Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

70% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2024
2025
2026

Census

Latest occupancy rate 100% occupied

Based on a February 2026 inspection.

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

Occupancy over time

280 300 320 340 360 Jun 2021 May 2022 Oct 2022 Sep 2025 Feb 2026

Inspection Report

Complaint Investigation
Census: 350 Capacity: 350 Deficiencies: 0 Date: Feb 4, 2026

Visit Reason
The visit was conducted in response to a report of suspected abuse dated 2026-01-26 involving client #1. The licensing program analyst met with facility staff and the client to gather information regarding the allegation.

Complaint Details
The visit was triggered by a report of suspected abuse of client #1. The licensing program analyst interviewed the client and staff. No deficiencies or substantiated violations were found.
Findings
No deficiencies were cited during this investigation. The facility was advised to provide written documentation of a new directive requiring home care agencies to notify the facility in advance when sending new caregivers.

Report Facts
Capacity: 350 Census: 350

Employees mentioned
NameTitleContext
Mark NitscheAdministrator/DirectorFacility administrator present during inspection
Lucy AscalonMet with licensing analyst during inspection, provided information on new caregiver notification directive
Audrey JeungLicensing Program AnalystConducted investigation and interviews related to suspected abuse
April CowanLicensing Program ManagerNamed as licensing program manager on report

Inspection Report

Annual Inspection
Census: 319 Capacity: 350 Deficiencies: 0 Date: Oct 20, 2025

Visit Reason
The inspection was conducted as the required annual 1-year unannounced inspection of the facility.

Findings
The facility was found to be in compliance with no deficiencies cited. All safety measures, medication storage, resident and staff files, and facility conditions met licensing requirements.

Report Facts
Units in building: 264 Hot water temperature range: 105 Hot water temperature range: 120 Resident files reviewed: 5 Staff files reviewed: 5 Non-perishable food supply: 7 Perishable food supply: 2

Employees mentioned
NameTitleContext
John CalandraLicensing Program AnalystConducted the annual inspection
Lucy AscalonDirector of Resident Health ServicesMet with Licensing Program Analyst during inspection
Mark NitscheExecutive Director/AdministratorFacility Administrator present during inspection
Akindele OmoleHealthcare AdministratorMet with Licensing Program Analyst during inspection
Brenda ChanLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 319 Capacity: 350 Deficiencies: 0 Date: Oct 20, 2025

Visit Reason
The inspection was conducted as the Annual 1-year required inspection to evaluate compliance with licensing requirements at the facility.

Findings
The facility was found to be in compliance with no deficiencies cited. All safety measures, medication storage, resident and staff files, and required documentation were observed to be complete and satisfactory.

Report Facts
Units in building: 264 Hot water temperature range: 105 Hot water temperature range: 120 Resident files reviewed: 5 Staff files reviewed: 5 Non-perishable food supply: 7 Perishable food supply: 2

Employees mentioned
NameTitleContext
John CalandraLicensing Program AnalystConducted the annual inspection visit
Lucy AscalonDirector of Resident Health ServicesMet with Licensing Program Analyst during inspection
Mark NitscheExecutive Director/AdministratorFacility Administrator present during inspection
Akindele OmoleHealthcare AdministratorMet with Licensing Program Analyst during inspection

Inspection Report

Complaint Investigation
Census: 319 Capacity: 350 Deficiencies: 0 Date: Sep 2, 2025

Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the licensee was not appropriately addressing a change in a resident's condition.

Complaint Details
The complaint alleged that the licensee was not appropriately addressing a resident's decline in condition over 9 months, including hospitalization for infection and a fall. The investigation found the allegations to be unfounded.
Findings
The investigation found that the resident was capable of making decisions, was not confused or disoriented, and the facility had addressed the infection with appropriate care. The allegations were determined to be unfounded.

Report Facts
Capacity: 350 Census: 319

Employees mentioned
NameTitleContext
Grace DonatoLicensing Program Analyst (LPA)Conducted the complaint investigation visit
Mark NitscheExecutive DirectorMet with LPA during investigation
Lucy AscalonDirector of Resident Health Services (DRHS)Met with LPA during investigation
Akendel OmoliHealth Care Administrator (HCA)Met with LPA during investigation

Inspection Report

Complaint Investigation
Capacity: 350 Deficiencies: 0 Date: Jan 22, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint alleging that facility staff interfered with residents' visits.

Complaint Details
The complaint alleged that staff interfered with resident (R1) visits with an individual (I1). Interviews with staff, residents, and outside parties revealed that the visitor was granted access but was observed or reported to be disruptive. The facility's visitation protocols allow limiting or restricting visits to protect residents. Resident R1 did not report concerns. Due to conflicting information and lack of evidence, the allegation was unsubstantiated.
Findings
The investigation found conflicting statements and a lack of corroborating evidence regarding the allegation that staff interfered with resident visits. The allegation was determined to be unsubstantiated.

Report Facts
Capacity: 350

Employees mentioned
NameTitleContext
Mark NitscheExecutive DirectorMet with Licensing Program Analyst during the investigation
Dominic TobolaLicensing Program AnalystConducted the complaint investigation
Andrea MedlinSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Capacity: 350 Deficiencies: 0 Date: Dec 10, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not provide resident records upon legal request.

Complaint Details
The complaint alleged that the facility did not provide resident records upon legal request. The allegation was found to be unfounded after review of records and interviews with facility staff.
Findings
The investigation found that the facility complied with the legal record request and provided all requested documents within a timely manner. The complaint was determined to be unfounded with no deficiencies cited.

Report Facts
Capacity: 350

Employees mentioned
NameTitleContext
Dominic TobolaLicensing Program AnalystConducted the complaint investigation
Ryan BannerHealthcare DirectorMet with Licensing Program Analyst during investigation
Mark NitscheAdministratorFacility administrator named in report

Inspection Report

Complaint Investigation
Capacity: 350 Deficiencies: 0 Date: Dec 10, 2024

Visit Reason
The inspection visit was conducted as an unannounced complaint investigation regarding an allegation that the facility did not provide resident records upon legal request.

Complaint Details
Complaint alleged the facility did not provide resident records upon legal request. The allegation was found to be unfounded after investigation.
Findings
The investigation found that the facility complied with the legal record request in a timely manner, providing all requested documents between 10/2/2024 and 10/8/2024. The complaint was determined to be unfounded with no deficiencies cited.

Report Facts
Facility capacity: 350

Employees mentioned
NameTitleContext
Dominic TobolaLicensing Program AnalystConducted the complaint investigation and authored the report
Ryan BannerHealthcare DirectorMet with Licensing Program Analyst during investigation
Mark NitscheAdministratorFacility administrator mentioned in the report
Andrea MedlinLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 298 Capacity: 350 Deficiencies: 3 Date: Oct 17, 2024

Visit Reason
An unannounced annual required 1-year inspection was conducted to evaluate the facility's compliance with regulations and overall care environment.

Findings
The facility was found to be clean, well-maintained, and compliant with safety and dietary regulations. However, technical violations were issued for outdated resident physician reports, staff first aid certifications, and medication reconciliation issues in the memory care unit.

Deficiencies (3)
Resident (R1) physician's report is in need of updating.
2 out of 5 staff reviewed are in need of updated 1st aid certification.
Several medications in the memory care unit need reconciled start dates and input.
Report Facts
Residents reviewed: 5 Staff files reviewed: 5 Staff needing updated 1st aid certification: 2 Fire extinguisher last charged date: Jan 25, 2024

Employees mentioned
NameTitleContext
Mark NitscheExecutive DirectorGreeted inspectors and mentioned in findings
Ryan BannerHealthcare AdministratorGreeted inspectors and mentioned in findings; holds active Administrator Certificate
Dominic TobolaLicensing Program AnalystConducted inspection and signed report
Andrea MedlinLicensing Program ManagerNamed in report header and signature section

Inspection Report

Annual Inspection
Census: 298 Capacity: 350 Deficiencies: 3 Date: Oct 17, 2024

Visit Reason
An unannounced Annual Required – 1 year inspection was conducted to evaluate the facility's compliance with regulations and overall care standards.

Findings
The facility was found to be clean, well-maintained, and compliant with fire safety and food storage regulations. Staff and resident engagement was positive, but technical violations were noted related to an outdated resident physician's report, two staff members needing updated first aid certification, and medication reconciliation issues in the memory care unit.

Deficiencies (3)
Resident (R1) physician's report is in need of updating.
Two out of five staff reviewed are in need of updated first aid certification.
Several medications in the memory care unit need reconciled start dates and input.
Report Facts
Residents reviewed: 5 Staff files reviewed: 5 Staff needing updated certification: 2 Residents in care: 298 Facility capacity: 350

Employees mentioned
NameTitleContext
Mark NitscheExecutive DirectorGreeted inspectors and mentioned in report
Ryan BannerHealthcare AdministratorGreeted inspectors and mentioned in report; Administrator Certificate active
Dominic TobolaLicensing EvaluatorConducted inspection
Andrea MedlinSupervisorSupervised inspection

Inspection Report

Annual Inspection
Census: 297 Capacity: 350 Deficiencies: 0 Date: Oct 11, 2022

Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with health and safety regulations, including infection control practices and facility conditions.

Findings
No deficiencies were cited during the inspection. The facility demonstrated adequate infection control measures, proper storage of medications and supplies, and compliance with safety requirements.

Report Facts
Residents in memory care unit: 7

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the unannounced annual inspection
Ryan BannerHealth Services AdministratorMet with Licensing Program Analyst and provided facility tour
Cara SmithLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 297 Capacity: 350 Deficiencies: 0 Date: Oct 11, 2022

Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements, including infection control practices and facility safety.

Findings
The inspection found no deficiencies. COVID-19 signage and infection control measures were observed throughout the facility. Safety features such as emergency call systems and delayed egress exits were functioning as required. Kitchen, medication storage, and first-aid supplies were inspected and found compliant.

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the inspection and authored the report.
Ryan BannerHealth Services AdministratorMet with the Licensing Program Analyst and provided the facility tour.
Cara SmithSupervisorNamed as supervisor overseeing the inspection.

Inspection Report

Census: 306 Capacity: 350 Deficiencies: 0 Date: Jul 19, 2022

Visit Reason
The visit was an unannounced walk-through/inspection of the facility's Memory Care Unit as part of Case Management - Other.

Findings
The inspection found that fire clearance was granted recently, egress doors functioned properly, water temperatures were within safe ranges, grab bars were installed, and emergency exits and corridors latched properly. No deficiencies were cited.

Report Facts
Memory Care Unit Capacity: 15 Water Temperature Range: 105.4 Water Temperature Range: 109.2 Egress Door Delay: 15

Employees mentioned
NameTitleContext
Christina SpenceAdministratorMet with Licensing Program Analyst during the inspection and discussed the report
Murial HanLicensing Program AnalystConducted the unannounced walk-through/inspection
Julio MontesLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Follow-Up
Census: 306 Capacity: 350 Deficiencies: 0 Date: Jul 19, 2022

Visit Reason
The visit was a follow-up to deliver findings of an investigation initiated after a serious incident involving resident #1 who was found unresponsive with a head injury after falling from a balcony.

Complaint Details
The investigation was initiated following a serious incident report concerning resident #1. The incident was deemed unfounded with no substantiation of neglect or lack of supervision.
Findings
The investigation concluded that the incident was due to self-inflicted harm with no evidence of lack of supervision or neglect by the facility. No deficiencies were cited.

Report Facts
Capacity: 350 Census: 306

Employees mentioned
NameTitleContext
Christina SpenceAdministratorMet with during the visit and discussed report findings
Murial HanLicensing Program AnalystConducted case management visit and follow-up investigation
Julio MontesLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Census: 306 Capacity: 350 Deficiencies: 0 Date: Jul 19, 2022

Visit Reason
An unannounced walk-through inspection of the facility's Memory Care Unit was conducted as part of case management to evaluate compliance and safety conditions.

Findings
The inspection found no deficiencies. Observations included proper functioning of egress doors with key FOB devices, water temperatures within safe ranges, installed grab bars in bathrooms and showers, and properly latched emergency exits and corridors.

Report Facts
Memory Care Unit Capacity: 15 Water Temperature Range: 105.4 Water Temperature Range: 109.2 Egress Door Delay: 15

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the unannounced walk-through inspection
Christina SpenceAdministratorFacility administrator who provided the tour during the inspection
Julio MontesSupervisorSupervisor named in the report

Inspection Report

Follow-Up
Census: 306 Capacity: 350 Deficiencies: 0 Date: Jul 19, 2022

Visit Reason
The visit was a follow-up conducted on 07/19/2022 to deliver the findings of an investigation initiated after a serious incident involving resident #1 on 05/14/2022.

Findings
The investigation found no preponderance of evidence of lack of supervision or neglect by the facility regarding the incident, which was determined to be self-inflicted harm. No deficiencies were cited.

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the case management visit and follow-up investigation.
Julio MontesSupervisorNamed as supervisor in the report.
Christina SpenceAdministratorFacility administrator met during the visit and discussed the report.

Inspection Report

Census: 306 Capacity: 350 Deficiencies: 0 Date: May 20, 2022

Visit Reason
An unannounced Case Management visit was conducted concerning a serious incident reported by the facility that occurred on 2022-05-14 involving resident #1.

Findings
The Licensing Program Analyst requested several documents related to the incident, including physician's report, service plans, and hospital records, which were to be emailed by 2022-05-23. The incident requires further investigation.

Employees mentioned
NameTitleContext
Christina SpenceAdministratorMet with Licensing Program Analyst during the visit and discussed the incident.
Ryan BannerHealth Services AdministratorMet with Licensing Program Analyst during the visit and discussed the incident.
Murial HanLicensing Program AnalystConducted the unannounced Case Management visit.
Julio MontesSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Complaint Investigation
Census: 306 Capacity: 350 Deficiencies: 0 Date: May 20, 2022

Visit Reason
The visit was an unannounced Case Management inspection concerning a serious incident reported by the facility that occurred on 2022-05-14 involving resident #1.

Complaint Details
The visit was triggered by a serious incident reported by the facility on 2022-05-14 involving resident #1. Further investigation is required.
Findings
The Licensing Program Analyst met with the administrator and health services administrator, requested additional documents related to the incident, and collected staff work schedules. The incident requires further investigation.

Report Facts
Census: 306 Total Capacity: 350

Employees mentioned
NameTitleContext
Christina SpenceAdministratorMet with Licensing Program Analyst during the visit
Ryan BannerHealth Services AdministratorMet with Licensing Program Analyst during the visit
Murial HanLicensing Program AnalystConducted the unannounced Case Management visit
Julio MontesLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 306 Capacity: 350 Deficiencies: 0 Date: May 5, 2022

Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements, including infection control practices and safety measures.

Findings
The inspection found no deficiencies. COVID-19 safety measures were observed throughout the facility, medications and hazardous materials were stored properly, and the environment was safe and adequately supplied.

Report Facts
Capacity: 350 Census: 306

Employees mentioned
NameTitleContext
Ryan BannerHealth Services AdministratorMet with Licensing Program Analyst during inspection and discussed report findings
Christina SpenceAdministratorFacility administrator who reviewed and discussed the report

Inspection Report

Annual Inspection
Census: 306 Capacity: 350 Deficiencies: 0 Date: May 5, 2022

Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with health and safety regulations, including infection control practices and overall environment safety.

Findings
The inspection found no deficiencies. COVID-19 safety measures were observed throughout the facility, infection control practices were adequate, medications and hazardous materials were stored properly, and the environment was safe and comfortable for residents.

Employees mentioned
NameTitleContext
Ryan BannerHealth Services AdministratorMet with during inspection and discussed report findings
Christina SpenceAdministratorDiscussed report findings
Murial HanLicensing Program AnalystConducted the inspection

Inspection Report

Complaint Investigation
Census: 298 Capacity: 350 Deficiencies: 0 Date: Jun 11, 2021

Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 05/20/2021 regarding medication dispensing errors and lack of supervision resulting in resident falls.

Complaint Details
The complaint involved allegations that facility staff were not dispensing medication as prescribed and that lack of supervision resulted in multiple resident falls. Interviews with staff and review of records found no preponderance of evidence to substantiate these allegations, resulting in an unsubstantiated determination.
Findings
The investigation found that the allegation of staff not dispensing medication as prescribed was unsubstantiated, as Resident 1 was initially managing medications with assistance but later required facility administration. The allegation of lack of supervision causing multiple falls was also unsubstantiated, with only one fall reported and no evidence supporting the complaint.

Report Facts
Capacity: 350 Census: 298

Employees mentioned
NameTitleContext
Christina SpenceExecutive DirectorMet with Licensing Program Analyst during investigation
Murial HanLicensing Program AnalystConducted the complaint investigation
Brenda ChanLicensing Program ManagerReviewed and signed the complaint investigation report

Inspection Report

Complaint Investigation
Census: 298 Capacity: 350 Deficiencies: 0 Date: Jun 11, 2021

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was not having residents re-appraised after changes in condition or hospital readmission.

Complaint Details
The complaint alleged that many residents were failing and not properly assessed after a change of condition or readmission from hospital. The complaint was found to be unfounded and dismissed.
Findings
The investigation found that the complaint was unfounded as records showed documentation of Resident Functional Evaluation completed by the Registered Nurse after hospital returns. The allegation was dismissed due to lack of evidence.

Report Facts
Facility capacity: 350 Census: 298

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the complaint investigation and delivered findings
Christina SpenceExecutive DirectorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 298 Capacity: 350 Deficiencies: 0 Date: Jun 11, 2021

Visit Reason
An unannounced complaint investigation was conducted in response to allegations that facility staff were not dispensing medication as prescribed and that lack of supervision resulted in multiple residents having falls.

Complaint Details
The complaint involved allegations of improper medication dispensing and lack of supervision causing falls. The allegations were found unsubstantiated after investigation, interviews, and review of incident reports.
Findings
The investigation found that Resident 1 was initially able to manage medications but later required assistance after a medication error. Registered Nurses and staff denied the allegations, and only one fall with injury was reported. Based on interviews and record reviews, the allegations were unsubstantiated due to lack of sufficient evidence.

Report Facts
Capacity: 350 Census: 298 Number of falls reported: 1

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the complaint investigation
Christina SpenceExecutive DirectorFacility administrator met during investigation
Brenda ChanSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 298 Capacity: 350 Deficiencies: 0 Date: Jun 11, 2021

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was not having residents re-appraised after changes in condition or hospital readmission.

Complaint Details
The complaint alleged that residents were failing and not properly assessed after a change of condition or readmission from hospital. The complaint was found to be unfounded and dismissed.
Findings
The investigation found that the complaint was unfounded as records showed documentation of Resident Functional Evaluation completed by the Registered Nurse after hospital returns. The allegation was dismissed due to lack of evidence.

Report Facts
Facility capacity: 350 Census: 298

Employees mentioned
NameTitleContext
Christina SpenceExecutive DirectorMet with Licensing Program Analyst during complaint investigation
Murial HanLicensing Program AnalystConducted the complaint investigation
Brenda ChanSupervisorNamed as supervisor on the report

Report

Dec 4, 2025

Report

Jun 7, 2024

Report

Mar 16, 2023

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