24 Sept 2024 | | 24 Sept 2024 Confirmed two incidents of resident elopement, followed-up with staff training and improvements to the facility's security measures. | |
08 Aug 2024 | | 08 Aug 2024 Visited facility to review medication reordering process and overall medication management. No deficiencies identified during review. | |
13 Jun 2024 | | 13 Jun 2024 Confirmed inadequate communication regarding resident's diet change and unsubstantiated claims regarding billing notifications and fee disclosure. | |
30 Apr 2024 | | 30 Apr 2024 Confirmed death report received for a resident, no deficiencies identified during inspection. | |
16 Apr 2024 | | 16 Apr 2024 Confirmed that a resident exited the building unassisted, prompting the need for additional safety measures to prevent future incidents. | |
09 Apr 2024 | | 09 Apr 2024 Investigated a complaint alleging staff denial of resident visitations; determined the allegation to be unfounded based on documentation and interviews conducted. | |
28 Mar 2024 | | 28 Mar 2024 Investigated allegations of staff misconduct, including inappropriate touching and verbal roughness, found no evidence to support claims; other concerns such as staff impatience and playful swatting also lacked sufficient evidence to be substantiated. | |
13 Mar 2024 | | 13 Mar 2024 Confirmed complaints related to the facility not answering the phone and inconsistent administration of prescribed medication. Unsubstantiated complaint regarding staff not attending to resident care needs. | |
30 Jan 2024 | | 30 Jan 2024 Discovered errors in medication administration records during an inspection and issued Technical Advisory Notes. | |
25 Jan 2024 | | 25 Jan 2024 Confirmed that a resident was not allowed to speak with their family member on two occasions due to visitation restrictions, leading to agitation and confusion for the resident. | |
23 Jan 2024 | | 23 Jan 2024 Confirmed two incidents where a resident's family member was unable to speak to the resident over the phone due to visiting restrictions, and documented a medication shortage issue. | |
18 Jan 2024 | | 18 Jan 2024 Determined that the claim of inadequate supervision leading to a resident's elopement was unfounded after reviewing documentation and conducting staff interviews. Clarified that earlier allegations about another resident's elopement were substantiated, but no further incidents occurred since then. | |
28 Dec 2023 | | 28 Dec 2023 Verified complaint of failure to have proper staff to dispense medication at night, resulting in Administrator needing to come in to give pain medication. | |
15 Dec 2023 | | 15 Dec 2023 Notified of concerns raised by family members during meeting at the facility. Discussions held regarding medication administration, staffing changes, and communication improvements. | |
05 Dec 2023 | | 05 Dec 2023 Confirmed concerns about lack of communication regarding resident's change in condition and incomplete specimen kit. No deficiencies issued. | |
20 Nov 2023 | | 20 Nov 2023 Reviewed allegations of pests and mishandled medication, finding both to be unfounded based on observations and interviews during the inspection. | |
16 Nov 2023 | | 16 Nov 2023 Confirmed numerous complaints and repeated violations, discussed facility's compliance issues and steps taken to increase compliance. | |
09 Nov 2023 | | 09 Nov 2023 Confirmed unfounded complaint regarding medication administration and refrigerator issue. | |
01 Nov 2023 | | 01 Nov 2023 Investigated unannounced complaints regarding timely medical attention, toiletry supplies, a scabies outbreak, proper resident hygiene, and food service quality; determined all allegations unfounded, lacking a reasonable basis. | |
26 Oct 2023 | | 26 Oct 2023 Confirmed unexplained fractures and neglect allegations, substantiated staff negligence and lack of timely medical attention, and unfounded inappropriate behavior claims.- § 87211(a)(1)
- § 87468.2(a)(4)
- § 87465(a)(1)
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24 Oct 2023 | | 24 Oct 2023 Found that the allegations of mishandling medications, improper administration of medications, soiled mattresses, and malodorous rooms were unfounded. | |
17 Oct 2023 | | 17 Oct 2023 Confirmed that allegations of staff falsifying records and not providing activities of daily living to residents were unfounded, meaning the claims were false or without reasonable basis. | |
12 Oct 2023 | | 12 Oct 2023 Investigated an allegation of an altercation between two residents, with no identified date, time, or involved residents; determined there was insufficient evidence to prove the incident occurred. | |
05 Oct 2023 | | 05 Oct 2023 Delivered a second amended page to a complaint investigation report due to previously incorrect information. No citations issued following the review. | |
04 Oct 2023 | | 04 Oct 2023 Identified (2) additional citations for staff mishandling medication and providing inaccurate information to family members during the inspection. | |
29 Sept 2023 | | 29 Sept 2023 Investigated several complaints, finding issues with medication management, staff communication, and emergency pull cord functionality, while determining that personal care, staff availability, and resident safety concerns were not supported by sufficient evidence.- § 87211(a)(1)
- § 87307(a)(3)
- § 87303(a)
- § 87468.1(a)(8)
- § 87465(a)(4)
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26 Sept 2023 | | 26 Sept 2023 Confirmed complaint about cleanliness and grooming to be false after inspection and interviews with staff. | |
07 Sept 2023 | | 07 Sept 2023 Confirmed no evidence of wrongdoing regarding complaints about resident room cleanliness, bedding maintenance, and pest control at the facility. | |
22 Aug 2023 | | 22 Aug 2023 Confirmed complaint about a resident leaving the building was unfounded as there was no evidence of recent elopements. Additionally, the complaint regarding the lack of an Administrator was also unfounded, as the facility had an appointed Administrator in place. | |
09 Aug 2023 | | 09 Aug 2023 Substantiated finding on medication errors during the inspection. | |
31 Jul 2023 | | 31 Jul 2023 Determined that a complaint alleging incorrect administration of narcotics to a resident was unfounded, while another allegation regarding a missing bottle of Norco was found valid based on evidence reviewed. | |
20 Jul 2023 | | 20 Jul 2023 Confirmed allegations of medication management issues, including discrepancies in medication counts and documentation, were valid based on evidence from multiple staff and resident interviews and medication audits. | |
13 Jul 2023 | | 13 Jul 2023 Investigated an allegation of residents with bruises and insufficient staffing, concluding the claims were unfounded and unsupported by evidence, with no further falls or injuries reported among other residents recently. | |
06 Jul 2023 | | 06 Jul 2023 Confirmed that a resident eloped by climbing over an outside fence, but also found an allegation of an altercation between two residents to be unsubstantiated due to lack of evidence. | |
21 Jun 2023 | | 21 Jun 2023 Determined that a resident's back injury, resulting from an altercation with another resident, lacked sufficient evidence to prove it was due to inadequate care or supervision. Confirmed that the involved resident had no prior history of aggression, and a lock was installed on the injured resident's room for added security. | |
10 May 2023 | | 10 May 2023 Discussed recent concerns with staff reporting and staffing levels. Information on Family Councils provided. Meeting with facility leadership held. | |
24 Apr 2023 | | 24 Apr 2023 Inspection revealed no deficiencies related to the incident between residents, one of whom was hospitalized. | |
21 Apr 2023 | | 21 Apr 2023 Confirmed lack of physical harm or neglect following an incident between residents. Incident report reviewed by Licensing Program Analyst. | |
23 Feb 2023 | | 23 Feb 2023 Investigated allegation of a resident sustaining unexplained injuries; determined insufficient evidence to prove injury was caused as alleged, with findings indicating injury more consistent with accidental bumping. | |
22 Dec 2022 | | 22 Dec 2022 Investigated complaint of possible sexual abuse; determined bruising resulted from medical condition, not abuse, making the allegation unfounded. | |
07 Apr 2022 | | 07 Apr 2022 No deficiencies were cited during the inspection. | |
16 Dec 2021 | | 16 Dec 2021 Arrived to conduct a case management visit following an incident report received, discussed unexpected death of individual, obtained necessary documents, conducted exit interview. | |
03 Dec 2021 | | 03 Dec 2021 Interviews and reviews indicated no evidence found to support the allegation of residents' needs not being met or staff mistreating residents. | |
15 Jul 2021 | | 15 Jul 2021 Confirmed that a former staff member is no longer permitted to work at the facility due to a court order prohibiting their involvement in licensed facilities. | |
16 Nov 2020 | | 16 Nov 2020 Excluded staff member identified during visit. | |