Inspection Reports for
Park Merced

3050 M STREET, MERCED, CA, 95348

Back to Facility Profile

12 Reports

All state 2021–2026

Inspection Report — Jan 28, 2026

Annual Inspection State
Date: Jan 28, 2026

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements.

Findings
The facility was found to be clean, in good repair, and compliant with safety and health regulations. No deficiencies were issued during this inspection.

Inspection Report — Nov 4, 2025

Complaint Investigation State
Date: Nov 4, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-06-05 regarding staff causing injury to a resident and failure to notify the resident's responsible party of an incident.

Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Vadim Gorban. Allegations included staff causing injury and failure to notify responsible party. Two allegations were unsubstantiated, and two were substantiated. The report includes findings from interviews, records review, and observations.
Findings
The investigation found two allegations unsubstantiated and two allegations substantiated: staff caused pain to a resident's left hand and failed to follow the resident's care plan, and staff yelled at a resident. The facility was cited for deficiencies related to personnel requirements and violation of resident personal rights.

Citations (2)
CCR 87411(a) Personnel Requirements - Facility personnel were insufficient and incompetent to meet resident needs as evidenced by records review. Staff pulled a resident's hand causing pain to the left wrist and shoulder, posing potential health and safety risks.
CCR 87468.1(a) Personal Rights of Residents - The facility failed to follow the resident care plan and staff yelled at a resident, violating personal rights and posing potential health and safety risks.
Report Facts
Deficiency Count: 2

Employees mentioned
NameTitleContext
Elina MoilanenAdministratorFacility administrator met during investigation
Vadim GorbanLicensing Program AnalystInvestigator conducting complaint investigation

Inspection Report — Mar 20, 2025

Annual Inspection State
Date: Mar 20, 2025

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations for the residential care facility.

Findings
The facility was generally clean, safe, and well-maintained with adequate food storage and medication management. However, several deficiencies were noted related to personal accommodations, emergency and disaster planning, and incomplete facility files.

Citations (6)
CCR 87307(d)(4) Stairways, inclines, ramps and open porches were not made inaccessible to residents with poor balance or eyesight; outside patio had unlocked doors and alarm not working, concrete path demolished with no warning signs.
HSC 1569.695(a) The facility's emergency and disaster plan was incomplete, missing key elements such as emergency disaster and plan of operations.
HSC 1569.695(a) Facility files were incomplete, missing LTCO and CVRC contacts, alternative stay locations, and transportation details during disaster.
HSC 1569.695(a)(5) Only one alternative location provided for emergency relocation; no second location recorded.
HSC 1569.695(a)(2) No description of food storage during any kind and type of disasters was mentioned in the emergency plan.
HSC 1569.695(a)(4)(D) Emergency plan was incomplete with no ombudsman contact and no transportation information.
Report Facts

Employees mentioned
NameTitleContext
Mani SongoimoliResident Care DirectorMet with Licensing Program Analyst during inspection
Elina MoilanenAdministratorNotified of licensing visit but did not attend
Vadim GorbanLicensing Program AnalystConducted the inspection and authored the report
Brenda ChanLicensing Program ManagerSupervisor of the inspection

Inspection Report — Sep 25, 2024

Follow-Up State
Date: Sep 25, 2024

Visit Reason
The visit was an unannounced case management inspection conducted to follow up on an incident that occurred on 2024-09-16 involving a resident found on the floor in his room.

Findings
No citations were issued during the inspection. The resident involved was found to be independent and required no assistance with activities of daily living. The incident was documented and reported, and the responsible party was notified.

Employees mentioned
NameTitleContext
Elina MoilanenAdministratorMet with Licensing Program Analyst during inspection and involved in incident follow-up

Inspection Report — Sep 4, 2024

Follow-Up State
Date: Sep 4, 2024

Visit Reason
The visit was an unannounced case management inspection conducted to follow up on an incident that occurred on 2024-08-10 involving a resident found partially undressed in bed with her husband.

Findings
The inspection included a safety check of the facility and review of resident care files. No citations were issued during this visit.

Employees mentioned
NameTitleContext
Mani SongoimoliResident Care DirectorMet with during inspection and involved in staff interview regarding resident incident.

Inspection Report — Apr 25, 2024

Annual Inspection State
Date: Apr 25, 2024

Visit Reason
The inspection was an unannounced Annual Inspection visit conducted by Licensing Program Analyst B. Miranda to assess compliance with regulatory requirements.

Findings
The facility was found to be clean, clutter free, and odor free with all fire exit routes unobstructed. Medications, toxins, and sharp objects were securely stored. Emergency preparedness and staff training were current. No citations were issued.

Report Facts
Fire extinguisher service date: Oct 5, 2023 Fire sprinkler system service date: Apr 3, 2024 Water temperature: 117.1

Employees mentioned
NameTitleContext
Elina MoilanenAdministratorMet with Licensing Program Analyst during the inspection and named in the report.
Brianna MirandaLicensing Program AnalystConducted the unannounced Annual Inspection visit.

Inspection Report — Mar 26, 2024

Annual Inspection State
Date: Mar 26, 2024

Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analyst B. Miranda on 03/26/2024.

Findings
The inspection visit was listed as an attempt due to the facility being under a Covid-19 outbreak. The Licensing Program Analyst was unable to complete the inspection and will attempt to conduct it at a later date.

Employees mentioned
NameTitleContext
Brianna MirandaLicensing Program AnalystConducted the attempted annual inspection visit.
Brenda ChanSupervisorSupervisor overseeing the inspection.
Elina MoilanenAdministratorFacility administrator named in the report header.

Inspection Report — Dec 28, 2023

Follow-Up State
Date: Dec 28, 2023

Visit Reason
The inspection was an unannounced case management follow-up visit to review an incident that occurred on 2023-09-15 involving a resident found outside the facility.

Findings
A deficiency was cited for failure to ensure adequate care and supervision as required by CCR 87464(f)(1), evidenced by a resident with dementia found outside the facility. The resident was reassessed and care level adjusted, and an auditory alert device was repaired.

Citations (1)
CCR 87464(f)(1) Basic services requirement was not met when a resident with dementia was found outside the facility on 2023-09-15. The licensee failed to ensure proper care and supervision for at least one of 62 residents.
Report Facts
Residents present during inspection: 62

Employees mentioned
NameTitleContext
James NordmanVice President of OperationsMet with Licensing Program Analyst during inspection
David AyersLicensing Program AnalystConducted the inspection and cited deficiency
Brenda ChanSupervisorSupervisor overseeing the inspection

Inspection Report — Mar 4, 2022

Complaint Investigation State
Date: Mar 4, 2022

Visit Reason
The visit was an unannounced complaint investigation triggered by complaints alleging improper COVID-19 screening of staff and failure to assist a resident in receiving physical therapy as needed, as well as allegations regarding untimely response to resident call buttons and resident humiliation.

Complaint Details
The complaint investigation was initiated based on allegations that staff were not properly screened for COVID-19, did not assist a resident in receiving physical therapy, did not answer resident call buttons in a timely manner, and that a resident was not free from humiliation. The COVID-19 screening and physical therapy allegations were found unfounded. The call button response and humiliation allegations were unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found the allegations of improper COVID-19 screening and failure to assist with physical therapy to be unfounded. The allegations of untimely response to call buttons and resident humiliation were unsubstantiated due to insufficient evidence.

Report Facts

Employees mentioned
NameTitleContext
Lady CabreraLicensing Program AnalystConducted the complaint investigation
Elina MoilanenAdministratorFacility administrator met during the investigation
Sergiy PidgirnySupervisorSupervisor overseeing the investigation

Inspection Report — Mar 4, 2022

Annual Inspection State
Date: Mar 4, 2022

Visit Reason
The inspection was an unannounced annual required inspection conducted by the Licensing Program Analyst to assess compliance with regulations and COVID-19 guidelines.

Findings
The facility was found clean with no fire clearance issues. COVID-19 protocols such as visitor log-in, temperature checks, mask usage, and social distancing were observed. Adequate supplies of medications, food, cleaning, and PPE were confirmed. Staff records showed good health and infection control training.

Inspection Report — Nov 24, 2021

State
Date: Nov 24, 2021

Visit Reason
The visit was an unannounced case management visit to respond to multiple incident reports including a resident going absent without leave and medication errors.

Findings
The facility had incidents involving a resident going AWOL and medication errors by staff. The facility responded with staff training and corrective actions. Deficiencies were cited related to basic services and incidental medical care, both posing immediate risks.

Citations (2)
§1569.312 Basic services requirements were not met as a resident went AWOL on 06/07/2021 and the facility was unable to meet the resident's needs during transition. This posed an immediate risk to health and safety.
CCR87465(a)(5) Incidental medical care requirements were not met as medication errors occurred and the facility failed to assist residents properly with self-administered medications, posing immediate health and safety risks.
Report Facts

Inspection Report — Mar 18, 2021

State
Date: Mar 18, 2021

Visit Reason
The visit was a Case Management follow-up conducted via telephone to discuss information obtained from an initial visit on 2021-01-22, related to deficiencies.

Findings
During the investigation, it was discovered that a staff member accepted a financial gift of $4000 from a resident, violating company policy. The staff member was subsequently terminated.

Report Facts
Financial gift amount: 4000

Employees mentioned
NameTitleContext
James NordmanVice President of OperationsSpoke with Licensing Program Analyst during case management visit
Lady CabreraLicensing Program AnalystConducted the case management visit and investigation
Sergiy PidgirnySupervisorNamed as supervisor on report

Viewing

Loading inspection reports...