Inspection Report Summary
Most inspections found no deficiencies, including the most recent complaint investigation on July 22, 2025, which found no issues related to an incident report for a resident. Earlier inspections in 2024, conducted as part of the licensing process, also identified no deficiencies and confirmed the facility’s readiness to operate. There were no fines, enforcement actions, or severe findings noted in any of the reports. Several complaint investigations were unsubstantiated, and any issues raised were minor or isolated. The facility’s record shows consistent compliance with regulations and no concerning trends over time.
Deficiencies (last 2 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a July 2025 inspection.
Census over time
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kellie Shearer | Executive Director | Met with Licensing Program Analyst during the inspection and discussed the purpose of the visit |
| Marcella Tarin | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Carol Pickard | Senior Executive Director | Met with Licensing Program Analysts during inspection |
| Brenda Ritter | Regional Director of Operations | Met with Licensing Program Analysts during inspection |
| Christine Dolores | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Santino Fortes | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Sarah Yip | Licensing Program Manager | Named in report header and narrative |
| Mike Hughes | Present during report review |
Inspection Report
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