Oakland Heights Senior Living

    2361 E 29th St, Oakland, CA, 94606
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing

    Pricing

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    Amenities

    Healthcare services

    • Accept incoming residents on hospice
    • Activities of daily living assistance
    • Administer insulin injections
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Diabetes care
    • Hospice waiver
    • Medication management
    • Mental wellness program
    • Physical therapy
    • Rehabilitation program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision
    • Same day assessments

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Care with behavioral issues
    • Dementia waiver
    • Mild cognitive impairment
    • Parkinson's care
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Family education and support services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Continuing learning programs
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.20 · 250 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.3
    • Meals

      3.9
    • Amenities

      3.9
    • Value

      2.8

    Location

    Map showing location of Oakland Heights Senior Living

    About Oakland Heights Senior Living

    Oakland Heights Senior Living sits near downtown Oakland and the Robert W. Crown Memorial State Beach, and you'll find California stucco buildings with red tile roofs, mature palm trees, and flowering gardens tucked inside a safe, gated community that's laid out all on one story, so it's easy to get around. The facility offers a full range of care, so folks who want independence can choose from cottages and condos in studio, one, two, three, or even four-bedroom layouts, with full kitchens, private bathrooms, and the choice of moving into furnished or unfurnished spaces, and there's always help with moving in if it's needed. For those needing more help, the assisted living services cover things like dressing, bathing, mobility, and other day-to-day activities, and the units have wide-open floor plans and wheelchair-accessible showers to make things simpler.

    Memory Care is available in private apartments and shared community spaces designed so residents with Alzheimer's or dementia can feel confident and more independent; caregivers are always there around the clock for help as needed. People can bring their cats and dogs, since pets are welcome, and everyone's got their own controls for heat and air conditioning. There's weekly housekeeping, laundry, and linen service, trash removal, and all the utilities are included in the rent, so there's no need to fuss with bills. Each apartment comes with a private bathroom and emergency alert system, and every part of the community is smoke-free, with a 24-hour security system as well.

    The community takes pride in having helpful, friendly staff and nurses, a team that does its best to make this feel like home, and there's another care wing called Dimond Care for even more hands-on help. Residents can join in activities from art classes to movie nights in the on-site theater, relax in the library with big, comfy chairs, use the exercise room with modern machines, or enjoy coffee and baked goods in the Bistro. Open dining rooms serve meals all day, and there are sunrooms and media rooms for visiting or quiet time while looking out over the landscaping.

    Programs let residents age in place, so moving to a new location isn't needed if care needs change, and support's available to both individuals and couples. Skilled nursing and rehabilitation services round out the health care options. Oakland Heights keeps a positive environment for both residents and staff, offering career advancement, continuing education, and other employee perks, with the goal of keeping a steady, dedicated team in place. The grounds feature easy access to the 880 freeway, and tours with complimentary meals are available so people can get a feel for daily life. Oakland Heights Senior Living's been recognized by Assisted Living Magazine as one of the best in Oakland, but more than anything, the goal is to give seniors a safe, comfortable, and friendly place to live with as much support or independence as each person wants.

    People often ask...

    State of California Inspection Reports

    141

    Inspections

    11

    Type A Citations

    37

    Type B Citations

    6

    Years of reports

    06 Aug 2025
    Reviewed pest control documents for the past six months, detailing the scope of work, treatments, and locations, with a deadline of 8/07/25. Found no deficiencies; exit interview conducted.
    • § 9058
    24 Jul 2025
    Identified illegal eviction as the allegation; the eviction notice was invalid because it did not itemize the $24,751.51 balance.
    • § 1569.269(a)(22)
    24 Jul 2025
    Found that the allegation that the hospital system would not pay the resident’s first month’s rent and community fee, and that a 30-day notice to quit was issued, was not supported by the evidence.
    24 Jul 2025
    Conducted an unannounced case management visit at a care setting; requested submission of all 2025 invoices related to bug bed treatment by 7/30/25; exit interview completed.
    24 Jul 2025
    Determined wrongful eviction occurred when a resident was issued a 30-day notice for nonpayment after becoming SSI-eligible, since they must be charged only the SSI/SSP rate.
    01 May 2025
    Investigated wrongful eviction; found no eviction notices issued and that staff communicated with the resident's guardian about resources, with no deficiencies issued.
    02 Jul 2025
    Found ongoing bed bug issues in a resident’s apartment, with weekly pest-control visits and on-site maintenance addressing problems as they arise. Found insufficient evidence to prove the allegation that staff did not keep the space pest-free or charged the resident for pest treatment.
    25 Jun 2025
    Found no deficiencies after an unannounced 1-year inspection, with safety systems functioning and records complete. Noted adequate lighting and temperatures, bathrooms with grab bars and non-slip mats, secured medications, working smoke and carbon monoxide detectors, a recent disaster drill, and sufficient food supplies.
    • § 9058
    05 Jun 2025
    Found that the specific allegation that staff did not keep the area free of rodents could not be proven. A sliding glass door was hard to operate, and pest control had inspected and set glue traps, with no rodents observed during the visit.
    19 May 2025
    Investigated allegation that staff allowed residents to smoke indoors; found no evidence to support the claim.
    01 May 2025
    Investigated wrongful eviction allegation; found no eviction notices issued and noted confusion about the resident’s finances and resources, with staff actively trying to coordinate with the guardian and ombudsman.
    01 May 2025
    Identified that on March 17, 2025, an inquirer was given incorrect information about a regulatory notice; reviewed guidance to clarify how SSI status after admission affects residents. No deficiencies issued; exit interview conducted.
    27 Mar 2025
    Found insufficient evidence to prove the unlawful eviction, temperature issues in the memory care unit, or retaliation by staff.
    21 Nov 2024
    Investigated the allegation that staff stole a resident’s valuables and found no evidence to prove the theft occurred. Found multiple walkers in the resident’s apartment, with the resident denying misplacing them.
    21 Nov 2024
    Found no evidence to support the cigarette odor allegation. Observed a reminder about smoking off-site posted in the independent living area.
    08 Nov 2024
    Found the allegation that staff did not follow the bed bug payment clause in the admissions agreement to be unsubstantiated.
    08 Nov 2024
    Found that a resident’s unit had an ongoing bed bug infestation and that residents were pressured to sign an addendum agreeing to pay for pest treatments or face eviction.
    • § 87303(a)
    • § 87468.1
    08 Nov 2024
    Reviewed a bed bug addendum to the admissions agreement during a case management visit and found it not in compliance with regulations. Deficiencies were identified.
    24 Oct 2024
    Identified that the site advertised independent renters aged 55 and older on its website, a change to the plan of operation without approval, and a deficiency was cited.
    23 Aug 2024
    Found that the complaint alleging staff did not keep walkways in good repair was unfounded; sidewalks on the independent side were in good repair.
    23 Aug 2024
    Found the pest allegation unsubstantiated. No pests were observed in the Independent Living building, and routine pest control and maintenance were in place.
    23 Aug 2024
    Investigated the allegation of pests and found it unsubstantiated, as no pests were observed and routine pest management services were in place.
    • § 9058
    16 Jul 2024
    Found two deficiencies: hot water in the hallway bathroom measured 147.2 degrees Fahrenheit, and several days’ worth of medications were pre-poured in a drawer in the med room.
    • § 87303(2)
    • § 87465(h)(5)
    16 Jul 2024
    Identified deficiencies in medication storage and hot water temperature during the inspection.
    19 Jun 2024
    Found that the allegation that staff unlawfully evicted a resident was unfounded. The eviction letter and related steps were compliant with regulations.
    19 Jun 2024
    Investigated unlawful eviction allegation; complaint false.
    • § 87464(e)
    30 Apr 2024
    Investigated the allegation of neglect of physical care and found it unsubstantiated. Interviews with staff noted the resident sometimes refused services, but care was managed and medication was taken as prescribed.
    30 Apr 2024
    Investigated an allegation of neglect in care for a resident with schizophrenia and found no sufficient evidence to support the claim, deeming it unsubstantiated.
    04 Apr 2024
    Investigated the allegation of unexplained bruises from suspected abuse, the allegation of neglect resulting in severe dehydration, the allegation of lack of supervision resulting in multiple fractures, and the allegation that staff did not observe a change in condition. Found insufficient evidence to prove each stated allegation.
    04 Apr 2024
    Investigated allegations of resident abuse and neglect, including unexplained bruises, dehydration, multiple fractures, and failure to observe changes in condition; determined there was insufficient evidence to prove or disprove these claims.
    20 Dec 2023
    Investigated the allegation of illegal eviction and found there was not enough evidence to prove or disprove it. The notice to quit issued on 8/16/23 met guidelines; the resident’s POA at that time was the son, back rent was overdue, and on 9/8/23 a public guardian replaced the POA while the notice to quit was put on hold.
    20 Dec 2023
    Found that the elevator disrepair allegation and the pest-control allegation were not supported by evidence, and that the refundable agreement allegation was unfounded.
    20 Dec 2023
    Investigated an allegation of illegal eviction; determined the allegation to be unsubstantiated, with insufficient evidence to confirm if a violation occurred.
    08 Sept 2023
    Found the complaint alleging lack of supervision resulting in resident-on-resident altercations to be unsubstantiated. Lunch service observed with about 50 residents, 4 servers, and 1 care staff showed no incidents, with most residents reporting no altercations, though one resident heard occasional raised voices.
    08 Sept 2023
    Investigated a complaint regarding lack of supervision leading to resident altercations during meal times; found the claim unsubstantiated as there was insufficient evidence to support or refute the allegation.
    29 Aug 2023
    Investigated the allegation that staff did not prevent bed bugs in a resident's room and found no evidence to prove it.
    29 Aug 2023
    Investigated the allegation that staff failed to prevent bed bugs in a resident's room; however, insufficient evidence was found to support this claim.
    25 Aug 2023
    Found no evidence to support the three allegations: disrepair, residents left in soiled diapers for an extended period, and staff not cleaning residents' rooms.
    25 Aug 2023
    Confirmed allegations of facility being in disrepair, residents left in soiled diapers, and staff not cleaning residents' rooms were unsubstantiated.
    10 Aug 2023
    Investigated complaints alleging staff failed to change residents’ diapers in a timely manner, failed to reposition a resident, weight loss, an inoperable elevator, and a resident’s bruise from a fall; found not enough evidence to prove these allegations.
    10 Aug 2023
    Investigated complaints. Some allegations could not be proven. Weight loss, elevator issue, and resident bruise discussed.
    02 Aug 2023
    Found that the allegations that the garage gate was not operational, that the original residence damaged by flooding had not been fixed, and that the main gate was not operational were unsubstantantiated.
    02 Aug 2023
    Found no evidence to support the bed bug allegation in Unit 115; no bed bugs were observed during the investigation and the resident reported no ongoing bites.
    02 Aug 2023
    Investigated a complaint about pests in a unit; found no evidence of bed bugs, and the resident reported no further issues.
    13 Jul 2023
    Found no deficiencies; hot water was 118.5 F in the hallway bathroom, refrigerator 38 F, medications secured in the locked med room, smoke detectors interconnected with the sprinkler system, carbon monoxide detector present, first-aid kit complete, and fire extinguisher last serviced on 5/26/23. Adequate food supplies for seven days non-perishable and two days perishable, no accessible bodies of water, and indoor and outdoor passageways free of obstruction.
    13 Jul 2023
    Found fire clearance approved for 197 residents (166 non-ambulatory, 10 bedridden); 5 staff records and 5 resident records were reviewed; no deficiencies cited.
    13 Jul 2023
    Conducted a Health & Safety inspection following a priority 1 complaint. No deficiencies were cited during the visit.
    12 May 2023
    Found insufficient evidence to prove mold or an unsafe, uncomfortable environment existed for residents.
    12 May 2023
    Investigated the allegation of mold and failure to provide a safe and comfortable environment for residents and found it unsubstantiated due to a lack of sufficient evidence.
    • § 87208(a)
    24 Feb 2023
    Found staff files unavailable during a complaint investigation, with a deficiency noted for not submitting required documentation by the deadline. The issue was discussed with staff and an exit interview followed.
    24 Feb 2023
    Investigated allegations of short staffing, unsanitary conditions, pests, lack of regular fire drills, and a resident smoking indoors. Found evidence in interviews and records of staffing gaps, pest presence in storage and food areas, outdated or missing fire drill records, and sanitation concerns.
    24 Feb 2023
    Investigated allegations about resident care, including slow call-button responses, a resident left on the floor for an extended period, not following the admission agreement, inadequate room heating, and restricted visitations during COVID-19. Found evidence supporting call-button delays and visitation restrictions, while the other allegations did not have enough evidence to prove them.
    24 Feb 2023
    Confirmed that the allegations of extended response times to call buttons and inadequate heating were unsubstantiated.
    15 Feb 2023
    Found that the allegation regarding an out-of-order washing machine on the independent living side and missing repair records was accurate.
    15 Feb 2023
    Confirmed a washing machine was out of order during the inspection.
    19 Jan 2023
    Identified pests, including roaches, in the kitchen, elevator, and bathrooms, with a documented nine-month history of pest activity.
    19 Jan 2023
    Confirmed presence of pests in various areas and cited for corrective action.
    17 Jan 2023
    Found rodent-related allegations unsubstantiated.
    17 Jan 2023
    Investigated concerns about a resident's death, medication handling, personal rights, notification of condition changes, language barriers, and unwitnessed falls; determined the allegations could not be proven.
    17 Jan 2023
    Investigated allegations of rodent activity in the kitchen, reviewed pest control records, and interviewed staff, finding no evidence of rodents present.
    28 Dec 2022
    Investigated a prior complaint alleging that requested resident records were not provided by the deadline and identified a deficiency.
    • § 87755
    28 Dec 2022
    Determined, through interviews and record reviews, that the allegation that staff did not seek emergency medical services after a resident’s fall could not be proven. Found no proven violations related to supervision or response to falls after reviewing records and speaking with staff and witnesses.
    28 Dec 2022
    Confirmed allegations of staff failing to seek timely medical attention for a resident after a fall. Staff did not call emergency services in a timely manner.
    13 Dec 2022
    Found that on 12/13/22, one resident from another care setting was living at the location; the transition was smooth and the resident felt safe and comfortable. Supplies were adequate, staffing stable, and there were no imminent health or safety concerns.
    13 Dec 2022
    Visited assisted living facility, all residents from another facility are safe and comfortable in new surroundings. No health or safety concerns identified.
    29 Nov 2022
    Found that the allegation that staff were not aware of the resident's DNR status was unfounded.
    29 Nov 2022
    Found a bed bug treatment plan in place with rooms actively treated and belongings moved as needed. Reported showers were provided regularly to the resident, though sometimes refused; shower rooms were generally clean, with one room having a faint urine odor; staff wore gloves; pendent calls were answered within 15 minutes and logged; end-of-shift notes indicated regular incontinence care.
    29 Nov 2022
    Investigated an allegation that staff was unaware of a resident's DNR status, and found it unfounded, as evidence showed the staff was aware and acted appropriately.
    13 Oct 2022
    Found that the allegations of financial abuse, blocking all phone calls from the resident's immediate family, and failing to communicate with the resident's power of attorney were unfounded.
    13 Oct 2022
    Investigated allegations of financial abuse and obstructed family communication, found them to be unfounded.
    30 Aug 2022
    Investigated three allegations: staff member lacking qualifications, inadequate supervision of residents, and disrepair of kitchen equipment. Found that the former administrator's certificate expired and was not renewed, a new administrator assumed duties in March 2022, and there was no active certified administrator in January–February 2022; observed wander-guard wristbands on residents and adequate staffing, and noted some broken kitchen equipment with replacements in progress and no impact on daily operations.
    30 Aug 2022
    Found no active certified administrator in January and February 2022, with a new administrator assuming duties on March 1, 2022. Found ongoing key fob door access issues not promptly repaired, a resident transport incident where the resident declined a doctor visit due to elevator unavailability, and that fire alarms were not found to be in disrepair after a passed inspection while trash disposal was managed with scheduled bulk pickups and cleaned areas.
    30 Aug 2022
    Confirmed lack of qualifications for former staff member but did not find evidence of inadequate resident supervision or facility disrepair.
    25 Jul 2022
    Found that call button responses were sometimes slow, with times up to 51 minutes, and that medication management began after a hospital discharge. Noted that the alert system was down due to wifi problems but pendants still sent alerts, and staffing levels appeared adequate on the schedules.
    25 Jul 2022
    Reviewed allegations regarding staff response times to call buttons and malfunctioning call systems; identified no preponderance of evidence to support these claims. Investigated medication management and staffing concerns; confirmed delays in response times due to system issues.
    01 Jul 2022
    Found no deficiencies after the health and safety review; medications were securely stored, smoke detectors were interconnected with the sprinkler system, carbon monoxide detectors were present, the first-aid kit was complete, the fire extinguisher was serviced, and food supplies were adequate with walkways unobstructed.
    01 Jul 2022
    No deficiencies cited during the visit, all areas of the facility were found to be in compliance with health and safety regulations.
    • § 87303(a)
    16 Jun 2022
    Determined that the specific allegation regarding the resident's care and feeding lacked sufficient evidence to prove whether it occurred.
    16 Jun 2022
    Interviews and record review showed no clear evidence to prove or disprove the allegation of improper care for the resident.
    • § 1569.269(a)(5)
    02 Jun 2022
    Found that doors to the independent living areas did not read key fobs and required a code to enter, with some doors propped open, creating accessibility and safety concerns for residents. Identified as a repeat violation and penalties were assessed.
    02 Jun 2022
    Confirmed inadequate security measures for residents due to malfunctioning doors at the facility.
    • § 87303(a)
    • § 87705(l)(8)
    • § 87303(a)
    • § 87411(a)
    12 May 2022
    Found infection-control measures in place at the location, including a central screening point, handwashing stations, cough/sneeze etiquette and social distancing reminders, adequate food and PPE supplies, and no deficiencies identified.
    12 May 2022
    No deficiencies were cited during the inspection. All infection control measures were found to be in compliance with regulations.
    27 Apr 2022
    Found staff maintained COVID-19 precautions, including signs, masks, symptom checks, and cleaning. Found that antigen testing was attempted for two residents on 04/26/22, with negative results, and residents confirmed the attempt; there was insufficient evidence to confirm the specific allegation that testing was administered on that date.
    27 Apr 2022
    LPAs investigated an allegation regarding COVID protocols at the facility but were unable to prove the violation.
    26 Apr 2022
    Identified that a resident developed infected pressure injuries due to urine contamination, with lapses in incontinence care (not changing diapers promptly when wet) and insufficient repositioning. Found no evidence that wheelchair cushions or bed mattresses were improperly inflated.
    26 Apr 2022
    Found that the allegation that residents were not provided with a safe environment was supported. Exterior doors failed to open automatically, and the garage elevator could not be activated, restricting safe access to upper levels.
    26 Apr 2022
    Confirmed multiple allegations of neglect in wound care, diaper changing, and resident repositioning.
    14 Apr 2022
    Determined the allegation of neglect could not be proven. The resident sustained multiple pressure injuries, but received professional wound care and staff reported regular repositioning as instructed, with no evidence of staff neglect.
    14 Apr 2022
    Investigated allegation of neglect regarding wound care for a resident, and determined insufficient evidence to confirm or refute the claim.
    • § 87555(b)(27)
    22 Mar 2022
    Identified vermin in the stock room of the kitchen area and addressed the issue by closing an open section of the wall and hiring a pest-control company. Identified that during covid-19, some showers were missed on scheduled days, but staff provided shower assistance the following day, with outside staffing used to ensure adequate care.
    22 Mar 2022
    Confirmed allegation of vermin and missed shower schedules through interviews and records.
    • § 87412
    16 Mar 2022
    Identified that the garage elevator was inoperable for several months, preventing access to upper levels. Two residents confirmed the issue, and the maintenance director reported they began obtaining quotes from different companies.
    • § 87303(a)
    16 Mar 2022
    Confirmed deficiency related to elevator malfunction at the facility.
    • § 87465(g)
    10 Mar 2022
    Investigated an allegation that the administrator was not in place; found the allegation unfounded after confirming that an interim administrator oversees operations and holds a certified administrator license.
    10 Mar 2022
    Confirmed unfounded allegation of an administrator not being present at the facility.
    • § 87468.2(4)
    02 Feb 2022
    Investigated two allegations—COVID-19 protocol adherence and front-gate disrepair—and found insufficient evidence to support either claim.
    02 Feb 2022
    Investigated allegations of non-compliance with COVID-19 protocols and facility disrepair; found insufficient evidence to support claims, resulting in both allegations being unsubstantiated.
    06 Jan 2022
    Found the allegation that exterior doors did not open automatically and could not be opened from inside due to broken handicap plates, with FOB keys also failing to operate them.
    • § 87303(a)
    06 Jan 2022
    Confirmed that exterior doors were not functioning properly at the facility during the inspection.
    04 Jan 2022
    Investigated the allegation that three bedrooms were without electricity during a planned power shut-off and found insufficient evidence to support the allegation.
    04 Jan 2022
    Found that the allegation of facility staff failing to maintain a comfortable temperature was unsubstantiated. Residents were provided with heaters and blankets during a brief planned power shut-off to fix electrical issues.
    06 Dec 2021
    Identified that residents were not assessed prior to admission, though a sample admission included a preplacement, physician report, and care plan completed before admission. Found an elevator in disrepair with sounds of water from a sump pump in the shaft, which staff said did not affect operation; no pests were observed during the tour despite pest-control records and a heat-treatment schedule.
    06 Dec 2021
    Found alleged violations regarding resident assessment and elevator disrepair to be unsubstantiated. Additionally, allegations of pests and bed bugs were unable to be proven.
    04 Nov 2021
    Found no deficiencies after an unannounced visit. Observed a single screening entry with sign-in, a thermometer, and hand sanitizer, plus posters on cough etiquette and hand washing; staff wore PPE, and there were sufficient two-day perishable and one-week non-perishable food supplies, a 30-day PPE stock, and records of routine screening for residents, staff, and visitors.
    04 Nov 2021
    Inspection found no deficiencies at the facility.
    11 Oct 2021
    Identified safety deficiencies, including hot water at 123 and 96 degrees Fahrenheit and a dresser blocking an exit in the memory care area, while medications were secured, detectors and a first-aid kit were in place, a fire extinguisher was present, and food supplies were sufficient.
    • §
    • §
    11 Oct 2021
    Identified deficiencies in relation to hot water temperatures and blocked exit door during a health and safety check.
    18 Aug 2021
    Identified hazardous conditions: protruding cables in the hallway outside resident rooms and paint and fuel stored near a running generator.
    • § 87303(a)
    18 Aug 2021
    Found unannounced deficiencies related to protruding cables and unsafe placement of materials near an operational generator, confirming a safety violation in the facility.
    • § 9058
    02 Jun 2021
    Investigated an unannounced visit by licensing analysts, who met with the resident care coordinator to review amended reports; an exit interview was conducted.
    24 Mar 2021
    Identified the following issues: a medication room sink lacked a p-trap, draining into a bucket; no seven-day menu was provided in advance and copies were unavailable for the last 30 days. Found that the administrator did not respond to social agencies about pests, COVID-19 protocols, and current status; bed bugs were found in a resident’s bedroom.
    • § 87555(b)(6)
    • § 87307(d)(2)
    • § 87405(h)(8)
    • § 87303(a)
    24 Mar 2021
    Investigated allegations including mishandling residents' money, COVID-19 infection-control failures, and inadequate staff training; interviews with residents and staff, along with observations and record reviews, were conducted. Also reviewed medication administration, dietary accommodations, waste disposal, staff clearance, and notification of changes in condition.
    02 Jun 2021
    LPAs identified deficiencies in care during their inspection and met with staff to discuss necessary improvements.
    • § 87405(a)
    • § 87303(a)
    29 Apr 2021
    Investigated safety concerns, including door and gate security, fire escape planning, and fire drills; found gate and door security concerns substantiated while fire escape planning and fire drill concerns were unsubstantiated.
    • § 87303(a)
    29 Apr 2021
    Confirmed allegations about inoperable gate and emergency procedures, but did not substantiate claims about fire drills.
    • § 87405(a)
    25 Mar 2021
    Identified a resident's change of condition and an outdated pre-admission appraisal, and confirmed two staff with ended associations were still employed along with another staff member lacking current background clearance. Determined technical violations and conducted an exit interview with the administrator.
    25 Mar 2021
    Identified changes in resident care needs and discrepancies in staff associations, resulting in technical violations.
    • § 87303(a)
    24 Mar 2021
    Confirmed allegations of disrepair, menu non-compliance, lack of communication with social agencies, and bed bug infestation.
    30 Nov 2020
    Found the allegation that staff did not report incidents to the authorized representative unsubstantiated; found the allegation that staff did not seek emergency medical services unsubstantiated; and found the allegation that staff failed to properly supervise to prevent behavior that poses a risk unsubstantiated.
    30 Nov 2020
    Identified bed bugs in multiple rooms; Vector Control confirmed infestations and noted heating system failure. Found wound care allegations unsupported; records showed residents received wound care through home health as ordered by physicians, and rodent concerns in the kitchen were not supported by observations.
    30 Nov 2020
    Confirmed allegations of staff not reporting incidents to the authorized representative and staff failing to properly supervise a resident were found to be unsubstantiated.
    18 Nov 2020
    Found no evidence to support the allegation that residents were kept in an unhealthful environment; interviews and records showed bathroom trash was managed by housekeeping and care staff across shifts, and a tele-visit did not observe full bathroom trash bins.
    18 Nov 2020
    Investigated allegation of the facility not providing a healthful environment due to full trash bins in shared bathrooms. Found insufficient evidence to prove the claim, as interviews and observations indicated regular trash removal procedures were in place.
    • § 87555(b)(27)
    23 Oct 2020
    Found no evidence to support the allegation that a resident's room was infested with bed bugs. Interviews and reviewed records showed no bed bugs or bites in the room, and no related medical or vector control findings were documented.
    23 Oct 2020
    Investigated an allegation of bed bug infestation in a resident's room; found no conclusive evidence to support the presence of bed bugs or bed bug bites following interviews and record reviews.
    • § 87464(f)(4)
    • § 87411(c)(3)
    • § 87468.2(a)(4)
    21 Aug 2020
    Investigated allegations of resident-to-resident aggression; found no evidence of inadequate supervision or that R1 or R2 posed a sexual threat. Examined a 9/28/20 incident where R3 pushed R4, causing a minor contusion; concluded there was not enough evidence to prove staff failed to protect residents, and R3 had no prior aggression history.
    21 Aug 2020
    Investigated claims of inadequate resident protection and found insufficient evidence to support the allegations, noting resident aggression as part of normal behavioral issues associated with dementia.
    10 Aug 2020
    Confirmed no health or safety concerns during the inspection. Residents were observed engaging in activities and appeared safe.
    15 Jul 2020
    Investigated allegations that a resident sustained an injury while in care and that the facility failed to seek timely medical attention, but lacked sufficient evidence to prove these claims.
    • § 87307(d)(2)
    04 Jun 2020
    Investigated allegations of resident injury and rough treatment were not proven to have occurred. No evidence of neglect for seeking medical attention was found.
    • § 87555(b)(6)
    • § 87303(a)
    • § 87468.1(a)(2)
    • § 87307(d)(2)
    • § 87405(h)(8)
    • § 1569.69(b)
    04 May 2020
    Reviewed allegations of insufficient staffing and inadequate staff training; found no substantial evidence to support these claims after evaluating staff schedules, training files, and conducting interviews.
    31 Jan 2020
    Found high water temperature in the sink during the inspection.
    30 Jan 2020
    Identified deficiencies in reporting and documenting resident injuries, with failure to follow protocols for skin integrity and conduct full pre-admission appraisals.
    23 Jan 2020
    Identified deficiencies included improper storage of medications, lack of grab bars in bathrooms, maintenance issues, stained carpets, and faulty sink. Staff files were also found to be incomplete.
    22 Jan 2020
    Confirmed annual inspection conducted at the facility on January 22, 2020, found compliance with regulations in areas including resident safety, medication storage, and fire safety protocols.
    • § 87303(a)(1)
    21 Jan 2020
    Confirmed the facility failed to issue a proper eviction notice.
    08 Jan 2020
    Found that the allegation of interrupted utility service could not be proven.
    04 Dec 2019
    Found no evidence of roaches or insects during the inspection, leading to the allegation being unsubstantiated at this time.
    12 Nov 2019
    Inspection confirmed compliance with health and safety regulations.
    30 Oct 2019
    Investigated an allegation of an incident on October 7, 2019, and determined it was unsubstantiated due to lack of sufficient evidence, as all interviewed staff denied the occurrence.

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