Inspection Reports for
Merrill Gardens at Rockridge

The facility was toured and inspected, including resident and staff records review. No deficiencies were observed or cited during the visit. Safety equipment and environmental conditions were found to be adequate and in proper working order.

No deficiencies were cited during the visit. An exit interview was conducted and a copy of the report was provided.

The complaint alleged that the facility dining room chairs are uncomfortable and unsafe, being too low and too deep for short residents and lacking back support for taller residents. The allegation was unsubstantiated after investigation.

The investigation found that while some residents reported discomfort with the new chairs, residents have a choice of chairs and staff accommodate their preferences. There was no preponderance of evidence to prove the alleged violation, and no deficiencies were observed during the visit.

The complaint investigation was unsubstantiated for both allegations: unqualified staff administering medication and facility staff falsifying documents/records. Investigations included staff interviews and review of training records, medication administration records, personnel files, staff schedules, and medication logs.

Both allegations were found to be unsubstantiated after interviews and record reviews. Staff responsible for medication assistance were properly trained and authorized, and no evidence of falsified documentation was identified.

The Licensing Program Analyst toured the facility and reviewed resident and staff records, finding no deficiencies. The facility was found to have adequate lighting, temperature control, food supply, and properly secured medications and sharps.

The inspection found the facility to be in compliance with no deficiencies cited. The physical plant matched approved plans, safety measures were adequate, and records for residents and staff were reviewed and found appropriate.

The complaint involved allegations that facility staff handled residents roughly, smoked in the facility, and were under the influence. Interviews with multiple staff, residents, and a witness did not confirm these allegations. The complaint was found to be unsubstantiated.

After interviews with staff, residents, and a witness, and a facility tour, there was no preponderance of evidence to substantiate the allegations. The complaint was determined to be unsubstantiated.

The fire originated in Resident #1's apartment due to cat food left on the stove burner. Multiple apartments sustained fire, water, and smoke damage. The facility has taken steps including contacting a water restoration company, placing fans and humidifiers, and scheduling fire safety training for staff and residents.

The visit was triggered by a self-reported incident of physical abuse submitted to the licensing agency. The allegation was substantiated by video evidence and police involvement.

The licensee was found to have violated California Code of Regulations section 87413(a)(2) regarding care and supervision without physical abuse. The caregiver was immediately removed and terminated, and all staff were trained on the incident date. A deficiency was cited and a plan of correction was submitted.

The complaint investigation was substantiated for two allegations: untimely medication administration and failure to reappraise resident care plan after health condition change. Two other allegations regarding privacy and communication with family member were unsubstantiated.

Two allegations were substantiated: staff did not administer medication timely and staff failed to reappraise a resident's care plan after a health condition change. Two allegations were unsubstantiated: staff entering resident rooms without consent and failure to communicate with family member (POA). Deficiencies were cited related to medication administration and reappraisals.

The facility was found to have proper infection control measures in place, including screening stations, PPE usage, and adequate food and PPE supplies. No deficiencies were cited during the visit.

The complaint investigation was substantiated for allegations that the facility did not follow COVID-19 protocols, lacked current care plans for residents, and had insufficient staffing. Allegations regarding unpaid services, inadequate staff training, and inadequate food were unsubstantiated.

The investigation substantiated that the facility did not follow COVID-19 protocols, lacked current care plans for three residents, and had insufficient staff during certain shifts in July 2022. Other allegations regarding unpaid services, inadequate staff training, and inadequate food were unsubstantiated.

A deficiency was cited for failure to maintain staff training records on and before September 2022, which poses a potential health, safety, or personal rights risk to persons in care.

During the visit, 12 residents from Grand Lake Gardens were identified as currently residing at the facility, with 2 new move-ins since the last visit. Two residents reported feeling safe and comfortable. The resident involved in the suicidal ideation incident remains hospitalized with no definitive discharge date.

The inspection found that 10 residents from Grand Lake Gardens were residing at the facility, with 2 new move-ins since the last visit. Residents reported feeling safe and comfortable, supplies were adequate, staffing was stable, and there were no imminent health or safety concerns on the date of the visit.

During the visit, 8 residents from GLG were found residing at the facility, with 6 being new move-ins since the last visit. Residents reported feeling safe, supplies were adequate, staffing was stable, and no imminent health or safety concerns were identified.

During the visit, 10 residents from GLG had moved into Merrill Gardens at Rockridge. Two residents reported feeling safe, supplies were adequate, staffing was stable, and no imminent health or safety concerns were identified.

The visit reviewed two incidents: one involving a resident's elopement where a private caregiver was hired and educated on supervision, and another involving a resident's injury caused by an unsecured stackable washer and dryer. No deficiencies were cited during the visit.

The visit was complaint-related due to a self-reported medication error incident. No civil penalty was assessed as no injury or medical issue resulted. The deficiency was substantiated and cited.

The licensee gave the wrong medication Levothyroxine 100mg tablet to resident R1, which belonged to resident R2. Resident R1 was taken to the hospital with a diagnosis of hypotension due to drugs but has had no ongoing symptoms. No civil penalty was assessed as no injury or medical issue resulted as of the visit date.

The complaint was substantiated regarding excessive wait times and malfunctioning emergency call buttons. The allegation of insufficient staff to meet residents' needs was unsubstantiated due to lack of preponderance of evidence.

The investigation substantiated that the facility staff failed to respond timely to a resident's pendant call due to staff shortages and technical issues with the call button system, posing potential risks to resident health and safety. Another allegation regarding insufficient staffing was unsubstantiated based on interviews and record reviews.

The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention, unmet resident care needs, and medication mismanagement. Evidence did not support any violations.

The investigation found all allegations to be unsubstantiated after review of records and interviews. The facility staff provided timely medical care, met resident care needs, and properly managed medication orders and administration.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Catherine Lin. The allegation that staff did not safeguard residents' personal items was unsubstantiated due to lack of evidence. The allegation that the facility was overcharging residents was unfounded.

The investigation found no preponderance of evidence to substantiate the allegation that staff did not safeguard residents' personal items, resulting in an unsubstantiated finding. The allegation that the facility was overcharging residents was determined to be unfounded based on resident interviews.

The facility was found to have sufficient food supplies, an adequate staffing schedule, and no deficiencies were cited during the visit. The dining room hours and menu posting were in compliance with the Admission Agreement.

The inspection found no deficiencies. The facility demonstrated proper infection control measures including screening, PPE use, and adequate supplies of food and PPE.

The complaint included allegations that the facility had pests and that staff did not properly dispose of trash. The pest allegation was found to be unfounded, meaning it was false or without reasonable basis. The trash disposal allegation was unsubstantiated, indicating there was not enough evidence to prove the violation occurred.

The allegation of pests was determined to be unfounded after investigation and interviews. The allegation regarding improper trash disposal was unsubstantiated due to insufficient evidence, with staff describing routine trash disposal practices and COVID-19 safety precautions in place.