Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on July 22, 2025, which was clean and showed the facility in good repair and compliant with licensing requirements. Earlier reports included a substantiated complaint from March 4, 2025, where staff failed to meet a resident’s needs on one occasion, resulting in the resident being found on the floor and soiled; corrective actions were taken. Other isolated issues involved inadequate staffing in a memory care unit in 2019, a safety concern over outdated fire extinguisher servicing in 2022, and a $500 fine in 2021 for a staff member lacking required criminal clearance. Several complaint investigations were unsubstantiated, including one about improper fees. The facility’s record shows improvement over time, with recent inspections consistently free of deficiencies.
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
Annual Inspection| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Participated in the inspection |
| Amy Ross | Director of Resident Services | Greeted Licensing Program Analyst upon arrival |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with during the complaint investigation |
| Kelly Burley | Licensing Program Manager | Conducted the complaint investigation and signed the report |
| Garrett Haner-Tomasko | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with Licensing Program Analyst during inspection |
| Brian Phillips | Licensing Program Analyst | Conducted the inspection |
| Kelly Burley | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melisa Rankin | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Douglas Tucker | Administrator | Facility administrator met during the investigation |
| Brian Phillips | Licensing Program Analyst | Conducted the initial complaint investigation site visit |
| Kelly Burley | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with Licensing Program Analyst during the visit and provided personnel report verifying staff removal. |
| Monica Leon | Director of Human Resources | Met with Licensing Program Analyst during the visit for Confirmation of Removal. |
| Brian Phillips | Licensing Program Analyst | Conducted the unannounced Case Management site visit. |
| Kelly Burley | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Greeted the Licensing Program Analyst and was informed of the reason for the visit |
| Brian Phillips | Licensing Program Analyst | Conducted the inspection visit |
| Kelly Burley | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with Licensing Program Analyst during inspection. |
| Ali Reynoso | Director of Health Services | In charge of infection control and provides training and education. |
| Jeannette Olson | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Kelly Burley | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Executive Director | Met with during investigation and named in findings |
| Toan Luong | Licensing Program Analyst | Conducted complaint investigation |
| Kelly Burley | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with during inspection and recipient of report. |
| Kelly Burley | Licensing Program Manager | Named as supervisor and involved in deficiency citation. |
| Kristin Kontilis | Licensing Program Analyst | Conducted inspection and licensing evaluator. |
| Darlene Chavez | Conducted Infection Control Inspection. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with Licensing Program Analysts during the inspection |
| Ali Reynoso | Director of Health Services | Met with Licensing Program Analysts during the inspection |
| Darlene Chavez | Licensing Program Analyst | Conducted the inspection |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection |
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