Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on July 29, 2025, which had no citations and confirmed the facility was clean and well maintained. Several complaint investigations were unsubstantiated, with allegations such as resident abuse, illegal eviction, and inadequate care not supported by evidence. One complaint investigation in February 2025 found that the facility improperly charged a resident for services not received and failed to provide an accurate itemized statement, resulting in citations and a required reimbursement of $5,250. Another substantiated issue from May 2023 involved concerns about food quality, with some residents reporting it was average to below average. Overall, the facility’s record shows improvement over time, with recent inspections free of deficiencies after earlier isolated issues.
Deficiencies (last 4 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a July 2025 inspection.
Census over time
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Executive Director | Met with Licensing Program Analyst during inspection |
| Cinthia Lara Vargas | Resident Service Director | Met with Licensing Program Analyst during inspection |
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection |
| Troy Agard | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Lisa Villasenor | Executive Director | Facility representative met during the investigation. |
| Troy Agard | Licensing Program Manager | Oversaw the licensing program and signed the report. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lisa Villasenor | Executive Director | Met with Licensing Program Analyst during the visit |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Lisa Villasenor | Executive Director | Met with Licensing Program Analysts during the investigation. |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
| Lisa Villasenor | Administrator | Facility Administrator who met with the Licensing Program Analyst during the visit |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Executive Director | Disclosed number of CCRC residents during telephone contact with Licensing Program Analyst |
| Claudia Rosas | Business Manager | Interviewed by Licensing Program Analyst regarding facility operations and marketing |
| Malcolm Adams | Marketing Director | Interviewed by Licensing Program Analyst; responsible for marketing Memory Care and Assisted Living beds |
| Gina Saucedo | Licensing Program Analyst | Conducted the unannounced Case Management inspection |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Troy Agard | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Lisa Villasenor | Administrator | Met with the Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Villasenor | Executive Director | Met with the Licensing Program Analyst during the investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Villasenor | Executive Director | Met with Licensing Program Analyst during the investigation and confirmed facility policies |
| Anita Csukardi | Administrator | Facility administrator named in the report header |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Angela Panushkina | Licensing Program Analyst | Conducted the complaint investigation |
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation |
| Christina Spears | Executive Director | Interviewed during the investigation |
| Nichelle Gillyard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Agard | Licensing Program Manager | Named in report signature and oversight |
| Cynthia Lara Vargas | Resident Services Director | Met with during inspection and interview |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Carmy Jerome | Executive Director | Met with Licensing Program Analysts during inspection |
| Julio Lara | Maintenance Director | Assisted Licensing Program Analysts during facility tour |
| Gary Tan | Licensing Program Analyst | Conducted the inspection |
| Michael Cava | Licensing Program Analyst | Conducted the inspection |
| Troy Agard | Licensing Program Manager | Named in report header and footer |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Antonia Alvizar | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Anne Marie Chan | Business Office Manager | Interviewed during the investigation |
| Cinthia Lara-Vargas | Resident Service Director | Interviewed during the investigation |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Keith Vogal | Administrator in Training | Interviewed during the investigation |
| Jeff Tabor | Interviewed during the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Desire Lopez | Manager on Duty | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation visit |
| Cynthia Lara | Wellness Director | Met with the Licensing Program Analyst during the visit |
| Cassandra Bradford | Regional Director | Contacted by Licensing Program Analyst regarding the visit |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Cynthia Lara | Wellness Director | Spoke to Licensing Program Analyst during the visit and reported oversight arrangements. |
| Gena Grundeis | Administrator | Named as the Administrator who had resigned prior to the visit. |
| Cassandra Bradford | Regional Director | Reported to be overseeing the facility prior to the visit but was not present during the visit. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Angela Panushkina | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Gena Grundies | Executive Director | Met with Licensing Program Analyst during investigation |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Joscelyn Martinez | Licensing Program Analyst | Conducted the complaint investigation |
| Gena Grundeis | Administrator | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager involved in the licensing process |
| Joscelyn Martinez | Licensing Program Analyst | Named as Licensing Program Analyst involved in the licensing process |
| Carl Knepler | Senior VP Operations | Met during the virtual meeting regarding licensure |
| Deidre Schonfeldt | Met during the virtual meeting regarding licensure |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Varsenik Keshishyan | Administrator | Met with Licensing Program Analyst during inspection and participated in entrance and exit interviews |
| Joscelyn Martinez | Licensing Program Analyst | Conducted the pre-licensing inspection visit |
| Nichelle Gillyard | Licensing Program Manager | Named in report header and narrative as Licensing Program Manager |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Varsenik Keshishyan | Administrator | Applicant/administrator participating in COMP II interview and confirmed understanding of regulations. |
Report
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