I placed my mom here and I'm very happy - the staff are warm, attentive and know residents' names, the community is immaculately clean and well-maintained, meals are tasty with healthy variety, and there are lots of activities and first-class events that make it feel like home. It's an older building with some wear, occasional staff turnover and administrative hiccups (watch meds/billing), but care has been compassionate and responsive and the move-in decision was made easy. Overall I'd recommend this place - our experience has been positive.
About Greenhaven Estates Assisted Living and Memory Care
Greenhaven Estates Assisted Living and Memory Care sits in Sacramento, California, offering both assisted living and memory care to seniors in a supportive community that tries to focus on kindness, compassion, and maintaining comfort for everyone living there. The community holds 105 beds, provides different options for living spaces such as semi-private rooms, studios, one-bedroom, and two-bedroom apartments, and backs this up with a published monthly price range so families have a clear view of costs. The place is actually a Residential Care Home and operates with license number #347005239 as a certified Residential Care Facility for the Elderly.
They offer all sorts of services to cover needs as they change, like respite care for short stays, hospice care when it's needed, and even home care support, plus a no-smoking policy indoors, which helps keep their air clean. Pets are allowed, which means residents who love animals can bring their companions, and the community includes both outdoor and indoor common areas for relaxing, activities, and socializing. The facility features on-site and off-site devotional services, so residents can attend spiritual or religious gatherings without much trouble.
There's a SPARK program there, and that focuses on getting people involved in lifelong learning and building connections, so everyone can find a sense of belonging and have a routine that keeps life interesting. The activity schedule is full, and daily options like yoga, light exercise, and recreational programs, alongside weekly entertainment, monthly town hall meetings, and seasonal holiday parties, encourage social engagement and friendship-building.
When it comes to care, residents benefit from a dedicated team that handles medication, helps with daily living needs like bathing and dressing, runs housekeeping and laundry, and gives access to physical, occupational, and speech therapy found on-site. Memory care is offered with a safe environment and ongoing activities for residents living with Alzheimer's or other types of dementia, and staff are trained to be gentle and attentive to special needs. They use person-centered care plans to tailor support individually, whether that's for people needing more hands-on help or those wanting to keep as much independence as possible. Residents receive 24-hour support, round-the-clock monitoring, and safety features in each apartment, including smoke detectors and sprinklers.
The dining room serves three meals daily that are chef-prepared, nutritious, and available for different dietary needs, including vegetarian options, and there are plenty of chances to share a meal with friends or neighbors. Housekeeping staff works to keep the facility clean and comfortable, while the building's layout and programs focus on keeping residents engaged, safe, and part of a caring group. Transportation for personal errands and appointments is complimentary.
Families and residents tend to rate Greenhaven Estates highly, often noting the professionalism of staff, the welcoming environment, and the genuine focus on each person's well-being. The community is pet-friendly, smoke-free inside, and aims to offer high-quality assisted living and memory care while helping residents feel at home and respected. Tours are available for anyone who wants to take a look at the facility, apartments, meals, and activities, and see what daily life is like for themselves.
People often ask...
Greenhaven Estates Assisted Living and Memory Care offers competitive pricing, with rates starting at a cost of $2,895 per month.
Greenhaven Estates Assisted Living and Memory Care offers assisted living, memory care, and board and care.
There are 29 photos of Greenhaven Estates Assisted Living and Memory Care on Mirador.
The full address for this community is 7548 Greenhaven Dr, Sacramento, CA, 95831.
Yes, Greenhaven Estates Assisted Living and Memory Care offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
158
Inspections
45
Type A Citations
26
Type B Citations
6
Years of reports
02 Jul 2025
02 Jul 2025
Found no preponderance of evidence to prove the allegation that staff yelled at residents or made inappropriate comments; six residents denied such behavior and four staff denied witnessing any verbal or physical abuse. No deficiencies were cited.
02 Jul 2025
02 Jul 2025
Investigated the allegation of abuse of residents' personal rights and found no corroborating evidence from interviews with residents and staff.
15 May 2025
15 May 2025
Identified three outdoor maintenance storage areas left unsecured and items that must be inaccessible to residents were not secured, and staff training could not be verified as meeting the required 20 hours total with 8 hours of dementia care. Found water temperature at 117 degrees Fahrenheit, within the 105-120 range; food supplies were adequate for seven days nonperishable and two days perishable; fire extinguishers, smoke detectors, carbon monoxide detectors, and a complete first-aid kit were in place, and medications were securely stored.
§ 9058
§ 1569.625(b)(2)
§ 87309(a)
24 Apr 2025
24 Apr 2025
Investigated the allegation of questionable death and found no preponderance of evidence to prove it; police determined natural causes and could not link the medication delay to the death. No deficiencies were found.
28 Mar 2025
28 Mar 2025
Found hallways and dining areas at 73 degrees, meeting the minimum heating requirement, though two residents still felt it was too cold. Interviews with six residents showed four found the temperature comfortable and two felt cold, resulting in insufficient evidence to prove the heating-related allegation.
14 Mar 2025
14 Mar 2025
Found that the physical plant allegation could not be proven. Observed a smoking-area door with a new electronic arm not secured as designed and discussed it with management; noted a thermostat in a common area had been off but was turned on and produced heat, and interviews indicated no staff transported garbage through the kitchen with two large bins remaining outside for waste collection.
28 Feb 2025
28 Feb 2025
Found all outstanding POC items addressed and in compliance with Title 22; no deficiencies observed. POC letters left at the site, and an exit interview was completed.
31 Jan 2025
31 Jan 2025
Found that the allegation of Neglect/Lack of supervision and personal rights is unsubstantiated after interviews with nine staff and eight residents. No deficiencies were cited, and the finding could be amended if additional information is received.
18 Dec 2024
18 Dec 2024
Found the home in good order with safe conditions, including water at 113 degrees Fahrenheit (within 105-120), adequate food supplies, current fire extinguishers, smoke detectors, carbon monoxide detectors, and centrally stored medications kept secure. Identified the need for a new syringe disposal container to meet regulations.
17 Oct 2024
17 Oct 2024
Found neglect due to lack of supervision and unsafe maintenance that allowed tools to be used in a resident's room during air conditioner repairs, resulting in an injury after the A/C was nonfunctional for 18 days. Determined the refund claim for dates the resident was not living there lacked sufficient support.
17 Jul 2024
17 Jul 2024
Identified neglect due to lack of supervision and physical plant problems, with residents experiencing delays in call responses and some soiling while awaiting care. Elevator-related issues, including a nonfunctional elevator telephone that led to temporary deactivation and subsequent repairs to restore service.
17 Jul 2024
17 Jul 2024
Found neglect and lack of supervision due to delays in call light responses and insufficient staff to meet residents' needs, with overnight agency staff not consistently checking on residents or providing incontinence care.
17 Jul 2024
17 Jul 2024
Investigated a food service allegation; interviews with staff and residents and review of records did not provide enough evidence to prove a violation occurred.
17 Jul 2024
17 Jul 2024
Investigated claims regarding food service; determined insufficient evidence to prove violation occurred. Conducted exit interview and issued appeal rights.
20 Jun 2024
20 Jun 2024
Found all light fixtures operating as designed, but the kitchen storage closet door was unlocked with sharp knives accessible to residents. Found a second violation within 12 months, resulting in an immediate civil penalty.
20 Jun 2024
20 Jun 2024
Reviewed resident files, found most were complete with one needing renewal of a required form; advisory note issued. Met with the administrator, conducted a tour of the site, and found no deficiencies; exit interview conducted.
20 Jun 2024
20 Jun 2024
Identified deficiency related to storage of sharp knives and unlocked door during inspection. Immediate civil penalty issued.
24 May 2024
24 May 2024
Found several health and safety deficiencies, including cleaning supplies and sharp objects not secured from residents, gloves not disposed of properly and stored in common area drawers, and two memory care showers lacking non-slip mats. Found incomplete staff documentation with missing health screenings, TB tests, and first aid certificates, and limited access to resident files prevented verification of trainings, while water temperature was 114 degrees Fahrenheit within the 105–120 range and safety systems such as fire extinguishers, smoke detectors, and carbon monoxide detectors were current and medications centrally stored.
§ 87309(a)(1)
§ 87470(a)(4)
§ 87309(a)
§ 1569.625(b)(1)
§ 1569.618(c)(3)
§ 87303(d)
§ 87303(e)(5)
§ 87412(a)
§ 87412(a)(11)
24 May 2024
24 May 2024
Identified deficiencies in various areas such as staff training, safety measures, and cleanliness during the inspection.
11 Apr 2024
11 Apr 2024
Identified the allegation that refrigerators were not kept at or below the required temperature, with logs showing readings over 40 degrees and up to 45. The limit is 40 degrees.
§ 87555(b)(21)
11 Apr 2024
11 Apr 2024
Observed refrigerator temperatures above regulation levels during an inspection on 4/11/24.
08 Mar 2024
08 Mar 2024
Confirmed submission of documents verifying the appointment of a new administrator and discussed changes in management and property control with the executive director.
08 Mar 2024
08 Mar 2024
Confirmed appointment of new administrator and control of property at the facility reviewed.
§ 87303(a)
§ 87464(f)(1)
§ 1569.625(b)(2)
§ 87468.1(a)(2)
08 Feb 2024
08 Feb 2024
Identified management changes and a planned name change, with documents on control of property and the name change to be submitted by 2/16/24.
08 Feb 2024
08 Feb 2024
Conducted an unannounced inspection to gather information on property control and facility name change. Discussions held with management regarding recent changes and submission of required documents.
05 Jan 2024
05 Jan 2024
Identified on 1/5/24 concerns that a new management company was added to the license without a change of ownership and that the property was sold at foreclosure without notification. Noted that no application for change of ownership had been received, deficiencies were found, and an exit interview was conducted.
05 Jan 2024
05 Jan 2024
Identified deficiencies during inspection and discussed property transfer requirements.
§ 87465(a)(1)
§ 87411(a)
§ 87465(a)(1)
28 Dec 2023
28 Dec 2023
Determined that the complaint alleging an out-of-state criminal activity by a staff member is unfounded because that staff member never worked at this site. No deficiencies were identified.
28 Dec 2023
28 Dec 2023
Determined that the allegation regarding a staff member's out-of-state criminal record was false and without reasonable basis, leading to the dismissal of the complaint.
20 Dec 2023
20 Dec 2023
Found the allegation unfounded; even with two staff call-outs, other staff covered and resident care needs were met. No deficiencies were observed, and residents were reported to be fine despite layoffs.
20 Dec 2023
20 Dec 2023
Found that the allegation was unfounded and no deficiencies were observed.
14 Dec 2023
14 Dec 2023
Found the allegations that staff stole a resident's money, were rough with a resident, and neglected a resident resulting in a fall to be unfounded.
14 Dec 2023
14 Dec 2023
Found a resident missing for about two hours with no staff knowledge after maintenance work; exit door alarm may have been turned off and was not rechecked afterward to ensure alarms functioned, creating a safety lapse.
14 Dec 2023
14 Dec 2023
Identified leadership changes and staff on leave after an unannounced visit, and noted the required documents for appointing a new administrator. Found deficiencies were cited and an exit interview was conducted with rights acknowledged.
14 Dec 2023
14 Dec 2023
Investigated allegations of staff stealing money, being rough with a resident, and neglect leading to a fall; determined these to be unfounded based on interviews and evidence review.
§ 87303(a)
§ 87465(a)(1)
06 Dec 2023
06 Dec 2023
Found no deficiencies cited and observed a clean, well-maintained home with water temperature at 106 degrees, adequate food supplies, functioning fire, smoke, and carbon monoxide detectors, a complete first aid kit, and securely stored medications. Requested the required documents for the file.
06 Dec 2023
06 Dec 2023
Confirmed no deficiencies found during the inspection, facility met health and safety requirements.
03 Nov 2023
03 Nov 2023
Found that the night-shift sleeping incident had supporting evidence. The medication-accessibility allegation, rough-handling claim, and use of children were not supported by interviews; the questionable death was previously deemed unfounded; and no deficiencies were cited.
03 Nov 2023
03 Nov 2023
Confirmed allegations of staff sleeping on duty and maintaining expired medications, but allegations of staff handling residents roughly, using children to care for residents, and leaving medication accessible to residents were not substantiated.
06 Oct 2023
06 Oct 2023
Found that the complaint about care leading to a resident's death was unfounded. Interviews and records showed no violations.
06 Oct 2023
06 Oct 2023
Confirmed no violations found during the visit and the allegation was deemed unfounded.
08 Sept 2023
08 Sept 2023
Found that a resident received a double dose of prescribed medication in the morning, instead of one dose in the morning and one in the evening, and that the resident’s report of feeling unwell was not addressed or documented, delaying medical attention.
08 Sept 2023
08 Sept 2023
Confirmed a medication error occurred resulting in a resident receiving a double dose of medication, with inadequate follow-up leading to the termination of a staff member.
§ 1569.191(b)
07 Sept 2023
07 Sept 2023
Found that the allegation that staff layoffs affected call button response time and resident care was unfounded; no deficiencies were observed.
07 Sept 2023
07 Sept 2023
Issued an immediate exclusion for a staff member who was not on site, removing them from the site roster and prohibiting employment or contact with clients at any licensed residential setting, effective 09/05/2023. Conducted an exit interview and found no deficiencies.
07 Sept 2023
07 Sept 2023
Confirmed that allegations of staffing issues at the facility were false, with residents wanting reassurance about the quality of care provided.
§ 87309(a)(1)
09 Aug 2023
09 Aug 2023
Identified deficiencies showing that the administrator on file was not properly documented; the designee paperwork was incomplete, unsigned, and undated, and the site’s staff roster still listed the former administrator.
09 Aug 2023
09 Aug 2023
Identified that the refund due under the death provisions, amounting to $6,760.13, had not yet been issued to the resident's responsible party even though belongings were removed one day after death and payment was expected within 15 days. The check was to be mailed today.
§ 1569.652(c)
09 Aug 2023
09 Aug 2023
Visited to ensure proper documentation on file for the Administrator position, observed incomplete documents and mismatch between staff roster. Deficiencies noted, civil penalties may be assessed if not corrected.
17 Jul 2023
17 Jul 2023
Reviewed two incidents alleging missing valuables, with police reports filed; one involved missing money reported on 10/12/22 after it was last seen on 9/29/22, and the other involved missing credit cards reported on 10/20/22 by the family of another resident. The resident who reported the money suspected theft, the other resident could not recall the missing cards, and the second resident died later.
17 Jul 2023
17 Jul 2023
Reviewed incident reports of missing money and credit cards, interviews with residents and responsible parties, and facility procedures for theft and loss. No deficiencies were found during the visit.
§ 87705(j)
§ 87705(6)
29 Jun 2023
29 Jun 2023
Found that the allegation that the complaint was opened under the wrong number was unfounded; no deficiencies were observed.
29 Jun 2023
29 Jun 2023
Determined complaint was unfounded due to incorrect facility number indicated in the complaint. No deficiencies were found during the inspection.
§ 87405(a)
28 Jun 2023
28 Jun 2023
Identified that a resident found a thumb tack in a bowl of fruit. Observed thumb tacks posted in the kitchen and pin holes above the counter used to serve fruit; recovered and photographed the thumb tack; internal checks found no other matching tacks; the resident and two kitchen staff were interviewed.
§ 87555(a)
28 Jun 2023
28 Jun 2023
Found thumb tacks in food, staff failed to address safety concern.
§ 87466
08 Jun 2023
08 Jun 2023
Found no deficiencies after an unannounced 1-year visit; indoor temperatures were 68-85 F, hot water 105-120 F, safety systems were in place, the centralized medications area was locked, and the first aid kit was stocked. Noted a hospice waiver covering 12 residents, with 4 currently receiving hospice services, and that annual administrative documents would be updated; an exit interview was conducted.
08 Jun 2023
08 Jun 2023
Confirmed no deficiencies observed during inspection.
24 Feb 2023
24 Feb 2023
Found that the allegations that incontinence care was not met, call lights were not answered promptly, staff were disrespectful, and medical needs were not adequately addressed were true based on interviews and chart reviews.
§ 87468.1(a)(3)
§ 87464(a)
§ 87465(e)
§ 87459(a)(5)
08 Mar 2023
08 Mar 2023
Found continued compliance with license terms and stipulations, including required staff ratios, incident reporting, and safety checks; temperatures and hot water levels met regulatory requirements, oxygen signs were posted, medications remained locked, and the first aid kit was complete.
08 Mar 2023
08 Mar 2023
Confirmed that the care home met all regulations and requirements during the recent visit.
24 Feb 2023
24 Feb 2023
Confirmed issues with extended response times for incontinence care and call light assistance, disrespectful caregiver behavior, and improper handling of medical needs, leading to the termination of two staff members.
§ 87466
§ 87465(j)
09 Jan 2023
09 Jan 2023
Found no deficiencies during the unannounced visit; safety systems, food and medication storage, temperatures, and paperwork were in order, with one resident receiving hospice care.
09 Jan 2023
09 Jan 2023
Inspection conducted with no deficiencies observed. All required safety measures and supplies were up to standards.
16 Nov 2022
16 Nov 2022
Found that a resident’s back wound progressed to stage 3 and extended beyond the licensed scope of care for about a month; no evidence that anyone was admitted outside the scope of care; and a resident did not require hand-feeding and could self-feed during meals.
16 Nov 2022
16 Nov 2022
Found that a resident sustained a pressure injury while in care. Found no evidence to support the other allegations that medication was not administered as prescribed, that a staff member forced a resident to get out of bed, that diabetic care needs were not met, or that residents were not rotated and repositioned.
16 Nov 2022
16 Nov 2022
Found pressure injuries in residents, but no evidence of improper medication administration, forced resident movements, unsatisfactory diabetic care, or lack of rotation/repositioning.
§ 87405(a)
04 Nov 2022
04 Nov 2022
Found insufficient evidence to prove the allegations that staff were not trained on the MC unit, staff were not trained on the AL unit, and residents did not receive meals.
07 Nov 2022
07 Nov 2022
Investigated theft of money from two residents; interviews with staff and residents did not identify who was involved, and the missing amount could not be confirmed. No violations were cited.
07 Nov 2022
07 Nov 2022
Investigated an incident involving the alleged theft of credit cards and money from two residents, but insufficient evidence found to support the claims. Interviews conducted with staff and residents, and no unusual charges reported on the missing credit cards.
04 Nov 2022
04 Nov 2022
Confirmed allegations of staff not receiving training were disproved through interviews, with multiple staff members stating they had received training. The allegation regarding residents not receiving food was also disproved, as all residents reported receiving meals.
06 Oct 2022
06 Oct 2022
Found no deficiencies; the site had a 105-capacity, 9 hospice residents, adequate staffing on both wings, proper temperature (72 F) and hot water (112.5 F), a locked centralized medications area, and functioning safety devices with meals prepared and supplies in order.
06 Oct 2022
06 Oct 2022
Determined that the allegation of abuse by staff could not be proven by a preponderance of the evidence.
06 Oct 2022
06 Oct 2022
No deficiencies were observed during the visit to the facility. All requirements were found to be in compliance.
23 Aug 2022
23 Aug 2022
Identified black mold in the shower of one resident’s bathroom and that four of five rooms were clean while one was not. Noted that although the family manages housekeeping, bathrooms must remain clean, sanitary, and odorless, with deficiencies identified.
23 Aug 2022
23 Aug 2022
Identified deficiencies related to bathroom cleanliness and maintenance during a health and safety visit.
10 Aug 2022
10 Aug 2022
Found no deficiencies during the visit; food storage, safety systems, a locked medications area, and a stocked first aid kit were in place. Temperature and water readings met requirements (72-76°F and 108.9°F), and appropriate staffing with hospice services were observed.
10 Aug 2022
10 Aug 2022
Investigated allegations of inadequate supervision, lack of dignity toward a resident, relocation without proper documentation, failure to inform the authorized person, and disclosure of confidential information. Found insufficient evidence to prove these occurred; no deficiencies cited.
§ 87468.2(a)(1)
10 Aug 2022
10 Aug 2022
Confirmed no deficiencies during the visit.
§ 87615(a)(1)
17 Jun 2022
17 Jun 2022
Found unlocked toxins in the memory care area with residents present; observed adequate food supplies, a hot water temperature of 119°F, and current fire safety equipment.
Reviewed 25 resident and 10 staff files with clearances, confirmed all staff were fingerprint cleared, noted centrally stored medications and a complete first aid kit, and an exit interview with appeal rights conducted.
17 Jun 2022
17 Jun 2022
Identified deficiencies in safety and medication management; appropriate actions taken for compliance.
§ 87468.2(a)
§ 87615(a)(1)
06 Apr 2022
06 Apr 2022
Identified no deficiencies during an unannounced case management visit to verify an administrator was in place. Provided documents to update the administrator in the licensing system.
06 Apr 2022
06 Apr 2022
No deficiencies were cited during the visit conducted by the Department of Social Services.
01 Mar 2022
01 Mar 2022
Identified that a non-compliance conference was held and a touch-base conference was requested for May, with no deficiencies cited during the visit.
01 Mar 2022
01 Mar 2022
Identified issues were discussed and steps were outlined to ensure compliance moving forward. Monitoring will be increased to address the concerns raised.
25 Jan 2022
25 Jan 2022
Identified allegations related to the Covid-19 outbreak response and resident rights at the site.
25 Jan 2022
25 Jan 2022
Identified numerous violations and deficiencies during the meeting, which resulted in citations and penalties being issued.
12 Jan 2022
12 Jan 2022
Found that a resident was sent out to pick up insulin without supervision, including a ride via Uber to the wrong hospital and returning with different insulin in a vial. Indicated by a physician assessment that the resident could not leave unassisted, with interviews and records supporting that the medication pickup occurred without supervision.
12 Jan 2022
12 Jan 2022
Identified two residents receiving hospice care and an administrator certificate expiring 8/12/2023. Found no deficiencies noted; observed the designation of responsibility posted, functioning safety systems (fire extinguishers, wired pull alarm with smoke detectors, carbon monoxide detectors), adequate food supplies, room temperatures around 75°F, water temperatures in sampled rooms between 106.9–115.3°F, and staff assisting residents with daily living.
12 Jan 2022
12 Jan 2022
Identified deficiencies in medication supervision during a recent inspection.
11 Jan 2022
11 Jan 2022
Found no deficiencies and noted compliance with safety measures, medication handling, and resident care procedures, including a capacity for six non-ambulatory residents, one of whom may be bedridden, with a hospice waiver.
11 Jan 2022
11 Jan 2022
No deficiencies were observed during the visit by licensing analysts. The facility met all requirements for licensing.
07 Jan 2022
07 Jan 2022
Confirmed on 01/07/2022, the applicant/administrator participated in COMP II, identity verified by photo ID and other information, and understanding of California Code Title 22 regulations was affirmed; LIC 809 with photo ID was obtained. Confirmed understanding of eight areas: operation, admission policies, staffing and training, restrictive health conditions, general provisions, emergency preparedness, complaints & reporting, and pre-licensing readiness.
07 Jan 2022
07 Jan 2022
Confirmed understanding of California Code Title 22 regulations during inspection.
28 Dec 2021
28 Dec 2021
Identified an interim designee in charge, with the designation posted and a current administrator certificate expiring 8/12/2023, noting the designation letter had an incorrect date. Noted no deficiencies were found.
28 Dec 2021
28 Dec 2021
Identified no deficiencies during the visit.
§ 87303
03 Dec 2021
03 Dec 2021
Investigated the allegation that a resident missed a medication dose and found insulin supply confusion, with the resident sent to the pharmacy and syringes later located in the facility.
Investigated the allegation of illegal eviction due to not having a 30-day medication supply at admittance, found no documentation requiring a 2-week to 30-day supply on hand at intake, and noted unclear relocation and disposition after the resident left.
03 Dec 2021
03 Dec 2021
Confirmed allegations of missed medications and illegal eviction following an unannounced visit.
§ 87705
12 Nov 2021
12 Nov 2021
Found no deficiencies cited during this visit. Noted first aid kit contents, fire extinguishers in compliance, a hard-wired pull alarm system with smoke detectors, carbon monoxide detectors present; two days’ perishable and seven days’ nonperishable food supplies stocked; and ongoing activities on both sides.
12 Nov 2021
12 Nov 2021
Confirmed no deficiencies found during the visit, with all required items observed to be in compliance. Activities were being conducted for residents in both sides of the building.
09 Nov 2021
09 Nov 2021
Found no health or safety concerns after an unannounced visit to the care home; temperatures and safety measures were within required ranges and medications were securely stored. Noted six residents in care, one on hospice, a hospice waiver for six, and CHOW applications due by 11/30/21.
09 Nov 2021
09 Nov 2021
Confirmed no health and safety violations found during the visit.
01 Nov 2021
01 Nov 2021
Identified that the allegation that staff were not wearing masks was supported, based on photos and video reviewed. The video showed at least one staff member without a mask inside.
§ 1569.58(a)
01 Nov 2021
01 Nov 2021
Identified that permission to publish photos of residents was not obtained and that a video misidentified a resident; also found an untimely hospitalization report for a resident and failure to include that resident on the public health COVID line list, with a related fax issue. Deficiencies cited for false claims, information release, and reporting requirements.
01 Nov 2021
01 Nov 2021
Confirmed allegations of staff not wearing masks based on evidence from interviews, video, and photos.
27 Oct 2021
27 Oct 2021
Found 6 residents receiving care, including 2 on hospice; hot water measured at 117.9°F and indoor temperature at 71°F were within required ranges. No health or safety concerns observed; fire extinguishers, smoke and carbon monoxide detectors, central heating/air were present, centrally stored medications area was locked, and the first aid kit contained required items; no violations noted.
27 Oct 2021
27 Oct 2021
Confirmed no health and safety concerns during the inspection.
22 Oct 2021
22 Oct 2021
Found that ownership changes were planned after a co-licensee’s death, with the sole LLC member retaining control of property and business, while no changes to operations or finances were reported, no deficiencies were cited, and health and safety visits would continue until the ownership change application is submitted.
22 Oct 2021
22 Oct 2021
Identified health and safety concerns at the site, including medication handling discrepancies such as a pill container showing two room numbers, unlabelled cups, and a bubble pack with missing pills. Also noted missing signage for smoking areas, lack of hand sanitizer, and absence of a designated responsibility form that had been discussed previously with administrators.
§
§
22 Oct 2021
22 Oct 2021
Identified deficiencies were found during the visit, including discrepancies in medication administration and lack of required signage and hand sanitizer in designated areas.
§ 9111
22 Oct 2021
22 Oct 2021
Confirmed no deficiencies found during the visit.
21 Oct 2021
21 Oct 2021
Found no violations; licensed for six non-ambulatory residents, with a hospice waiver for six, and two residents were receiving hospice services. Hot water was 118.2F and indoor temperature 75F; safety devices including fire extinguishers and smoke/CO detectors were in place; medication storage was locked; first aid kit stocked; LIC308 posted.
21 Oct 2021
21 Oct 2021
Inspection confirmed no violations were observed during visit, ensuring residents' health and safety standards were met.
19 Oct 2021
19 Oct 2021
Reviewed COVID-19 infection control recommendations during a joint health and safety visit; no deficiencies were cited.
19 Oct 2021
19 Oct 2021
Confirmed recommendations were discussed and implemented to mitigate the spread of Covid-19 at the facility. No deficiencies were cited during the visit.
§
22 Sept 2021
22 Sept 2021
Found six current residents’ physician reports were updated in 2021, while one resident who moved out in August 2020 did not have an annual update due by August 27, 2020; no deficiencies were cited.
22 Sept 2021
22 Sept 2021
Found that the prior case management citation was amended to reflect the correct regulation after reviewing an incident in which a resident received a narcotic twice in one day and the narcotics count was off, with the resident determined not to be in immediate health or safety risk at that time.
22 Sept 2021
22 Sept 2021
Identified a medication error during a previous visit, resulting in a corrected deficiency citation.
§ 87465(a)(5)
§ 87224(a)
10 Sept 2021
10 Sept 2021
Found no deficiencies after the visit; safety measures were in place, temperatures and hot water were within required ranges, medications were securely stored, and annual documents were identified for update.
10 Sept 2021
10 Sept 2021
Found no deficiencies during the required annual visit to ensure safety and compliance with regulations.
19 Aug 2021
19 Aug 2021
Found that staff did not provide timely medical attention after a resident fell, with multiple falls in 2020 and a decline in condition not promptly addressed.
Found that the claim staff failed to supervise resulting in death was not supported.
19 Aug 2021
19 Aug 2021
Found that staff removed a resident's chair wheels after a fall without documentation or physician indication for safety, and the admission agreement was not provided despite multiple requests; checks for a fall-risk resident were not documented every 1-2 hours, with chart notes showing only daily or 2-3 times daily checks.
19 Aug 2021
19 Aug 2021
Confirmed findings of neglect in the care of a resident who fell multiple times, resulting in serious injuries, including a brain bleed.
Found no evidence of neglect in the care of the same resident leading to their death, despite multiple falls and medical issues.
16 Aug 2021
16 Aug 2021
Found tampering with Hydrocodone medications, with a bubble pack missing four tablets replaced by unknown pills and another pack with half-tablets replaced and taped with unknown pills; administrator was notified. Drug tests were negative for several staff, one did not report for two shifts, no other Tylenol-related missing medications were found, and the preponderance of evidence standards were not met.
16 Aug 2021
16 Aug 2021
Identified a missing narcotic pill from a resident's medication. Two staff were drug tested and negative, a third left early and was not tested, and physician and family were reportedly notified but not documented, with the available evidence not meeting the required standard.
16 Aug 2021
16 Aug 2021
Identified deficiencies related to medication handling.
§ 87465(g)
29 Jul 2021
29 Jul 2021
Identified an incorrect visit date input by the LPA in the prior case management document, and civil penalties will be assessed for the repeat violation.
29 Jul 2021
29 Jul 2021
Corrected the case management record to fix an incorrect visit date in the body; all other parts remained correct.
29 Jul 2021
29 Jul 2021
Amended case management report identified incorrect visit date, civil penalties assessed for repeat violation.
§ 9058
§
21 Jul 2021
21 Jul 2021
Identified a self-reported incident in which a resident received the incorrect medication, the incident report was incomplete, and a decreased pulse led to 911 activation; the resident returned with no new medication or treatment orders, and a deficiency was to be cited.
21 Jul 2021
21 Jul 2021
Identified a medication administration error where a resident took a dose twice in one day because staff did not provide the assistance allowed by the physician’s order, though the resident could manage with help as needed. Found that all individuals answered 'No' to questions about COVID-19 symptoms, testing, exposures, and related conditions.
21 Jul 2021
21 Jul 2021
Identified a medication error where a resident received tramadol twice in one day and the narcotics count was off. Staff confirmed the error occurred during medication training.
§
21 Jul 2021
21 Jul 2021
Found that a resident was admitted to a hospital for an opiate overdose, and the administrator acknowledged a source who provided drugs to the resident. Additionally, identified three incident reports of over-medication, including duplicate medication administration to residents in 2020 and 2021, indicating a history of overdosing residents from 2020 to date.
§ 87465(a)(1)
21 Jul 2021
21 Jul 2021
Confirmed a medication error occurred during training as noted in an Incident Report.
§
§ 87468.1
§
§
14 Jul 2021
14 Jul 2021
Investigated medication error reports from several dates during a case-management visit and requested additional documentation (LIC602, staff training confirmations, charting notes, and medication records); these occurrences require further review.
14 Jul 2021
14 Jul 2021
Investigated medication errors on multiple dates in the past year.
§
14 Jun 2021
14 Jun 2021
Found one resident receiving hospice care; observed safety features including a locked medication area, stocked first aid kit, functional pull alarms, fire extinguishers, and smoke/CO detectors, plus central heating and air, with indoor temperature at 77F and hot water at 106.5F. Found no deficiencies observed or cited; 2-day perishables and 7-day non-perishables were on hand, and designation of responsibility for the site and an updated administrator certificate were noted.
14 Jun 2021
14 Jun 2021
Investigated an allegation of COVID-19 related concerns and medication administration; found the allegation unsubstantiated.
14 Jun 2021
14 Jun 2021
Confirmed no deficiencies were observed during the inspection.
§
03 Jun 2021
03 Jun 2021
Determined there wasn’t enough evidence to prove the medication-related allegation of missed doses or unreported holds, and there wasn’t enough evidence to prove delays in responding to residents’ call buttons; no deficiencies were cited.
03 Jun 2021
03 Jun 2021
Reviewed allegations of medication errors and inadequate response times to call buttons; found insufficient evidence to prove these allegations, with records showing documented medication management and typical response times within 10 minutes.
§
§
27 May 2021
27 May 2021
Found no evidence to support the following allegations: inappropriate restraint of a resident; inadequate food service; failure to administer medications in a timely manner; unclean conditions; odor related to dog feces; and failure to provide activities.
27 May 2021
27 May 2021
Investigated allegations of inappropriate restraint, inadequate food service, untimely medication administration, uncleanliness, bad odor from dog feces, and unmet resident needs for activities; found no substantial evidence supporting these claims.
§
§
06 Apr 2021
06 Apr 2021
Found no deficiencies; safety, temperature and hot water readings, medication storage, oxygen signs, first aid kit, and resident and staff files met requirements during the visit.
06 Apr 2021
06 Apr 2021
Confirmed no deficiencies were found during the visit to the facility.
§
§
§
§
27 Mar 2021
27 Mar 2021
Found that the allegation that staff handled a resident in a rough manner—yelling, grabbing the resident’s wrists, and bruises observed by witnesses—was supported.
27 Mar 2021
27 Mar 2021
Identified that a resident ate food from other residents' plates during meals. Found that this behavior resulted in a deficiency being cited.
27 Mar 2021
27 Mar 2021
Confirmed allegations of staff member eating food from residents plates during meal times.
24 Feb 2021
24 Feb 2021
Found no deficiencies; temperatures were within range, hot water met requirements, medications were locked, oxygen signs were posted with tanks secured, and the first aid kit and required files were complete.
24 Feb 2021
24 Feb 2021
Investigated an allegation involving a staff member; issued immediate exclusion orders for the staff member from all locations and for the licensee from the home, with the staff member departing immediately.
24 Feb 2021
24 Feb 2021
Confirmed no deficiencies found during the visit at the care home, meeting all requirements set forth by regulations.
26 Jun 2020
26 Jun 2020
Reviewed the stipulation and findings, resulting in probation with a civil penalty and requirements for future compliance.
17 Jan 2020
17 Jan 2020
Found allegations of improper assessments before resident move-ins and unauthorized medication administration unfounded. Confirmed no deficiencies according to California regulations.
06 Jan 2020
06 Jan 2020
Confirmed medication errors occurred with a resident on two separate occasions. Actions taken to address errors and provide additional training to staff.
05 Dec 2019
05 Dec 2019
Identified no deficiencies during the inspection. Deficiencies from previous inspection have been corrected.
§ 87468.1(a)(3)
20 Nov 2019
20 Nov 2019
Identified deficiencies in cleanliness, staff availability, and maintenance at the facility during the inspection.
13 Nov 2019
13 Nov 2019
Confirmed a serious incident resulting in a resident's death due to inadequate staffing and supervision, leading to a civil penalty of $15,000 being issued.
§
30 Oct 2019
30 Oct 2019
Confirmed no health and safety concerns during the visit.
28 Oct 2019
28 Oct 2019
Confirmed a medication error occurred at the facility, posing a potential risk to residents' health and safety.
Send a message to
Greenhaven Estates Assisted Living and Memory Care
