated or unfounded after review.
Findings
The investigation found that the allegations were either unsubstantiated or unfounded based on record reviews and interviews. The facility followed proper procedures for resident care, medication administration times were being adjusted with physician approval, staff were appropriately trained, and residents were not made to get up early.

Report Facts
Capacity: 150 Census: 89

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during complaint investigation
Shawna DoucetteLicensing Program AnalystConducted the complaint investigation visit
Sergiy PidgirnyLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 79 Capacity: 150 Deficiencies: 0 Date: Jun 11, 2022

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility air conditioner was in disrepair.

Complaint Details
The complaint alleging that the facility air conditioner was in disrepair was investigated and found to be unfounded.
Findings
The investigation found that although there was an issue with the air conditioner, the facility had fixed the problem and provided cooling units for the rooms. The complaint was determined to be unfounded and dismissed.

Report Facts
Capacity: 150 Census: 79

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorFacility administrator contacted during the investigation
Miguel LopezExecutive ChefMet with the Licensing Program Analyst and assisted with the visit
Shawna DoucetteLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 79 Capacity: 150 Deficiencies: 0 Date: Jun 11, 2022

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility air conditioner was in disrepair.

Complaint Details
The complaint alleging the facility air conditioner was in disrepair was investigated and found to be unfounded.
Findings
The investigation found that although there was an issue with the air conditioner, the facility had fixed the problem and provided cooling units for the rooms. The complaint was determined to be unfounded and was dismissed.

Report Facts
Capacity: 150 Census: 79

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorFacility administrator contacted during the investigation
Miguel LopezExecutive ChefMet with Licensing Program Analyst and assisted with the visit
Shawna DoucetteLicensing Program AnalystConducted the complaint investigation

Inspection Report

Annual Inspection
Census: 81 Capacity: 150 Deficiencies: 0 Date: Mar 14, 2022

Visit Reason
Licensing Program Analyst Shawna Doucette conducted an Annual Inspection on this date to evaluate compliance with licensing requirements.

Findings
No deficiencies were observed. The facility maintained proper infection control measures including visitor log-in, temperature checks, mask usage, social distancing, and availability of personal protective equipment. Staff records showed infection control training and resident files had updated emergency contact information.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the inspection and discussed the purpose of the visit.
Marissa StanleyHealth DirectorAssisted with the inspection visit and responded to inquiries.
Shawna DoucetteLicensing Program AnalystConducted the Annual Inspection.

Inspection Report

Census: 81 Capacity: 150 Deficiencies: 0 Date: Mar 14, 2022

Visit Reason
An unannounced Case Management visit was conducted regarding an elopement incident that occurred on 08/04/2021.

Findings
The resident exited the facility setting off the alarm, but was quickly located two houses down and returned safely. No deficiencies were observed during the visit.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the visit.
Marissa StanleyHealth DirectorMet with Licensing Program Analyst during the visit.
Shawna DoucetteLicensing Program AnalystConducted the unannounced Case Management visit.
Sergiy PidgirnySupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Complaint Investigation
Census: 81 Capacity: 150 Deficiencies: 0 Date: Mar 14, 2022

Visit Reason
The visit was an unannounced Case Management visit regarding an elopement incident that occurred on 08/04/2021.

Complaint Details
The visit was triggered by a complaint related to an elopement incident. The complaint was investigated and no deficiencies were found.
Findings
The resident exited the facility triggering an alarm, but staff quickly located and returned the resident safely. No deficiencies were observed during the visit.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the visit and involved in the incident discussion.
Marissa StanleyHealth DirectorMet with Licensing Program Analyst during the visit and involved in the incident discussion.

Inspection Report

Annual Inspection
Census: 81 Capacity: 150 Deficiencies: 0 Date: Mar 14, 2022

Visit Reason
Licensing Program Analyst Shawna Doucette conducted an Annual Inspection as a required 1-year unannounced visit to evaluate compliance with licensing regulations.

Findings
No deficiencies were observed during the inspection. The facility maintained proper infection control measures, adequate food supplies, and updated resident emergency contact information.

Report Facts
Capacity: 150 Census: 81

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and discussed purpose of visit
Marissa StanleyHealth DirectorAssisted with the inspection visit and responded to Licensing Program Analyst
Shawna DoucetteLicensing Program AnalystConducted the annual inspection

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