Inspection Reports for
Summerfield of Encinitas

The facility was found to be clean, sanitary, and in good repair with compliant hot water temperatures and proper storage of medications. One Type A deficiency was cited for unlocked cabinets containing cleaning/disinfecting chemicals accessible to residents, posing an immediate health and safety risk. Additionally, a Technical Violation was issued for not posting Resident Personal Rights in the residential area accessible to residents.

The complaint involved two allegations: 1) Resident sustained an unwitnessed fall resulting in injury, and 2) Staff does not ensure resident's toenails are maintained. Both allegations were investigated and found unsubstantiated due to lack of corroborating evidence.

The investigation found insufficient evidence to substantiate the allegations that a resident sustained an unwitnessed fall resulting in injury and that staff did not ensure the resident's toenails were maintained. Both allegations were deemed unsubstantiated after interviews and document reviews.

The facility enacted their specific infection protocol including PPE placement, enhanced cleaning, notification to authorities, communication with physicians and families, and accurate medication administration. No health or safety issues were identified and no deficiencies were cited or observed.

The complaint alleged that an untrained staff member administered medications. The investigation included interviews, record reviews, and observations, concluding the allegation was unfounded.

The investigation found that the staff member in question was qualified with adequate medication administration training from another state, and no medication errors occurred. The allegation was determined to be unfounded and dismissed.

The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and documentation were present and in order.

A wellness check was conducted at the facility with no health or safety issues identified. No deficiencies were cited or observed during this visit.

The complaint investigation was substantiated regarding breach of resident confidentiality. Staff interviews and outside source documentation confirmed that a staff member improperly shared resident information with a former staff member not authorized to receive it. The allegations regarding insufficient staffing and facility entryway disrepair were unsubstantiated based on observations, interviews, and records review.

The investigation substantiated the allegation that resident personal information confidentiality was breached by a staff member, posing a personal rights risk to one resident. The allegation regarding insufficient staffing was unsubstantiated, with evidence showing the facility staffed above recommended levels despite seasonal staff call-outs. The allegation about the facility entryway being in disrepair was also unsubstantiated, as timely actions were taken to repair the flooring and mitigate hazards.

The complaint investigation was substantiated for the allegation that staff did not ensure the resident's oxygen tank was changed in a timely manner, resulting in a failure to maintain a complete hospice care plan and proper oxygen administration. Other allegations regarding unlocked rooms, medication administration, and supervision were unsubstantiated.

The investigation substantiated that staff failed to ensure a complete hospice care plan and proper oxygen tank management for one resident, posing a potential health risk. However, allegations regarding unlocked resident rooms, medication theft, and inadequate supervision were unsubstantiated based on interviews, observations, and records review.

The visit was related to amending a report for a prior complaint investigation dated 2024-10-10.

No deficiencies were cited or observed during this visit.

The visit was complaint-related due to a self-reported incident of staff allegedly speaking to a resident in a raised tone. No substantiation status was explicitly stated.

The Licensing Program Analyst interviewed staff, collected records, and completed a wellness check, finding no health or safety issues during the unannounced case management visit.

The facility was found to be in substantial compliance with regulations, with clean and sufficient linens, sanitary bathrooms, proper safety equipment, and compliant medication storage and administration. No deficiencies were issued, but technical violations were noted.

The complaint investigation was unsubstantiated for medication administration and record-keeping allegations, and unfounded for the allegation regarding denial of Responsible Party access to records.

The investigation found no evidence to substantiate the allegations regarding medication administration errors or failure to maintain medication records, as medications were refused by the resident and documentation inconsistencies were inconclusive. The allegation that the licensee did not provide Responsible Party access to records was found to be unfounded, as records were provided timely and appropriately.

The complaint was unsubstantiated. The allegation that a resident wandered outside their designated wing and that the facility failed to report the incident was not supported by the evidence. An incident report was submitted on December 14, 2021, detailing the event and actions taken.

The investigation found the allegations to be unsubstantiated after review of records, interviews, and facility observation. The facility is memory care with a layout allowing residents to move safely throughout the building, and an incident report was submitted timely to the licensing agency.

The complaint was unsubstantiated based on interviews, direct observations, and records review. Allegations included inadequate staffing, improper training, facility disrepair, and lack of personal care supplies, none of which were supported by evidence.

The investigation found no evidence to substantiate the allegations. Staffing inconsistencies existed but residents' basic needs were met. Staff received proper training, the facility was not in disrepair affecting care, and personal care supplies were adequately provided and accessible.

The complaint alleged staff aggression towards residents and staff being under the influence of drugs or alcohol on facility grounds. The investigation found no substantiation of these allegations.

The investigation, including interviews with staff, residents, and review of records, found no evidence to substantiate the allegations. The staff member in question was terminated for attendance issues, not abuse or substance use. The allegations were determined to be unsubstantiated.

The visit was triggered by a complaint investigation at another licensed facility. The cited deficiency was related to visitation rights and was substantiated by observation and staff report.

The facility was cited for not allowing residents to have their visitors, including ombudspersons and advocacy representatives, visit privately during reasonable hours and without prior notice, which posed a potential Personal Rights risk to persons in care.

No deficiencies were observed during the visit. Interviews were conducted and relevant documents were obtained.

The complaint was substantiated. It was alleged that staff failed to provide resident records to an authorized representative. Investigation confirmed the records request was received but never processed or provided.

The allegation was substantiated based on interviews and record review, confirming that the facility did not provide the requested resident records to the authorized party. This deficiency was cited under Title 22 Regulations.

No deficiencies were cited or observed during the inspection. The facility demonstrated compliance with infection control measures including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.

The meeting focused on the operational and management changes involving Northstar and SNH Statewide, with the licensee submitting an abbreviated application to add the management company and clarifying that Northstar will not assume operational control until applications are approved.

No deficiencies were cited during the visit. The investigation included touring the facility, reviewing records, and interviewing the Executive Director and staff.

During the visit, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.

During the virtual visit conducted via FaceTime, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.

During the virtual visit conducted via FaceTime, the Licensing Program Analyst toured the facility and interviewed the administrator. No deficiencies were issued during this visit.

During the visit, the analyst toured the facility, conducted interviews with staff, and requested documents. Further investigation is required regarding the resident's death. No deficiencies were issued during this visit.

During the virtual visit conducted via WhatsApp, the Licensing Program Analyst toured the facility, interviewed staff, and reviewed the Facility Mitigation Plan. No deficiencies were issued during this visit.