Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The most recent report from July 3, 2025, was a complaint investigation that found no evidence to support allegations of medication mismanagement. Earlier reports included two substantiated complaints: one in July 2023 where staff groomed residents without consent, violating personal rights, and another in October 2023 involving employment of staff without proper background clearance, posing a safety risk. No fines, license suspensions, or severe enforcement actions were listed in the available reports. The facility appears to have addressed past issues, with recent inspections showing no deficiencies and no ongoing substantiated complaints.
Deficiencies (last 5 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a July 2025 inspection.
Census over time
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Calais Anguiano | Executive Director | Facility representative met during the investigation and exit interview |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Michelle Neumann | Administrator | Met during inspection and exit interview. |
| Kaitlyn Collins | Director of Resident and Family Services | Met during inspection and exit interview. |
| Josue Lopez | Director of Plant Operations | Accompanied inspection tour. |
| Keirstin Rodman | Clinical Staff and Office Manager | Participated in exit interview. |
| Kathy Roney | Culinary Director | Participated in exit interview. |
| Cindy Blenkarn | Director of Health Services | Participated in exit interview. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Dyan Summerell | Executive Director | Interviewed regarding catheter and nutritional allegations |
| Kaitly Collins | Director of Resident and Family Services | Interviewed regarding complaint findings |
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced complaint investigation and case management visit. |
| Sabrina Pegros | Administrative Specialist | Participated in the exit interview and received the report. |
| Dyan Summerell | Executive Director | Participated in the exit interview. |
| Cindy Blenkarn | Director of Health Services | Reviewed eviction procedures and records with the Licensing Program Analyst. |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with during the inspection and involved in the visit regarding the elopement incident. |
| Sabrina Pegross | Administrative Specialist | Met with during the inspection and involved in the visit regarding the elopement incident. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met during the visit and involved in the incident review. |
| Sabrina Pegross | Administrative Specialist | Met during the visit and involved in the incident review. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with during the visit and involved in the exit interview. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Cindy Blenkarn | Director of Health Services | Spoke with during the visit regarding the incident. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with Licensing Program Analyst during the investigation and was informed about follow-up and documentation requests. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management investigation visit. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Administrator | Facility Administrator who accompanied the Licensing Program Analyst during the inspection and acknowledged receipt of the report |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Denise Powell | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with Licensing Program Analyst during investigation and discussed findings and plan of correction. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced complaint investigation visit and authored the report. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Administrator | Named in relation to the complaint investigation and exit interview |
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Marisel Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit. |
| Marivel Johnson | Administrator | Facility administrator who was interviewed and participated in the exit interview. |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with Licensing Program Analyst during the inspection and participated in the exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and inspection. |
| Denise Powell | Licensing Program Manager | Named in the report header. |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Applicant | Facility representative and applicant during pre-licensing visit |
| Debbie Correia | Licensing Program Analyst | Conducted the announced pre-licensing and Component III virtual visit |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Applicant | Facility representative present during the pre-licensing visit |
| Debbie Correia | Licensing Program Analyst | Conducted the announced pre-licensing and Component III virtual visit |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager |
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