Inspection Reports for
Menifee Senior Living

The complaint investigation involved Resident 1 and focused on the facility's failure to submit incident reports for three falls occurring on 1/25/2023, 3/30/2023, and 4/5/2023. The deficiency was substantiated based on review of records and staff interviews.

The facility failed to submit Unusual Incident/Injury Reports (UI/IRs) for three falls experienced by Resident 1 between January and April 2023, which is a violation of California Code of Regulations reporting requirements. Staff reported inconsistent reporting practices, and the facility was cited for not meeting reporting requirements.

The complaint alleged that Staff #1 bullied Resident #1 in an angry way and continued to demand care despite being told not to provide care. Interviews with residents and staff corroborated that staff had been rude and intimidating. The allegation was substantiated. Another complaint alleged that staff dispensed medication not prescribed to Resident #1, causing adverse effects. Review of medication records and interviews found no evidence to support this, so the allegation was unsubstantiated.

The allegation that staff did not treat residents with dignity and respect was substantiated based on interviews and record reviews indicating staff rudeness and sharing personal information with residents. The allegation that staff dispensed medication not prescribed to a resident was unsubstantiated due to lack of sufficient evidence.

The complaint investigation was substantiated for the allegation that staff did not ensure medications were dispensed as prescribed, specifically Resident #2 receiving medication twice due to a documentation error. The allegations regarding residents being left in soiled clothing, mal odors in the facility, and improper maintenance of resident medication records were unsubstantiated.

The investigation substantiated that Resident #2 received medication twice due to a staff documentation error, posing a potential health risk. The allegations regarding Resident #1 being left in soiled clothing and malodorous conditions were unsubstantiated. The allegation that resident medication records were improperly maintained was also unsubstantiated based on interviews and record reviews.

The inspection found live roaches, roach casings, eggs, and active bug bites in resident bedrooms, indicating a failure to maintain a clean, safe, and sanitary environment as required by regulation.

The visit was complaint-related due to observed roach infestation and resident bug bites. The Administrator was aware of infestation in some rooms but unaware of others. The deficiency was substantiated with observations and interviews.

The facility was found to have a roach infestation in resident bedrooms, with residents showing bite marks or rashes. The facility was cited for not maintaining a clean, safe, sanitary, and in good repair environment as required by CCR 87303(a).

The complaint was substantiated based on the preponderance of evidence. The allegation involved failure to check on the safety of a resident who fell and was not found for multiple days, resulting in dehydration.

The investigation substantiated the complaint that staff did not adequately supervise Resident One (R1), who fell in their bedroom on or around November 13, 2022, and was not found until November 15, 2022. Staff interviews and documentation confirmed missed checkups and that R1 appeared dehydrated when found.