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    Hopkins Manor

    1235 Hopkins Ave, Redwood City, CA, 94062
    4.7 · 6 reviews
    • Assisted living
    • Memory care
    For pricing and availability(510) 508-4507
    For the front desk(650) 368-5656
    AnonymousCurrent/former resident
    5.0

    Resident praises warm caring staff

    I'm a resident and very happy here. The staff are warm, patient and caring-like family-who monitor meds and dietary needs, keep residents clean, well dressed and well fed, and run a professional program with great meals and activities. The building is clean and well maintained though aging and not deluxe, but it's within my budget. I highly recommend this caring, recovery-focused place.

    Pricing

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    Amenities

    4.67 · 6 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1

    • Care

      4.7

    • Staff

      4.8

    • Meals

      4.0

    • Amenities

      3.5

    • Value

      4.0

    Location

    Map showing location of Hopkins Manor

    About Hopkins Manor

    Hopkins Manor is a residential care facility for the elderly located at 1235 Hopkins Ave in Redwood City, California, and it has 88 licensed beds where seniors can receive care and live in a comfortable, secure setting. The place is licensed as a Residential Care Elderly and works closely with Just Like Home, connecting families and residents with social media management and online tools to help people stay up-to-date about their loved ones, and while it can help with Medicare and community resources, it only accepts Medicare if it's certified by the Centers for Medicare & Medicaid Services. You'll find 24-hour staffing with Licensed Vocational Nurses on duty, and trained personnel who help with personal care, mobility, bathing, dressing, medication assistance, incontinence, and any other needs that come up, and residents get three meals a day that the kitchen staff and meal planners prepare according to each person's preferences. Hopkins Manor has memory care and dementia care, offering calming and familiar routines, personalized care plans, and supervision in a cozy setting where folks who need help with memory challenges feel safe and at home, and staff provide all-day assistance, including with therapies like physical and occupational therapy, podiatry, and in-home primary care, plus durable medical equipment for those that need it. You'll see they have wireless internet and cable TV, safety call pendants and an emergency call system, and accessible rooms, along with a secure environment including walking paths and community common areas for everyone to use, and you might notice cats around since they're pet-friendly. The community gives residents a chance to participate in activities like music programs, movie nights, fitness groups, game room gatherings, resident-led events, and devotional activities. The facility also features a barber/salon, a spa and wellness room, a fitness room, a library, and transportation and parking options, and people can come for short-term respite stays if their families need a break. Hopkins Manor offers everything from independent living and assisted living to nursing home level care, and help is always available no matter the hour, with a personal care manager for each resident, laundry and housekeeping done for you, snacks and drinks ready anytime, and a setting that supports everyone living there to be as independent as possible while enjoying a peaceful, caring environment.

    People often ask...

    State of California Inspection Reports

    193

    Inspections

    45

    Type A Citations

    14

    Type B Citations

    6

    Years of reports

    31 Jul 2025
    Identified notices requiring nine residents in basement rooms of two buildings to move out by August 18, 2025, with eight present and one hospitalized; three residents were being relocated within the home while others were to relocate outside. Observed basement space in building A, previously used as staff rooms, now vacant and used for storage with five rooms empty; fire clearance remained active.
    • § 9058
    24 Jul 2025
    Found that staff did not handle the resident's personal funds; the resident's allowance is managed by the Case Manager who receives it from the Conservator. The allegation of mishandling funds was unfounded and dismissed.
    07 May 2025
    Confirmed the staff member who had been immediately excluded was terminated and has not returned. No deficiencies were found, and an exit interview was conducted.
    • § 9058
    03 Apr 2025
    Found no conclusive evidence to prove or disprove the bed bug allegation; staff reported no sightings or reports, and pest-control records showed monthly interior treatment.
    24 Apr 2025
    Amended filing marked public after confidentiality mislabeling. Conducted exit interview; no deficiencies cited.
    • § 9058
    16 Apr 2025
    Identified the allegation that residents' personal rights were not upheld and personnel requirements were not followed; these issues were resolved. Verified that the issues were resolved and reviewed supporting documentation.
    • § 9058
    11 Apr 2025
    Investigated a 3/15/2025 incident in which one resident grabbed another’s hair and pulled; staff intervened to release the grip. Reviewed documents show a staff training on dealing with aggressive behavior in dementia care, and deficiencies were cited.
    • § 87468.1(a)(2)
    • § 87411(a)
    • § 9058
    11 Apr 2025
    Found immediate exclusion issued for a staff member following an allegation after a meeting with the administrator.
    • § 9058
    28 Mar 2025
    Investigated a claim that a resident's call button was not answered promptly; staff said they did respond and helped. Found that there was not enough evidence to prove or disprove the claim, so it is unsubstantiated.
    29 Jan 2025
    Found that the allegation of financial abuse against the resident was unfounded. The investigation showed the person accused was a caregiver for a private company and not working at the site at the time of the alleged theft, which involved taking the resident’s driver’s license and other documents to open a bank account without the resident’s permission.
    29 Jan 2025
    Investigated the allegation that staff punched a resident in the face and that staff failed to prevent resident-on-resident fights, and found no evidence of head trauma, fractures, or confirmed injuries from such incidents. Found that medications were dispensed on time with none missing, no hazards observed, and awake night supervision was provided, though access to the administrator’s office was restricted after hours.
    18 Dec 2024
    Found no evidence that lack of supervision caused a fall with injuries, and that during an altercation staff were present, redirected/separated residents, and no serious injury occurred. Found that personal belongings were safeguarded at the request of the responsible party, and that timely medical attention was not sought after the fall on March 6, 2024.
    • § 87465(g)
    • § 87464(f)(1)
    14 Nov 2024
    Found that the allegation that staff did not properly address a pest infestation was supported by records showing bed bug mitigation from 3/1/2024 to 8/1/2024, with a resident hospitalized. Found that the allegation that timely medical attention was not ensured involved staff waiting for the executive director before calling 911 after a resident was found with a head injury, and that the resident reported being attacked by a roommate during transport.
    • § 87307(d)(2)
    • § 87468.1(a)(2)
    31 Oct 2024
    Found no deficiencies cited and the complaint about a civil penalty was reviewed during the visit. Concluded with an exit interview conducted with leadership.
    21 Oct 2024
    Identified deficiencies in maintenance and operation, accountability of the governing body, and administrator qualifications, including pest-control plans, staff training, resident notification, and monitoring; daily penalties were assessed for not correcting by the required due dates.
    18 Oct 2024
    Identified bed bugs that caused injuries requiring hospital treatment on 10/12/2024, with monthly pest control ongoing. Found insufficient evidence to determine whether a resident received hydroxyzine four times daily as prescribed, due to conflicting statements from staff and the resident.
    • § 87303(a)
    • § 87468.1(a)(2)
    21 Oct 2024
    Identified an allegation that residents' personal rights were violated and issued an immediate civil penalty of $500.
    18 Oct 2024
    Identified an ongoing bed bug problem since March 7, 2024 and found the extermination contract did not address bed bugs, showing administrator accountability gaps and unsafe conditions for residents.
    • § 87205(a)
    • § 87405(h)(1)
    25 Sept 2024
    Found six resident files were complete, the first aid kit contained all required components, and Personal and Incidental monies matched the records. Found no deficiencies cited, and an exit interview was conducted with the Executive Director.
    25 Sept 2024
    Identified an allegation that a resident was attacked by another resident in a shared room because safe, healthful, and comfortable accommodations were not provided.
    25 Sept 2024
    Found that residents were not provided with safe, healthful, and comfortable accommodations, which led to one resident being attacked by another in their shared room.
    • § 87468.1(a)(2)
    20 Sept 2024
    Found the site well-maintained and safe, with 54 bedrooms and 21 bathrooms; fire and carbon monoxide detectors worked, hot water was in range, and food supplies were current. Found staff files complete and medications properly labeled and stored; no deficiencies cited.
    20 Sept 2024
    Found compliance with internal policies and applicable laws after reviewing incident-related documents, staffing records, training sign-ins, and dementia care plans, and after interviewing staff about an August 29 resident-on-resident attack. Concluded that no deficiencies were cited; an exit interview was conducted.
    20 Sept 2024
    Confirmed that the facility's physical environment met safety and comfort standards, with proper safety equipment, adequate food supplies, secure storage of poisons and cleaning supplies, and properly labeled medications; all staff records were complete during the review.
    04 Sept 2024
    Identified that an amended document dated August 1, 2024 was delivered during the September 4, 2024 visit, and an exit interview was conducted with management.
    15 Aug 2024
    Identified ongoing pest-control arrangements and that residents could return to their rooms; no deficiencies cited. Found residents received timely medical attention when needed.
    04 Sept 2024
    Reviewed an amended report related to the facility's operations, with the occupants and staff present, and concluded the discussion with an exit interview.
    30 Aug 2024
    Confirmed that the deficiency was cleared after the visit; an exit interview was conducted with the executive director.
    30 Aug 2024
    Identified that the August 15, 2024 incident was not reported, resulting in a formal notice for failing to report. Conducted an exit interview with the HR manager.
    30 Aug 2024
    Investigated an incident from July 25, 2024, in which a resident had blood on their head. Spoke with the HR manager at 8:30 AM; the site remained under investigation and an exit interview occurred.
    30 Aug 2024
    Identified that the incident from August 15, 2024, was not reported to licensing, resulting in a violation for failure to report.
    • § 87211(a)(1)
    15 Aug 2024
    Found that the allegation of staff speaking inappropriately to residents was unfounded; interviews indicated that residents, not staff, were using inappropriate language toward others, and staffing was not a problem.
    15 Aug 2024
    Investigated the allegation that staff spoke inappropriately to residents and found that residents, not staff, were yelling inappropriate language at each other; staff staffing levels were not an issue.
    21 Jun 2024
    Identified a failure related to incidental medical and dental care where staff did not inform 911 about an advance directive or provide the directive information to emergency responders, causing confusion during a medical emergency and posing an immediate health risk to residents.
    21 Jun 2024
    Identified a violation related to emergency medical procedures where staff failed to inform EMS about a resident's advance directive, creating a safety risk; additional citations and potential penalties were noted.
    • § 87469(c)(2)
    10 Jun 2024
    Found that a resident pressed the call button 2-3 times between 6:30 PM and 7:00 PM, and no timely staff response could be confirmed.
    10 Jun 2024
    Investigated call button calls made by resident to the front desk between 6:30 and 7:00 pm, with staff confirming the system worked but unable to verify timely responses, leading to the conclusion that the allegation was supported.
    • § 87468.2(a)(4)
    08 May 2024
    Investigated the allegation of a questionable death; determined the death appears natural due to pre-existing health conditions, with no signs of foul play.
    08 May 2024
    Determined that staff responded appropriately to a resident’s non-responsive state, but delayed calling 911, making the allegation of questionably death in care substantiated; additionally, concluded that the resident’s death was natural with no signs of foul play, deeming the related allegation unfounded.
    • § 87465(a)(2)
    20 Mar 2024
    Found that the allegations of pests in the kitchen, cleanliness issues, hazards, and construction risks were unsubstantiated based on observations and interviews.
    20 Mar 2024
    Determined that there were no signs of pests, hazards, or unclean conditions during observations and interviews related to the allegation of pest presence and unsafe environment.
    06 Feb 2024
    Found that a resident left the home on 02/04/2024 around 5:00 pm, did not return by 7:30 pm, and a neighborhood search followed. By 02/05/2024 authorities advised the resident had died after being struck by a vehicle at a crosswalk during a storm with power outages, with investigations ongoing and responsible parties and the Long Term Care Ombudsman notified.
    06 Feb 2024
    Confirmed that a resident left the facility during a storm, was struck and killed by a vehicle, and the death remains under investigation by authorities.
    10 Jan 2024
    Found that the room door lock is operable from inside and staff can open it without a key, and observed the resident close and lock the door before later leaving the room. Determined the allegations unsubstantiated.
    10 Jan 2024
    Investigated the allegation that R1 could lock the door from the outside; found the door was lockable from inside but could be opened without a key, and observed no evidence of the alleged violation.
    29 Nov 2023
    Found that one staff member laughed during a resident's skin injury, confirmed by the resident and the staff member; the laughter may have been due to discomfort. Other allegations could not be proven.
    29 Nov 2023
    Investigated whether staff laughed at a resident with a skin injury, confirming the laugh occurred and was out of discomfort, thus the allegation was supported; however, the claim of other misconduct could not be proven and was deemed unsubstantiated.
    • § 87468.1
    21 Sept 2023
    Found that the allegation that injuries were solely caused by the facility lacked sufficient evidence. Observations showed the resident could self-move in a wheelchair, could stand up on their own, and the injuries had healed.
    21 Sept 2023
    Found inaccuracies in the resident’s records about injuries and skin integrity, with a change in status not documented in the plan and monitoring actions done verbally but not recorded.
    21 Sept 2023
    Investigated the incident involving the resident’s injuries and found no conclusive evidence linking the injuries solely to the facility; the injuries had healed, and the resident's mobility appeared improved.
    • § 87468.1
    13 Oct 2020
    Identified concerns that residents may have injuries or preexisting health conditions not reported to licensing authorities, and discussed the COVID-19 timeline, with management noting an update to the resident linelist.
    15 Feb 2023
    Found no safety hazards or health concerns during the visit. Requested updates to several administrative documents, due by 02/22/2023.
    29 Aug 2023
    Found the allegation unsubstantiated after an unannounced visit, as interviews conflicted and no evidence clearly proved or disproved it.
    29 Aug 2023
    Investigated the claim about an unwitnessed fall and call button delays; found that unwitnessed falls aren’t neglect and there are fall-prevention protocols, with staff reportedly answering call buttons as needed. Observed adequate housekeeping supplies with no shortages reported.
    29 Aug 2023
    Investigated the allegation that a resident fell without facility negligence and found no evidence supporting neglect or untimely call responses. Also confirmed that housekeeping supplies were adequate and staff responded appropriately to resident needs.
    21 Jul 2023
    Found that the allegation that staff did not provide a safe environment and did not seek medical attention for a resident was not supported by the evidence. Slippers were returned to the resident, and a phone charger was replaced; where the charger had been plugged in could not be determined.
    21 Jul 2023
    Found no safety hazards; spaces were clean, well-maintained, and in compliance with Title 22 regulations, with current records and functioning fire safety systems, licensure recommended.
    21 Jul 2023
    Reviewed with the administrator the purpose of the unannounced case management visit; no citations issued.
    21 Jul 2023
    Verified that the facility was clean, safe, well-maintained, and in compliance with regulations, with no hazards observed and all systems operational, supporting licensure approval.
    21 Jul 2023
    Investigated the allegation that staff did not provide a safe environment and failed to seek medical attention after a resident claimed hot tea was thrown on her, but found no evidence to support these claims; also reviewed concerns about items taken from residents, but could not determine if the items were removed from residents’ rooms.
    24 May 2023
    Found that the allegation of injuries could not be proven to have happened at this location. Photos could not be verified as taken during the resident's stay, and interviews could not confirm when or where the injuries occurred.
    24 May 2023
    Investigated the allegation of resident injuries, reviewed photos and interviews, and found no evidence that the injuries occurred at the facility or during the resident’s stay.
    04 Apr 2023
    Found that the allegation regarding resident care could not be proven or disproven. Based on changes in resident status and interview findings, the concern was no longer present.
    04 Apr 2023
    Found that a former staff member made racial statements and sexually inappropriate comments toward a resident. Interviews with staff, the resident, and outside agencies supported this allegation, and the preponderance of evidence standard was met.
    • § 87468.1
    04 Apr 2023
    Determined that the allegation regarding staff misconduct could not be proven or disproven, as some residents were no longer in care and no evidence was found to support the claim.
    15 Mar 2023
    Verified identities of the applicant and administrator and confirmed they understood licensing laws and regulations. Confirmed their understanding of operation, admission policies, staffing and training, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness, and that LIC 809 with photo ID was signed.
    15 Mar 2023
    Confirmed that the applicant and administrator completed required training, demonstrated understanding of licensing laws, and discussed various operational policies for the facility.
    15 Feb 2023
    Reviewed a SOC 341 notification related to a 02/14/2023 matter after an unannounced case management visit, with no citations issued. Met with the administrator, discussed the details, and received pertinent documents.
    15 Feb 2023
    Found PPE stocked on all floors, cleaning and incontinence supplies secured in locked areas, and trash bins with tight lids in resident rooms; observed residents dining with staff wearing masks and no odors or soiled linens. Found no COVID-positive residents or staff and no deficiencies noted.
    15 Feb 2023
    Reviewed infection control procedures and safety measures, including PPE, medication storage, resident monitoring, and staff compliance, with no citations issued. Confirmed that staffing, safety protocols, and resident resources met required standards during the inspection.
    15 Dec 2022
    Found that an item was placed near a resident’s face, violating the resident’s dignity and right to be treated with respect. Concluded that the second allegation about whether the item was a diaper or pants could not be resolved due to conflicting statements.
    • § 87468.1(a)(1)
    15 Dec 2022
    Investigated whether a resident was exposed to a soiled diaper or pants near their face; found that while the action of placing an item near the face occurred and violated the resident's dignity, the specific item could not be definitively identified, leading to unsubstantiated allegations.
    22 Sept 2022
    Found that the staff member’s loud talking was not directed at anyone and did not constitute a violation. Found that residents outside during a heat event were supervised by three night staff with regular checks, no injuries occurred, roaming beyond the gates could not be confirmed, and the allegations were UNSUBSTANTIATED.
    22 Sept 2022
    Confirmed that the staff member's loud talking was not directed at residents or staff and did not violate policies. Found that residents were outside during a heat wave with regular checks by staff, and no injuries or incidents occurred, leading to the conclusion that the allegations were unsubstantiated.
    06 May 2022
    Found no deficiencies at the site; PPE and cleaning supplies were secured, resident rooms and dining areas were clean, trash bins had lids with pedals, staff wore masks, COVID signs and an isolation area were in place, and there were no COVID cases among residents or staff.
    06 May 2022
    Confirmed that the facility was maintained clean and well-stocked, with proper PPE and safety measures in place, and no COVID-positive residents or staff were present at the time.
    02 May 2022
    Found that the property owners had stipulation orders limiting their ability to apply for a new facility or as a management company, so those applications were put on hold. Found that operations would continue under the current licensee, with the parties to coordinate on staying within Title 22 regulations, a 60-day closure notice due to the status change, and a lease-back agreement to be provided by May 4, 2022.
    02 May 2022
    Reviewed the status of license and application related to change of management and ownership, noting restrictions on applicant entities due to stipulations, and discussed plans to continue operations under current licensee with pending proposals for facility closure and lease arrangements.
    08 Apr 2022
    Identified that the property sale had been finalized and a management company was put in place during the ownership transition, with daily operations continuing normally and residents receiving care. Noted that the current licensee did not provide the required 60-day notice to residents and families about the changes, and licensing actions remain the responsibility of the current licensee as the process moves forward.
    08 Apr 2022
    Confirmed that the facility's sale was finalized without proper notice to residents and families, with management in place and operations continuing normally during the transition.
    28 Jan 2022
    Found no deficiencies. Cleaning supplies and PPE were securely stored, rooms and dining areas appeared clean, staff wore masks, warning signs were posted, and the isolation area was prepared and being cleaned; no COVID residents were present and food supplies were stocked.
    28 Jan 2022
    Found the dietary-order allegation unsubstantiated after determining discharge orders were followed on transfer from the nursing home, the minced-diet order was later found to be incorrect, and a pureed diet was implemented once the updated order was provided.
    28 Jan 2022
    Found that the facility correctly followed discharge orders but initially used an incorrect diet order for a resident; once corrected, the resident received the appropriate pureed diet, and no violations were confirmed.
    10 Sept 2021
    Identified that infection control measures were in place, staff wore masks, PPE was available, and medications and sharps were secured. Noted deficiencies included food reserves not in place (two-day perishable and one-week non-perishable) and an administrator certificate that had expired.
    10 Sept 2021
    Reviewed infection control practices, safety measures, and resident conditions during an unannounced inspection; identified a deficiency related to food supplies and an expired administrator certificate.
    11 Aug 2021
    Identified that liability insurance was not current due to nonpayment. Found that the home’s finances showed distress.
    • § 15605.69
    • § 87211(a)(1)
    11 Aug 2021
    Found clean, well-stocked, and orderly conditions across three floors, with cleaning supplies secured and locked away; rooms observed clean with no odors and dining areas maintained. Found staff wearing masks, COVID signs posted, and an isolation area in place, with no COVID-positive residents or staff; no deficiencies cited.
    11 Aug 2021
    Confirmed that the facility was in financial distress and that its liability insurance was not current due to unpaid premiums. Therefore, the allegation regarding financial instability and inactive insurance was supported.
    21 Jul 2021
    Reviewed the stipulation waiver and order with the licensee and his attorney via video conference, in the presence of agency staff, to discuss the documents. Concluded with the licensee present for the final review.
    21 Jul 2021
    Reviewed a meeting held via video conference to discuss a stipulation waiver and order issued to a licensee, including the presence of the licensee and their attorney during the discussion.
    • § 87555(b)(26)
    10 Feb 2021
    Identified ongoing red-zone isolation and infection-control measures, including a resident remaining in isolation through 2/13/2021, PPE use and cleaning protocols, and staff screening/visitor procedures; observed hand hygiene stations, door alarms, socially distanced dining, and an electrical cord hazard.
    10 Feb 2021
    Confirmed adherence to COVID-19 protocols, including proper PPE storage, signage, and infection control measures, with ongoing efforts to monitor resident health and maintain safety procedures.
    08 Jan 2021
    Found serious failures to follow COVID-19 safety rules, including staff working while ill, improper PPE use, inadequate cleaning, and lack of supervision. Identified ongoing issues with maintaining residents’ care plans and staffing, including a temporary manager and a ban on admissions during late 2020.
    08 Feb 2021
    Identified ongoing COVID-19 vaccination progress for residents and staff and observed infection-control measures, PPE stock, and social distancing across areas. Noted maintenance items such as a broken toilet paper holder, a door alarm that was temporarily off, and PPE/cleaning-supply storage, along with a potential new admission.
    08 Feb 2021
    Reviewed protocols and conditions related to COVID-19, including vaccination status, PPE availability, sanitation practices, and resident safety measures across multiple floors, with attention to social distancing and infection control procedures.
    04 Feb 2021
    Found no deficiencies; two residents in the Red Zone were to complete isolation by 2/9 and a new admission by 2/12.
    04 Feb 2021
    Reviewed infection control practices, resident care procedures, and staff training, noting compliance with COVID-19 protocols and identifying areas for improved communication and documentation. No deficiencies were cited during the visit.
    28 Jan 2021
    Identified PPE and cleaning practice concerns during a visit to a care home, including a staff member not wearing PPE in the red zone and unclear bleach dilution. Observed residents dining socially distanced and routine sanitization steps in place.
    28 Jan 2021
    Found that staff observed during a visit followed proper cleaning procedures and PPE usage, with minor issues noted in PPE station placement and bleach solution concentration; residents appeared comfortable and safety systems like alarms were functional.
    27 Jan 2021
    Identified the allegation that staff worked while symptomatic and did not follow COVID-19 mitigation measures, PPE, and sanitization protocols. Additionally, supervision and maintenance of resident care plans were inadequate.
    • § 87464(f)
    • § 87303(a)
    • § 87625(b)(3)
    • § 87405(d)
    27 Jan 2021
    Found a case-management visit conducted via Teams noting that Red Zone staff would stay in a hotel, staff were trained, and two residents—a new admission and a returning resident—were monitored with no behavioral incidents since readmission. Observed communal dining with a single lunch service at 11am, four staff assisting, residents spaced out, six needing feeding assistance, one resident not wearing a mask, and safety measures including locked sharps, properly stored food, and refrigeration at 40°F and 32°F, with a meal tray delivered to a Red Zone resident who refused.
    27 Jan 2021
    Reviewed a visit documenting staff accommodations for residents in the Red Zone, observed dining practices and resident care, including meal delivery procedures to the Red Zone, and noted precautions such as residents isolating and staff training on infection control.
    25 Jan 2021
    Identified during a case management visit that a resident had a post‑vaccination reaction and a new admission required isolation; observed sanitation gaps including missing hand soap, paper towels, and an uncovered trash can, while residents maintained social distancing.
    25 Jan 2021
    Reviewed COVID-19 mitigation compliance, resident transfers, and safety precautions, including adherence to protocols for new admissions and sanitation measures within the facility.
    22 Jan 2021
    Identified ongoing infection-control measures, including entry screening, PPE use, staff training, and visitor protocols, with vaccination clinic coordination and a planned update to the dementia care plan.
    22 Jan 2021
    Reviewed infection control and screening procedures, staff training, and visitation protocols to prevent COVID-19 spread, with measures in place for PPE use, sanitization, and resident safety.
    19 Jan 2021
    Identified vaccination status with most staff vaccinated and more planned, and noted residents' health changes including transfers, a hospitalization with return, and hospice initiation, with a safety incident report submitted. Observed medication audits and MAR reviews, room and common areas with soap and masking signs, and noted alarm and ankle bracelet equipment issues, with an exit interview conducted.
    19 Jan 2021
    Reviewed infection control procedures, medication documentation, and safety measures, noting ongoing efforts for resident transfers, staff vaccinations, elopement prevention, and facility sanitation while addressing weather-related issues and equipment concerns.
    15 Jan 2021
    Identified a resident elopement at night; the resident was found outside and transported to the hospital after an unwitnessed fall causing a fractured pelvis. Reviewed documentation and safety planning related to dementia care and risk management, including monitoring and response procedures.
    15 Jan 2021
    Reviewed a resident elopement incident where staff failure to monitor a resident outside led to injury, and identified ongoing issues with elopement prevention measures, including non-operational ankle bracelets and insufficient staff oversight during rounds.
    11 Jan 2021
    Found no deficiencies from today’s visit; noted ongoing COVID-19 precautions, including testing and vaccination planning, with a hospitalized resident awaiting discharge and a prospective resident not yet ready to move in, along with routine safety measures such as temperature monitoring and locked exit doors.
    11 Jan 2021
    Reviewed protocols and observed safety measures during a scheduled visit; facilities maintained proper hygiene, medication storage, and resident engagement with no notable deficiencies identified.
    08 Jan 2021
    Identified deficiencies in care and operations at the site, including a broken soap dispenser with no accessible soap, removal of cloth towels and provision of clean towels, a delay in starting an exercise activity, shared restrooms without paper towels, and a delayed response to an emergency cord, with residents moved between floors and an hourly care log kept.
    08 Jan 2021
    Reviewed an unannounced visit identifying issues with scheduled activities, hygiene supplies, emergency response, and resident comfort, with staff providing technical assistance and implementing immediate corrective actions.
    07 Jan 2021
    Identified that all mass test results from 12/30/2020 were negative, with 24 residents on site and one hospitalized; a resident who had a fall was on the phone with their PCP and unavailable for interview. Noted inconsistencies in written communication and reviewed activity plans and medication audit findings, along with room observations and towel supplies.
    07 Jan 2021
    Reviewed various operational procedures, medication records, and staff communication practices, with updates provided on resident activities and safety measures during a recent COVID-19-related visit.
    • § 87705(j)
    • § 87101(c)(3)
    04 Jan 2021
    Found mass testing results were still pending and no residents showed signs of illness; updates on notable changes in conditions were provided during weekly calls.
    11 Nov 2020
    Found 24 residents on site (19 cleared positives and 5 negatives), one hospitalized, six deaths to date, and several on hospice, with two residents returning from SNF—one in a private room with potential private caregiver and the other in a shared bathroom—recommended not to share a bathroom and to use a bedside commode. No deficiencies observed; no staffing shortages or PPE needs; follow-up planned on readmissions and guidance from the local health department on isolation duration and communal dining.
    10 Nov 2020
    Identified several concerns during an unannounced remote visit, including improper handling of soiled laundry, unclear disinfectant labeling and sit times, clutter of gloves and sanitizers in common areas, and dining practices not consistently enforcing social distancing; observed residents socially distanced in common areas and staff discussions about admissions and safety measures.
    10 Nov 2020
    Confirmed a 24-resident census on site (19 positive but cleared and 5 negative); one hospitalized, six deaths, ongoing hospice and monitoring for others, and nine staff on the morning shift; no deficiencies observed, and an exit interview was conducted.
    11 Nov 2020
    Found no deficiencies during a follow-up call with management and staff, covering training, policy posting, and the new phone service. Identified discussions on readmissions, isolation guidance from the health department, and communal dining guidance, with an exit interview completed.
    12 Nov 2020
    Confirmed a 26-resident census with 21 positives (19 cleared, 5 negative); one resident hospitalized and two readmitted, with isolation-related rooming adjustments noted. Noted no deficiencies observed; surveillance testing conducted, with results not yet received.
    16 Nov 2020
    Confirmed an announced case management visit via Zoom with staff, noting a census of 26 residents and one currently in hospital. Reported no deficiencies observed; identified concerns included an unwitnessed fall with no SIR, the need to follow eviction procedures, changes to front-door screening, the request for logs and PPE signage, and that communal dining was allowed.
    10 Dec 2020
    Found that on December 10, 2020, an unannounced visit observed an isolation area with a PPE station and several recommendations for improvements, including signage and N95 fit testing. Cleaning/disinfecting solution details and contact times were not provided by staff; no deficiencies were observed, and an exit interview was conducted.
    09 Nov 2020
    Identified multiple safety and infection-control deficiencies during a tele-visit, including limited phone lines, missing signs at handwashing basins, soiled laundry on the floor, chairs stacked in the dining area, and large trash cans without lids, with 25% surveillance testing for staff and residents noted.
    04 Jan 2021
    Reviewed a recent visit noting ongoing COVID-19 precautions, pending testing results, resident fall and hospitalization, staff training, safety measures, and facility updates—all conducted remotely with no immediate concerns reported.
    31 Dec 2020
    Identified safety and sanitation deficiencies, including an unlocked second-floor exit door with the alarm disabled, cluttered outdoor areas, exposed wires, and donated items stored near resident access. Ongoing testing showed results pending for 24 residents and 13 staff on 12/30, with prior 12/21 tests negative, and one resident moved to the ER for low oxygen saturation; kitchen sharps were secured but some drawers remained unlocked, and recent fire drill plus evacuation training were addressed.
    31 Dec 2020
    Reviewed safety and health concerns, including unlocked doors, unsafe outdoor items, cluttered visiting areas, exposed wires, and unsecured sharps, while noting ongoing COVID-19 testing and training activities.
    30 Dec 2020
    Identified that a previously cited violation was not corrected by the specified date, resulting in a civil penalty of $100 per day.
    30 Dec 2020
    Reviewed safety protocols, staff training, and compliance with fire and infection control measures; noted ongoing issues with exit door alarms and violations related to safety and health regulations.
    28 Dec 2020
    Reviewed medication records and audits; identified a December MAR discrepancy where a 10 mg and 100 mg dose were printed twice for one resident, corrected for January MAR. Audits for December 25–28, 2020 showed accurate counts for the remaining residents, a PRN order matched MAR and administration, and no deficiencies were observed.
    28 Dec 2020
    Reviewed medication and recordkeeping practices, confirming accuracy and no violations; noted pending updates on policy revisions and plans, with no deficiencies observed.
    • § 80087(a)
    • § 87468.1(a)(2)
    24 Dec 2020
    Identified safety and care-compliance issues at the site, including an unsecured ladder and tools in the lounge, a third-floor exit door without batteries or alarms, and cords or power strips creating trip hazards; observed two unlocked drawers housing knives. Noted gaps in dementia planning and activities, such as missing resident biographies and an activity calendar, and missing fire drill documentation, with a resident reporting a fall on 12/19/2020 and no pain reported.
    24 Dec 2020
    Reviewed a visit that identified safety hazards such as unsecured tools, missing batteries in exit doors, trip hazards, and unlocked drawers; found deficiencies in documentation of resident reappraisals, individualized activity planning, and functioning security cameras.
    22 Dec 2020
    Identified ongoing COVID-19 infection-control measures, exit-door alarms, and hourly resident checks, with an isolation area being prepared; observation limited by poor wifi. Discussed staff training needs on donning and doffing and on exit procedures, while residents continued with socially distanced activities.
    22 Dec 2020
    Reviewed safety protocols, resident care, and staff procedures during a virtual visit, noting ongoing COVID-19 precautions, facility updates, and staff training needs.
    21 Dec 2020
    Identified two exit doors without functioning alarms and signage with incorrect instructions; a service call had been placed but not completed. Observed residents wearing masks and practicing social distancing, a clean kitchen stocked with food, and proper storage and documentation, with no other issues noted.
    21 Dec 2020
    Reviewed conditions at the facility, noting proper medication storage, clean environment, adherence to infection control practices, and adequate staffing communication, with no deficiencies observed during the visit.
    18 Dec 2020
    Found no deficiencies during the unannounced case management visit. Observed staff wearing masks, maintaining social distancing, and kitchens with clean facilities, proper storage, and PPE management.
    18 Dec 2020
    Reviewed conditions during an unannounced inspection, found residents and staff adhering to safety protocols, with proper sanitation, medication management, and ongoing efforts to address COVID-19 related concerns. No deficiencies were observed at the time.
    • § 87705(7)
    • § 87468.1(a)(2)
    • § 87705(b)(2)
    • § 87705(f)(1)
    • § 87705(j)
    • § 87705(k)(3)
    14 Dec 2020
    Found no deficiencies during the visit. Observed proper PPE use, a well-organized isolation area, current staff training and screening practices, and maintained cleanliness with safe linen handling.
    14 Dec 2020
    Confirmed that infection control procedures and safety measures were implemented, staff training was conducted, and residents and staff were following protocols to prevent COVID-19 transmission. No deficiencies were identified during the ongoing oversight.
    10 Dec 2020
    Found that staff improvements for infection control measures were recommended, including signage, PPE organization, and staff training on cleaning procedures, with no deficiencies observed during the visit.
    09 Dec 2020
    Investigated allegation of staff-to-resident abuse; the resident did not recall an incident, showed no signs of injury, and stated she is treated well.
    09 Dec 2020
    Reviewed a case management visit conducted via Teams, with updates on residents, a pending licensee change, and a phone-system upgrade in progress. Discussed mitigation measures and room preparation—barriers, color-coded zones, hand-washing signs, PPE stations, staff areas, and plans for handling positives and new admissions—with requests for resident reappraisals, a Executive Director job duty statement, and a signed infection preventionist duty statement, and noted items to be reviewed by specific dates; an exit interview was conducted.
    09 Dec 2020
    Reviewed an incident involving a terminated staff member’s alleged text message suggesting possible abuse toward a resident; interviews indicated no physical harm or injury to the resident, and the resident reported being treated well.
    08 Dec 2020
    Identified COVID-19 mitigation measures and staff training conducted during a 12/8/2020 visit, including entry screening, PPE demonstrations, and discussions on isolation procedures. Isolation rooms 16-19 were not ready for use and related items remained outstanding.
    07 Dec 2020
    Identified a resident incident and related documentation for review, along with changes in resident status and staffing role updates.
    08 Dec 2020
    Reviewed safety protocols and infection control measures, including PPE use and quarantine procedures, during a site visit due to COVID-19 concerns; discussed plans for isolation areas, staff training, and resident monitoring.
    07 Dec 2020
    Reviewed an inspection involving resident transfers, health conditions, staff role updates, and training compliance during a visit conducted via Microsoft Teams.
    04 Dec 2020
    Confirmed a case management visit where staff reviewed residents’ conditions, safety practices, and daily documentation, including a watch list and a resident in hospital. Identified several administrative items needing updates or extensions, such as trainings, operation plans, and enrollment proofs, with extensions requested to 12/7/2020.
    04 Dec 2020
    Reviewed ongoing resident care and staffing practices, highlighting updates on resident conditions, staff documentation, training progress, and safety protocols amid COVID-19 precautions.
    03 Dec 2020
    Identified ongoing COVID-19 mitigation and staffing updates, including negative test results, a new entry point with sanitizer, and varied staff screening practices. Reported leadership changes with a newly hired executive director and continued communication with hospital and the regional office.
    03 Dec 2020
    Reviewed COVID-19 mitigation, staffing, and medication management protocols, ensuring proper screening, training, and safety procedures were in place, with ongoing efforts to update plans and enhance staff training and communication.
    02 Dec 2020
    Identified one resident hospitalized with others stable or improving; surveillance testing was negative and daily communication with the hospital was planned. Noted administrative and staffing documentation needs, including licensing paperwork, staff screening, and training proof, with an exit interview completed.
    02 Dec 2020
    Reviewed provider compliance with health and safety regulations, resident care, and staff training requirements during an announced visit, noting ongoing documentation updates, resident status assessments, and facility readiness concerns.
    01 Dec 2020
    Identified ongoing safety and operational updates during a case management visit conducted remotely on December 1, 2020. Noted a partially completed entry screening setup, changes in kitchen staff with training in progress, and efforts to centralize medication records, with several documents provided and others still outstanding.
    • §
    01 Dec 2020
    Reviewed a visit to a care facility focusing on COVID-19 safety measures, staff training, resident care, and documentation, noting areas needing improvement and ongoing efforts to address citations.
    30 Nov 2020
    Reviewed resident care concerns, medication pickup status, and staff documentation during a scheduled visit, noting a resident’s hospital transfer and ongoing behavioral outbursts. Identified which documents had been received and which were still pending.
    30 Nov 2020
    Reviewed ongoing resident care, medication pickups, staff training, and document submissions during a virtual visit, while noting some pending corrections and updates needed for compliance.
    24 Nov 2020
    Reviewed the announced case management visit and discussions about infection prevention oversight, and noted changes in residents’ conditions. Discussed relocating dementia care residents to the main floor, with related documentation reviewed.
    23 Nov 2020
    Identified a census of 25 residents, with 20 previously positive who have cleared and 5 negative; one resident died on 11/21/2020. Noted inconsistent staff screening documentation and that surveillance testing occurred with leadership participation.
    24 Nov 2020
    Reviewed staff documentation, resident conditions, and facility policies during a virtual visit, discussing infection prevention roles, resident moves, and ongoing compliance requirements.
    23 Nov 2020
    Identified ongoing COVID-19 precautions with staff and residents wearing masks, social distancing, posted signs, and five PPE stations, plus plans to demarcate isolation areas on the map. Noted deficiencies in the Medications Room related to PRN medication logs and OTC medication authorizations, and gaps in staff screening logs, with a request to submit entries for 11/20–11/22.
    23 Nov 2020
    Reviewed infection control practices, staff screening procedures, and documentation related to COVID-19 cases, including a resident’s passing and facility protocols, with ongoing efforts to improve communication and compliance.
    20 Nov 2020
    Found that an announced case management visit occurred via Teams, with a census of 26 residents including six on hospice and three monitored daily due to instability. Found that staff and visitor screening procedures were outlined, no deficiencies were cited, and an exit interview was conducted.
    19 Nov 2020
    Confirmed a case-management visit occurred with a 26-resident census—21 positive (all cleared) and 5 negative; one resident became agitated in her room, and six residents were on hospice (three monitored daily) with no changes in condition. No deficiencies were cited.
    20 Nov 2020
    Confirmed that COVID-19 testing and screening protocols were followed, residents' health statuses were monitored, and staff training plans were in progress, with ongoing communication regarding visitation and safety measures.
    19 Nov 2020
    Reviewed COVID-19 cases, resident status, and facility safety protocols, with staff maintaining proper social distancing and hygiene measures; no deficiencies were identified during the visit.
    18 Nov 2020
    Confirmed a Teams-based case management visit reviewing resident status, relocations, hospice care, and planned site changes; observed updated line lists, PPE station adjustments, and building-access updates. Found no deficiencies.
    18 Nov 2020
    Confirmed staffing, resident status, and safety protocols during an unannounced visit, noting updates on resident placements, pandemic measures, and facility operations without any deficiencies cited.
    17 Nov 2020
    Identified deficiencies related to COVID-19 precautions, including PPE donning and doffing postings not displayed and color-coded health status signs not posted on resident rooms. Also noted ongoing concerns across staffing, medication management, maintenance and operations, personnel requirements, reporting, care of persons with dementia, personal rights, training, AWOLs, and food service.
    • § 87468.1
    17 Nov 2020
    Found concerns regarding non-compliance with COVID-19 mitigation measures, staffing, medication management, maintenance, personnel requirements, reporting, dementia care, personal rights, training, unauthorized absences, and food service, including specific deficiencies related to PPE postings and signage.
    • § 80075(b)(5)
    16 Nov 2020
    Confirmed that COVID-19 safety protocols were being followed, including resident testing, staff screening, and proper cleaning procedures, with no violations observed during the visit.
    13 Nov 2020
    Identified multiple health and safety deficiencies at the site, including incomplete staff COVID-19 screenings, missing PPE guidance postings, and a resident not wearing a mask. Found unsafe storage of medications and first-aid supplies, a broken cabinet lock exposing personal items, a quarantined resident not wearing a mask, and clutter plus improper storage of chemicals and expired food.
    13 Nov 2020
    Identified multiple health and safety violations, including unsecure cabinets, expired and improperly stored food, incomplete COVID-19 screenings, and inadequate PPE practices, with additional concerns about medication accuracy and building clutter.
    12 Nov 2020
    Reviewed conditions related to COVID-19 management, resident status, and staffing, including procedures for isolation, resident behavior challenges, communication enhancements, and ongoing testing without any observed deficiencies.
    • § 87307
    11 Nov 2020
    Reviewed a resident census, placement updates, and staffing status during a virtual visit; no deficiencies observed.
    10 Nov 2020
    Confirmed that COVID-19 symptoms and positive cases were monitored, staffing levels were adequate, and safety procedures, including laundry protocols and sanitation measures, were being addressed; no deficiencies were identified.
    • §
    • §
    • §
    • §
    • §
    09 Nov 2020
    Confirmed ongoing concerns about staffing, communication systems, and safety protocols during a COVID-19-related visit, with multiple observations indicating areas needing attention and improvement.
    07 Oct 2020
    Confirmed six residents tested negative for COVID-19 and five were awaiting results, with five staff testing negative and one awaiting results. Coordinated with local health authorities and licensing to monitor COVID-19 cases.
    13 Oct 2020
    Reviewed concerns about residents' unreported injuries and pre-existing health conditions, especially in relation to COVID-19, and discussed the process for updating resident information records.
    • § 87464(a)
    • § 87466
    09 Oct 2020
    Reviewed staff and resident rosters and schedules, delivered PPE, and toured all floors; identified positive and negative residents and where they resided (on-site or in hospitals), including COVID-19 positive residents on the third floor; no citations were issued.
    09 Oct 2020
    Reviewed a health and safety visit, including COVID-19 safety measures, staff and resident rosters, and facility conditions across three floors, with some residents testing positive for COVID-19 and infection prevention measures discussed.
    06 Oct 2020
    Identified PPE drop-off, discussed staffing plans, and provided reminders about CHHS guidelines and postings, with food supplies in place; no deficiencies cited, and the licensee will contact the licensing agency if more PPE is needed.
    03 Oct 2020
    Confirmed two residents were transferred to hospitals for assessment, with ambulance transfers observed and transfer information collected for each resident. Discussed staffing and ongoing COVID-19 guidelines, and noted meals in place with breakfast served on site and lunch and dinner catered; no deficiencies cited.
    07 Oct 2020
    Confirmed that staff and residents underwent COVID-19 testing, with most testing negative and others awaiting results; PPE supplies were delivered, and coordination with health authorities was ongoing.
    06 Oct 2020
    Provided PPE and discussed staffing plans with the licensee, who confirmed that food supplies were adequate and that the appropriate health guidelines and postings had been shared.
    04 Oct 2020
    Found sufficient food supplies and discussed infection control and staffing with the administrator; no deficiencies cited.
    04 Oct 2020
    Reviewed the condition of infection control, staffing, and residents, and found no deficiencies during the visit.
    • § 87309
    • § 80075(b)(5)
    • § 87405(d)
    • § 87203
    • § 87468.1
    • § 87555
    03 Oct 2020
    Confirmed residents with COVID-19 were transferred to hospitals and ambulances, while staff ensured proper care, food supplies remained adequate, and necessary documentation and guidelines were in place during an unannounced visit.
    19 Feb 2020
    Reviewed records related to an unusual incident involving a resident, ensuring staff received proper training; no deficiencies were identified.
    18 Nov 2019
    Reviewed a fall incident involving a resident who left the facility unassisted despite an ankle alarm system, resulting in injury and an unwitnessed fall outside the premises. The resident was hospitalized and returned the same day, with the alarm system not activating as it should have.

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