Inspection Report Summary
Most inspections found no deficiencies, including the most recent complaint investigation on April 1, 2025, which was unsubstantiated after reviewing allegations about dietary plans and medication restraint. Earlier reports from January and December 2024 showed the facility was well-maintained, properly staffed, and ready for licensure with no issues noted. There were no fines, enforcement actions, or severe deficiencies reported in any of the inspections. The few concerns raised were minor and isolated, with no evidence supporting the complaint allegations. This record suggests the facility has maintained compliance and readiness over time.
Deficiencies (last 2 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a April 2025 inspection.
Census over time
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Becky Mann | Licensing Program Analyst | Conducted the complaint investigation |
| Gabriel Aguilar | Administrator | Met with Licensing Program Analyst during investigation |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Gabriel Aguilar | Administrator | Met during the inspection and received the exit interview and report |
| Becky Mann | Licensing Program Analyst | Conducted the pre-licensing visit and authored the report |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Kimberly Jordan | Administrator | Facility administrator participating in the COMP II interview and verification process. |
| Shlomo Aron | Met with during the inspection visit. | |
| Tracy Thompson | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Nicole Rouse | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
Report
Report
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