Inspection Report Summary
Most inspections at this facility found deficiencies, primarily related to staff background clearances, training, maintenance issues, and resident care documentation. Several complaint investigations were unsubstantiated, including allegations of rough handling, neglect, and medication errors. The most serious issues involved immediate health and safety risks from inadequate incontinence care and staff without proper fingerprint clearance, both substantiated in mid-2025. The annual inspection on August 5, 2025, cited multiple deficiencies, but the most recent report on September 11, 2025, showed all previously cited issues were corrected and no new deficiencies were found, indicating improvement. No fines or enforcement actions were listed in the available reports.
Deficiencies (last 4 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a September 2025 inspection.
Census over time
Inspection Report
Plan of Correction| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the Plan of Correction visit and signed the report |
| Taylor Clark | Administrator/Director | Facility administrator named in the report header |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Taylor Clark | Administrator | Facility administrator with certificate expiring 03/08/2027 |
| Jaleesa Chavez | Assistant Administrator | Assistant Administrator for skilled nursing side present during inspection |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and signed the report |
| Andrea Mendivil | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Taylor Clark | Administrator | Facility administrator present during investigation |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and authored the report |
| Taylor Clark | Administrator/Director | Facility representative met during inspection |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and inspection visits |
| Taylor Clark | Administrator | Facility administrator met during the investigation |
| Sheila Santos | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lourdes Montoya | Licensing Program Manager | Named in report as Licensing Program Manager |
| Taylor Clark | Administrator | Facility Administrator met during the visit |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Brandon Lopez | Licensing Program Analyst | Assisted in conducting the complaint investigation visit. |
| Taylor Clark | Administrator | Facility administrator who provided information during the investigation. |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Taylor Clark | Administrator | Named in relation to the inspection and exit interview |
| Nisha Koirala | Med-Tech | Met with Licensing Program Analyst during inspection |
| Ernand Dabuet | Licensing Program Analyst | Conducted the inspection and signed the report |
| Janae Hammond | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation visit and exit interview |
| Taylor Clark | Administrator | Facility administrator interviewed during the investigation |
| Sheila Santos | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation |
| Taylor Clark | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Taylor Clark | Administrator | Met with Licensing Program Analyst during investigation |
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Follow-Up| Name | Title | Context |
|---|---|---|
| Taylor Clark | Administrator | Named in relation to receiving the report of the incident and during the investigation |
| Jenifer Tirre | Licensing Program Analyst | Conducted the unannounced visit and investigation |
| Luz Adams | Licensing Program Manager | Named as Licensing Program Manager overseeing the report |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Taylor Clark | Administrator | Met with during the inspection and discussed the purpose of the visit. |
| Jenifer Tirre | Licensing Program Analyst | Conducted the Case Management Visit and inspection. |
| Luz Adams | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Taylor Clark | Administrator | Facility representative met during investigation and exit interview |
| Ryan Roche | Administrator | Named as facility administrator in report header |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Taylor Clark | Administrator / Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Luz Adams | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Taylor Clark | Administrator | Met with Licensing Program Analyst and Licensing Program Manager during the visit. |
| Jenifer Tirre | Licensing Program Analyst | Conducted the unannounced collateral visit and interviews. |
| Alisa Ortiz | Licensing Program Manager | Conducted the unannounced collateral visit and interviews. |
| Luz Adams | Licensing Program Manager | Named in the report header. |
Inspection Report
Follow-Up| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and delivered the updated license |
| Taylor Clark | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the pre-licensing visit and identified themselves during the inspection |
| Taylor Clark | Wellness Director | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Ryan Roche | Administrator | Named as facility administrator |
| Alisa Ortiz | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Ryan Roche | Administrator | Discussed purpose of visit and participated in facility tour |
| John Money | Director | Participated in facility tour |
| Taylor Clark | Wellness Director | Participated in facility tour |
| Soon Burnham | Sand Piper Senior Living Treasurer | Participated in facility tour |
| Jenifer Tirre | Licensing Program Analyst | Conducted the pre-licensing visit and authored the report |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| John Money | Administrator | Applicant/administrator participating in licensing evaluation and confirming understanding of Title 22 requirements. |
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