Inspection Reports for
Emerald Court

The complaint alleged that staff interfered with resident visits and did not provide a copy of a resident's Admission Agreement to her authorized person. The interference allegation was unsubstantiated due to conflicting witness statements. The Admission Agreement allegation was unfounded as the resident was self-responsible and the authorized person was not entitled to the document.

The investigation found conflicting information regarding staff interference with resident visits, resulting in the allegation being deemed unsubstantiated. The allegation that staff did not provide a copy of a resident's Admission Agreement to her authorized person was found to be unfounded.

The complaint involved three allegations: staff did not ensure a resident was adequately fed, the resident was not provided services as per the Admission Agreement, and staff provided the resident with THC. After investigation including staff and resident interviews and document reviews, all allegations were deemed unsubstantiated due to lack of evidence.

The investigation found no substantiated evidence supporting the allegations. Staff and resident interviews confirmed that the resident was adequately fed, received agreed-upon services, and was not provided THC or unprescribed medications.

The facility was found to be in compliance with all inspected areas, including safety features, medication storage, emergency supplies, and fire safety systems. No deficiencies were noted during the inspection.

The inspection confirmed that the facility did not neglect the resident and provided medical services on the same day the change of condition occurred. No deficiencies were cited during this visit.

No deficiencies were cited as the internal investigation and licensing analyst's observations found no evidence of abuse or negligence. The incident was attributed to a language barrier between staff members.

The complaint alleging untimely staff response to pendent calls was unsubstantiated based on interviews, record reviews, and response logs.

The investigation found that all pendent calls on the day of review were acknowledged within ten minutes, with staff interviews confirming response times of ten to twelve minutes. The allegation was unsubstantiated and no deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included inadequate food service, communication barriers between staff and residents, and untrained staff. Interviews and observations did not support these claims, and no deficiencies were observed.

The investigation found no evidence to support the allegations. Residents and staff reported no issues with food temperature or communication, and kitchen staff were confirmed to be properly trained in food preparation and safety.

The complaint investigation was substantiated based on interviews and observations. Facility kitchen equipment was found broken or not working, and pests were observed in the kitchen and dining areas. Violations were cited under California Code of Regulations Title 22.

The investigation substantiated both allegations. Multiple kitchen equipment items were confirmed broken or not properly working, and bugs including flies were observed in the kitchen and dining areas. Photographic and video evidence was collected.

The report details the circumstances of Resident 1's death after becoming unresponsive during medication administration. The resident was a Do Not Resuscitate and had been hospitalized recently for Acute Metabolic Encephalopathy.

The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or lacked a reasonable basis.

The investigation found the facility to be clean, safe, and odor-free. Interviews with residents and staff revealed no substantiation of the allegations, and the complaint was deemed unfounded.

The facility was observed to be clean, organized, and compliant with regulations. No deficiencies were noted during the inspection.

Deficiencies were cited due to failure to provide adequate care and supervision as the resident was able to leave the facility unassisted, posing an immediate safety and health risk.

The facility was found to be in compliance with Title 22 Division 6 of the California Code of Regulations with no deficiencies cited during the visit.

The complaint alleged that Resident 1 was hit by someone at the facility on or before 02/05/2022. The resident was hospitalized for stroke symptoms and later passed away. Interviews with staff, the responsible party, and a hospice nurse found no evidence of abuse. The allegation was unsubstantiated.

The investigation found no evidence to support the allegation of abuse. Staff, the resident's responsible party, and a hospice nurse all reported no signs or knowledge of abuse. The allegation was deemed unsubstantiated.

The complaint alleged failure to provide care and supervision to a resident. The allegation was deemed unsubstantiated as there was no preponderance of evidence to prove the violation occurred.

The investigation found that Resident 1, diagnosed with dementia and at increased risk for falls, fell outside the facility on July 4, 2021. Staff responded by calling 911 and the resident was treated and returned the same day. Interviews with staff and the resident did not substantiate the allegation due to lack of evidence.

No deficiencies were cited during the inspection. The fire clearance was approved, delayed egress was tested and operable, and residents were observed engaging in activities in the memory care unit.

The complaint alleged that a resident was given an unlawful eviction. The allegation was substantiated based on evidence that the facility failed to follow the required 3-day eviction procedure prior to the resident's discharge.

The investigation found that the facility did not comply with proper eviction procedures prior to the resident's discharge, resulting in a substantiated finding of unlawful eviction under California Code of Regulations.

The complaint alleged that a resident was given an unlawful eviction. The investigation included interviews with the resident, responsible party, staff, and facility administrators, and review of eviction notice records. The complaint was found to be unfounded.

The investigation found that the facility issued a written eviction notice to the resident on December 21, 2022, which complied with regulatory requirements including timely notification and provision of alternative housing options. The allegation was deemed unfounded as the complaint was false and without reasonable basis.

No deficiencies were observed or cited during the visit. The facility was found to be clean, organized, and compliant with safety and operational standards.

A type A violation was previously cited for violation of CCR 87518(a). No Civil Penalty was issued at that time, but this visit was conducted to issue a $500 Civil Penalty for that violation.

The meeting satisfied the plan of correction for a citation issued on 09/14/22. The licensee agreed to update the facility's capacity and operational documents to ensure resident status is correctly identified and recorded.

The facility has 258 residents but is licensed and cleared by fire authorities for only 139 residents, posing immediate health and safety risks. The facility must request an increase in capacity and obtain a new fire clearance.

The facility failed to provide adequate care and supervision as a resident eloped by climbing through a window and fence. The resident was found outside the facility without injury and returned safely. Violations were cited per California Code of Regulations.

The complaint was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.

The investigation found that the resident was checked on regularly and did not require additional assistance. The facility had no maintenance requests for the resident's room, and all lights were observed to be working. The allegations were deemed unfounded.

The facility acted properly during the incident, located a missing resident, and no injuries or deficiencies were found. No deficiencies were cited as a result of this visit.

The complaint alleged that a resident was denied visitors due to COVID-19. The allegation was investigated and found to be unfounded based on evidence and compliance with CDPH orders.

The investigation found that the facility staff followed the California Department of Public Health order requiring unvaccinated visitors to provide a recent negative COVID-19 test for indoor visitation. The allegation was deemed unfounded as the visitor was denied entry for not complying with the order, but visitation occurred outside the facility.

The facility was observed to have Covid-19 signs and hand sanitizing stations throughout. The facility is following its approved mitigation plan and has a 30 day supply of PPE. No deficiencies were cited during this visit.

The complaint involved suspected abuse of a resident on 09/03/2021. The facility reported the incident to police and has been monitoring the resident. No substantiation or citations were noted.

No citations were issued as a result of the visit. The resident involved did not require medical attention and was reported to be doing well. The licensing analyst interviewed staff and reviewed relevant documents.

The memory care unit was found to be clean, operational, and ready for operation with secured access and appropriate safety features. No hazards or obstacles were observed, and the facility was compliant with infection control measures.