Citations (last 6 years)
Citations (over 6 years)
1.7 citations/year
Citations are regulatory findings recorded during state inspections.
58% better than California average
California average: 4 citations/yearCitations per year
4
3
2
1
0
Occupancy
Latest occupancy rate
73% occupied
Based on a March 2026 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 62
Capacity: 85
Citations: 0
Date: Mar 26, 2026
Visit Reason
An unannounced, required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. Resident rooms, safety equipment, and food storage were compliant, and residents were observed to be attended to respectfully and engaged in activities.
Report Facts
Capacity: 85
Census: 62
Hospice waivers approved: 10
Perishable food supply: 2
Non-perishable food supply: 7
Fire extinguisher service date: 2026
Fire panel service date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nora Garza | Executive Director | Met during inspection and participated in facility tour |
| Vincent Reid | Maintenance Director | Met during inspection and participated in facility tour |
| Armi Bersamin | Receptionist | Met during inspection and discussed purpose of visit |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection |
| Sabel Martinez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 85
Citations: 0
Date: Jul 11, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 06/23/2022 alleging multiple concerns including unexplained bruising, unmet care needs, inadequate hygiene supplies, lack of medical care, unclean resident room, and failure to safeguard resident's personal information.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included unexplained bruising, unmet care needs, inadequate hygiene supplies, failure to ensure medical care, unclean resident room, and failure to safeguard resident's personal information. Interviews, record reviews, and facility tours did not confirm violations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. The resident had unexplained bruising but records showed no complaints or physical issues related to the bruises. Care needs and hygiene supplies were addressed according to records and staff interviews. Medical care was provided including podiatrist visits. Room cleanliness was on a rotating schedule and personal information disclosure was unsubstantiated due to lack of corroborating evidence.
Report Facts
Capacity: 85
Census: 63
Complaint received date: Jun 23, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Nora Garza | Administrator | Facility administrator met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 85
Citations: 3
Date: Jun 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints received on 2022-02-10 alleging that the licensee staff did not follow COVID-19 guidance, the facility was in disrepair, staff spoke inappropriately to residents, staff did not meet resident's needs including incontinence needs, and staff retaliated against a resident.
Complaint Details
The complaint investigation was substantiated for allegations that licensee staff did not follow COVID-19 guidance, the facility was in disrepair, and staff spoke inappropriately to residents. The allegations that staff did not meet resident's needs, including incontinence needs, and that staff retaliated against a resident were unsubstantiated.
Findings
The investigation substantiated allegations that the licensee staff failed to follow COVID-19 guidance, the facility was in disrepair with mold issues in room #106, and staff spoke inappropriately to a resident. The allegation that staff retaliated against a resident and did not meet resident's needs was unsubstantiated. Three Type B deficiencies were cited related to buildings and grounds, personal rights, and infection control.
Citations (3)
Facility was not clean, safe, sanitary, and in good repair; mold was present in room #106 posing a health and safety risk.
Staff used intimidating language towards a resident, violating personal rights.
Licensee did not ensure staff followed COVID-19 infection control guidance.
Report Facts
Deficiencies cited: 3
Capacity: 85
Census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Jose Collado Jr | Administrator | Facility Administrator at the time of inspection. |
| Nora Garza | Administrator | Met with Licensing Program Analyst during the inspection and received the report. |
Inspection Report
Annual Inspection
Census: 63
Capacity: 85
Citations: 0
Date: Apr 24, 2025
Visit Reason
Licensing Program Analyst Amy Rodgers made an unannounced visit to conduct the required One-Year Inspection as part of the annual case management continuation.
Findings
The facility was found to be in compliance with all licensing requirements. No deficiencies were cited. The facility was clean, safe, and well-maintained with sufficient staff and proper documentation. Residents were treated with dignity and all safety and health standards were met.
Report Facts
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and interviews |
| Nora Garza | Executive Director | Facility representative during inspection and exit interview |
| Maureen C. Manxon | Administrator/RN | Named as facility administrator |
| Denise Powell | Licensing Program Manager | Named as licensing program manager |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 85
Citations: 0
Date: Apr 24, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the licensee did not allow a resident to have visitors and did not safeguard the resident's belongings.
Complaint Details
The complaint alleged that the licensee did not allow Resident #1 visitors and did not safeguard Resident #1's belongings. The investigation included interviews, record reviews, and observations. The allegations were found to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to prove the alleged violations occurred. The allegation that the licensee denied visitors to the resident was unsubstantiated, as was the allegation that the licensee failed to safeguard the resident's belongings.
Report Facts
Capacity: 85
Census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Nora Garza | Administrator / Executive Director | Facility representative met during the investigation and exit interview |
| Denise Powell | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Capacity: 85
Citations: 0
Date: Mar 20, 2025
Visit Reason
Licensing Program Analyst Amy Rodgers conducted an unannounced visit to commence a Required Annual Inspection of the facility.
Findings
During the visit, the facility was toured, client records were reviewed, and staff and clients were interviewed. No deficiencies were cited during the visit, but a return visit is needed to complete the annual inspection due to time constraints.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Nora Garza | Administrator | Met with Licensing Program Analyst during the inspection and participated in the exit interview. |
| Maureen C. Manxon | Administrator/Director | Named as facility Administrator/Director in the report header. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Complaint Investigation
Capacity: 85
Citations: 0
Date: Oct 24, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations including lack of hot water in showers, insufficient staffing, obstruction in memory care unit doorways, alarm disrepair, inadequate administrator availability, insufficient staff training, and lack of supervision resulting in resident elopement.
Complaint Details
The complaint investigation was unsubstantiated. The allegations included facility showers not dispensing hot water, insufficient staffing, obstruction of doorways, alarm disrepair, inadequate administrator availability, insufficient staff training, and lack of supervision leading to resident elopement. The investigation included facility visits, interviews, and records review, which did not support the allegations.
Findings
The investigation found no evidence to substantiate the allegations. Showers were compliant with hot water regulations, staffing levels were adequate, no obstructions were found, the delayed egress alarm was functional, staff training met requirements, the administrator was sufficiently available, and the facility followed proper procedures regarding resident elopement.
Report Facts
Facility capacity: 85
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation |
| Maureen Manzon | Resident Service Director | Met with Licensing Program Analyst during investigation and received report |
| Jose Collado Jr | Administrator | Facility Administrator mentioned in allegations and staffing |
| Denise Powell | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 85
Citations: 0
Date: Oct 24, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 2024-10-07 regarding improper resident care placement, lack of supervision resulting in elopement, and failure to meet personal care needs.
Complaint Details
The complaint involved allegations that the licensee did not ensure proper care placement for residents, lack of supervision led to resident elopement, and personal care needs were unmet resulting in residents smelling bad. The investigation included interviews, record reviews, and multiple facility visits. The allegations were found unsubstantiated.
Findings
The investigation found that residents with dementia were properly assessed and cared for, supervision and safety measures such as delayed egress alarms were in place and functioning, and personal care needs including bathing were met. The allegations were deemed unsubstantiated due to inconsistent statements and lack of corroborating evidence.
Report Facts
Capacity: 85
Census: 65
Number of residents with dementia: 4
Number of facility tours: 4
Number of visits for bathing observation: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation and facility visits |
| Maureen Manzon | Resident Service Director | Facility representative met during the investigation and exit interview |
| Denise Powell | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Census: 68
Capacity: 85
Citations: 0
Date: Oct 1, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an Incident Report reported to CCLD on 2024-09-27 regarding a staff member who left the property and did not return.
Findings
The investigation found no deficiencies related to the incident. No deficiencies were observed or cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit and investigation. |
| Lorraine Black | Licensee | Met with Licensing Program Analyst and participated in the investigation and exit interview. |
| Maureen Manzon | Resident Service Director | Met with Licensing Program Analyst and discussed the purpose of the visit. |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 85
Citations: 0
Date: Oct 1, 2024
Visit Reason
The visit was conducted in response to an Incident Report received on 2024-09-27 regarding a staff member who left the property and did not return.
Complaint Details
The complaint involved Staff #1 leaving the property and not returning. The staff member no longer works at the facility. The complaint was investigated and no deficiencies were found.
Findings
The investigation included gathering evidence and interviews with staff and the licensee. No deficiencies were cited or observed during the visit.
Report Facts
Capacity: 85
Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Maureen Manzon | Resident Service Director | Met with Licensing Program Analyst during the visit |
| Lorraine Black | Licensee | Licensee involved in the investigation and received the report |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 85
Citations: 0
Date: Aug 28, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an LIC624 Incident Report regarding a resident who went AWOL from the facility on 2024-08-18.
Complaint Details
The complaint involved a resident who went AWOL on 2024-08-18. The facility staff provided needed supervision leading up to the incident, followed the written Absentee Notification Plan, and contacted law enforcement as required. The complaint was not substantiated with any deficiencies.
Findings
The licensing evaluator found that the resident was safe and unharmed at the time of the visit, and the facility staff followed the Absentee Notification Plan correctly. No deficiencies were cited or observed during the visit.
Report Facts
Facility capacity: 85
Resident census: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joey Collado Jr. | Executive Director | Met with licensing evaluator and involved in exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection visit |
| Marie Lou Fikingas | Memory Care Director | Discussed the purpose of the visit with the licensing evaluator |
| Denise Powell | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 85
Citations: 0
Date: Mar 26, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding allegations that the facility did not have adequate staffing to meet residents' needs and that the facility was malodorous.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate staffing and malodor. Staffing schedules, interviews with staff, residents, and management confirmed sufficient staffing. Odor concerns were linked to a specific resident's incontinence incident, promptly managed by staff. No evidence supported the allegations.
Findings
The investigation found sufficient staffing in the memory care unit with staff and management confirming coverage and resident needs being met. The allegation of malodor was unsubstantiated as the memory care unit was clean and odor free, though a temporary odor in the common area was attributed to a resident's incontinence event promptly addressed by staff. Overall, inconsistent statements and lack of corroborating evidence led to the allegations being deemed unsubstantiated.
Report Facts
Capacity: 85
Census: 85
Staffing counts: 7
Staff call-out coverage time: 1
Staff call-out coverage time: 2
Staff call-out notice time: 3
Carpet shampoo frequency: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Collado Jr | Executive Director | Interviewed regarding staffing adequacy and facility operations |
| Marie Lou Fikingas | Memory Care Director | Interviewed and received report; confirmed staffing and odor management |
| Natasha Persaud | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lizzette Tellez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 85
Citations: 2
Date: Mar 26, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations including staff tampering with a resident's personal belongings, failure to provide safe equipment to a resident, and withholding of a resident's medical records.
Complaint Details
The complaint investigation was substantiated for allegations that staff tampered with a resident's personal belongings by covering the resident's laptop camera without proper consent and that the resident was not provided with safe equipment due to an inoperable wander guard bracelet. The allegation that the facility withheld the resident's medical records was unsubstantiated.
Findings
The investigation substantiated that staff covered a resident's laptop camera without proper consent, violating personal rights, and that the resident's wander guard safety equipment was inoperable for approximately three days, posing a safety risk. The allegation that the facility withheld the resident's medical records was found unsubstantiated.
Citations (2)
Licensee did not accord dignity to 1 out of 71 residents when they covered the resident's laptop camera, posing a potential safety and/or personal rights issue.
Licensee did not ensure resident's safety equipment was operable for 1 out of 71 residents due to the wander guard being inoperable for approximately three days, posing a potential safety and/or personal rights issue.
Report Facts
Resident count during inspection: 62
Total licensed capacity: 85
Days wander guard was inoperable: 3
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Collado Jr. | Executive Director | Named in findings related to covering resident's laptop camera and safety equipment issues. |
| Marie Lou Fikingas | Memory Care Director | Met during investigation and received report and licensee rights. |
| Natasha Persaud | Licensing Program Analyst | Conducted the complaint investigation. |
| Lizzette Tellez | Licensing Program Manager | Oversaw the complaint investigation. |
Inspection Report
Complaint Investigation
Capacity: 85
Citations: 0
Date: Mar 26, 2024
Visit Reason
The investigation was conducted in response to a complaint alleging inadequate staffing to meet residents' needs and malodorous conditions in the memory care unit.
Complaint Details
The complaint was unsubstantiated after investigation revealed inconsistent statements and insufficient evidence to support the allegations of inadequate staffing and malodorous conditions.
Findings
The investigation found sufficient staffing based on staff schedules, interviews, and resident feedback. The allegation of malodorous conditions was unsubstantiated as the memory care unit was clean and odor free, with occasional odors in the common area due to resident incontinence promptly addressed by staff.
Report Facts
Capacity: 85
Staff caregivers in memory care unit: 4
Staff med techs in memory care unit: 1
Staff activity directors in memory care unit: 1
Staff leads in memory care unit: 1
Staff check interval: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Collado Jr. | Executive Director | Interviewed regarding staffing adequacy |
| Marie Lou Fikingas | Memory Care Director | Interviewed regarding staffing and facility conditions |
| Natasha Persaud | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 85
Citations: 0
Date: Mar 12, 2024
Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations including resident elopement, staff not following resident's care plan, and staff not noticing resident's change in condition.
Complaint Details
The complaint included allegations that a resident eloped, staff did not follow the resident's care plan, and staff did not notice a resident's change in condition. The investigation concluded these allegations were unsubstantiated due to lack of supporting evidence.
Findings
The investigation found no evidence to support the allegations. Interviews and record reviews showed the resident did not elope, staff followed the care plan, and staff appropriately responded to the resident's illness. All allegations were determined to be unsubstantiated.
Report Facts
Capacity: 85
Census: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Collado | Executive Director | Met during investigation and exit interview |
| Amy Salvador | Resident Service Director | Met during investigation and exit interview |
| Tiffany Holmes | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 61
Capacity: 85
Citations: 1
Date: Feb 20, 2024
Visit Reason
Licensing Program Analyst Amy Rodgers conducted an unannounced required one-year inspection of the facility to evaluate compliance with licensing regulations.
Findings
The facility was found to be generally compliant with no deficiencies cited, though a technical violation was issued regarding the lack of appropriate signage on delayed egress doors. Residents were observed to be treated with dignity, and the facility maintained proper food storage, medication management, and safety measures.
Citations (1)
Technical violation issued for lack of appropriate signs on delayed egress doors.
Report Facts
Capacity: 85
Census: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Collado Jr. | Executive Director | Granted entry and accompanied Licensing Program Analyst during inspection |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection |
| Denise Powell | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Census: 60
Capacity: 85
Citations: 1
Date: Nov 15, 2023
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to two incident reports involving a resident.
Findings
No deficiencies were observed or cited during the visit. One Technical Violation was issued regarding Reporting Requirements. The resident involved was found to be safe after a welfare check.
Citations (1)
Technical Violation issued regarding Reporting Requirements
Report Facts
Incident Reports: 2
Technical Violations: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joey Collado | Executive Director | Met with Licensing Program Analyst during the visit |
| Amy Salvador | Resident Services Director | Met with Licensing Program Analyst during the visit |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 85
Citations: 1
Date: Nov 15, 2023
Visit Reason
The visit was conducted in response to two incident reports involving a resident, submitted by the licensee to the Community Care Licensing Division.
Complaint Details
The visit was triggered by two incident reports involving Resident #1, which were self-submitted by the licensee. The resident was found safe and no substantiation of deficiencies was noted.
Findings
During the unannounced case management incident visit, the resident was found safe, pertinent records were reviewed, and staff interviewed. No deficiencies were cited, but one Technical Violation related to Reporting Requirements was issued.
Citations (1)
Technical Violation regarding Reporting Requirements
Report Facts
Incident Reports: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joey Collado | Executive Director | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Amy Salvador | Resident Services Director | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Lizzette Tellez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 85
Citations: 1
Date: Jan 19, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff did not meet minimum qualifications, specifically regarding annual training hours.
Complaint Details
The complaint alleged that staff did not meet minimum qualifications. The allegation was substantiated based on record review and interviews, confirming that staff member S1 lacked required annual training hours for 2020 and 2021.
Findings
The investigation substantiated that staff member S1 did not complete the required 20 hours of annual training for 2020 and 2021, posing a potential safety risk to all 67 residents in care. Staff files showed current background clearances and health screenings, but the training requirement was not met.
Citations (1)
Staff training requirements not met: S1 did not complete the 20 hours of annual training for 2020 and 2021 as required by CA Code of Regulations, Title 22, Section 1569.625(b)(2).
Report Facts
Residents in care: 67
Total licensed capacity: 85
Deficiency count: 1
Plan of Correction due date: Feb 10, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Salvador | Resident Care Director | Interviewed during investigation and recipient of exit interview |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lizzette Tellez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Census: 65
Capacity: 85
Citations: 0
Date: Mar 21, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on incident reports at the facility.
Findings
No deficiencies were cited or observed during the visit. The Licensing Program Analyst observed clients in care and reviewed client records.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Amy Salvador | Resident Services Director | Met with the Licensing Program Analyst during the visit. |
| Joey Collado | Executive Director | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Annual Inspection
Census: 65
Capacity: 85
Citations: 0
Date: Mar 21, 2022
Visit Reason
An unannounced required 1-year visit was conducted to evaluate the facility's compliance with licensing requirements, including infection control measures related to COVID-19.
Findings
The Licensing Program Analyst conducted a tour and review of the facility, observed clients in care, and evaluated the COVID-19 Mitigation Plan implementation. No deficiencies were cited or observed during this visit.
Report Facts
Capacity: 85
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Salvador | Resident Service Director | Met with Licensing Program Analyst during inspection |
| Joey Collado | Executive Director | Met with Licensing Program Analyst during inspection |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Monitoring
Census: 65
Capacity: 85
Citations: 0
Date: Mar 21, 2022
Visit Reason
Unannounced case management visit to follow up on incident reports at the facility.
Findings
No deficiencies were cited or observed during the visit. The Licensing Program Analyst observed clients in care and reviewed client records.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Salvador | Resident Services Director | Met during the visit and participated in the exit interview. |
| Joey Collado | Executive Director | Met during the visit and participated in the exit interview. |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 85
Citations: 1
Date: Sep 30, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility failed to address multiple falls resulting in minor injuries and lacked sufficient staffing to meet residents' needs.
Complaint Details
The complaint investigation was substantiated regarding failure to address multiple falls for residents R1 and R2 resulting in minor injuries. The allegations of insufficient staffing and failure to notify responsible parties of incidents were unsubstantiated.
Findings
The investigation substantiated that the facility failed to implement updated care plans or fall mitigation strategies for residents who experienced multiple falls resulting in minor injuries. However, the allegation that the facility lacked sufficient staffing was unsubstantiated based on staff interviews and records. Additionally, the facility failed to notify responsible parties of some incidents, which was also unsubstantiated.
Citations (1)
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. The facility failed to implement a plan or identify staff objectives to mitigate falls for residents R1 and R2, posing a potential health and safety risk.
Report Facts
Facility census: 72
Facility capacity: 85
Residents in memory care: 17
Staff on evening shifts: 3
Staff on evening shifts (increased): 4
Plan of Correction due date: Oct 25, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joey Collado | Administrator | Met during investigation and exit interview |
| Laarni Santiago | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Oversaw the complaint investigation |
| Beth Romeo | Resident Care Director | Interviewed during investigation |
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