Inspection Report Summary
Most inspections found no deficiencies, with several complaint investigations determined to be unsubstantiated. The facility’s most recent report from October 2, 2025, had no deficiencies and addressed a physical abuse incident outside its licensing jurisdiction. The main issues identified in prior inspections involved safety risks from unlocked cleaning carts and missing evacuation chairs reported in August 2024, both considered immediate health and safety concerns. Other findings included minor technical violations such as expired staff certifications and unlocked medication carts, which were promptly addressed. The overall trend shows improvement, with recent reports consistently clean and no enforcement actions or fines listed in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 20
Capacity: 679
Deficiencies: 0
Oct 2, 2025
Visit Reason
The visit was an unannounced Case Management-Incident inspection to follow up on a suspected adult/elder physical abuse incident (SOC341) involving two residents from the independent living section of the facility.
Findings
No deficiencies were observed or cited during the Case Management-Incident visit. The incident occurred in the Skilled Nursing Unit, which is outside the licensing jurisdiction, but responsible parties including law enforcement, Ombudsman, and CDPH were cross-reported.
Complaint Details
The visit was triggered by a complaint of suspected adult/elder physical abuse (SOC341). The complaint was cross-reported to law enforcement (case #SR250010503), Ombudsman, and CDPH. The incident involved two residents from the independent living section.
Report Facts
Facility capacity: 679
Resident census: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Skillman | Health Care Administrator | Met with Licensing Program Analyst during inspection |
| Sharon Shnell-Hobbs | Director of Resident Health Services | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 379
Capacity: 679
Deficiencies: 0
Jul 29, 2025
Visit Reason
An unannounced annual required inspection was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The inspection found no deficiencies. The facility was compliant with safety, health, and care regulations, including fire safety, medication storage, and resident accommodations. Some staff had expired first aid/CPR certificates, resulting in a technical violation.
Report Facts
Residents in Assisted Living: 25
Residents in Memory Care: 7
Hospice waiver capacity: 40
Fire clearance capacity: 679
Staff files reviewed: 9
Resident files reviewed: 10
Staff without current 1st aid/CPR certificates: 5
Medication carts: 4
Water temperature range: 105
Water temperature range: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| William Keck | Executive Director/Administrator | Met with Licensing Program Analyst during inspection; administrator certificate expires 8/21/2025 |
| Sharon Shnell-Hobbs | Director of Resident Health Services | Met with Licensing Program Analyst during inspection and exit interview |
Inspection Report
Complaint Investigation
Census: 357
Capacity: 679
Deficiencies: 0
Feb 7, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2025-01-30 alleging that staff did not ensure the facility was kept free of mold.
Findings
The investigation found that mold was present in the bathroom and laundry room of a resident's apartment, but the facility responded promptly with maintenance and remediation. The complaint was determined to be unfounded and dismissed, with no citations issued.
Complaint Details
Complaint was unsubstantiated and dismissed. The allegation was that staff did not ensure the facility was kept free of mold. Resident reported mold on 2025-01-26, management responded on 2025-01-27 with remediation and repairs. Resident expressed satisfaction with the timely response.
Report Facts
Complaint Control Number: 21
Capacity: 679
Census: 357
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Program Analyst | Conducted the complaint investigation |
| William Keck | Administrator | Facility administrator met during investigation |
Inspection Report
Annual Inspection
Census: 430
Capacity: 679
Deficiencies: 2
Aug 16, 2024
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate compliance with licensing regulations and facility safety standards.
Findings
The facility was found to have two main deficiencies: unlocked housekeeping/cleaning carts with accessible disinfectants posing a safety risk, and missing evacuation chairs at multiple stairwells. Other aspects such as resident and staff file reviews, emergency plans, infection control, and fire safety were compliant.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Two housekeeping/cleaning carts had numerous cleaners/disinfectants stored unlocked and accessible to residents, posing an immediate health and safety risk. | Type A |
| Twelve out of twenty-eight stairwells lacked the required evacuation chairs, posing an immediate health and safety risk. | Type A |
Report Facts
Capacity: 679
Census: 430
Deficiencies cited: 2
Stairwells lacking evacuation chairs: 12
Stairwells total: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bill Keck | Administrator | Met with LPAs during inspection and participated in exit interview |
| Dan Skillman | Skilled Nursing Administrator (back-up RCFE Administrator) | Met with LPAs during inspection |
| Sharon Shnell-Hobbs | Director of Resident Health Services | Met with LPAs during inspection and toured facility |
Inspection Report
Complaint Investigation
Census: 35
Capacity: 679
Deficiencies: 0
May 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-02-02 regarding allegations of fraudulent billing at the facility.
Findings
The investigation found that a glitch in the facility's electronic billing system caused billing errors, which have since been addressed with affected residents either credited or billed appropriately. There was no evidence of ill intent or malice, and the complaint was determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove that the alleged abuse (fraudulent billing) occurred.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caitlynn Felias | Evaluator | Conducted the complaint investigation. |
| Christina Hadley | Investigated the allegations into possible violations of continuing care statutes. | |
| Daniel Skillman | Administrator | Met with during the investigation. |
| Sharon Shnell-Hobbs | Director of Health Services | Met with during the investigation. |
Inspection Report
Complaint Investigation
Census: 35
Capacity: 679
Deficiencies: 0
May 10, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation that staff refused to administer medication to a resident.
Findings
The investigation reviewed medication administration records and observations, concluding that the allegation was unsubstantiated as the facility administered medications appropriately and the resident declined medication when offered.
Complaint Details
The complaint alleged that staff refused to administer medication, including Morphine and Lorazepam, to Resident 1 on multiple dates in December 2023. The investigation found no preponderance of evidence to prove the alleged violations occurred, resulting in an unsubstantiated finding.
Report Facts
Facility capacity: 679
Resident census: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bill Keck | Executive Director | Met with Licensing Program Analyst during investigation |
| Dan Skillman | Health Care Administrator | Met with Licensing Program Analyst during investigation |
| Caitlynn Felias | Licensing Program Analyst | Conducted the complaint investigation |
| Victoria Bertozzi | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 679
Deficiencies: 0
Apr 26, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-02-02 regarding allegations of personal rights violations related to fraudulent billing.
Findings
The investigation found that the facility experienced a glitch in their electronic billing system which caused billing errors. The issue was addressed, residents were credited or billed appropriately, and there was no evidence of ill intent or malice. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint involved allegations of personal rights violations due to fraudulent billing. The complaint was found to be unsubstantiated.
Report Facts
Facility capacity: 679
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Hadley | Evaluator | Conducted the complaint investigation |
| Allison Nakatomi | Licensing Program Manager | Named in report signature section |
| Jeanie Pressey | Administrator | Facility administrator named in report |
Inspection Report
Annual Inspection
Census: 380
Capacity: 679
Deficiencies: 0
Aug 29, 2023
Visit Reason
The inspection was conducted as a Case Management - Annual Continuation visit to review compliance with licensing requirements.
Findings
No deficiencies were cited during the Case Management-Annual Continuation. Staff files, medication orders, and resident records were found appropriate. First Aid Certificates were not available for viewing and were requested.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeanie Pressey | Administrator | Named as facility administrator. |
| Sharon Hobbs | Health Services Director | Met with during inspection. |
| Daniel Skillman | Back-up Administrator | Met with during inspection and greeted LPAs. |
| Thai Waanasna | RN Supervisor | Directed LPAs during inspection. |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the inspection. |
| Christi Coppo | Licensing Program Analyst | Conducted the inspection. |
Inspection Report
Annual Inspection
Census: 380
Capacity: 679
Deficiencies: 2
Aug 21, 2023
Visit Reason
The inspection was an unannounced Required 1 Year Inspection conducted to evaluate compliance with licensing regulations at Spring Lake Village facility.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and health standards. One medication cart was found unlocked, and the Emergency Disaster Plan lacked the Community Care Licensing phone number, both issues were addressed with education. No deficiencies were cited during this inspection.
Deficiencies (2)
| Description |
|---|
| One out of seven medication carts was unlocked, posing a risk of resident access to medications. |
| Community Care Licensing phone number was missing from the Emergency Disaster Plan document. |
Report Facts
Capacity: 679
Census: 380
Fire Extinguishers last charged: 2023
Water temperature: 118
Water temperature: 108
Emergency disaster drill date: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sharon Hobbs | Health Services Director | Met with LPAs and involved in education regarding medication cart security and emergency plans |
| Daniel Skillman | Back-up Administrator | Greeted LPAs and granted access to the facility |
Inspection Report
Census: 440
Capacity: 679
Deficiencies: 0
Jul 25, 2023
Visit Reason
The inspection was an unannounced Case Management-Incident Inspection conducted to review a resident's file and interview the resident in care.
Findings
No deficiencies were observed or cited during the Case Management-Incident Inspection. An exit interview was conducted and a copy of the report was provided to the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeanie Pressey | Executive Director | Met with Licensing Program Analyst during inspection and named in report. |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the Case Management-Incident Inspection. |
| Hope DeBenedetti | Licensing Program Manager | Named in the report. |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 679
Deficiencies: 0
Jun 24, 2022
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that the facility was not allowing indoor visitations.
Findings
The investigation found that the facility required visitors to test for COVID before entering and did not allow unvaccinated visitors indoors even with a negative test. The facility had been following stricter visitation guidelines due to a COVID outbreak. Based on interviews and observations, the complaint was determined to be unfounded and dismissed.
Complaint Details
The complaint alleged that the facility was not allowing indoor visitations. The complaint was investigated and found to be unfounded and dismissed.
Report Facts
Capacity: 679
Census: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the complaint investigation |
| Dan Skillman | Skilled Nursing Administrator | Met with Licensing Program Analyst during investigation |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 31
Capacity: 679
Deficiencies: 0
Jun 17, 2022
Visit Reason
The inspection was a Required-1 Year unannounced inspection focused on infection control practices and procedures at the facility.
Findings
No deficiencies were cited during the inspection. The facility was found to be in good repair with proper infection control measures including visitor screening, staff testing, and secured medication and toxin storage.
Report Facts
Fire extinguisher inspection date: Jan 11, 2022
Evacuation drill date: Jun 16, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sharon Shnell-Hobbs | Director of Resident Health Services | Met with Licensing Program Analyst during inspection and discussed infection control plan |
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the Required-1 Year inspection |
Inspection Report
Annual Inspection
Census: 33
Capacity: 679
Deficiencies: 0
Jul 16, 2021
Visit Reason
An unannounced Required – 1 Year inspection was conducted to evaluate compliance with licensing regulations for the assisted living and memory care facility.
Findings
The facility was found to be clean, well-maintained, and compliant with infection control measures including PPE use and vaccination rates. No deficiencies were cited during this inspection. Some guidance was provided regarding visitor screening and updating the mitigation plan for visitation.
Report Facts
Residents in assisted living: 24
Residents in memory care: 9
Fire extinguisher last inspection date: Jan 20, 2021
Last emergency drill date: Jul 12, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sharon Shnell-Hobbs | Director of Resident Health Services | Met with Licensing Program Analysts during inspection and discussed visitor screening and infection control |
Loading inspection reports...
