Inspection Report Summary
The most recent inspection on September 16, 2025, found no deficiencies during the recertification visit. Earlier inspections showed a mixed pattern, with some citations related primarily to staff training, tenant evaluations, and updating service plans, especially in inspections from 2023 and 2019. Complaint investigations were mostly unsubstantiated, though some prior investigations identified issues with staffing, service plans, medication administration, and documentation. Enforcement actions included a $500 civil penalty in 2011 related to medication and staffing deficiencies, but no fines or license actions were noted in recent reports. The overall trend suggests improvement, with the most recent inspections showing no deficiencies after earlier issues were addressed.
Deficiencies (last 15 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a September 2025 inspection.
Census over time
Inspection Report
RenewalInspection Report
Complaint InvestigationInspection Report
Recertification| Name | Title | Context |
|---|---|---|
| Staff A | Failed dependent adult abuse training, dementia training, and nurse delegation training | |
| Staff B | Failed nurse delegation training and dementia training | |
| Staff C | Failed dependent adult abuse training and dementia training | |
| Staff D | Failed nurse delegation training, dependent adult abuse training, and dementia training | |
| Staff E | Failed dependent adult abuse training and dementia training (partial 3.5 hours completed) | |
| Staff F | Failed dementia training | |
| Staff G | Failed dementia training |
Inspection Report
Complaint InvestigationInspection Report
RenewalInspection Report
Complaint InvestigationInspection Report
RenewalInspection Report
Complaint InvestigationInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Contact person for questions regarding the report and penalty. |
| Jim Friberg | Bureau Chief, Adult Services Bureau | Author of the demand letter. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator, Adult Services Bureau | Author of the cover letter regarding the complaint investigation report |
| Inde Miller | Executive Director | Named in relation to interviews and plan of correction |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator, Adult Services Bureau | Signed letter regarding the Final Recertification Monitoring Evaluation Report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Inde Miller | Executive Director | Named as recipient of report and interviewed during investigation |
| Stephanie Cummins | MA | Monitor conducting the complaint/incident investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Margaret Kaltefleiter | RN MS | Monitor conducting the complaint/incident investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Maribeth Freland | RN | Monitor of the complaint/incident investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Joyce Kix | RN | Monitor of the complaint/incident investigation |
| Brenda Colvin | Director | Director providing policy information and interview statements during investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed cover letter and contact person for the report |
| Margaret Kaltefleiter | RN MS | Monitor for the complaint/incident investigation |
Inspection Report
Monitoring| Name | Title | Context |
|---|---|---|
| Brenda Colvin | Executive Director | Named as Executive Director of Vriendschap Village Assisted Living |
| Lori Miner | RN BSN | Monitor conducting the evaluation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor during complaint/incident investigation. |
| Joyce Kix | RN | Monitor during complaint/incident investigation. |
| Rose Boccella | Program Coordinator mentioned in civil penalty and appeals process. | |
| Brenda Colvin | Administrator | Administrator of Vriendschap Village Assisted Living, named in report. |
| Staff RN #1 | Registered Nurse | Interviewed regarding medication administration and missing medications; resigned 6-22-12. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Joyce Kix | RN | Monitor during complaint investigation |
| Lori Miner | RN | Monitor during complaint investigation |
| Margaret Kaltefleiter | RN | Monitor during complaint investigation |
| Ann Martin | Bureau Chief, Adult Services Bureau | Signed conclusion letter regarding penalty and Plan of Correction |
| Rose Boccella | Program Coordinator | Contact person for appeals and hearings |
Inspection Report
Monitoring| Name | Title | Context |
|---|---|---|
| Brenda Colvin | Administrator | Administrator of Vriendschap Village Assisted Living |
| Lincoln Newsom | RN | Monitor conducting the on-site evaluation |
Inspection Report
Monitoring| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | SW MA | Monitor conducting the evaluation |
| Brenda Colvin | Administrator | Facility administrator named in report header |
Inspection Report
Monitoring| Name | Title | Context |
|---|---|---|
| Hal Chase | RN | Monitor during the on-site evaluation |
| Jan O’Briant | LISW | Monitor during the on-site evaluation |
| Dot Beason | Administrator | Administrator of Vriendschap Village |
Loading inspection reports...



