Inspection Report Summary
Routine inspections were consistently clean, with no deficiencies cited in any report from November 18, 2021, through the most recent on June 27, 2025. The facility maintained good repair, proper infection control, and compliance with safety and health standards throughout this period. Staff followed COVID-19 protocols, emergency plans were up to date, and medication storage met regulatory requirements. The most recent visit confirmed that a previously excluded staff member remains barred from the property, with no issues found during the check. This long record of clean inspections suggests stable compliance and no serious concerns reported.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Census: 200
Capacity: 258
Deficiencies: 0
Jun 27, 2025
Visit Reason
The visit was an unannounced Case Management visit to verify that Staff (S1) is not on the property, following a Decision and Order communicated to the facility.
Findings
No deficiencies were cited during the visit. The Residential Care Director understands that Staff (S1) is excluded and not permitted on the grounds at any time.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nina Francetic | Residential Care Director | Met with Licensing Program Analyst during the visit and acknowledged exclusion of Staff (S1). |
| Chris Regan | Administrator/Director | Facility administrator notified of visit and received Decision and Order. |
| Vadim Gorban | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 199
Capacity: 258
Deficiencies: 0
Nov 1, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be clean, in good repair, and compliant with safety and health standards. No deficiencies were issued during this inspection.
Report Facts
Refrigerator temperature: 40
Freezer temperature: -2
Hot water temperature: 112
Facility capacity: 258
Facility census: 199
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Regan | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and signed the report |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager in the report |
Inspection Report
Annual Inspection
Census: 21
Capacity: 258
Deficiencies: 0
Nov 20, 2023
Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst 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 emergency plans, medication storage, and resident and staff files, all of which met regulatory standards.
Report Facts
Capacity: 258
Census: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Regan | Chief Operating Officer | Met with Licensing Program Analyst during inspection |
| Nina Francetic | Residential Care Director | Met with Licensing Program Analyst during inspection |
| David Ayers | Licensing Program Analyst | Conducted the inspection |
| Brenda Chan | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 24
Capacity: 258
Deficiencies: 0
Nov 17, 2022
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with regulations.
Findings
The facility was found to be in good condition with no deficiencies observed or cited. All safety equipment was operational, staff were compliant with COVID-19 protocols, and required documentation was requested for updating the facility file.
Report Facts
Water temperature range: 107-122
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Regan | Administrator | Met with Licensing Program Analyst during inspection and mentioned in report |
| Sarah Hurt | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Brenda Chan | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 184
Capacity: 258
Deficiencies: 0
Nov 18, 2021
Visit Reason
An unannounced Required - 1 Year Annual Inspection was conducted to include an Infection Control site visit.
Findings
The facility was toured inside and out with no citations issued. Fire exit routes were clear, medications and hazardous items were secured, COVID-19 screening and infection control measures were in place, and staff were N95 fit tested.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marybeth Donovan | Licensing Program Analyst | Conducted the inspection and reviewed the report with facility staff. |
| Pam Ziering | Assisted Living Manager | Met with Licensing Program Analyst during inspection and reviewed report. |
| Chris Regan | Health Services Administrator | Met with Licensing Program Analyst during inspection and reviewed report. |
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