Most inspections found no deficiencies, including the most recent annual inspection on December 10, 2024, which was clean with all records complete and safety equipment in good order. Earlier reports also showed no issues with infection control, staffing, or supplies, and several complaint investigations were unsubstantiated. The facility received residents from another location in late 2022, and visits during that time confirmed adequate supplies and stable conditions without safety concerns. There were no fines, enforcement actions, or severe findings listed in the available reports. The overall record shows consistent compliance and no recent deficiencies, indicating stable performance over time.
Deficiencies (last 3 years)
Deficiencies (over 3 years)0 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The visit was an unannounced 1-Year Annual Required inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulatory standards.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, medications, and safety equipment. No deficiencies were cited during the visit, and all reviewed records were complete.
Report Facts
Residents records reviewed: 5Staff records reviewed: 5Hot water temperature: 107.2Fire extinguisher last serviced: Aug 28, 2024Emergency Disaster Plan last posted: Dec 19, 2023
Employees Mentioned
Name
Title
Context
Lauren Zimmerman Cook
Administrator
Met with Licensing Program Analyst during inspection
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of resident and staff records, and verification of safety equipment and environmental conditions.
Report Facts
Hot water temperature: 107.5Hot water temperature: 107.8Hot water temperature: 112.5Fire extinguisher last serviced: Aug 10, 2023Food supply: 7Food supply: 2
Employees Mentioned
Name
Title
Context
Marie Ann Lagasca-Cruz
Administrator
Met with Licensing Program Analyst during inspection
The inspection was an unannounced Infection Control Inspection conducted as a required 1-year visit to assess compliance with infection control policies and procedures.
Findings
The facility was found to have adequate infection control measures including proper PPE use, sufficient food supplies, visitor screening, and posted hygiene policies. No deficiencies were cited during the visit.
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens and to check on residents' safety and facility conditions.
Findings
The visit found that supplies were adequate, staffing was stable, and there were no imminent health or safety concerns on the date of the visit.
Report Facts
Residents from Grand Lake Gardens currently living in facility: 2Resident discharged: 1
Employees Mentioned
Name
Title
Context
David Ballerini
Marketing Director
Met with Licensing Program Analyst during the visit
An unannounced visit was conducted to investigate a complaint alleging staff engaging in inappropriate interaction with a resident.
Findings
The investigation included interviews with staff and a resident, review of records, and found no preponderance of evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged staff engaging in inappropriate interaction with a resident. The investigation found the complaint unsubstantiated due to lack of sufficient evidence.
Report Facts
Complaint Control Number: 15-AS-20221031104835
Employees Mentioned
Name
Title
Context
Gregory Clark
Licensing Program Analyst
Conducted the complaint investigation visit.
Yvonne Flores-Larios
Licensing Program Manager
Named as Licensing Program Manager on the report.
David Ballerini
Director of Marketing
Met during the visit and involved in the investigation.
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens to check on residents.
Findings
The visit found that three residents from Grand Lake Gardens were currently living at Waters Edge Lodge, with one resident having just moved in that day and reported as happy by a family member. Food, paper, and PPE supplies were adequate.
Report Facts
Residents from Grand Lake Gardens: 3
Employees Mentioned
Name
Title
Context
David Ballerini
Marketing Director
Met with Licensing Program Analyst during the visit
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens (GLG) and to check on residents.
Findings
Two residents from GLG had moved into Waters Edge Lodge. Interviews with two residents indicated they felt safe and their needs were met. Food, paper, and PPE supplies were adequate, and no imminent health or safety concerns were identified.
Employees Mentioned
Name
Title
Context
David Ballerini
Marketing Director
Met with Licensing Program Analyst during visit and participated in exit interview.
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