Inspection Reports for
Westmont of Chico-The Inn at the Terraces

2950 SIERRA SUNRISE TERRACE, CHICO, CA, 95928

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

65% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025

Occupancy

Latest occupancy rate 80% occupied

Based on a October 2025 inspection.

Occupancy rate over time

70% 77% 84% 91% 98% 105% Jul 2021 Feb 2022 Dec 2022 Nov 2023 Sep 2024 Dec 2024 Oct 2025

Inspection Report

Census: 79 Capacity: 99 Deficiencies: 0 Date: Oct 30, 2025

Visit Reason
The visit was an unannounced Case Management - Legal/Non-compliance inspection conducted in accordance with a Stipulation and Order effective from November 3, 2023 to November 3, 2025.

Findings
The facility was found to be in compliance with the terms and conditions of the Stipulation Order. Staff levels, training, resident notifications, meal services, hiring and training practices, and incident reporting were all found sufficient. No deficiencies were cited during this inspection.

Report Facts
Capacity: 99 Census: 79

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with Licensing Program Analyst during the inspection
Kayla AdkisonLicensing Program AnalystConducted the inspection visit
Lauren CrockerLicensing Program ManagerNamed in report header and signature section

Inspection Report

Annual Inspection
Census: 79 Capacity: 99 Deficiencies: 0 Date: Oct 30, 2025

Visit Reason
The inspection was an unannounced 1-Year Required Annual Inspection conducted to ensure compliance with licensing requirements and the health and safety of residents.

Findings
No deficiencies were cited as a result of the inspection. The facility was found to be clean, in good repair, and compliant with health, safety, and personal rights standards. All required documentation and staff training were verified.

Report Facts
Residents present: 79 Direct care staff present: 5 Residents' files reviewed: 6 Staff files reviewed: 5

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with Licensing Program Analyst during inspection
Wendy AndersonResident Service DirectorMaintains current administrator license
Kayla AdkisonLicensing Program AnalystConducted the inspection
Lauren CrockerLicensing Program ManagerNamed in report header

Inspection Report

Capacity: 99 Deficiencies: 0 Date: May 22, 2025

Visit Reason
The visit was an unannounced Case Management - Legal/Non-compliance inspection conducted to review compliance with a Stipulation and Order effective from November 3, 2023 to November 3, 2025.

Findings
The facility was found to be in compliance with all stipulations of the order, including staff sufficiency, resident notification of probationary license, meal provision, hiring and training practices, and timely incident reporting. No deficiencies were cited during this inspection.

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with during inspection and named in report findings.
Kayla AdkisonLicensing Program AnalystConducted the inspection and authored the report.
Lauren CrockerLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Census: 82 Capacity: 99 Deficiencies: 0 Date: Jan 14, 2025

Visit Reason
The visit was an unannounced collateral inspection conducted by Licensing Program Analysts to evaluate the facility.

Findings
No deficiencies were observed during the evaluation. The visit included discussion with the Administrator about an incident unrelated to the facility.

Inspection Report

Census: 82 Capacity: 99 Deficiencies: 0 Date: Dec 16, 2024

Visit Reason
The inspection was a Case Management - Legal/Non-compliance visit conducted unannounced to ensure compliance with a Stipulation and Order effective from 11/03/2023 to 11/03/2025.

Findings
The facility was found to be clean with sufficient staff and adequate food supplies. All stipulations of the order regarding staffing, resident notification, meal provision, hiring and training practices, and incident reporting were met. No deficiencies were observed or cited during the inspection.

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with Licensing Program Analyst during inspection and named in report.
Farhaan SarangiLicensing Program AnalystConducted the Case Management-Legal/Non-Compliance Inspection.
Lauren CrockerSupervisorNamed as supervisor in the report.

Inspection Report

Census: 84 Capacity: 99 Deficiencies: 0 Date: Oct 15, 2024

Visit Reason
The visit was an unannounced case management inspection to obtain records for one resident.

Findings
No deficiencies were issued as a result of the visit. The Licensing Program Analyst reviewed requested documents including admission agreement, physician's report, care plan, care notes, ADL charting, and incident reports.

Employees mentioned
NameTitleContext
Wendy AndersonResident Services DirectorMet with Licensing Program Analyst during the inspection.
Rebecca KnightLicensing Program AnalystConducted the unannounced case management visit.

Inspection Report

Annual Inspection
Census: 82 Capacity: 99 Deficiencies: 0 Date: Oct 1, 2024

Visit Reason
The inspection was an unannounced Required-1 Year inspection to ensure the health and safety of residents in care.

Findings
The facility was found to be in compliance with no deficiencies cited. The environment was clean, safe, and well-maintained with proper medication storage and emergency preparedness.

Inspection Report

Census: 82 Capacity: 99 Deficiencies: 0 Date: Sep 11, 2024

Visit Reason
The visit was an unannounced Case Management Legal visit conducted in accordance with a Stipulation and Order effective from 11/03/2023 to 11/03/2025.

Findings
The Licensing Program Analyst observed compliance with the stipulations including sufficient staffing, notification of probationary license to residents, provision of nutritionally balanced meals with a Daily Resident Meal Check List, submission of hiring and training documentation, and timely reporting of unusual incidents. No deficiencies were cited during the visit.

Report Facts
Capacity: 99 Census: 82

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with Licensing Program Analyst during the inspection
Jaynae BoylesLicensing Program AnalystConducted the inspection visit
Lauren CrockerSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Census: 93 Capacity: 99 Deficiencies: 0 Date: May 23, 2024

Visit Reason
The visit was an unannounced Case Management Legal inspection conducted in accordance with a Stipulation and Order effective from 11/03/2023 to 11/03/2025 to verify compliance with stipulated conditions.

Findings
The Licensing Program Analyst observed compliance with all stipulations including sufficient staffing, notification of probationary license to residents, provision of nutritionally balanced meals with monitoring, submission of hiring and training documentation, and timely reporting of unusual incidents. No deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Jaynae BoylesLicensing Program AnalystConducted the Case Management Legal visit and evaluation.
Cliff KeeneAdministratorMet with Licensing Program Analyst during the inspection and provided documentation.
Lauren CrockerSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Census: 80 Capacity: 99 Deficiencies: 0 Date: Feb 21, 2024

Visit Reason
The visit was an unannounced Case Management Legal visit conducted in accordance with a Stipulation and Order effective from 11/03/2023 to 11/03/2025.

Findings
The Licensing Program Analyst reviewed compliance with the stipulations of the order, including staff sufficiency, resident notification of probationary license, meal provision, hiring and training practices, and incident reporting. The facility was found to be in compliance with no deficiencies cited.

Employees mentioned
NameTitleContext
Jaynae BoylesLicensing Program AnalystConducted the Case Management Legal visit and evaluation.
Cliff KeeneAdministratorMet with Licensing Program Analyst during the visit.
Lauren CrockerSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Census: 80 Capacity: 99 Deficiencies: 0 Date: Nov 30, 2023

Visit Reason
The inspection was an unannounced case management visit to ensure the facility's compliance with Health and Safety Code §1569.38 regarding posting of licensing reports and disclosure to new residents following the department serving an Accusation.

Findings
The Licensing Program Analyst observed that the required notice was properly posted in the lobby and confirmed that a letter will be sent to residents and resident representatives. The Administrator's training met all stipulation requirements. No deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with Licensing Program Analyst during inspection and confirmed compliance with posting and notification requirements.
Jaynae BoylesLicensing Program AnalystConducted the unannounced case management inspection.

Inspection Report

Annual Inspection
Census: 82 Capacity: 99 Deficiencies: 0 Date: Oct 26, 2023

Visit Reason
The visit was an unannounced required annual inspection to ensure the health and safety of residents in care.

Findings
The facility was observed to be clean, in good repair, and odor free with no immediate health, safety, or personal rights violations. No deficiencies were cited during this inspection.

Report Facts
Food supply: 2 Food supply: 7 Fire extinguisher service date: Sep 18, 2023 Resident files reviewed: 5 Staff files reviewed: 5

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with Licensing Program Analyst during inspection
Jaynae BoylesLicensing Program AnalystConducted the inspection

Inspection Report

Census: 84 Capacity: 99 Deficiencies: 0 Date: Apr 20, 2023

Visit Reason
The visit was an unannounced case management inspection to confirm that the facility had posted a notification of the Department’s intent to revoke the facility license.

Findings
The licensing analyst confirmed the required posting was present and contained all required elements. No deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Wendy AndersonResident Services DirectorMet during the visit and provided information about the posting.

Inspection Report

Follow-Up
Capacity: 99 Deficiencies: 2 Date: Feb 28, 2023

Visit Reason
The visit was a case management follow-up on a substantiated complaint alleging failure to seek timely medical attention and resident sustained serious injuries due to lack of care and supervision.

Complaint Details
The complaint investigation was substantiated. Staff falsified Resident Meal Checklist records, resulting in failure to check on Resident 1 and delayed medical treatment after an unwitnessed fall causing serious injuries.
Findings
The Department substantiated that staff neglected Resident 1 by failing to supervise and check on the resident as required, falsifying meal check records which delayed medical treatment after an unwitnessed fall. Deficiencies were cited for violations of California Code of Regulations related to resident rights and basic services, and civil penalties were issued for serious bodily injury.

Deficiencies (2)
CCR Title 22 Section 87468.2(a)(8): Residents must be free from neglect and abuse. Staff neglected Resident 1 by failing to provide appropriate supervision and timely medical attention after a fall.
CCR Title 22 Section 87464(1)(f): Basic services must include care and supervision. The facility failed to provide adequate care and supervision resulting in serious injury to Resident 1.
Report Facts
Civil penalty amount: 9500 Immediate civil penalty amount: 500

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with Licensing Program Analyst during the visit.
Donna GurriereLicensing Program AnalystConducted the case management visit and authored the report.
Lauren CrockerSupervisorSupervised the licensing evaluation.

Inspection Report

Census: 84 Capacity: 99 Deficiencies: 0 Date: Dec 29, 2022

Visit Reason
The visit was an unannounced Case Management follow-up on an unusual incident/injury report involving a resident who had multiple falls and increased confusion, requiring hospital evaluation.

Findings
The resident was hospitalized and later returned to the community in good condition. Documentation including physician's report, reappraisal, level of care assessment, medical discharge documents, and fall prevention training were requested and reviewed. An exit interview was conducted and a report provided.

Employees mentioned
NameTitleContext
Cliff KeeneExecutive DirectorMet with Licensing Program Analyst during the visit
Sarena KeosavangLicensing Program AnalystConducted the Case Management visit
Anthony PerezSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Follow-Up
Census: 84 Capacity: 99 Deficiencies: 0 Date: Dec 29, 2022

Visit Reason
The visit was an unannounced Case Management follow-up on an unusual incident/injury report involving a resident's fall and injury reported on 12/07/2022.

Findings
The resident who fell was transferred to the hospital and diagnosed with multiple contusions but returned the same day with no new orders. The facility provided requested documentation and fall prevention training, and the resident was placed on alert charting for 48 hours.

Employees mentioned
NameTitleContext
Cliff KeeneExecutive DirectorMet with Licensing Program Analyst during the visit and involved in incident follow-up.
Sarena KeosavangLicensing Program AnalystConducted the unannounced Case Management visit.
Anthony PerezSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Annual Inspection
Census: 84 Capacity: 99 Deficiencies: 0 Date: Oct 29, 2022

Visit Reason
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations and infection control protocols.

Findings
The facility was found to be clean, in good repair, and odor free with no immediate health, safety, or personal rights violations observed. The infection control domain was completed and found to be in compliance. No deficiencies were observed during the inspection.

Report Facts
Hospice waiver capacity: 10

Employees mentioned
NameTitleContext
Wendy AndersonResident Services DirectorMet with Licensing Program Analyst during inspection and confirmed hospice resident count.
Cassie YangLicensing Program AnalystConducted the annual inspection.

Inspection Report

Complaint Investigation
Census: 81 Capacity: 99 Deficiencies: 2 Date: Sep 15, 2022

Visit Reason
The visit was an unannounced case management inspection related to a complaint investigation concerning substantiated allegations of lack of care and supervision resulting in serious injuries to a resident and staff neglect in seeking timely medical attention.

Complaint Details
The complaint investigation 25-AS-20220330164722 was substantiated with findings that a resident sustained serious injuries due to lack of care and supervision and staff neglected to seek timely medical attention.
Findings
The investigation found staff falsifying resident meal attendance records, which contributed to a resident's fall and injury going undetected. The facility failed to check on residents who missed meals, and there was confusion about staff responsibilities, partly due to being short staffed. Additionally, the facility did not disclose key fob records indicating the resident was not checked on for at least 24 hours during an ongoing complaint investigation.

Deficiencies (2)
CCR 87207 False Claims: The licensee failed to ensure staff accurately documented services provided to residents and did not volunteer key fob records, providing unsupported statements instead. This poses an immediate health, safety, and personal rights risk to clients.
CCR 87205(a) Accountability of Licensee: The licensee failed to provide adequate oversight of staff to ensure compliance with policies and the welfare of individuals, posing an immediate health, safety, and personal rights risk to clients.
Report Facts
Census: 81 Total Capacity: 99

Employees mentioned
NameTitleContext
Cliff KeeneAdministratorMet with Licensing Program Analyst during inspection and named in report
Jaclyn AvilaLicensing Program AnalystConducted the inspection and authored the report

Inspection Report

Complaint Investigation
Census: 81 Capacity: 99 Deficiencies: 2 Date: Sep 15, 2022

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that a resident sustained serious injuries due to lack of care and supervision and failure to seek timely medical attention.

Complaint Details
The complaint investigation was substantiated. Allegations included serious injuries due to lack of care and supervision and failure to seek timely medical attention. Evidence showed R1 was left unattended for over 48 hours, sustaining injuries and pressure wounds. Staff failed to follow facility policy for resident checks and meal attendance documentation.
Findings
The investigation substantiated that Resident 1 (R1) suffered an unwitnessed fall resulting in a fractured femur, pressure wounds, and abrasions due to staff neglect and failure to supervise or check on R1 as required by facility policy. The facility failed to provide timely medical attention, and meal attendance records were inaccurate.

Deficiencies (2)
CCR 87468.2(a)(8) Personal Rights: The licensee failed to ensure R1 was free from neglect, posing immediate health, safety, and personal rights risks to residents.
CCR 87464(f)(1) Basic Services: The licensee failed to provide R1 with care and supervision, resulting in serious injury and posing immediate health, safety, and personal rights risks.
Report Facts
Civil penalty amount: 500 Capacity: 99 Census: 81

Employees mentioned
NameTitleContext
Jaclyn AvilaLicensing Program AnalystConducted the complaint investigation visit.
Cliff KeeneAdministratorFacility administrator met during investigation and acknowledged findings.

Inspection Report

Census: 86 Capacity: 99 Deficiencies: 0 Date: Feb 24, 2022

Visit Reason
The visit was an unannounced case management inspection conducted in response to two incident reports related to resident falls.

Findings
The Licensing Program Analyst reviewed two incident reports involving resident falls and confirmed that appropriate assessments and follow-up care were provided. No deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Jaclyn AvilaLicensing Program AnalystConducted the case management inspection and reviewed incident reports.
Cliff KeeneExecutive Director/AdministratorMet with Licensing Program Analyst to discuss incident reports and resident conditions.

Inspection Report

Complaint Investigation
Census: 86 Capacity: 99 Deficiencies: 0 Date: Nov 9, 2021

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including unlawful eviction and failure to provide activities meeting residents' needs as identified in the pre-admission appraisal.

Complaint Details
The complaint investigation was substantiated for unlawful eviction, meaning the allegation was valid based on the preponderance of evidence. However, no citation was issued as the eviction notice was rescinded. The allegations regarding activities and resident needs were unsubstantiated due to lack of evidence.
Findings
The investigation substantiated the allegation of an unlawful eviction, which the administrator admitted but rescinded without follow-through. The allegations regarding activities and meeting residents' needs were found unsubstantiated after interviews with residents and staff. No deficiencies were cited during the visit.

Report Facts
Facility Capacity: 99 Resident Census: 86

Employees mentioned
NameTitleContext
Misty ValenciaLicensing Program AnalystConducted the complaint investigation visit
Cliff KeeneAdministratorFacility administrator interviewed during the investigation

Inspection Report

Annual Inspection
Census: 86 Capacity: 99 Deficiencies: 0 Date: Oct 6, 2021

Visit Reason
The inspection was a required unannounced 1-year annual inspection focusing on infection control protocols and overall health and safety compliance.

Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.

Employees mentioned
NameTitleContext
Cliff KeeneExecutive DirectorMet with Licensing Program Analyst during inspection and mentioned in report.
Rebecca KnightLicensing Program AnalystConducted the inspection and authored the report.

Inspection Report

Complaint Investigation
Census: 84 Capacity: 99 Deficiencies: 1 Date: Jul 8, 2021

Visit Reason
An unannounced complaint investigation visit was conducted regarding the allegation that the facility was not screening visitors.

Complaint Details
The complaint alleging the facility was not screening visitors was substantiated based on evidence including review of sign in/out sheets and observation that the Licensing Program Analyst was not screened on the visit date. The facility failed to protect residents' personal rights and safety by not adhering to COVID-19 screening protocols.
Findings
The investigation substantiated that the facility did not screen visitors as required, posing an immediate risk to residents. The facility failed to ensure visitors adhered to COVID-19 screening protocols.

Deficiencies (1)
CCR 87468.19(a)(2): Facility failed to screen all visitors entering the facility, posing an immediate risk to residents. Licensee agreed to develop a plan to train staff on visitor screening.
Report Facts
Facility Capacity: 99 Census: 84 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Wendy AndersonResident Services DirectorMet during investigation and noted in findings
Misty ValenciaLicensing Program AnalystConducted the complaint investigation visit

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