Inspection Report Summary
Most inspections found deficiencies related to resident care, medication management, and safeguarding personal property, with several complaint investigations substantiated. The facility faced serious issues in the past, including a $500 fine in August 2021 for an obstructed exit door and a $100 civil penalty in June 2022 for allowing staff to work without criminal clearance. Medication errors and failure to assist residents with prescribed medications were cited multiple times, including an immediate risk found in October 2025. The most recent report from October 9, 2025, identified deficiencies for inadequate room cleaning and failure to safeguard a resident’s dentures, while allegations of overmedication and meal service were unsubstantiated. There is no clear pattern of improvement or decline, as deficiencies have appeared intermittently over time, with some complaint investigations found unsubstantiated.
Deficiencies (last 5 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a October 2025 inspection.
Census over time
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jamie Healer | Administrator | Met with during investigation and named in findings |
| Marisol Cuadra | Licensing Program Analyst | Conducted complaint investigation and delivered findings |
| Bethany Moellers | Licensing Program Manager | Named in report as licensing program manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jamie Healer | Administrator | Met with during inspection and involved in deficiency findings |
| Marisol Cuadra | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jamie Healer | Administrator | Facility administrator met during the investigation and named in findings |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the inspection and met with facility staff |
| Nicole Oppold | Administrative Assistant | Met with Licensing Program Analyst during inspection |
| Kimberley Mota | Licensing Program Manager | Named in report header and signature section |
| Jamie Healer | Administrator/Director | Facility Administrator/Director named in report |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the case management inspection and verified removal of staff S1. |
| Jamie Healer | Administrator | Confirmed termination and removal of staff S1 from the facility. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kimberley Mota | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Jaynae Boyles | Licensing Program Analyst | Conducted the inspection and met with the facility administrator |
| Jamie Healer | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jennifer Ramos | Care Coordinator | Met with during the inspection and named in the report as the Care Coordinator. |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the Case Management-Incident Inspection. |
| Jamie Healer | Administrator | Named as the facility administrator. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jamie Healer | Administrator | Met with Licensing Program Analyst regarding the medication theft incident |
| Jill Nakagawa | Licensing Program Analyst | Conducted the inspection and investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jamie Healer | Administrator | Met with Licensing Program Analyst during the visit |
| Jill Nakagawa | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Kimberley Mota | Licensing Program Manager | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Jennifer Ramos | Care Coordinator | Met with Licensing Program Analyst during inspection |
| Jamie Healer | Administrator | Facility Administrator, not present during inspection but available by phone |
| Katrina Walters | Licensing Program Analyst | Conducted the inspection |
| Hope DeBenedetti | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Katrina Walters | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jamie Healer | Administrator | Facility administrator met during the investigation |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Katrina Walters | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jamie Healer | Administrator | Facility administrator met during the investigation |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Follow-Up| Name | Title | Context |
|---|---|---|
| Jamie Healer | Administrator | Met during the visit and named in the finding regarding staff clearance |
| Katrina Walters | Licensing Program Analyst | Conducted the unannounced case management visit |
| Hope DeBenedetti | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Jamie Healer | Administrator | Met with during the visit and discussed facility concerns |
Inspection Report
Follow-Up| Name | Title | Context |
|---|---|---|
| Jennifer Ramos | Care Coordinator | Met with Licensing Program Analyst during the visit and discussed resident care and staffing. |
| Katrina Walters | Licensing Program Analyst | Conducted the unannounced visit and follow-up inspection. |
| Hope DeBenedetti | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jaime Healer | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Katrina Walters | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Jennifer Ramos | Facility Coordinator | Provided dietary plans and information during investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Katrina Walters | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
| Jaime Healer | Administrator | Facility Administrator met during investigation |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Jaime Healer | Administrator | Met with Licensing Program Analyst during inspection. |
| Katrina Walters | Licensing Program Analyst | Conducted the annual infection control inspection. |
| Hope DeBenedetti | Licensing Program Manager | Named in report header. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Katrina Walters | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Hope DeBenedetti | Licensing Program Manager | Oversaw the complaint investigation. |
| Jaime Healer | Administrator | Facility administrator present during investigation and named in report. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jennifer Ramos | Care Coordinator | Met with Licensing Program Analyst during inspection and provided information about the exit obstruction and alarm malfunction |
| Katrina Walters | Licensing Program Analyst | Conducted the inspection and authored the report |
| Hope DeBenedetti | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jamie Healer | Administrator | Facility administrator named in the report |
| Jennifer Ramos | Met with Licensing Program Analyst during investigation | |
| Carla Martinez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Report
Report
Report
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