Inspection Reports for
Westwind Memory Care

The facility was observed to be clean, safe, sanitary, and in good repair with no deficiencies cited. All safety and sanitation measures, including fire system inspection, medication storage, and emergency drills, were compliant.

The complaint investigation addressed three main allegations: 1) staff did not prevent resident-to-resident physical abuse resulting in injuries, 2) staff inappropriately admitted a resident who did not meet the facility's care criteria, and 3) staff left a resident in soiled diapers for an extended period. The first two allegations were found to be unfounded, and the third was unsubstantiated.

The investigation found the allegations to be either unfounded or unsubstantiated. No evidence supported physical abuse between residents or inappropriate admission of a resident without dementia. The allegation of residents being left in soiled diapers was unsubstantiated due to lack of sufficient evidence.

The complaint alleged that staff member S7 pinched resident R1's nose on 01/08/2025 causing R1 to lose consciousness. Investigations included interviews with 7 staff and 5 residents, review of R1's physician report and care plan, and an internal facility investigation. Conflicting statements and lack of evidence led to the conclusion that the allegation was unsubstantiated.

After interviewing staff and residents and reviewing records, the Department found insufficient evidence to substantiate the allegation that staff pinched the resident's nose causing loss of consciousness. The allegation was determined to be unsubstantiated and no deficiencies were cited.

The complaint was unsubstantiated. Allegations included failure to meet resident hygiene needs and failure to administer medication as prescribed. Interviews and record reviews did not provide sufficient evidence to substantiate the allegations.

The investigation found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations occurred. Staff provided showers twice a week as required, and medications were administered as prescribed. No deficiencies were cited.

The facility was found to be generally compliant with no deficiencies cited. A technical violation was issued related to incomplete CPR/First Aid training documentation for two staff members. All resident records and medication storage were complete and secure.

The complaint investigation was unannounced and addressed allegations of staff not safeguarding resident's personal items, lack of activities, delayed response to assistance requests, questionable death, and medication mismanagement. The allegations were determined to be unsubstantiated or unfounded based on interviews, observations, and records review.

The investigation found insufficient evidence to substantiate the allegations regarding safeguarding personal items, provision of activities, and timely response to assistance requests, resulting in an unsubstantiated determination. The allegation of questionable death was unfounded based on records and interviews. The medication mismanagement allegation was also unfounded as records showed proper medication administration according to the service plan.

The complaint was unsubstantiated based on interviews with 16 staff members, telephone interviews with staff S2 and attempts to reach staff S3, and statements from the administrator. No evidence was found to prove the alleged violations occurred.

The investigation included interviews with staff and administrators, telephone interviews, and record reviews. No preponderance of evidence was found to substantiate the allegations, and no deficiencies were cited under California Code of Regulations Title 22. The allegations were determined to be unsubstantiated.

The complaint was substantiated based on evidence that facility staff failed to administer medications properly, did not coordinate with hospice agencies as required, and left medications unsecured. Some allegations were found unfounded or unsubstantiated after review of records and interviews.

The investigation substantiated that the facility failed to secure medications properly and did not ensure staff contacted the hospice agency before administering comfort pack medications, violating hospice care plans. One allegation regarding failure to follow physician's orders was found unfounded, and another regarding hygiene needs was unsubstantiated due to insufficient evidence.

The complaint alleged that staff were not sufficient in numbers or competency to meet resident's needs. The investigation included interviews with staff employed at the time of the complaint and review of relevant records. The complaint was determined to be unfounded.

Based on interviews with staff and review of records, including staff schedules and medication logs, the complaint allegation was found to be unfounded, meaning the allegation was false or without reasonable basis.

The complaint investigation was substantiated. Allegations included failure to observe changes in resident's health, failure to seek timely medical treatment after a fall, and failure to report the incident. The licensee was cited for violations of California Code of Regulations Title 22 and assessed civil penalties totaling $10,000, reduced to $9,500 due to a prior penalty.

The investigation found that staff failed to observe and report a resident's fall, did not seek timely medical treatment, and failed to communicate with the resident's hospice care team, resulting in undiagnosed rib fractures and pain. The licensee was cited for multiple violations and assessed a civil penalty.

The Licensing Program Analyst conducted interviews with staff and observed care practices, finding that staff training and resident fall assessment protocols were properly followed. No deficiencies were cited during this inspection.

Complaint investigation was substantiated based on preponderance of evidence. Allegations included failure to monitor resident's condition, lack of personal care, and failure to follow care plan. The mold allegation was unsubstantiated.

The investigation substantiated that the facility failed to monitor and report changes in a resident's condition, did not follow the resident's care plan, and failed to provide assistance with toe nail care, posing immediate risks to resident health and safety. The allegation of facility mold was unsubstantiated due to lack of evidence.

The facility was found to be clean, well maintained, and compliant with all regulations. No deficiencies were cited during the visit. Staff and residents were vaccinated, PPE supplies were adequate, and safety measures such as fire extinguisher inspections and emergency exit clearances were verified.

The Licensing Program Analyst observed proper resident fall and assessment protocols being followed, reviewed staff training records which were in compliance with the facility's compliance plan, and conducted interviews with caregivers whose responses reflected adherence to the compliance plan.

The complaint was substantiated based on records reviewed and interviews conducted. The allegation was that facility staff did not keep resident's records confidential. The previous administrator admitted the error.

The investigation found that facility staff had accidentally sent confidential information of an incorrect resident to an outside party, substantiating the allegation. Deficiencies were cited under California Code of Regulations Title 22.

The complaint investigation was conducted following a complaint received on 09/28/2020. The allegations included resident injury from a fall, failure to reappraise after falls, insufficient staffing, inadequate staff training, and failure to notify the responsible party of a resident's death. The investigation included interviews with staff, residents, family members, and a witness, as well as review of records and observations. The findings were that the allegations were either unfounded or unsubstantiated.

The investigation found the allegations of resident injury and lack of reappraisal to be unfounded, with evidence showing the facility had fall prevention plans and staff responded appropriately. Allegations regarding staffing, staff training, and communication with the resident's family were found to be unsubstantiated based on interviews, record reviews, and observations.

The complaint was substantiated on 2021-02-01. The facility's appeal on citation 87411(a) was denied. The Vice President requested a revision of the citation to indicate the number of employees designated as incompetent, which was agreed upon and revised by Licensing.

No deficiencies were cited during this meeting. The facility representatives indicated that the cited deficiencies have been addressed with additional training and changes in reporting policy. A compliance plan was reviewed and measures have been taken as outlined.

The complaint investigation was substantiated. Allegations included failure to observe changes in resident's health, failure to seek timely medical treatment after a fall, and failure to report an incident threatening resident safety. The resident was found on the floor on August 12, 2020, with injuries not properly addressed. An immediate civil penalty of $500 was assessed, with an additional $10,000 penalty pending review.

The investigation substantiated that on August 12, 2020, a resident (R1) was found on the floor and staff failed to report the incident to the resident's medical team and responsible party, did not properly observe the resident for injuries, and did not seek timely medical treatment. The resident later died, with autopsy revealing broken ribs consistent with the fall timeframe. Deficiencies were cited for failure to report incidents, failure to provide sufficient personnel, and failure to observe and report changes in the resident's condition.