Inspection Report Summary
Most inspections at Sierra Village Assisted Living Facility found no deficiencies or only minor issues, with several complaint investigations unsubstantiated. The most recent report from May 7, 2025, cited a deficiency for two medications not logged in the Medication Administration Record Sheet, which posed an immediate health and safety risk. Earlier reports noted an ice machine with black residue in June 2024 and a staff member lacking fingerprint clearance in May 2022, the latter resulting in a $500 fine. These issues primarily involved medication management, equipment cleanliness, and staff compliance, with no patterns of repeated severe problems. The facility’s record shows some isolated concerns but generally meets regulatory requirements, with no deficiencies found in the most recent prior inspection in April 2023.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 10
Capacity: 15
Deficiencies: 1
May 7, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements at Sierra Village Assisted Living Facility.
Findings
The facility was generally compliant with clear pathways, adequate seating, proper equipment, and required documentation. However, two medications were found not logged in the Medication Administration Record Sheet (MARS), posing an immediate health and safety risk, resulting in cited deficiencies.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Two medications were not logged in the resident's MARS sheet, violating the requirement to maintain a record of dosages of centrally stored medications. | Type A |
Report Facts
Medications not logged: 2
Capacity: 15
Census: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| McKayla Turner | Administrator | Met with Licensing Program Analyst during inspection and named in report narrative |
| Renata Puckett | Administrator/Director | Facility Administrator/Director mentioned in report |
| Jacques Leffall | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Annual Inspection
Census: 11
Capacity: 22
Deficiencies: 1
Jun 21, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with regulations at the Sierra Village Assisted Living Facility.
Findings
The inspection found the facility generally compliant with regulations, including clear pathways, adequate furniture, and proper medication storage. However, a deficiency was cited for an ice machine observed with black residue, posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Ice machine observed with black residue in and around the ice dispenser area posing an immediate health, safety or personal rights risk. | Type A |
Report Facts
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the inspection and signed the report |
| Renata Puckett | Administrator/Director | Facility administrator present during inspection |
| McKayla Turner | Administrator | Met with Licensing Program Analyst during inspection |
| See Moua | Licensing Program Manager/Supervisor | Named as supervisor and licensing program manager |
Inspection Report
Annual Inspection
Census: 9
Capacity: 22
Deficiencies: 0
Apr 26, 2023
Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements at the assisted living facility.
Findings
The inspection found no deficiencies. The facility was observed to be in compliance with safety, health, and administrative requirements including clear pathways, adequate food supply, proper room furnishings, safety equipment maintenance, secure medication storage, and staff certification.
Report Facts
Capacity: 22
Census: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renata Puckett | Administrator | Administrator present during inspection and exit interview |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the annual inspection |
| McKayla Turner | Supervisor | Staff who granted entry and accompanied the facility tour |
Inspection Report
Complaint Investigation
Census: 11
Capacity: 22
Deficiencies: 0
Jul 14, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2022-06-13 alleging that a resident was denied visitation at the facility.
Findings
The investigation found that residents were permitted visitors and the allegation was determined to be unfounded, meaning the complaint was false or without reasonable basis.
Complaint Details
The complaint alleged that a resident was denied visitation at the facility. The allegation was investigated and found to be unfounded.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Renata Puckett | Administrator | Met with the Licensing Program Analyst during the investigation. |
Inspection Report
Annual Inspection
Census: 11
Capacity: 22
Deficiencies: 1
May 27, 2022
Visit Reason
The visit was an unannounced annual inspection focused on infection control conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.
Findings
The facility was generally clean and maintained social distancing and infection control measures, but a deficiency was found regarding a staff member not having fingerprint clearance, which posed an immediate risk to resident safety. An immediate civil penalty of $500 was assessed.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff working at the facility was not fingerprinted cleared as required, posing an immediate risk to the health and safety of residents. | Type A |
Report Facts
Civil Penalty: 500
PPE supply duration: 30
Capacity: 22
Census: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the inspection and cited the deficiency |
| Melinda Hoffmann | Licensing Program Manager | Supervisor overseeing the inspection |
| Renata Puckett | Administrator | Facility administrator involved in the inspection and deficiency discussion |
Inspection Report
Annual Inspection
Census: 12
Capacity: 22
Deficiencies: 0
Jun 8, 2021
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations at Sierra Village Assisted Living Facility.
Findings
The inspection found that infection control measures were in place including visitor log-in, temperature checks, mask use, hand sanitizer availability, and social distancing. Food supplies and cleaning supplies were appropriately stored, and staff had infection control training. The facility had an updated mitigation plan on file.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Belinda Coulson | Administrator | Met with Licensing Program Analyst during the inspection and discussed the purpose of the visit. |
| Shawna Doucette | Licensing Program Analyst | Conducted the annual inspection. |
| Sergiy Pidgirny | Licensing Program Manager | Named in the report header. |
Loading inspection reports...
