Inspection Reports for
Cogir of Rohnert Park

The visit was complaint-related due to a resident incident where a dependent resident was left unattended on the toilet for approximately fifty-five minutes. The violation regarding the resident's personal rights was substantiated.

The investigation found that a caregiver left a dependent resident waiting on the toilet for about fifty-five minutes after the resident requested assistance. The staff involved was suspended and later terminated. A violation regarding the resident's personal rights was supported.

The visit was complaint-related due to a resident incident where staff did not contact emergency services after a head injury. The violation was substantiated based on incident report review and interviews.

The facility staff failed to contact 911 after a resident fell and hit their head, which is a violation of the California Code of Regulations. The Interim Administrator provided proof of staff training on managing medical emergencies during the inspection.

The complaint investigation was substantiated for the allegation that an unqualified adult provided residents' medications, with evidence showing lack of current medication training and criminal record clearance for staff S3. The allegation that staff did not provide resident's medication as prescribed was unsubstantiated due to insufficient evidence.

The investigation substantiated the allegation that an unqualified adult (staff S3) assisted residents with medications without current required medication training and proper criminal record clearance. Another allegation regarding staff not providing medication as prescribed was unsubstantiated due to lack of evidence.

The facility was generally compliant with infection control, emergency plans, medication storage, and resident activities. However, a deficiency was cited for hot water temperature in a resident bathroom sink exceeding the regulatory maximum.

The facility was found to have required infection control and emergency plans, sufficient supplies, and complete resident and staff files. However, six out of eight direct care staff lacked required first aid training, resulting in a cited deficiency.

The facility was found to have appropriate infection control screening and PPE use, but deficiencies were cited related to improper food storage in the kitchen, posing an immediate health and safety risk. The Administrator agreed with the findings and began corrective actions during the inspection.

The complaint investigation was substantiated for the allegation of improper food service safety practices. The allegation regarding failure to prevent the spread of COVID-19 and not following infection control procedures was unsubstantiated due to insufficient evidence.

The allegation regarding food service safety practices was substantiated, with findings that food items were not kept at required temperatures, posing a health and safety risk to residents. The allegation regarding COVID-19 infection control procedures was unsubstantiated due to insufficient evidence. A deficiency citation was issued for the food service violation.

The complaint investigation was triggered by allegations including a resident not being accepted back after hospital discharge, illegal eviction, invalid care fee charges, and owed refund. The allegations regarding eviction and billing were unsubstantiated or unfounded, while the refund allegation was substantiated.

The investigation found the allegations that a resident was not accepted back after hospital discharge and that the resident received an illegal eviction to be unsubstantiated. The allegation that the resident was charged invalid care fees was found to be unfounded. However, the allegation that a due refund was owed to the resident/responsible party was substantiated, resulting in a cited deficiency for failure to provide timely refunds as required by law.