I toured this beautiful, brand-new facility and loved the clean, bright rooms, gardens, dining options and plentiful activities - the staff I met (especially Vanessa and Liza) were professional, personable and knowledgeable. The food, layout and amenities feel high-end, but the community is very expensive. My biggest concerns were frequent management turnover, spotty communication and scheduling, and signs of understaffing in care/memory units (medication mishaps and untrained or stretched caregivers were mentioned). Overall I'd consider it for independent or assisted living for the setting and services, but I would be very cautious about memory care and expect to ask tough questions about staffing and safety before deciding.
Oakmont of Novato is a two-story senior living community made for adults aged 55 and over, with a focus on comfort, wellness, and a sense of belonging, and you'll find the grounds are lush and well-kept, with gardens and nice views all around. Residents can choose from a range of floor plans-studios, suites, one-bedroom, and two-bedroom apartments-spanning from 400 up to about 1,245 square feet, and each unit comes with kitchen appliances, cable or satellite TV, internet, and kitchenettes, while the larger designs let people find a space that feels right for them. This community provides independent living, assisted living, and memory care, supporting seniors who want as much independence as possible as well as those who need daily hands-on help or support with memory loss, and there's a full-time nurse along with trained aides for help with medication, bathing, and getting dressed.
Oakmont of Novato offers personalized care, with services tailored to each person, and staff are known to be attentive and respectful, working round the clock to make residents feel safe and heard, and there's a dedicated wellness center on site too. Memory care is provided in a special section called "Traditions," where people living with dementia or Alzheimer's disease get specialized care, a secure environment to prevent wandering, and cognitive activities to support their abilities. Residents in all parts of the community can join fitness and recreational programs, enjoy an aquatic spa or hot tub, spend time in indoor and outdoor gathering areas, take part in arts, crafts, and other hobbies, and attend devotional or educational programs, and the calendar includes both onsite and offsite activities for social connection.
The dining experience here is a highlight, with a culinary team led by an executive chef preparing quality meals daily, and the kitchen can handle special diets like diabetic, low salt, low fat, and vegetarian, while guest meals and room service are available for visitors. There's a coffee shop on the campus, a private movie theater for events, and common areas with entertainment, and residents can use transportation services for errands, appointments, and shopping nearby, with parking available for those who drive. Housekeeping, laundry, and building maintenance are all provided by staff, so residents have fewer worries about daily chores. Health services cover medication reminders, help with basic health needs, and ongoing support aimed at promoting independence as much as possible, and there's a beautician onsite for grooming.
Oakmont of Novato allows pets, supports English and other languages, and provides caregiver resources for family members. The facility stands out for its friendly, supportive staff and a community atmosphere known for kindness. The campus is near shopping, fine dining, arts, and entertainment, making it easy for residents to stay engaged, and the whole environment is built to offer safety, comfort, and a worry-free lifestyle for residents and their loved ones. Entry fees for assisted living start at $3,500, and the memory care entry fee is $2,000, and the facility is state licensed (number 216804022). Oakmont Senior Living developed the community, and the team aims to provide quality care, comfort, and support so seniors can live as independently and fully as possible.
People often ask...
Oakmont of Novato offers competitive pricing, with rates starting at a cost of $5,595 per month.
Oakmont of Novato offers assisted living and memory care.
There are 26 photos of Oakmont of Novato on Mirador.
The full address for this community is 1465 S Novato Blvd, Novato, CA, 94947.
Yes, Oakmont of Novato 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
127
Inspections
33
Type A Citations
39
Type B Citations
5
Years of reports
24 Mar 2025
24 Mar 2025
Determined that a civil penalty for serious bodily injury was issued due to lack of supervision that led to a resident fall, which caused a subdural hematoma, seizure, and hospitalization.
16 Apr 2025
16 Apr 2025
Found two resident records with outdated physician reports and seven of eight staff lacking current first-aid/CPR certification. Noted emergency/disaster and infection control plans in place, plus adequate food supply with proper labeling, safe water temperatures, functioning fire/smoke detectors and sprinklers, and centrally stored medications.
§ 9058
§ 1569.618(c)(3)
05 Dec 2024
05 Dec 2024
Found the kitchen well stocked with a variety of food, with fresh fruit and snacks readily available for residents. Found that staff may eat leftovers, but there is no conclusive evidence to prove or disprove the allegation that the home ran out of ice cream, milk, beef, and snacks or that staff ate food intended for residents.
14 Nov 2024
14 Nov 2024
Found that a resident eloped on 10/11/2024 after a walk with a companion, was dropped off back in the lobby around 2:00 pm without being checked in, and was later found at 2:28 pm at a nearby neighborhood park with no injuries and was returned.
20 Jun 2024
20 Jun 2024
Found that one staff member physically abused residents, including striking them, grabbing wrists, and holding a resident down by the neck. Multiple staff reported the abuse to management, the staff member was arrested and placed under an immediate exclusion order, and mandated reporting requirements were not fulfilled.
§ 87468.2(a)(8)
29 Aug 2024
29 Aug 2024
Identified abuse by a staff person occurring over two weeks and a written report to the licensing agency not filed within 24 hours, with submission on 4/15/2024.
29 Aug 2024
29 Aug 2024
Identified deficiencies in reporting abuse of residents resulting in a citation from California Department of Social Services.
§ 15630
23 Jul 2024
23 Jul 2024
Found no preponderance of evidence that residents were not receiving adequate food or that meals were of poor quality. Interviews and kitchen observations indicated improvements since onboarding a new chef, and checks showed proper food storage and quality of perishable items.
23 Jul 2024
23 Jul 2024
Confirmed allegations of inadequate food quality were found to be unsubstantiated after interviews, observations, and kitchen tours found improvements made by the new chef. Residents participate in food forums to provide input on menus.
20 Jun 2024
20 Jun 2024
Identified general safety and care practices were in place during an unannounced check, with records reviewed and safety equipment maintained. In the memory care unit, resident bed sheets were wet and there was an incontinence odor.
20 Jun 2024
20 Jun 2024
Identified concerns included unlocked medications in a resident's possession; a resident with a prohibited condition retained; failures to seek timely medical attention; incomplete medical assessments/physician's reports; and an inability to provide pre-appraisals for reviewed resident files, though the 10 files reviewed contained all required documents.
20 Jun 2024
20 Jun 2024
Identified deficiencies related to resident care, facility maintenance, and documentation during the inspection.
§ 87625(b)(3)
28 Mar 2024
28 Mar 2024
Identified mixed results: medication handling largely met expectations with no unlocked medications found in examined units and no evidence of a retained resident with a prohibited health condition; medical assessments, staffing, and food temperatures were in order. Four incident reports were submitted after the seven-day window, and one pre-admission appraisal was missing. No deficiencies were cited.
28 Mar 2024
28 Mar 2024
Identified that staff did not follow the admission agreement by charging an incorrect base rent for August and September, resulting in higher monthly charges than agreed. Found that the notice of a rate increase to the resident's responsible party was not provided prior to 12/8/2023.
28 Mar 2024
28 Mar 2024
Confirmed that staff did not follow admission agreement terms regarding resident's rate increase notice.
§ 1569.657(a)
11 Jan 2024
11 Jan 2024
Found that a resident’s medication ran out, causing missed doses on 10/29 and 10/30. Documentation and phone records showed inconsistent notes about notifying the resident’s representative, with some records indicating no notification until 11/01 despite staff claims of earlier contact.
11 Jan 2024
11 Jan 2024
Confirmed that medication was not administered to a resident on two consecutive days due to the facility running out of the medication. Field that the facility attempted to refill the medication in advance but faced delays from the medical clinic.
§ 87468.1(a)(8)
27 Dec 2023
27 Dec 2023
Identified an incident in which a resident with dementia left the property and was found by local law enforcement around 10 PM, returning the same night. Noted lack of clarity on why staff did not respond to an alert device.
§ 87705(j)
27 Dec 2023
27 Dec 2023
Investigated a vomiting incident and related hospitalization delay, a claim of missing medications due to theft, a claim of self-administration of medications without proper training, and a pressure injury claim; found insufficient evidence to prove or disprove each allegation. No deficiencies were identified.
27 Dec 2023
27 Dec 2023
Found no evidence to support allegations of delayed response to resident illness and medication theft. Blister on resident's foot was addressed and staff training was verified.
09 Nov 2023
09 Nov 2023
Identified two incidents: on 11/03/2023, a resident was found on the floor with an elbow injury after a bump believed to be from another resident who moves quickly for exercise, and the other resident has no history of violence. Reported on 11/08/2023, a missing watch and cash were reported; police were notified, searches found nothing, and the daughter explained items are often misplaced and sometimes pocketed; a physician's report was requested to show no cognitive impairment or dementia if the resident stays.
09 Nov 2023
09 Nov 2023
Reviewed incident reports involving resident injuries and missing items, no deficiencies were found during the visit.
13 Oct 2023
13 Oct 2023
Identified deficiencies across medication management, medical assessments, resident records, staffing, and reporting, including crushing medications without proper physician orders, outdated or incomplete care notes and physician reports, delays in medical attention, insufficient direct-care staff in memory care, and untimely incident reporting.
13 Oct 2023
13 Oct 2023
Found insufficient evidence to prove the allegation that staff violated residents’ personal rights.
13 Oct 2023
13 Oct 2023
Confirmed deficiencies related to medication management, resident care documentation, medical assessments, staffing ratios, reporting requirements, and kitchen storage practices were noted during the inspection.
§ 87211(a)(1)
§ 1569.69(a)(1)
17 Aug 2023
17 Aug 2023
Investigated complaints and found no evidence that staff failed to seek timely medical attention for a resident. Found no evidence that lack of supervision caused the resident’s fracture.
17 Aug 2023
17 Aug 2023
Confirmed lack of evidence for allegations of staff failing to seek medical attention and neglect/lack of supervision, no deficiencies cited during visit.
06 Jul 2023
06 Jul 2023
Identified concerns included delays in obtaining timely medical attention, inadequate direct-care staffing in the memory care unit, improper handling and securing of medications, and missing or incomplete resident medical assessments and care notes. Additional civil penalties were under review.
06 Jul 2023
06 Jul 2023
Identified concerns included inadequate staffing levels, medication errors, and failure to ensure timely medical attention for residents. Multiple areas of non-compliance were found during the inspection.
29 Jun 2023
29 Jun 2023
Found multiple care, staffing, and documentation concerns at the home, including an outdated medical assessment for one resident, care notes not updated since May 2023, and insufficient memory-care direct-care staffing; one staff member worked without fingerprint clearance, resulting in civil penalties. Noted safety measures such as locked medications, functioning smoke and carbon monoxide detectors, and proper storage of perishable foods; an internal investigation into suspected financial abuse was ongoing with updates requested by mid-July.
29 Jun 2023
29 Jun 2023
Identified deficiencies in care, reporting, staffing, and security during an inspection.
§ 87355(e)
§ 87458(a)
§ 87303(a)(1)
01 Jun 2023
01 Jun 2023
Identified missing personal property for a former resident, with no inventory or waiver produced, and failure to follow loss procedures when glasses and hearing aids went missing; deficiencies were cited.
§ 87218(a)(1)
§ 87208(a)
01 Jun 2023
01 Jun 2023
Found that a resident's personal belongings were lost while in care, and how they disappeared could not be determined from interviews and notes. Identified that a refund of prepaid fees was issued within 15 days after personal property was removed.
01 Jun 2023
01 Jun 2023
Reviewed allegations of lost personal belongings and improper investigation; not enough evidence to prove or disprove the claims. Confirmed violation regarding delayed refund issuance after a resident's notice of move-out, resulting in citations under specific health and safety regulations.
§ 1569.652(c)
16 May 2023
16 May 2023
Identified an alleged case of physical abuse between two residents after a dinner incident, with records showing one resident had combative episodes and related medication changes. Law enforcement could not obtain sufficient evidence to pursue charges, and no deficiencies were found.
16 May 2023
16 May 2023
Investigated a suspected incident of physical abuse between residents resulting in one resident being relocated to another community.
06 Apr 2023
06 Apr 2023
Identified multiple safety and care concerns at the site, including past medication storage issues and a medication error, a prohibited-condition incident, and staffing shortages in memory care; noted missing pre-appraisals for reviewed resident files and a 3/31/23 incident between a staff member and a resident that requires further investigation before a final determination.
28 Apr 2023
28 Apr 2023
Amended case management records after an unannounced visit, with the amended materials left at the site.
28 Apr 2023
28 Apr 2023
Reviewed the medication and fall allegations; information on dates and medication names for the medication issue was incomplete, and there was a delay in obtaining the medication. Found no clear link between falls and lack of supervision, with high‑risk residents on fall management programs and care notes showing appropriate responses; overall, evidence did not prove or disprove the allegations.
28 Apr 2023
28 Apr 2023
Found insufficient evidence to prove or disprove medication and supervision allegations made against the facility.
01 Mar 2023
01 Mar 2023
Found that the allegation that staff did not prevent television noise from disturbing another resident's sleep was supported. The issue involved adjoining living spaces and concerns about monitoring TV volume after a new roommate joined one unit.
06 Apr 2023
06 Apr 2023
Identified deficiencies regarding medication administration, staffing levels, reporting requirements, and a suspected physical abuse incident during an inspection at a residential care facility for the elderly.
§ 87465(a)(5)
03 Apr 2023
03 Apr 2023
Found no deficiencies or citations after an unannounced visit; met with the administrator, spoke with residents and staff about TV volume, and observed residents in common areas while the home remained clean and comfortable.
03 Apr 2023
03 Apr 2023
Inspection of the facility concluded with no deficiencies or citations identified. Residents and staff were found to be enjoying the common areas during the visit.
21 Mar 2023
21 Mar 2023
Found that a resident with dementia who requires two-person assistance was observed in a neglected state with unexplained injuries and dirty conditions, and that the preponderance of evidence supports this finding. Found that the allegation that some falls went unreported could not be proven due to insufficient details from the complainant.
§ 87464(f)(1)
21 Mar 2023
21 Mar 2023
Identified that two residents displayed aggressive behavior toward one another during care; most incidents were reported as required with two not reported, and the allegations are unsubstantiated.
21 Mar 2023
21 Mar 2023
Found that allegations of aggressive behavior between residents were addressed in care plans and documented by staff, but lack of evidence to prove allegations true. No citations issued.
01 Mar 2023
01 Mar 2023
Identified three self-reported incidents: two aggressive-behavior events by one resident and one medication administration issue affecting another resident; staff intervened in all cases. No deficiencies found.
01 Mar 2023
01 Mar 2023
Found that staff did not address a complaint about TV volume disturbing a resident's sleep.
§ 87468.1(a)(3)
24 Jan 2023
24 Jan 2023
Found follow-up on a complaint alleging case management issues; staff training documentation was obtained, and a prior file was amended to include the administrator's name.
12 Jan 2023
12 Jan 2023
Found that there was a designated responsible person for the resident. A flu shot clinic conducted by an outside vendor on the premises on 10/27/2022 resulted in the resident receiving a vaccine, despite the designated responsible person declining consent.
24 Jan 2023
24 Jan 2023
Confirmed documentation of required staff training and corrected omission of Administrator's name on a prior report. No citations issued during follow-up visit.
19 Jan 2023
19 Jan 2023
Found the memory care area clean and orderly, with secure toxin storage, a comfortable temperature, and safe outdoor spaces; staffing was adequate. Reviewed eight resident files as complete and up to date, confirmed all staff were fingerprinted, and noted a follow-up on a medication error from 11/25/2022 in which the staff member recognized the error and contacted the physician and family.
19 Jan 2023
19 Jan 2023
Inspection found a clean and orderly facility, adequate staffing, secure storage of toxins, and up-to-date resident files. An incident report was followed up on during the inspection.
§ 80075(b)
12 Jan 2023
12 Jan 2023
Identified a safety issue when a bottle of nail polish remover was unsecured in a Memory Care bathroom. Cited deficiencies for not meeting regulatory requirements, with appeal rights explained.
§
12 Jan 2023
12 Jan 2023
Substantiated allegation that a vaccine was administered without consent, resulting in cited deficiencies.
§ 87468.1(a)(8)
22 Dec 2022
22 Dec 2022
Found that a resident sustained multiple injuries from a fall during a transfer when a caregiver transferred the resident by themselves. Noted that the allegation that the administrator did not report an unusual incident could not be proven; observed a white substance on a beer keg not identified as mold, and identified uncleared adults providing care and staff not fingerprinted.
22 Dec 2022
22 Dec 2022
Identified one staff member not fingerprinted and three cleared but not associated; $400 in immediate civil penalties assessed.
§ 87411
22 Dec 2022
22 Dec 2022
Identified that staff did not follow the resident's care plan for grooming tasks and CPAP use, resulting in 14 missed breathing treatments due to missing parts. Found that staff were unaware of a fall-management program and failed to prompt medical evaluation after a fall, contributing to a seizure and hospital transfer; the nighttime clothing allegation had insufficient evidence.
§ 87465(a)(2)
22 Dec 2022
22 Dec 2022
Confirmed multiple injuries sustained by a resident during a transfer, observed issues with uncleared staff, and noted a possible mold problem.
§ 87411(a)
22 Dec 2022
22 Dec 2022
Found deficiencies in care related to falls, clothing, and medical device assistance.
§ 9058
15 Nov 2022
15 Nov 2022
Determined that the resident's records were released to the authorized party after confirming the legal representative's authority. Determined that there is insufficient evidence to prove the specific allegation that records were not provided.
15 Nov 2022
15 Nov 2022
Confirmed that the allegation regarding the facility not providing resident's records to the responsible party was unsubstantiated.
20 Oct 2022
20 Oct 2022
Found the building clean and in good repair; residents were dining with staff assisting. Identified deficiencies including incomplete medical assessments for four of six residents; medications were stored securely with no errors since 6/14/2022, and perishable foods were stored properly with temperatures within regulation.
20 Oct 2022
20 Oct 2022
Identified deficiencies related to incomplete medical assessments and lack of staff training on food handling and storing during the inspection.
§ 87458(a)
29 Sept 2022
29 Sept 2022
Investigated complaints found that staff did not assist a resident with hygiene needs; did not ensure the resident's bathroom was sanitary; and did not follow the admission agreement. Additional concerns were identified about CPAP care, alarm monitoring, and adherence to care plans.
29 Sept 2022
29 Sept 2022
Identified that one resident fell on 7/22/2022 and was sent to the ER, with the incident report not submitted to the department until 8/3/2022, and that another resident refused medication on 8/3/2022 and this was not reported. Conducted an exit interview and provided an appeal of rights.
§ 87211
29 Sept 2022
29 Sept 2022
Confirmed deficiencies in following resident care plans, responding to alarms, and dispensing medication.
§ 87411(a)
§ 87465(c)(2)
§ 87468.1(2)
25 Aug 2022
25 Aug 2022
Identified that leadership discussed non-compliance reporting requirements and the importance of timely incident reporting during a virtual meeting. Noted that civil penalties are under review for two complaints, and no deficiencies were cited.
25 Aug 2022
25 Aug 2022
Confirmed no deficiencies cited, under review for civil penalties related to substantiated complaint.
03 Aug 2022
03 Aug 2022
Identified an elopement of a resident with dementia who left the premises and was located by staff; deficiencies were cited and the resident was moving out.
03 Aug 2022
03 Aug 2022
Confirmed deficiencies were identified during a case management visit regarding an incident report involving a resident with dementia who eloped from the facility.
§ 87705(b)(2)
21 Jul 2022
21 Jul 2022
Found no deficiencies cited; infection control measures were in place, and resident records and medications were reviewed. Several documents were requested by 07/28/2022.
21 Jul 2022
21 Jul 2022
Identified no deficiencies during inspection of the facility.
14 Jun 2022
14 Jun 2022
Identified issues included unlocked medications, a resident with a prohibited condition, delays in medical attention, incomplete medical assessments, missing pre-appraisals for resident records, staffing shortages in memory care, food service concerns, and reporting lapses. Finding no deficiencies cited at this time, civil penalties remain under review.
14 Jun 2022
14 Jun 2022
Identified concerns included medication storage, prohibited conditions, timely medical attention, incomplete medical assessments, resident record pre-appraisals, staffing levels, food services, and reporting requirements.
26 May 2022
26 May 2022
Found that the allegation that staff did not assist with incontinence care could not be proven. No deficiencies were cited.
26 May 2022
26 May 2022
Found that during a COVID outbreak, memory care residents were isolated per health guidance, and the investigation could not prove whether staff restrained a resident or failed to follow that resident's fall-risk care plan.
26 May 2022
26 May 2022
Found that a resident lacked a Home Health plan of care as required by regulations. Noted that an appeal of rights was given.
26 May 2022
26 May 2022
Found that proper COVID-19 protocol was not followed during a January–February 2022 outbreak, including dining room operation, visitor access, testing, and isolation/quarantine practices at the home.
§ 87468.1(a)(2)
26 May 2022
26 May 2022
Identified that staff did not adequately supervise the resident resulting in a fall, and that the resident was financially exploited. Issued civil penalties of $250 due to repeat violations, and noted that care plans were not followed, staff training was insufficient, and personal property was not safeguarded.
§ 87217(b)
§ 1669.625(b)
§ 87465(a)(2)
26 May 2022
26 May 2022
Investigated the allegations that there was no one in charge after hours or on weekends, that the activity schedule was not provided timely, and that staff did not respond to assist in a timely manner. Found gaps in after-hours leadership and response times, possible delays in updating the activity calendar, noted a COVID-19 outbreak in January–February 2022, and that civil penalties were assessed.
§ 87464(d)
26 May 2022
26 May 2022
Investigated complaints of staff not following a resident's care plan and restraining residents during a COVID outbreak; both allegations were unsubstantiated due to insufficient evidence.
26 Apr 2022
26 Apr 2022
Identified that medications ordered by a physician were not administered as directed, the resident had multiple falls, the fall-prevention plan required by the 07/01/21 care plan was not developed until 03/18/22, and several medical tests ordered in November 2021 were not provided until February 2022.
Identified additional concerns about hydration/food management, clothing and personal property inventory, and incident reporting, with some items supported by records and others not.
§ 87465(a)(1)
§ 87464(d)
§ 87465(c)(2)
26 Apr 2022
26 Apr 2022
Allegations of medication errors, delayed fall prevention plan, and delayed medical tests were confirmed. Breathing machine assistance and lack of clothing inventory were inconclusive.
§
06 Apr 2022
06 Apr 2022
Found fire clearance approved and overall readiness to care for residents. Noted missing required postings and hot water temperature outside the allowed range in two bathrooms; no deficiencies were cited.
06 Apr 2022
06 Apr 2022
Reviewed inspection revealed compliance with regulations, with no deficiencies noted.
10 Mar 2022
10 Mar 2022
Identified cleanliness problems, glove shortages, and records accessibility issues in this home. Understaffing contributed to delays in call responses and unmet resident needs, and civil penalties were issued for repeat violations.
10 Mar 2022
10 Mar 2022
Identified several deficiencies at the home, including unclean resident rooms, a resident lacking TB clearance, agency staff not properly fingerprint-cleared or associated, and unlocked medications. Civil penalties were issued and appeal rights were provided.
10 Mar 2022
10 Mar 2022
Found deficiencies in cleanliness, staff documentation, medication management, and staffing in the facility. Civil penalties were assessed for repeat citations and staff issues. Total penalties issued.
§ 87468.1
§ 87411(a)
§ 87464(d)
03 Mar 2022
03 Mar 2022
Investigated a complaint and identified deficiencies, including dirty rooms after accidents, missing TB clearance, and incomplete staff training records, with agency staff not properly associated or fingerprinted. Follow-up was needed for two residents’ medical issues and to confirm how many residents are in hospice.
03 Mar 2022
03 Mar 2022
Identified deficiencies in cleanliness and staff compliance during an inspection.
§ 1569.17(b)
§
§ 87705(f)(2)
01 Mar 2022
01 Mar 2022
Completed COMP II via telephone, verified identities of applicant and administrator by photo ID, and confirmed understanding of licensing, resident populations, staff qualifications, program policies (including abuse, admissions, medication management, and incident reporting), grievances and community resources, physical plant and food service, and required application documents.
01 Mar 2022
01 Mar 2022
Confirmed successful completion of required components during a phone call related to facility operations, staff qualifications, program policies, and application document review.
11 Feb 2022
11 Feb 2022
Identified ongoing concerns about staffing levels, staff training, residents' care needs, and communication with residents and their responsible parties, with 13 complaints filed since licensure on 10/14/2020. No deficiencies were cited at this time.
11 Feb 2022
11 Feb 2022
Confirmed concerns regarding staffing, training, resident care, and communication with residents and their families. Multiple complaints were received, some of which were substantiated. Follow-up meeting requested for July 2022.
07 Feb 2022
07 Feb 2022
Identified health and safety deficiencies, including a fire extinguisher last charged in 2021, incomplete staff training records, and a medication error on 12/31/2021 that required emergency care for a resident. A civil penalty of $250 was assessed for repeat violations within 12 months.
07 Feb 2022
07 Feb 2022
Confirmed deficiencies in various areas of the facility during an inspection conducted by the California Department of Social Services.
22 Dec 2021
22 Dec 2021
Identified that residents' needs were not being met and that staff training was insufficient, with care tasks performed by non-licensed staff and gaps in required training.
§ 87411(c)(1)
§ 1569.625(b)
§ 87411(a)
§ 1569.69
22 Dec 2021
22 Dec 2021
Found that two of four residents had care notes describing barrier cream application to buttocks and routine cleaning.
Reviewed incident reports and SOC 341s; noted staff statements about wound care, insulin administration, and catheter bag changes done without proper training, and that the department requested the SOC 341 investigation for one resident, with exit rights provided.
22 Dec 2021
22 Dec 2021
Confirmed that resident needs were not adequately met, and staff lacked necessary training, resulting in civil penalties.
14 Dec 2021
14 Dec 2021
Investigated the allegation that a resident was unlawfully evicted while in care. Documentation and interviews showed a July 2021 care plan update addressing the resident’s needs with outside provider services, and no later change of condition occurred before the September eviction.
§ 87224(a)
14 Dec 2021
14 Dec 2021
Identified deficiencies included not completing an annual dementia medical assessment and reappraisal; not following doctor’s orders and MARs for repositioning every two hours and diaper changes, with delays and an unauthorized discontinuation; not submitting required incident reports after falls and worsening wounds; and not reporting medication refusals for another resident.
§ 87705(c)(5)
§ 87411(a)
§ 87211
14 Dec 2021
14 Dec 2021
Identified that staff did not respond to a resident’s pendant in a timely manner, causing the resident’s needs not to be met.
§ 87468.1
14 Dec 2021
14 Dec 2021
Identified that the alarm system was in disrepair and calls were frequently not answered, including a pager with a dead battery and another not registering. Identified that staff did not seek timely medical care for a resident after falls and worsening wounds, with no ER visits or incident reports filed.
§ 87464(d)
§ 87465(g)
§ 87303(a)
14 Dec 2021
14 Dec 2021
Found insufficient evidence to prove the allegation that residents' hygiene needs were not met resulting in a pressure injury, and that food service was inadequate. Found no deficiencies cited.
14 Dec 2021
14 Dec 2021
Identified deficiencies related to resident care and medication administration during a recent visit.
§ 87465(a)(5)
§ 1569.625(b)
21 Oct 2021
21 Oct 2021
Found that a resident with dementia left unassisted from the residence on 10/4/2021 at 2:30 PM and returned unharmed around 4 PM, despite not being allowed to leave unassisted. Noted that roam alerts and a concierge list were used to prevent elopement, staff had elopement training, and an appeal of rights was provided.
21 Oct 2021
21 Oct 2021
Confirmed resident left the facility unassisted, against medical orders, and was not properly monitored upon return.
§ 87613
30 Sept 2021
30 Sept 2021
Investigated a case-management visit to obtain information about an incident and a suspected abuse; questions were asked, a resident was observed, and additional documentation and staff training/background-check materials were requested. Found no deficiencies cited.
30 Sept 2021
30 Sept 2021
Found no deficiencies during the visit and requested additional information regarding incident reports and training for staff.
§ 87705(b)(2)
23 Sept 2021
23 Sept 2021
Conducted an unannounced case-management visit with the Health & Wellness Director to obtain additional information about a suspected abuse and incident report. Found no deficiencies cited.
23 Sept 2021
23 Sept 2021
No deficiencies were cited during the visit, and additional information was requested regarding a suspected abuse and incident report.
26 Aug 2021
26 Aug 2021
Identified issues including improperly stored food with containers partially uncovered and a fire extinguisher needing recharge, while smoke and carbon monoxide detectors were operating and staff wore PPE. Civil penalties of $250 were assessed for a repeat deficiency, and several administrator-related documents were requested by 9/2/2021, with visitors allowed and infection-control measures in place.
26 Aug 2021
26 Aug 2021
Inspection identified deficiencies in cleanliness, food storage, and temperature control. Covid-19 safety measures and staff training were noted, and civil penalties were issued for repeat violations.
02 Jul 2021
02 Jul 2021
Identified issues included unlocked medications kept in residents’ possession and not stored or dispensed per physician orders; retention of a resident with a prohibited condition; and failure to seek timely medical attention. Additional concerns included incomplete medical assessments, missing or incomplete resident files, inadequate direct-care staffing in memory care, and improper storage/handling of perishable foods.
02 Jul 2021
02 Jul 2021
Identified concerns regarding medication management, prohibited conditions, timely medical attention, resident records, staffing, and food services during a recent inspection.
§ 87555(b)(23)
18 Jun 2021
18 Jun 2021
Identified multiple deficiencies, including missing pre-assessments, incomplete physician assessments, unlocked medications in bathrooms, improper food storage in refrigerators, and hot-water temperatures outside safe ranges in several bathrooms. Rights were provided and a follow-up meeting was scheduled to discuss concerns.
§ 87458(c)
§ 87303(e)(2)
§ 87705(f)(2)
§ 87555(b)(23)
§ 87506(b)(15)
18 Jun 2021
18 Jun 2021
Cited deficiencies included lack of assessments, incomplete physician assessments, improper medication storage, food handling issues, and unsafe water temperatures. A meeting was scheduled to address these concerns.
17 Jun 2021
17 Jun 2021
Identified that a resident with a prohibited condition was retained and that timely medical care was not sought, leading to a worsening wound and death.
§ 87465(g)
§ 87615(a)
17 Jun 2021
17 Jun 2021
Identified several concerns during a visit to the site, including hot water temperatures outside the allowed range in several bathrooms, unlocked medications found in residents' bathrooms, incomplete medical assessments for some residents, and improper food storage.
17 Jun 2021
17 Jun 2021
Confirmed that a resident with a prohibited condition was retained and timely medical attention was not sought, resulting in civil penalties being assessed.
26 Feb 2021
26 Feb 2021
Identified that staff did not administer medications as prescribed, including an insulin dose for a resident not matching orders. Also found a prescribed sleep medication given twice in one night and medications not entered into the Central Stored Medication Form.
26 Feb 2021
26 Feb 2021
Confirmed: Staff did not administer medications as prescribed by the doctor for two residents.
12 Oct 2020
12 Oct 2020
Found fire clearance approved for 110 non-ambulatory and eight bedridden residents on the first floor. Observed a two-story home in good repair with comfortable temperatures, a designated resident phone line, secured toxins and sharps, posted menus and activity calendars, and private bathrooms in all resident rooms, with memory-care and assisted-living areas prepared for activities and PPE supplies in place; no deficiencies noted and readiness for licensure identified.
12 Oct 2020
12 Oct 2020
Found no deficiencies during the inspection, facility is cleared for licensure.
§ 87465(a)(5)
16 Apr 2020
16 Apr 2020
Confirmed understanding of Title 22 requirements including staff qualifications, program policies, physical plant, and application document review during the inspection.
