Inspection Report Summary
Most inspections found no deficiencies, with several complaint investigations deemed unsubstantiated, reflecting generally good compliance over time. However, some complaint investigations substantiated issues related to resident dignity, cleanliness, and safety, including staff yelling at a resident in August and October 2024 and failure to monitor a resident at risk for elopement in May 2025. The facility also received citations for not documenting resident falls and for unsanitary conditions in a resident’s room as recently as July and September 2025. The most recent report from September 26, 2025, identified a deficiency for failure to report two undocumented fall incidents but did not note any immediate jeopardy or fines. While some issues have persisted, the facility has shown periods of compliance, with no clear pattern of worsening or improvement.
Deficiencies (last 5 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a September 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Mariana Agban | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Mary Okhata | Assisted Living Director | Facility representative met during the inspection and advised regarding regulatory requirements |
| Thomas Rekowski | Administrator/Director | Named as facility administrator/director |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Mariana Agban | Licensing Program Analyst | Conducted the case management-deficiencies visit and signed the report. |
| Eva Miller | Licensing Program Manager | Named in the report as Licensing Program Manager. |
| Thomas Rekowski | Administrator/Director | Facility Administrator/Director named in the report. |
| Mary Okhta | Met with during the inspection visit. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Mary Rose Okahata | Assisted Living Director | Met with Licensing Program Analyst during inspection |
| Mariana Agban | Licensing Program Analyst | Conducted the unannounced continuation of the annual inspection |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Mary Rose Okahata | Assisted Living Director | Met with Licensing Program Analyst during inspection |
| Mariana Agban | Licensing Program Analyst | Conducted the inspection |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Mariana Agban | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Mary Okhata | Assisted Living Director | Met with Licensing Program Analyst during the visit and involved in resident care and findings |
| Thomas Rekowski | Administrator/Director | Facility Administrator named in the report header |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Thomas Rekowski | Executive Director | Met with during the investigation and named in the report |
| Mariana Agban | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Mariana Agban | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager |
| Thomas Rekowski | Administrator | Facility Administrator |
| Mary Okahata | Met with during the inspection |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Mariana Agban | Licensing Program Analyst | Conducted the unannounced continuation of the annual inspection. |
| Thomas Rekowski | Administrator/Director | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Mary Rose Okahata | Director of Assisted Living | Met with Licensing Program Analyst during inspection |
| Mariana Agban | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Thomas Rekowski | Executive Director | Met with during the investigation |
| Mariana Agban | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Mariana Agban | Licensing Program Analyst | Conducted the complaint investigation |
| Thomas Rekowski | Executive Director | Facility representative met during the investigation |
| Eva Miller | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Mary Rose Okahata | Director of Assisted Living | Met with Licensing Program Analyst during the inspection. |
| Mariana Agban | Licensing Program Analyst | Conducted the unannounced annual inspection. |
| Eva Miller | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Michael Cava | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager |
| Maryrose Okahata | Director of Assisted Living | Interviewed during investigation regarding the allegation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Maryrose Okahata | Director of Assisted Living | Met during investigation and advised of the allegation |
| Michael Cava | Licensing Program Analyst | Conducted the complaint investigation |
| Mariana Agban | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation and delivered final findings |
| Bradlee Ann Foerschner | Administrator / Executive Director | Facility administrator mentioned in relation to the investigation |
| Tyler Barnes | Operation Specialist | Met with Licensing Program Analyst during the investigation |
| Cassandra Harris | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation and delivered final findings |
| Bradlee Ann Foerschner | Administrator / Executive Director | Facility administrator mentioned in the report |
| Tyler Barnes | Operation Specialist | Met with Licensing Program Analyst during the investigation |
| Cassandra Harris | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Bradlee Ann Foerschner | Executive Director | Facility representative met during investigation |
| Cassandra Harris | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Bradlee Ann Foerschner | Administrator | Met with Licensing Program Analyst during inspection and involved in capacity change request. |
| Melissa Ruiz | Licensing Program Analyst | Conducted the inspection visit and authored the report. |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Patrick Shanahan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Nichelle Gillyard | Licensing Program Manager | Named in report as Licensing Program Manager |
| Helen Lee | Assistant Executive Director | Met with the Licensing Program Analyst during the investigation |
| Kevan Sidney | Administrator | Facility Administrator named in the report |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Tristan Garcia | Zest Director | Met during visit and provided information about outbreak and facility conditions |
| Bradlee Ann Foerschner | Administrator / Executive Director | Reported outbreak to public health and communicated with Licensing Program Analyst |
| Gary Tan | Licensing Program Analyst | Conducted the unannounced case management visit |
| Naira Margaryan | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Bradlee Ann Foerschner | Executive Director | Facility administrator and primary contact during inspection |
| Tuesday Cabiness | Licensing Program Analyst | Conducted the infection control inspection |
| Cassandra Harris | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bradlee Ann Foerschner | Executive Director | Facility administrator met during inspection and named in findings |
| Cassandra Harris | Licensing Program Manager | Oversaw licensing program and named in report |
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