I placed my mom here and overall we're very happy. The staff are warm, patient and treat residents like family; the gardens (goats, chickens, beehives), bright clean rooms, good meals and nonstop activities - especially the Music & Memory and Comm-University student program - keep residents engaged and joyful. It feels homey and gives real peace of mind. Note: some families report understaffing, slow follow-ups and management hiccups, so check current staffing, but for us the caring community and programming made it an excellent choice.
Healdsburg Senior Living sits among vineyards on a 17-acre property near Healdsburg's town square, offering a peaceful setting with plenty of green space and gardens, and you'll see chickens and goats about, plus an on-site vegetable garden where residents can help out if they'd like. The community has independent living, assisted living apartments, memory care cottages, skilled nursing, and rehabilitation services, so there's something for most needs, whether you need some help with daily life or more support. The staff includes senior care experts who provide kind care and keep everything clean and safe. You'll find comfortable common areas with fireplaces, round tables, soft lighting, flat-screen TVs, and an elegant dining room with chef-prepared meals served three times a day, so residents eat well and come together to socialize. Memory care has its own space with warm touches, comfortable suites with recliners and single beds, and an inviting lobby that feels peaceful and safe for those living with memory loss, plus personalized care plans that change as needs do. There's a salon in assisted living for on-site hair appointments, which is handy and lets folks feel fresh without leaving the building. Outdoors, you can stroll tranquil walkways with flower-filled wine barrels, visit the tiered gardens, or sit by the gazebo and enjoy all the plants, and there's even an outdoor picnic area and spots set aside for gardening and spending time with the farm animals. Daily activities fill the calendar, like fitness and art classes, gardening, happy hour, live music, and special outings to local shops and attractions, so residents can stay active and involved. Pets like cats and dogs are welcome, as long as they meet the rules for breed and size. The community offers three meals a day, snacks, weekly housekeeping, laundry, all utilities, and regular health checks, plus help with personal care or medications if needed. Transportation is available for doctor visits and shopping, and there's a full program of social, spiritual, physical, and lifelong learning activities. Everything's kept clean and well-maintained, and the setting feels home-like, with friendly staff and neighbors, so residents can feel comfortable and get the support they need in a safe, simple, and pleasant place to live.
People often ask...
Healdsburg Senior Living offers independent living, assisted living, memory care, and board and care.
There are 28 photos of Healdsburg Senior Living on Mirador.
Yes, Healdsburg Senior Living allows residents to age in place and adjust their level of care as needed.
The full address for this community is 725 Grove St, Healdsburg, CA, 95448.
Yes, Healdsburg Senior Living offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
143
Inspections
50
Type A Citations
38
Type B Citations
6
Years of reports
24 Jul 2025
24 Jul 2025
Found inadequate staffing on MC2 and AL with only one direct care staff per shift, and two-person assist requirements not consistently met, including a resident’s aggression requiring a second staff member, resulting in a civil penalty of $1,000. Identified no evidence of a telephone outage affecting resident care.
§ 1569.269(a)(6)
24 Jul 2025
24 Jul 2025
Investigated the allegation of inadequate staffing to meet residents' needs; the same issue had been raised in a prior complaint that resulted in a citation.
24 Jul 2025
24 Jul 2025
Found staffing gaps in Memory Care and Assisted Living, leaving some residents needing two-person assistance without enough coverage. Identified that one staff member did not complete required medication administration training for May and June 2025, while medications were stored securely with proper documentation.
§ 9058
§ 1569.625
17 Jun 2025
17 Jun 2025
Found 40 residents total across two units, with all on-site staff background cleared. Vents previously noted as dirty were cleaned; staffing met two caregivers per unit per shift; resident and staff files were complete; no deficiencies cited.
§ 9058
14 Apr 2025
14 Apr 2025
Found that lawsuits included a $25 million case in Bakersfield, a photography case at one site, and a case involving a skilled nursing facility in Healdsburg, but there was no financial impact on properties, residents, or staff; the bankruptcy did not affect the communities since the management company had already changed, with no other suits pending against related entities, and documentation listing locations and resident notices was requested.
§ 9058
06 May 2025
06 May 2025
Found that staffing did not meet residents' needs due to inadequate coverage during shifts, with some residents requiring help from more than one staff member.
§ 1569.269(a)(6)
06 May 2025
06 May 2025
Identified deficiencies across dementia care, dining, and medication management at the site, including no monthly activity calendar for dementia care, dining foods without covers or expiration dates, and discontinued medications found in the med cart. Noted staffing gaps in memory care with only one caregiver on the day shift and one on the PM shift for two-person assists, and dangerous items such as curling irons, a small cleaning spray, and scissors stored outside the med cart.
§ 87219(f)
§ 87555(b)(23)
§ 9058
§ 87309(a)
§ 87465(i)
26 Mar 2025
26 Mar 2025
Reviewed the Stipulation and Waiver and Order and related monthly documents, including the quality assurance audit report and a resident roster showing two-person assists. Identified that scheduling and training processes were discussed; the administrator acknowledged the need to keep two staff on the floor in memory care at all times; no deficiencies were cited; a list of liaison contacts since the order's effective date and the required training documentation were to be provided.
§ 9058
29 Jan 2025
29 Jan 2025
Identified deficiencies across food service, staff training, and recordkeeping, including uncovered or unlabeled foods and missing training hours and CPR/First Aid documentation for some staff, with one appeal pending. Conducted an exit interview with the administrator.
12 Dec 2024
12 Dec 2024
Identified multiple deficiencies, including a disorganized pharmacy transaction binder, a nonworking resident call/pager system, missing items in first aid kits, and missing signatures on refrigeration temperature and narcotics logs, plus staffing issues between Memory Care and the Assisted Living units. Found one staff member’s orientation training and CPR certification were not on file.
§ 87705(c)(4)
12 Dec 2024
12 Dec 2024
Found multiple safety and care deficiencies at the site, including food not properly covered or labeled, wilted lettuce used for meals, and missing temperature logs for freezers and refrigerators; pendant alarm did not function properly. Found a medication not logged in the central medication log, incomplete CPR and staff training records, and the administrator's license current with requests for updated personnel and liability documents.
§ 87555(b)(23)
§ 87465(h)(6)
§ 1569.618(c)(3)
§ 1569.625(b)(1)
§ 87303(i)(1)
§ 87555(b)(8)
19 Nov 2024
19 Nov 2024
Found a resident fell on 11/7/24 while outside with others, trying to support weight on the chair and ending up with a wound on the back of the head, as staff were present but couldn't reach in time. Found a previously cited deficiency concerned the pendant call button system and slow response times.
19 Nov 2024
19 Nov 2024
Identified medication-related deficiencies, with two resident rooms found to have medications and creams left out. Training records showed one employee lacked a CPR certificate in the file, which management acknowledged; eight new staff and a new coordinator were hired and are undergoing training.
16 Oct 2024
16 Oct 2024
Identified that housekeeping staff performed caregiving duties without current training. Found that staffing levels were insufficient to meet residents' care needs, resulting in long waits for help after pendant button activations and, at times, no response.
§ 1569.625(b)(2)
§ 1569.269(a)(6)
§ 87468.2(a)(6)
§ 87705(c)(4)
28 Nov 2023
28 Nov 2023
Found comfortable temperatures, unobstructed exits, furnished resident apartments, securely stored cleaning supplies, adequate food supplies, centrally stored medications, required posters, functioning call bells, and secured construction areas. Noted some water temperatures outside the 105-120 degree range; no deficiencies cited.
28 Nov 2023
28 Nov 2023
Inspection found no deficiencies at the facility. All areas and records were in compliance with regulations.
19 Sept 2023
19 Sept 2023
Identified the allegation that a resident was given another resident's medication and sent to the Emergency Room, returning the same day without adverse effects.
19 Sept 2023
19 Sept 2023
Confirmed staff error in giving incorrect medication to a resident, resulting in a visit to the Emergency Room.
§ 87465(a)(4)
12 Sept 2023
12 Sept 2023
Found no deficiencies after an unannounced case-management review, with staffing confirmed as sufficient and resident care observed as safe and well-maintained at the site. Noted minor non-compliance in audits, not significant or frequent, and no health or safety concerns.
12 Sept 2023
12 Sept 2023
Confirmed no deficiencies found during inspection. Staffing levels, training, and audits met requirements.
06 Jun 2023
06 Jun 2023
Found ongoing compliance with monthly reporting, staffing for two-person assists, staff training, and incident reporting. Noted an elopement from memory care that was handled per protocol, and audits identified minor non-compliance items.
06 Jun 2023
06 Jun 2023
Identified instances of non-compliance during an inspection, which were promptly addressed by the facility.
§ 87464(f)
18 Apr 2023
18 Apr 2023
Identified that a resident’s medication was delayed when the pharmacy did not ship the March refill after a form was mismarked as not needed, resulting in a missed dose.
18 Apr 2023
18 Apr 2023
Identified a medication error incident where a resident missed doses due to a pharmacy delay, resulting in citation of a deficiency.
§ 87465
24 Feb 2023
24 Feb 2023
Reviewed required monthly reports, including staffing, resident rosters, and quality assurance audits, and confirmed two caregivers per unit on each shift with managers and medication technicians providing break coverage.
Found that Special Incident Reports were submitted on time and audits showed only minor non-compliance, not significant enough to raise health and safety concerns; no deficiencies were cited.
24 Feb 2023
24 Feb 2023
Identified safety concerns: a bottle of bleach and a disinfectant storage area were accessible to residents, and memory care had delayed egresses; fire extinguishers and the fire system had not been recently serviced. Observed hand sanitizer throughout common areas, call bells in each resident room and public restroom, and temperatures within regulation.
§ 87309(a)
24 Feb 2023
24 Feb 2023
Reviewed monthly reports and conducted an inspection, finding no deficiencies or safety concerns at the facility.
29 Dec 2022
29 Dec 2022
Identified an elopement incident where a resident left unsupervised, despite physician guidance that staff escort was required when leaving. Follow-up medical update showed the resident still cannot leave without an escort due to weakness, and the resident agreed not to leave unassisted; no deficiencies cited.
29 Dec 2022
29 Dec 2022
Confirmed incident of resident leaving facility unsupervised, doctor instructed resident to be escorted when leaving due to physical impairment. Resident agreed to follow instructions. No deficiencies found during inspection.
08 Dec 2022
08 Dec 2022
Found that monthly documentation, including staffing and resident rosters, and a quarterly quality audit were submitted, and new staff were trained within 30 days of hire. Found staffing levels sufficient per shift with coverage for breaks by managers and medication technicians; Special Incident Reports were filed on time, Covid protocols were followed, and audits showed only minor issues not significant enough to raise concerns, with no deficiencies cited.
08 Dec 2022
08 Dec 2022
Investigated an incident in which a staff member pushed a resident in a wheelchair too fast, causing the resident to wave, attempt to strike, and grab the fence, and where the wheelchair moved while standing, resulting in a fall; local police and licensing were notified, the staff member resigned, and Ombudsman notification was agreed; no deficiencies found.
08 Dec 2022
08 Dec 2022
Found that a Change of Ownership is in process for three existing buildings with residents, and a fourth building is under construction. Observed safety and care measures, including locked medications and toxins, grab bars in bathrooms, working call bells, memory care with delayed egress, a fenced construction area, and water temperatures around 105–106 F in sampled rooms; posters for complaint rights and resident rights were posted, though the Family/Resident Council notices area was not clearly identified, and an Emergency Disaster Plan was provided.
08 Dec 2022
08 Dec 2022
Confirmed compliance with regulations during an inspection of the facility, including proper screening procedures, resident safety measures, and maintenance of essential safety equipment.
08 Dec 2022
08 Dec 2022
Confirmed no deficiencies found during inspection, facility in compliance with regulations and protocols.
03 Nov 2022
03 Nov 2022
Found two fall-related incidents involving residents: one fall resulted in a fracture and the resident was not identified as needing 1:1 supervision, with pain developing the next day; the other fall was unwitnessed, with conflicting reports about a fracture, and the resident was later admitted to a skilled nursing facility where they died about two weeks later. No deficiencies cited.
03 Nov 2022
03 Nov 2022
Found no deficiencies during inspection; incidents involving falls were discussed.
23 Sept 2022
23 Sept 2022
Investigated two incidents: a resident was given the wrong medication, and a fall led to delayed medical evaluation, with the resident later transported to the hospital and pain reports noted as inconsistent. Deficiencies were cited and appeal rights were provided.
23 Sept 2022
23 Sept 2022
Identified errors in medication administration and response to falls by residents.
24 Aug 2022
24 Aug 2022
Identified ongoing requirements for supervision, monthly quality assurance, vendor training, staffing oversight, medication audits, incident reporting, and adherence to regulatory standards under a formal stipulation and waiver. Unannounced visits may be conducted during the probation period to assess full compliance.
24 Aug 2022
24 Aug 2022
Identified deficiencies in oversight, staffing, medication management, reporting, and facility maintenance during the inspection.
10 Aug 2022
10 Aug 2022
Confirmed the applicant and administrator understood license type, resident populations, and program, and their admission policies, staffing requirements and training, health restrictions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Identification was verified and a copy of photo ID was obtained.
10 Aug 2022
10 Aug 2022
Confirmed understanding of California Code Title 22 Regulations during COMP II.
29 Jul 2022
29 Jul 2022
Identified a campus with a main building for residents and two memory care buildings; temperatures were comfortable, rooms furnished, water temperatures within 105-120 degrees, bathrooms had mats and grab bars, with a garden and animals on site. Found fire extinguishers last serviced in 2022, the fire system had a recent service after a malfunction and is functioning, memory care exit doors were alarmed with door alarms working, PPE was stocked and accessible, and ten resident files along with nine staff files were reviewed with no deficiencies cited; the analyst will return to complete the review.
29 Jul 2022
29 Jul 2022
Conducted an annual inspection and observed compliance with regulations regarding resident and staff files, fire safety, PPE availability, and facility maintenance. No deficiencies were found during the inspection.
14 Jun 2022
14 Jun 2022
Found that care needs were not met when a resident was transferred by one caregiver instead of two, as required by the care plan, and that the resident’s vaccination did not follow CDC guidance at the time. Determined that the allegations of failing to report a change in condition and failing to follow physician orders were not established by evidence; a civil penalty of $500 was issued.
14 Jun 2022
14 Jun 2022
Confirmed failure to meet care needs, unsubstantiated failure to report change of condition and follow physician's orders. Civil penalty issued for violation resulting in injury.
10 Jun 2022
10 Jun 2022
Found insufficient evidence to prove the Neglect/Lack of Supervision allegation that two residents engaged in sexual activity while one could not consent due to cognitive issues. After learning of the incident, staff reported it as required, and interviews did not indicate coercion or manipulation by the other resident.
10 Jun 2022
10 Jun 2022
Determined that the allegation of neglect or lack of supervision due to residents engaging in sexual activity was not supported by evidence, indicating no coercion or manipulation occurred. Staff promptly reported the incident, and interviews with involved parties did not substantiate the complaint.
§ 87465
22 Apr 2022
22 Apr 2022
Identified late reporting of four resident incidents, with three overdue by seven days and another recently identified not reported on time. Discussed reporting requirements with a representative, reviewed the applicable regulations, and noted appeal rights.
22 Apr 2022
22 Apr 2022
Identified deficiencies in reporting incidents to regulatory authorities.
14 Feb 2022
14 Feb 2022
Found no deficiencies. Noted that Covid posters were not displayed at the entrance, and daily temperature logs for residents ended on February 10 with gaps after that date.
14 Feb 2022
14 Feb 2022
Confirmed the presence of Covid-19 related posters and screening of staff, but identified missing documentation for resident temperature checks.
§ 87468.2(a)(4)
04 Feb 2022
04 Feb 2022
Found that a written information request from a family council on December 17, 2021 was not answered within 14 days, and this failure led to a civil penalty of $250 for repeating the violation within 12 months; deficiencies were cited and appeal rights were provided.
04 Feb 2022
04 Feb 2022
Confirmed failure to respond to a written request for information within 14 days, resulting in a civil penalty of $250.
21 Jan 2022
21 Jan 2022
Found the memory care unit #1 ready for reopening; no deficiencies found after residents were relocated to unit #2, with reopening planned for early February.
21 Jan 2022
21 Jan 2022
Inspection found no deficiencies during the tour of re-opened memory care unit.
29 Dec 2021
29 Dec 2021
Conducted an unannounced case-management visit and received an update on an active Administrator Certificate. Found a back-area with debris not blocked off, with garbage service scheduled to pick up today; observed three caregivers in Memory Care; requested a photo of debris removal and a screenshot of certification status; no deficiencies cited.
29 Dec 2021
29 Dec 2021
Confirmed debris was observed but has since been removed. Administrator Certification status is being followed up on. No deficiencies were found during the inspection.
§ 87211
09 Dec 2021
09 Dec 2021
Found that a change of administrator was being processed; documentation submitted, certification delay addressed, and a valid certificate expected by December 13, 2021; follow-up continued; no deficiencies found.
09 Dec 2021
09 Dec 2021
Reviewed inspection resulted in no deficiencies found.Requested change of Administrator documentation was submitted and follow-up is ongoing.
§ 1569.158(f)
30 Nov 2021
30 Nov 2021
Found that staff failed to seek timely medical attention after a resident’s unwitnessed fall, resulting in hospitalization, and failed to notify the resident’s authorized representative.
30 Nov 2021
30 Nov 2021
Confirmed failure to seek timely medical attention for a resident's injury, resulting in serious bodily harm, and failure to notify family of the incident. Civil penalty of $9,500 issued.
26 Nov 2021
26 Nov 2021
Identified staffing gaps across shifts with unclear AL/MC coverage, missing administrator paperwork, and on-call contact details not readily available, resulting in a night-shift cover after a call-off.
26 Nov 2021
26 Nov 2021
Identified staffing deficiencies and lack of oversight at the facility during the visit.
23 Nov 2021
23 Nov 2021
Reviewed holiday staffing and on-call coverage, with shifts covered and agencies on standby; there were no COVID-positive residents or staff at that time, and no deficiencies were noted.
23 Nov 2021
23 Nov 2021
Found no deficiencies during the inspection, with staffing and administrative representation provided over the holiday weekend. Testing for COVID-19 ongoing following exposure to a positive visitor.
17 Nov 2021
17 Nov 2021
Investigated and found that the allegations that staff did not respond to the call button in a timely manner, that the responsible party was not notified of the fall, and that records were not provided timely were unsubstantiated.
17 Nov 2021
17 Nov 2021
Investigated allegations that staff did not respond promptly to a call button, did not notify a responsible party of a fall, and did not provide records in a timely manner; determined insufficient evidence to support these claims, with no deficiencies noted.
28 Oct 2021
28 Oct 2021
Identified that reappraisals with residents' responsible parties were not completed and that the administrator did not fulfill duties, including not holding a care conference and having difficulty obtaining financial documentation. Found that the allegation that the responsible party was not notified of a change in condition lacked sufficient evidence.
§ 87405(b)
28 Oct 2021
28 Oct 2021
Identified two incident reports—one about a resident fall with mouth trauma and another about a significant change of condition—and staff provided information; no deficiencies cited.
28 Oct 2021
28 Oct 2021
Confirmed deficiencies in completing resident reappraisals and fulfilling administrative duties.
14 Oct 2021
14 Oct 2021
Investigated and found that the allegations that staff did not inform the responsible party of a change in condition, staff caused injury during incontinence care, insufficient care and supervision resulting in a fall, and resident not accorded dignity were unfounded. The responsible party was notified about the fall.
14 Oct 2021
14 Oct 2021
Identified the allegation that medications were not managed properly, with medication found on a resident’s floor and a morning dose missed because it was not ordered in time, based on records and interviews.
14 Oct 2021
14 Oct 2021
Investigated a complaint alleging a resident contracted Covid and died, staff brought Covid and caused transmission, visitation was denied, and residents' needs were not met; found insufficient evidence to prove these claims, and no deficiencies were cited.
14 Oct 2021
14 Oct 2021
Found outdated care plans and mismatches between residents' stated abilities and physician reports, plus missing or unsigned admission agreements for several residents. Cleared multiple deficiencies.
14 Oct 2021
14 Oct 2021
Confirmed deficiency in managing resident's medication, resulting in missed doses and medication found in resident's room.
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23 Sept 2021
23 Sept 2021
Found that the allegation that staff was rough with residents did not have sufficient evidence and was dismissed. No deficiencies were cited.
23 Sept 2021
23 Sept 2021
Found that residents' care needs were not met due to insufficient staffing and inadequate staff training, including incontinence care and daily living support. Found no evidence to support that changes in conditions were not reported to responsible parties or that food quality was poor.
§ 87464(d)
23 Sept 2021
23 Sept 2021
Found complaint allegation of staff being rough with residents to be unsubstantiated after conducting interviews and observations. No deficiencies were cited.
§ 87463
§ 87507
02 Sept 2021
02 Sept 2021
Identified medication-management issues at the location, including three of five residents missing at least one dose with no documentation in the medication records; a PRN dose dispensed without documentation; an incorrect prescription number and start date in the centrally stored medication record for another resident; and missed days due to delayed refills.
02 Sept 2021
02 Sept 2021
Found cleanliness lacking due to staffing shortages, with resident rooms not cleaned on schedule and some residents going weeks without cleaning, while family members sometimes cleaned. Found appliances in disrepair, including at least one broken washer and a broken dryer in Memory Care, and an oven door that does not close, along with a lack of toilet paper requiring residents to request it.
02 Sept 2021
02 Sept 2021
Found phones were not functioning due to an old system, but the system has since been updated and is now working. Found insufficient evidence to prove that a resident with dementia was allowed to leave unassisted or that transportation assistance was not provided.
§ 87311
02 Sept 2021
02 Sept 2021
Identified that residents' responsible parties were not informed about the family council and that medications were not refilled timely, with at least one medication running out before a new order was placed.
02 Sept 2021
02 Sept 2021
Investigated four specific allegations—COVID-19 protocol violations, unlawful eviction, staff yelling in front of residents, and lack of dignity toward residents—as unsubstantiated, and the complaint was dismissed.
02 Sept 2021
02 Sept 2021
Confirmed allegations of phone system malfunction and unsubstantiated claims of failure to reassess a resident and lack of transportation assistance.
18 Aug 2021
18 Aug 2021
Identified that five of twelve residents did not have Admission Agreements on file and one did not have a Medical Assessment. Found that four of eight staff did not have health assessments including TB results, and one of eight lacked fingerprint clearance; a $500 civil penalty was assessed for the missing clearance.
§ 87458(a)
§ 87412(a)(11)
§ 87355(e)(1)
§ 87507(d)
18 Aug 2021
18 Aug 2021
Identified deficiencies in resident and staff files during an inspection, resulting in civil penalties issued for noncompliance with state regulations.
§ 87307(a)(3)
§ 87303(a)
17 Aug 2021
17 Aug 2021
Found safety and compliance concerns, including a memory care room water temperature of 121.8°F (above the allowed 105–120°F), a letter opener accessible to residents, cleaners accessible in the laundry area and under a resident’s sink, and expired juice in the kitchen. Also noted were a locked front door requiring staff screening on entry, outdated fire extinguisher inspections (mostly from 2021) with a pending fire clearance due to a system issue, and no documented staff training or quarterly drills for the emergency plan.
§ 87705(f)(1)
§ 87405(d)
§ 87202(a)
§ 87555(b)(8)
17 Aug 2021
17 Aug 2021
Identified deficiencies during an inspection of an assisted living facility, including temperature regulation issues, expired food, and accessibility of cleaning supplies. Evacuation drill procedures and fire system maintenance were also discussed.
14 Aug 2021
14 Aug 2021
Identified insufficient staffing on the PM shift, with two caregivers in memory care and one in assisted living plus a med tech moving between areas, which did not meet the verbal staffing plan or residents' care needs.
§ 87411(a)
14 Aug 2021
14 Aug 2021
Confirmed allegation of insufficient staffing.
§ 87465(a)(5)
§ 1512.5(d)
02 Aug 2021
02 Aug 2021
Identified prior concerns about building conditions and staffing; no deficiencies cited.
02 Aug 2021
02 Aug 2021
Confirmed deficiencies were addressed, including physical plant concerns and staffing issues, with plans for improvements to be implemented.
§ 87465
28 Jul 2021
28 Jul 2021
Identified a November 2019 medication change that was not documented in the resident's file. Found no evidence to support the allegation that residents were not assisted with self-administration of medication or that charges for services were improper, and no deficiencies were cited.
28 Jul 2021
28 Jul 2021
Identified insufficient staffing, training gaps, and inadequate activities. Two penalties totaling five hundred dollars were issued.
§ 87219(h)(2)
§ 87411(a)
§ 1569.625(b)
28 Jul 2021
28 Jul 2021
Identified that the management company used its plan of operation, including marketing materials and general policies, to operate without submitting the new plan for approval. Identified that the required complaint poster was not posted.
28 Jul 2021
28 Jul 2021
Confirmed that the facility had insufficient staffing, staff were not trained adequately, and activities were not provided adequately. Civil penalties were assessed for repeated violations.
§ 87465(a)(5)
20 Jul 2021
20 Jul 2021
Found a leaking hole in the ceiling of an unoccupied memory care room, with nearby construction hazards including caution tape, excavators, exposed pipe, and uneven ground. Observed stained carpeting and general uncleanliness in a resident room, and a civil penalty of $250 was assessed for repeating the same regulation violation within 12 months.
§ 87303
20 Jul 2021
20 Jul 2021
Found lack of staff to meet residents' care needs; private caregivers performed dressing and other tasks that should have been provided by trained staff, and it was unclear who notified a resident's responsible party after a medical incident.
20 Jul 2021
20 Jul 2021
Observed multiple areas of concern during the visit, including a leaking hole in the ceiling, construction hazards, and general uncleanliness.
§ 87405
30 Jun 2021
30 Jun 2021
Identified that a resident fell on June 13, 2021, was transported to the hospital, and subsequently died, with the fall and death not reported to the licensing agency. Noted that appeal rights were provided and a civil penalty of $250 was assessed for repeating the same deficiency within 12 months.
§ 87211
30 Jun 2021
30 Jun 2021
Unreported resident fall and subsequent death resulting in a civil penalty.
§ 87464(f)(4)
15 Jun 2021
15 Jun 2021
Found the back construction area unsecured, with nails, rebar, oil containers, and tools accessible to residents, creating serious safety risks. A resident in memory care wandered toward that area about a week earlier, and fines of $400 were assessed for not correcting the hazard, with penalties of $100 per day continuing until fixed.
15 Jun 2021
15 Jun 2021
Identified safety hazards in the construction area, with items accessible to residents, resulting in civil penalties assessed.
§ 1569.33
§ 87208
10 Jun 2021
10 Jun 2021
Identified a hazardous, unsecured construction area with protruding nails, exposed rebar, oil containers, and tools, and a temporary barrier that was not secure, potentially allowing residents access.
§ 87303
10 Jun 2021
10 Jun 2021
Found insufficient staffing in Memory Care 1 from about 6:00am to 7:00am on March 13, 2021, with no evidence that staff were present during that period. An immediate civil penalty of $1000 was assessed because this was a repeat violation within the past 12 months.
§ 87411(a)
10 Jun 2021
10 Jun 2021
Confirmed Insufficient staffing during a specific timeframe. Substantiated complaint resulted in a $1000 civil penalty.
03 Jun 2021
03 Jun 2021
Found that reimbursement to the responsible party occurred after the 15-day limit.
Found insufficient evidence of a health and safety lapse regarding a 2019 bus seatbelt incident; no incident report was available and the staff who knew about it were no longer employed, so information could not be obtained.
03 Jun 2021
03 Jun 2021
Found inconsistent care practices during the Covid period, including pillows not always available to float heels and unclear evidence about oral hygiene and wound care, along with linen issues such as some residents lacking clean linens and use of sheets as blankets. Could not establish the specific claim of inadequate care and supervision and not providing clean linen; no deficiencies were cited.
03 Jun 2021
03 Jun 2021
Identified missing Covid-19 posters in Memory Care and no daily symptom checks for residents, with no log of disinfection. Found PPE sufficient and staff screened before shifts, and noted that a CCL Complaint Poster was not posted at the main entrance.
03 Jun 2021
03 Jun 2021
Identified non-compliance issues with Covid-19 protocols and missing required posters during inspection.
28 Apr 2021
28 Apr 2021
Found ongoing construction for a second memory care unit on the premises, with accessible building materials and a fountain pooling water identified as hazards; a barrier was being erected and signs to keep residents out were planned, with photos of the site and fountain requested due to limited Wi‑Fi. No deficiencies were cited.
28 Apr 2021
28 Apr 2021
Identified a potential hazard with building materials accessible to residents and pooling water at the base of a fountain during an inspection.
16 Apr 2021
16 Apr 2021
Identified that a resident fall on March 31, 2021, resulting in a fracture, was not reported to licensing as required.
16 Apr 2021
16 Apr 2021
Determined that the four specific allegations—that the resident did not receive medication as prescribed, that care needs were not met, that the responsible party was not notified about the change of condition, and that records were not provided upon request—were not proven, and the complaint was dismissed.
16 Apr 2021
16 Apr 2021
Identified a violation of regulations related to failure to report resident injury to licensing authorities.
§ 1569.652(c)
15 Mar 2021
15 Mar 2021
Found no deficiencies after an unannounced visit and walk-through at the site, with some areas noted as concerns for later review.
15 Mar 2021
15 Mar 2021
Found that the allegation that a timely reply to a Family Council information request was not provided was supported by evidence.
15 Mar 2021
15 Mar 2021
Discussed areas of concern observed during the inspection; no deficiencies cited.
§ 87211
05 Mar 2021
05 Mar 2021
Investigated allegations of retaliation, concerns about administrator qualifications and duties, and the visitation policy. Found a missing resident file, ten of thirteen staff did not have First Aid training, and proof of staff training on the Mitigation Plan had not been provided.
05 Mar 2021
05 Mar 2021
Found staffing shortages during the period led to insufficient assistance with daily activities and delays in meals. Found meals were sometimes served cold and residents needed to heat food themselves, and staff lacked training in dispensing medications and did not consistently meet residents' needs for showers and dressing.
§ 87464(f)(1)
§ 1569.625(b)
§ 87555(b)(9)
05 Mar 2021
05 Mar 2021
Found insufficient staffing to meet residents' needs and failure to notify a responsible party when a resident's condition changed.
05 Mar 2021
05 Mar 2021
Found that the home did not have a designated person in charge after hours, did not notify the resident’s authorized representative about a change in condition, and did not meet some residents’ care needs or seek timely medical attention, while also failing to provide requested records and incurring a civil penalty for repeating the issue. Found confidentiality and dignity concerns not established.
§ 87506(c)(1)
§ 87464(f)(1)
§ 87405(a)
§ 87466
05 Mar 2021
05 Mar 2021
Found that meals were not nutritionally balanced and sometimes lacked protein or vegetables, with meat described as fatty, dry, or discolored. Found that floors and rugs were dirty and rooms were not cleaned regularly between visits, with some cleaning done by families or private aides, and a cup of medication not belonging to a resident left in a resident's room while staff left medications in rooms, making them accessible.
05 Mar 2021
05 Mar 2021
Found insufficient staffing and failure to notify family of resident's change of condition.
§ 1569.158(f)
25 Jan 2021
25 Jan 2021
Found COVID-positive residents cohorted, PPE stations in place outside the unit and throughout, and documentation of disinfection started; lidded trash cans for isolation rooms had not arrived. No deficiencies cited.
25 Jan 2021
25 Jan 2021
Confirmed compliance with Covid-19 protocols and identified areas for improvement in infection control measures.
14 Jan 2021
14 Jan 2021
Found cohorted Covid-positive residents, PPE stations outside the positive unit and throughout, and ongoing documentation of disinfection to aid infection control. Found lids ordered for trash cans in resident bedrooms, staffing discussed, and staff training on the Mitigation Plan indicated; no deficiencies identified.
14 Jan 2021
14 Jan 2021
Observed compliance with Covid-19 protocols, including cohorting positive residents, PPE stations, and enhanced cleaning practices. Staff training on mitigation plan confirmed.
§ 87411(a)
§ 87466
07 Jan 2021
07 Jan 2021
Identified concerns about COVID-19 mitigation, including insufficient staffing, inadequate PPE donning and doffing training, incomplete waste containment and PPE stations, missing postings, lack of staff oversight, administrator duties, and the screening location, along with prior concerns about changes of condition, incident reporting, charting, and staff and resident records.
07 Jan 2021
07 Jan 2021
Identified deficiencies in staffing, PPE training, trash containment, postings, oversight, duties, and documentation were discussed during the conference.
§ 87303(a)
§ 87555(a)
§ 87465(h)(2)
08 Oct 2020
08 Oct 2020
Found no deficiencies after reviewing policies on changes of condition, incident reporting, charting, staff and resident records, administrator duties, and COVID-19 protocol.
04 Jan 2021
04 Jan 2021
Identified staffing and training concerns at the site, including overtime use and multiple staffing agencies; noted that N95 fit testing had not yet been conducted and that additional documentation—updated LIC500 with unit assignments and Med Tech designation, proofs of PPE donning/doffing and infection-control training, hospice resident counts, and measures for virtual capabilities—was requested with deadlines.
04 Jan 2021
04 Jan 2021
Reviewed staffing, training, and mitigation plan; requested additional documentation and updates regarding personnel report, N95 fit testing, and virtual capabilities.
§ 87506
§ 87411
31 Dec 2020
31 Dec 2020
Investigated concerns about Covid-19 protocols, infection control and PPE, staffing adequacy, and general oversight; requested personnel records, proof of PPE and infection-control training, and an updated plan for disinfecting.
31 Dec 2020
31 Dec 2020
Identified concerns included Covid-19 protocols, staffing levels, and general oversight during the inspection. Requests were made for specific documentation and updated plans.
§
§
§ 1569.269
18 Sept 2020
18 Sept 2020
Found that staff did not seek timely medical attention after a resident fall and did not notify the resident's authorized representative. Found that there was not enough evidence to prove that insufficient care and supervision caused the fracture.
08 Oct 2020
08 Oct 2020
Discussed policies on resident care, incident reporting, documentation, and COVID-19 protocols in a meeting with facility representatives and applicant. No deficiencies were cited.
18 Sept 2020
18 Sept 2020
Found that allegations of failure to seek timely medical attention and failure to notify family of an incident were substantiated, resulting in a civil penalty. Insufficient care and supervision resulting in a fracture was unsubstantiated.
07 May 2020
07 May 2020
Discovered an allegation of an unexplained injury to a resident that was ultimately unsubstantiated due to lack of evidence.
27 Jan 2020
27 Jan 2020
Confirmed deficiencies related to staff training and resident records were identified during the inspection.
21 Oct 2019
21 Oct 2019
Identified deficiencies in staff training and missing resident Admission Agreements during the inspection.
30 Sept 2019
30 Sept 2019
Conducted an inspection of the facility and found compliance with regulations in terms of safety, maintenance, and documentation.
$3,597 – $3,695+1 Bedroom • 2 Bedroom
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$5,225 – $9,730+4.3 (115)1 Bedroom • 2 Bedroom • Semi-private • Studioindependent, assisted living, memory care
$4,500 – $7,000+4.5 (97)Semi-private • Studioindependent, assisted living, memory care
