Inspection Report Summary
Most inspections found no deficiencies, with routine annual visits consistently showing full compliance in areas such as safety, infection control, medication management, and staff training. Several complaint investigations were unsubstantiated, including allegations of lack of care and failure to report incidents. One complaint investigation in April 2024 was substantiated for a minor issue involving a delayed refund of prepaid rent fees to a resident’s estate, but no fines or enforcement actions were listed. The most recent report from August 28, 2025, was clean with no deficiencies cited, indicating improvement and consistent adherence to regulations over time. Overall, the facility’s record shows mostly compliance with only isolated minor issues.
Deficiencies (last 5 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a August 2025 inspection.
Census over time
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Paula Digerness | Executive Director | Met with Licensing Program Analyst during inspection and named in report |
| Hannah Rodgers | Licensing Program Analyst | Conducted the inspection |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Paula Digerness | Executive Director | Met with Licensing Program Analyst and discussed the purpose of the visit |
| Amy Domingo | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Tamara Movsisyan | RN | Filed the initial incident report regarding Resident 1's fall |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Paula Digerness | Executive Director | Met with Licensing Program Analyst and participated in exit interview. |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the unannounced annual inspection. |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Page Kerr | Executive Assistant | Assisted in touring the facility pool area during inspection. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the complaint investigation |
| Paula Digerness | Executive Director | Facility representative involved in investigation and exit interview |
| Paige Kerr | Executive Assistant | Facility representative involved in investigation and exit interview |
| Lizzette Tellez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| John Rante | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Icela Estrada | Licensing Program Manager | Oversaw the complaint investigation |
| Paula Digerness | Executive Director | Facility representative met during the investigation |
| Joan E. Johnson | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Susan Rendler | Registered Nurse, Director of Health Services | Met with Licensing Program Analyst during inspection and participated in exit interview. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Joan E. Johnson | Executive Director | Met with during the inspection and discussed the purpose of the visit. |
| John Rante | Licensing Program Manager | Conducted the inspection and provided technical assistance. |
| Iby Strong | Licensing Program Analyst | Conducted the inspection and provided technical assistance. |
| Icela Estrada | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Joan Johnson | Executive Director | Met with during the visit and recipient of amended reports. |
| John Rante | Licensing Program Manager | Conducted the Tele-Virtual Visit. |
| Icela Estrada | Licensing Program Manager | Named in the report as Licensing Program Manager. |
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