Inspection Report Summary
The most recent inspection on September 9, 2024, found no deficiencies and determined that the complaint under investigation was not applicable because the client was independent and not receiving assisted living services. Earlier inspections were generally free of violations, with the exception of a 2020 inspection that cited a deficiency related to incomplete employee COVID-19 testing as required by state executive orders. Complaint investigations in 2024 were unsubstantiated or found not applicable, with no violations identified. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history shows mostly compliance with regulations and no recent deficiencies, indicating stable adherence to requirements over time.
Deficiencies (last 5 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a September 2024 inspection.
Census over time
Inspection Report
Re-Inspection| Name | Title | Context |
|---|---|---|
| Terry Jackson | Executive Director | Named in review of allegation during complaint investigation |
| Beata Kozubal | SALSA | Personnel contacted during inspection |
| Megan Edson-Sawyer | Survey Team Leader | Conducted the inspection |
| Elizabeth Heiney | Supervisor | Supervising Nurse Consultant/Health Program Supervisor |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Terry Jackson | Executive | Contacted during inspection and involved in review of allegation |
| Michael J. Smith | Nurse Consultant | Signature on inspection report and report submitter |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Terry Jackson | Executive Director | Personnel contacted during the inspection. |
| Beata Kozubal | SALSA | Personnel contacted during the inspection. |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Terry Jackson | Executive Director | Personnel contacted during the inspection |
| Beata Kozubal | SALSA | Personnel contacted during the inspection |
| Megan Edson-Sawyer | Report submitted by |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Beata Kozubal | SALSA | Personnel contacted during the inspection |
| Nicola Nelson-Pepka | SALSA Designee | Personnel contacted during the inspection |
| Ryan Whitman | Service Coordinator of Managed Residential Community visited |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Beata Kozubal | SALSA | Personnel contacted during inspection |
| Nicole Nelson-Popea | SALSA Designee | Personnel contacted during inspection |
| Ryan Whitman | Service Coordinator | Managed Residential Community visited and personnel contacted |
| Karen Donato | Nurse Consultant | FLIS Staff conducting inspection and report submitter |
| Megan Sawyer | Nurse Consultant | FLIS Staff conducting inspection |
| Vernon Harris | Supervisor | Approval for issuance of license granted by |
Inspection Report
Plan of Correction| Name | Title | Context |
|---|---|---|
| Beata Kozubal | Supervisor of Assisted Living Services Agency | Recipient of the Plan of Correction letter. |
| Loan Nguyen | Contact for submission of plan of correction. | |
| Executive Director | Interviewed on multiple dates regarding employee testing rosters and employee illness. |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Yvette Massette | RN, SALSA | Personnel contacted during the inspection. |
| Deanna Riley | Executive Director | Personnel contacted during the inspection. |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Lucia Figueiredo | SALSA Designee | Personnel contacted during inspection |
| Deanne Riley | Service Coordinator | Managed Residential Community visited |
| Melissa J. Swierad | Report submitted by |
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