Inspection Reports for
Cogir of Turlock

The complaint investigation was substantiated for failure to notify the resident’s responsible party of an incident (a fall) on 05/26/2026. Other allegations including inadequate supervision resulting in a fall, failure to assist with bathroom needs, and improper discharge were unsubstantiated.

The investigation substantiated that staff failed to notify the resident's responsible party of a fall incident, citing a violation of reporting requirements. Allegations regarding inadequate supervision, lack of assistance with bathroom needs, and improper discharge were found to be unsubstantiated based on interviews and record reviews.

The complaint was substantiated based on evidence that facility staff served a resident a meal containing a known food allergen, violating dietary care requirements.

The investigation substantiated the allegation that on 11/26/2025, a resident was served clam chowder containing shellfish despite having a known shellfish allergy. Facility records confirmed the resident's dietary needs were updated and communicated to staff prior to the incident.

The facility's pendant call alert system has not been functioning properly since at least 2025-09-01, resulting in unreliable staff response to resident calls and posing an immediate risk to residents' health, safety, and personal rights. The facility is cited for violating regulation 87303(i)(1) due to these issues.

The complaint was substantiated based on observations and interviews conducted by Licensing Program Analyst Renee Campbell. The specific allegation was that staff did not ensure resident’s signaling equipment was maintained in operable condition, which was confirmed during the investigation.

The investigation found that notifications from resident signaling equipment were not heard or responded to by staff, specifically the Memory Care phone was not audible. The allegation was substantiated and a deficiency was cited for failure to maintain a signal system able to summon staff, posing an immediate health and safety risk.

The complaint investigation was substantiated for the allegation that staff inappropriately solicited money from residents. The allegations that staff were not meeting residents' needs and not ensuring enough supplies were unsubstantiated.

The allegation that staff inappropriately solicited money from residents was substantiated, citing a deficiency related to solicitation conflicting with the facility's No Tipping policy. The allegations that staff were not meeting residents' needs and not ensuring enough supplies were unsubstantiated based on interviews with staff and residents.

The facility was observed to be clean, odor-free, and in good repair with appropriate furnishings and safe environmental conditions. However, four of seven resident files reviewed were missing tuberculosis (TB) tests or chest x-rays, resulting in a cited deficiency.

The complaint investigation was substantiated for the allegation that staff mismanaged residents' medication. Other allegations regarding notification of authorized representatives, rate increase notice, and confidentiality of personal information were unsubstantiated.

The investigation substantiated the allegation that staff mismanaged residents' medication, with evidence showing medication errors corrected immediately but still constituting a violation. The allegations regarding failure to notify authorized representatives of changes in level of care and failure to provide a 60-day notice of rate increase were unsubstantiated. The allegation regarding failure to keep residents' personal information confidential was also unsubstantiated.

The complaint was substantiated as the medication error was confirmed to have occurred on 02/07/2024 due to staff error. The incident report was received late, violating reporting requirements.

The inspection found that a medication error occurred due to a MedTech dispensing medication incorrectly by not reading the medication orders or following dispensing procedures. The incident report was received late, 6 days past the 7-day reporting requirement. A deficiency was cited related to this incident.

The complaint was substantiated. The allegation that staff did not provide the resident's authorized representative with resident's records was found valid based on evidence that records requested in October 2023 were not provided until February 2024, exceeding the required two business days.

The investigation substantiated the allegation that the facility did not provide the resident's authorized representative with requested records within the required two business days. Records requested in October 2023 were not fully provided until February 2024, several months later, posing a potential health, safety, or personal rights risk.