27 Jun 2024 | | 27 Jun 2024 Confirmed misrepresentation of facility's name; licensee notified of process for name change with licensing agency. | |
03 May 2024 | | 03 May 2024 Investigated theft allegation of credit card and cash from resident's room, unable to confirm at this time. | |
18 Apr 2024 | | 18 Apr 2024 Identified incomplete documentation, staff training updates needed, and plans for emergency preparedness improvements during the inspection. | |
15 Apr 2024 | | 15 Apr 2024 Identified deficiencies in health and safety measures during the visit. | |
30 Oct 2023 | | 30 Oct 2023 Investigated allegations regarding food services, residents being left in soiled diapers, and unmet resident needs; found insufficient evidence to support claims, deeming them unsubstantiated. | |
19 Oct 2023 | | 19 Oct 2023 Identified deficiencies in care for a resident who required full assistance with all activities of daily living were observed during the visit. | |
27 Sept 2023 | | 27 Sept 2023 Confirmed staff did not receive proper training for oxygen administration. Determined facility did meet COVID-19 testing requirements after an outbreak in June. Found no evidence that residents were not notified of COVID-19 outbreak in a timely manner. Identified no staff were instructed to report to work after testing positive for COVID-19. Investigated claims that assisted living was left unattended by staff, but could not substantiate. | |
18 Sept 2023 | | 18 Sept 2023 Identified deficiencies in employee background clearance during a recent visit. Civil penalty issued for non-compliance. | |
14 Sept 2023 | | 14 Sept 2023 Confirmed that staff were not properly wearing PPE during a COVID-19 outbreak, but determined that no wrongdoing was found regarding medication administration. | |
10 Aug 2023 | | 10 Aug 2023 Confirmed deficiencies in the Emergency Action Plan included outdated emergency contact information and staff needing additional training on evacuation procedures.- § 1569.695(b)
- § 1569.695(d)
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11 Jul 2023 | | 11 Jul 2023 Confirmed inadequate communication with the resident's family members and unsubstantiated claims of inadequate care provided. | |
10 Jul 2023 | | 10 Jul 2023 Investigated an allegation of staff neglecting a resident and determined insufficient evidence to support the claim, as interviews and observations revealed staff were attentive to residents' needs and communicated with family. | |
07 Jul 2023 | | 07 Jul 2023 Confirmed that allegations of inadequate food service were unfounded after interviews with residents, staff, and family members and observation of kitchen facilities. | |
20 Jun 2023 | | 20 Jun 2023 Observed unlocked doors with chemicals accessible to residents and knives accessible to residents at the facility. Two citations were issued.- § 87705(f)(1)
- § 87705(f)(2)
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31 May 2023 | | 31 May 2023 Reviewed allegations of uncleanliness, staff conduct, and refund issuance at the facility, but found insufficient evidence to support any of the claims. | |
19 May 2023 | | 19 May 2023 Confirmed late administration of medication, but unsubstantiated allegations of resident infections and improper food preparation. | |
02 May 2023 | | 02 May 2023 Confirmed multiple falls and injuries due to lack of supervision at the facility. | |
28 Apr 2023 | | 28 Apr 2023 Confirmed that neglect and lack of supervision by facility staff led to a resident sustaining multiple pressure injuries and not receiving timely medical attention. A civil penalty was issued as a result. | |
21 Apr 2023 | | 21 Apr 2023 Confirmed deficiency related to theft of resident's belongings and unauthorized use of debit card. Penalty assessed. | |
09 Mar 2023 | | 09 Mar 2023 Investigated a complaint about possible mold in a resident's room and found insufficient evidence to confirm the presence of mold, with some water stains observed and treated. Discovered potential water damage in a common area, and the administration planned to have a professional assessment conducted. | |
07 Mar 2023 | | 07 Mar 2023 Investigated complaints regarding resident's oral hygiene and timely medical care, but insufficient evidence was found to support the claims. | |
01 Mar 2023 | | 01 Mar 2023 Confirmed delayed response times to resident call buttons based on multiple interviews and review of records. | |
22 Feb 2023 | | 22 Feb 2023 Confirmed inadequate food service based on temperature variations, delivery delays, food quality, and staff forgetfulness of utensils. | |
15 Feb 2023 | | 15 Feb 2023 Confirmed that staff did not respond to residents' calls for assistance and residents' diapering needs were not met in a timely manner. | |
10 Feb 2023 | | 10 Feb 2023 Recommended infection control practices and procedures were discussed and no immediate health or safety concerns noted. | |
31 Jan 2023 | | 31 Jan 2023 Investigated allegations of neglect and lack of supervision in response to complaints of resident injuries sustained while in care and multiple unwitnessed falls. Evidence was inconclusive regarding staff negligence. | |
23 Jan 2023 | | 23 Jan 2023 Identified deficiencies included standing water in fountains, missing window screens, access to sharp objects, and inappropriate items in resident areas.- § 87303(c)
- § 87309(a)
- § 87468.1(a)(6)
- § 87307(e)
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06 Jan 2023 | | 06 Jan 2023 Found deficiencies related to COVID-19 protocols, including ceasing communal dining and group activities without required authorization, resulting in a civil penalty.- § 87468.2(a)(6)
- § 87211(a)(2)
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25 Oct 2022 | | 25 Oct 2022 Identified deficiencies were cited for staff not wearing masks and a door being propped open during the inspection. | |
13 Oct 2022 | | 13 Oct 2022 Confirmed staff did not keep facility free from pests and resident's bathroom was in disrepair. | |
23 Sept 2022 | | 23 Sept 2022 Confirmed scabies outbreak, alleged falls not substantiated, bathing and medication allegations also not substantiated. Eviction allegation inconclusive. | |
31 Aug 2022 | | 31 Aug 2022 Confirmed insufficient staffing and inadequate resident care at the facility. | |
26 Jul 2022 | | 26 Jul 2022 Found deficiencies in the facility included hazardous substances accessible to residents and failure to supervise a resident who eloped from the community. | |
13 Jul 2022 | | 13 Jul 2022 Identified failure to report resident's death to responsible party within required timeframe. | |
24 May 2022 | | 24 May 2022 Confirmed that staff and visitors were observed wearing masks properly and masks were readily available throughout the facility, making the allegation of staff not wearing masks unsubstantiated. | |
06 May 2022 | | 06 May 2022 Confirmed inappropriate touching incident between staff and resident, no citation issued during visit. Staff and resident interviewed and appropriate reporting procedures in place. | |
25 Apr 2022 | | 25 Apr 2022 Confirmed medication errors, but did not find evidence of staff negligence in monitoring resident conditions or restricted visitation. | |
12 Apr 2022 | | 12 Apr 2022 Confirmed inadequate food service during COVID-19 outbreaks at the facility. | |
28 Mar 2022 | | 28 Mar 2022 Confirmed no issues were found during the annual inspection focused on infection control practices and procedures at the facility. | |
25 Mar 2022 | | 25 Mar 2022 Confirmed allegations of a resident developing a bed sore, not receiving medication as prescribed, being left in soiled clothing, staff not responding promptly to call buttons, and not safeguarding resident property.- § 87217(b)
- § 1569.312(a)
- § 87303(i)(1)
- § 87465(d)(1)
- § 87466
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18 Mar 2022 | | 18 Mar 2022 Confirmed that staff did not speak inappropriately to residents, effectively communicated with them, had required training, and provided adequate food. Also confirmed that residents were not left in soiled diapers for extended periods of time. | |
13 Dec 2021 | | 13 Dec 2021 Identified deficiencies in documentation and care for a resident, prompting staff education on assessing and updating service plans. | |
10 Nov 2021 | | 10 Nov 2021 Determined that a resident sustained a skin tear with no conclusive evidence on how it occurred, making the allegation of unexplained injuries unproven. | |
28 Oct 2021 | | 28 Oct 2021 Investigated an allegation of inappropriate restraint of a resident and determined insufficient evidence to support it occurred, deeming the claim unsubstantiated. | |
26 Oct 2021 | | 26 Oct 2021 Confirmed allegation of staff not responding to residents' calls for assistance in a timely manner. | |
06 Oct 2021 | | 06 Oct 2021 Reviewed a complaint alleging a resident sustained unexplained injuries while in care; determined insufficient evidence to prove the injury was due to staff neglect or lack of supervision. | |
12 Aug 2021 | | 12 Aug 2021 Confirmed allegations of staff overmedicating residents, improper storage of medication, and rough handling of residents were deemed unsubstantiated based on interviews, documentation, and observations. | |
30 Apr 2021 | | 30 Apr 2021 Confirmed allegations that staff failed to deliver mail to residents and opened residents' mail without consent. | |
27 Oct 2020 | | 27 Oct 2020 Confirmed allegations of residents being left in soiled diapers and concerns regarding staff behavior, while insufficient evidence was found to support claims of residents' feet dragging and inadequate care supplies. | |
16 Dec 2019 | | 16 Dec 2019 Found concerns regarding a resident repeatedly eloping from the facility due to lack of care and supervision. Substantiated allegations, civil penalties issued. | |
22 Nov 2019 | | 22 Nov 2019 Confirmed concerns of staff failing to respond to calls for assistance, ultimately resulting in resident being found on the floor. | |
18 Oct 2019 | | 18 Oct 2019 Found concerns with medication administration and record-keeping during the inspection. Some medications were not given as prescribed, leading to substantiated allegations. | |
03 Oct 2019 | | 03 Oct 2019 Identified deficiencies related to the accessibility of medication during a recent visit. | |
27 Sept 2019 | | 27 Sept 2019 Confirmed concerns about staff not properly trained on hoyer lifts and failure to properly clean eating utensils.- § 1569.625(a)
- § 87555(b)(30)
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21 Aug 2019 | | 21 Aug 2019 Found concerns about residents not being properly dressed and lack of sufficient staffing at the facility. Substantiated allegations, civil penalties assessed. | |