Inspection Reports for
The Palms at San Lauren

The resident eloped by removing a window screen and climbing out, posing an immediate risk to health and safety. The facility responded by returning the resident, increasing room check frequency from every two hours to every hour, and installing new metal window locks on memory care windows. A citation under Title 22 was issued and a plan of correction was implemented and cleared during the visit.

The visit was triggered by a complaint incident report submitted on June 12, 2025, regarding a resident who eloped from the facility. The facility took corrective actions including one-on-one care and installation of new window locks. The family was informed and had no immediate concerns.

The facility was cited for failure to provide adequate care and supervision as evidenced by the resident's elopement. The facility has since installed new metal window locks and arranged one-on-one care for the resident. Room checks were increased from every two hours to every hour following the incident.

The complaint investigation was substantiated for the allegation that residents lacked hot water and shower access for over 7 days in February 2025. Other allegations including rough handling of residents, untimely response to calls, charging for services not rendered, opening residents' mail, lack of supervision leading to resident altercation, and failure to follow special diets were unsubstantiated or unfounded.

The investigation substantiated the allegation that residents did not have hot water and access to showers for over 7 days in February 2025, posing a potential health risk. Other allegations including rough handling, untimely assistance, improper billing, mail handling, lack of supervision, and diet noncompliance were found to be unsubstantiated or unfounded based on interviews and record reviews.

Complaint was substantiated based on interviews, observations, and records review. The allegation that the facility was without hot water in the residential section was confirmed.

The investigation substantiated that the facility did not have hot water available to residents for over 7 days, posing a potential risk to their health, safety, and personal rights. A deficiency was cited under CCR 87303(a) for failure to maintain the facility in a clean, safe, sanitary, and good repair condition.

The investigation was triggered by complaints AS-20230321111428 and 24-AS-20230330093440. The complaint was substantiated by findings including missing incident reports and failure to report emergency services.

Deficiencies were found including failure to provide requested signal system records for 3/15/23 to 3/31/23, inability to locate an incident report for Resident 1 related to one complaint, and failure to report emergency services responding for Resident 1. These deficiencies pose potential health, safety, and personal rights risks to residents.

The complaint investigation was substantiated for allegations that staff did not clean residents' rooms timely and did not meet feeding needs of Resident R1. Other allegations of insufficient staffing, medication mismanagement, and failure to safeguard personal property were found to be unfounded.

The investigation substantiated allegations that staff did not clean Resident R1's room timely and failed to meet feeding needs as documented. Other allegations regarding insufficient staffing, medication mismanagement, and safeguarding personal property were found to be unfounded. Deficiencies related to infection control and functional assessment were cited with plans of correction required.

Investigation of complaint number 24-AS-20211012140617 found the facility did not file an incident report after police responded to a call for aggressive behavior by resident R1.

The facility failed to submit an incident report after a resident (R1) exhibited aggressive behavior requiring police intervention and hospital transport, which poses a potential health and safety risk to persons in care.

The complaint was substantiated based on staff interviews, personnel records review, and video observation. The allegation was that staff failed to treat a resident with dignity and respect by recording the resident without consent and laughing instead of redirecting the resident appropriately.

The investigation found that on 10/21/2020, staff recorded a resident's behavior without consent and failed to appropriately redirect the resident, which substantiated the allegation of failure to treat the resident with dignity and respect.

The complaint investigation was substantiated for failure to meet residents' incontinence and showering needs. Other complaints regarding rough handling, injuries, supervision, food quantity, and facility ants were unsubstantiated or unfounded.

The investigation substantiated that staff failed to meet residents' incontinence and showering needs, posing an immediate health and safety risk. Other allegations such as rough handling, injuries, supervision, food quantity, and presence of ants were found unsubstantiated or unfounded. A deficiency was cited related to residents not being changed or showered as scheduled.