Inspection Report Summary
Most inspections found no deficiencies, including the most recent report on October 28, 2025, which cited a deficiency for insufficient supervision that led to a resident eloping, posing an immediate health and safety risk. Earlier reports show a pattern of medication management issues, including repeated medication errors that resulted in civil penalties totaling $500 and required staff retraining. Several complaint investigations were unsubstantiated, though one in February 2023 found residents experienced fear and intimidation from another resident, which was cited as a personal rights violation. The facility showed improvement in some areas, with clean annual inspections in mid-2025 and no deficiencies noted in the latest annual inspection. Minor or isolated issues also involved staff certification and resident care practices, but no license suspensions or warnings 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 October 2025 inspection.
Census over time
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Dorla Licausi | Administrator | Met with during inspection and named in findings |
| Julie Florio | Licensing Program Analyst | Conducted the inspection and signed the report |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Dorla Licausi | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Julie Florio | Licensing Program Analyst | Conducted the case management - incident visit |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Dorla Licausi | Executive Director | Met with Licensing Program Analyst during inspection and participated in facility tour |
| Julie Florio | Licensing Program Analyst | Conducted the inspection and file reviews |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Dorla Licausi | Executive Director | Met with during the case management-incident inspection and involved in the incident report. |
| Julie Florio | Licensing Program Analyst | Conducted the case management-incident inspection. |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Dorla Licausi | Executive Director | Met with Licensing Program Analyst during investigation |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Dorla Licausi | Executive Director | Met with Licensing Program Analyst during inspection and reviewed findings |
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bethany Moellers | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Dorla Licausi | Administrator | Met with Licensing Program Analyst during inspection and participated in facility tour |
| Jacqueline Macias | Licensing Program Analyst | Conducted the inspection visit |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| David Leibert | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Kimberlee Alsup | Administrator | Facility administrator mentioned in investigation |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Dylan Nunn | Resident Services Coordinator | Met with Licensing Program Analyst during visit and involved in incident discussions |
| Marisol Cuadra | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Dorla Licausi | Executive Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kim Alsup | Administrator | Met with Licensing Program Analyst during investigation and conducted in-service training |
| Dylan Nunn | Resident Service Director, LVN | Met with Licensing Program Analyst and conducted in-service training |
| Dina Alviso | Licensing Program Analyst | Conducted complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Kim Humphrey | Administrator | Met with Licensing Program Analyst during inspection and named in findings |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection and authored the report |
| Hope DeBenedetti | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kim Humphrey | Executive Director | Met with Licensing Program Analyst during the visit and reviewed records |
| Dylan Nunn | Resident Services Coordinator | Met with Licensing Program Analyst during the visit and reviewed records |
| Christopher Arnhold | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Bethany Moellers | Licensing Program Manager | Supervisor named in the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kim Humphrey | Executive Director | Met with Licensing Program Analyst during the visit and reviewed findings |
| Christopher Arnhold | Licensing Program Analyst | Conducted the case management visit and investigation |
| Bethany Moellers | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kim Humphrey | Administrator | Met with Licensing Program Analyst during the investigation |
| Kimberley Mota | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the complaint investigation |
| Kim Humphrey | Administrator | Facility administrator met during the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Kim Humphrey | Administrator | Facility administrator met during inspection and involved in discussions |
Inspection Report
Follow-Up| Name | Title | Context |
|---|---|---|
| Kim Humphrey | Administrator | Met with Licensing Program Analyst during inspection and involved in incident clarifications. |
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the case management inspection. |
| Kimberley Mota | Licensing Program Manager | Named in report header. |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Kim Humphrey | Administrator | Administrator was involved in the inspection and exit interview. |
| Juan Mendoza | Maintenance Director | Maintenance Director accompanied the Licensing Program Analyst during the inspection. |
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the Post Licensing Inspection. |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Kim Humphrey | Administrator | Met with Licensing Program Analyst during inspection and discussed yearly resident assessments. |
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the case management inspection. |
| Kimberley Mota | Licensing Program Manager | Named in the report header. |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Kimberly Humphrey | Administrator | Applicant/administrator who participated in COMP II interview |
| Jude De La Concepcion | Licensing Program Manager | Named in report header |
| Bethany Hunter | Licensing Program Analyst | Conducted COMP II interview and signed report |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Kim Humphrey | Administrator | Met with Licensing Program Analyst during pre-licensing inspection |
| Marisol Cuadra | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Kim Humphrey | Administrator | Facility administrator participating in the evaluation |
| Cluney Stagg | Participant in COMP II telephone interview | |
| Michel Augsburger | Participant in COMP II telephone interview | |
| Jude De La Concepcion | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Bethany Hunter | Licensing Program Analyst | Named in the report as Licensing Program Analyst |
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