Inspection Report Summary
The most recent inspection on January 16, 2025, found a deficiency related to supervision of Assisted Living Services Agency aides to ensure ongoing competence. Earlier inspections were mostly free of deficiencies, with licensing renewal inspections in 2022 and 2022 showing no violations and no enforcement actions listed in the available reports. Prior deficiencies included a substantiated complaint investigation in December 2020 concerning failure to maintain quarantine and isolation of a COVID-19 exposed client, which posed a risk of contagion to others. No fines, immediate jeopardy findings, or license suspensions were noted in any reports. The inspection history shows mostly compliance with occasional issues related to staff supervision and infection control, with recent efforts underway to address supervision concerns.
Deficiencies (last 4 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a October 2022 inspection.
Census over time
Inspection Report
Follow-Up| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Author of the letter and contact for plan of correction response. |
| Kristine Franklin | Executive Director | Named in relation to the plan of correction and facility administration. |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by |
| Kristine Franklin | Executive Director | Personnel contacted during inspection |
| Allison Johnson-Dwyer | RN, SALSA | Personnel contacted during inspection |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Kristine Franklin | Executive Director | Personnel contacted during inspection |
| Allison Johnson-Dwyer | RN, SALSA | Personnel contacted during inspection |
| Michael J. Smith | RN, Nurse Consultant | Report submitted by |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Signature of FLIS Staff and report submitter |
| Kristine Franklin | Executive Director | Personnel contacted during inspection |
| Patti Kiggins | SALSA | Personnel contacted during inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed violation letter as representative of Facility Licensing and Investigations Section |
| Terry Jackson | Executive Director | Named in plan of correction as responsible for compliance with plan |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Michael J. Smith | FLIS Staff | Staff member conducting the inspection |
| Loann D. Nguyen | Supervisor | Supervisor approving issuance of license |
| Cindy Langelair | RN | SALSA nurse involved in the inspection |
| Michael Segal | SALSA Designee | SALSA designee involved in the inspection |
| Terry Erickson | Service Coordinator | Service coordinator at the managed residential community visited |
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