Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
83% occupied
Based on a November 2025 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 58
Capacity: 70
Deficiencies: 0
Date: Nov 18, 2025
Visit Reason
The inspection was an unannounced annual continuation visit to ensure compliance with Title 22 regulations following the Required-1 Year Inspection conducted earlier in November 2025.
Findings
The facility was found to be in compliance with no deficiencies cited. Resident apartments and common areas were properly maintained, food storage and safety measures were adequate, and emergency equipment was ready for use.
Report Facts
Food supply: 2
Food supply: 7
Resident apartments observed: 8
Common area bathrooms observed: 3
Hot water temperature: 118
Residents' medications reviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the inspection and cited no deficiencies |
| Brenda Reitz | Administrator/Director | Facility administrator named in report header |
| Stacy Casto | VP Care and Compliance | Met with during inspection |
| Anthony Perez | Licensing Program Manager | Named in report |
Inspection Report
Annual Inspection
Census: 58
Capacity: 70
Deficiencies: 0
Date: Nov 6, 2025
Visit Reason
The inspection was a Required-1 Year unannounced visit to ensure compliance with Title 22 regulations at Amber Grove Place facility.
Findings
No deficiencies were cited during this inspection. The Licensing Program Analyst conducted file reviews and interviews and will return later to complete the annual inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Reitz | Executive Director | Met with during inspection |
| Michael Hood | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 70
Deficiencies: 0
Date: Apr 11, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report submitted to licensing on April 4, 2025.
Complaint Details
The visit was triggered by an incident report submitted to licensing. The facility's response to the incident was deemed appropriate and no deficiencies were found.
Findings
The Licensing Program Analyst reviewed resident files, medication records, and hospital documentation related to the incident. The facility took appropriate action in response to the incident on April 3, 2025, and no deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Benson | Licensing Program Analyst | Conducted the inspection and determined the facility's response to the incident. |
| Lori Whitburn | Clinical Services Director | Met with the Licensing Program Analyst during the inspection. |
| Kristi Bracisco | Resident Care Coordinator | Met with the Licensing Program Analyst during the inspection. |
Inspection Report
Annual Inspection
Census: 60
Capacity: 70
Deficiencies: 0
Date: Sep 19, 2024
Visit Reason
The visit was an unannounced 1-Year 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. All required documentation in resident and staff files was complete, and no deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Reitz | Administrator | Met with Licensing Program Analyst during inspection and discussed facility operations. |
| Jaynae Boyles | Licensing Program Analyst | Conducted the inspection visit. |
| Lauren Crocker | Supervisor | Named as supervisor on the report. |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 70
Deficiencies: 0
Date: Apr 23, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations regarding inadequate monitoring of resident health, feeding, grooming, and supervision.
Complaint Details
The complaint alleged that staff did not monitor resident's change of health, did not ensure adequate feeding resulting in weight loss, did not meet grooming needs, and did not provide adequate supervision. The investigation found these allegations to be unfounded.
Findings
The complaint was found to be unfounded after investigation. Witnesses and staff confirmed that the resident's health was monitored, adequate feeding and grooming were provided, and supervision was sufficient.
Report Facts
Capacity: 70
Census: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jaynae Boyles | Licensing Program Analyst | Conducted the complaint investigation |
| Lori Whitburn | Clinical Services Director | Met with the investigator during the visit |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 70
Deficiencies: 3
Date: Mar 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-05-01 regarding allegations of improper care, supervision, and other issues at Amber Grove Place.
Complaint Details
The complaint investigation was substantiated for failure to follow care plans leading to pressure injuries, retaining residents beyond their level of care without proper exceptions, and inadequate supervision resulting in a serious injury to a resident. Other allegations such as staff intoxication, unsanitary conditions, unmet hygiene needs, and supply shortages were unsubstantiated.
Findings
The investigation substantiated that the facility failed to follow care plans leading to pressure injuries, retained residents beyond their level of care without proper exceptions, and failed to provide adequate supervision resulting in a resident's serious injury. Other allegations including staff intoxication, unsanitary conditions, unmet hygiene needs, and supply shortages were found unsubstantiated.
Deficiencies (3)
CCR 87464(d): The facility did not ensure that a resident received timely care for pressure injuries, posing an immediate risk to residents.
CCR 87616(a): The facility failed to obtain an exception for a resident with pressure injuries, which is a prohibited health condition, posing an immediate risk.
HSC 1569.269(a)(6): The facility failed to have a fall risk care plan in place for a resident, posing an immediate health and safety risk.
Report Facts
Capacity: 70
Census: 61
Civil penalty: 500
Deficiency count: 3
Inspection Report
Annual Inspection
Census: 62
Capacity: 70
Deficiencies: 0
Date: Oct 24, 2023
Visit Reason
The visit was an unannounced 1-Year Required Annual Inspection to ensure compliance with Title 22 regulations.
Findings
The facility was found to be clean, in good repair, and odor-free. No deficiencies were cited during the inspection.
Report Facts
Food supply: 2
Food supply: 7
Resident files reviewed: 5
Staff files reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Reitz | Executive Director | Met with Licensing Program Analyst during inspection |
| Jaynae Boyles | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Capacity: 70
Deficiencies: 1
Date: Oct 18, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including resident injuries due to lack of supervision and failure to release resident information to a responsible party.
Complaint Details
The complaint investigation was substantiated for the allegation that a resident sustained injuries due to lack of supervision. The allegation regarding failure to release information to the responsible party was unsubstantiated.
Findings
The investigation substantiated that the facility failed to update resident appraisals and written care plans after falls, posing a health and safety risk. Another allegation regarding release of information to a third party was unsubstantiated due to lack of evidence. An immediate $500 civil penalty was issued for the substantiated deficiency.
Deficiencies (1)
CCR 87463(a) requires reappraisals to be updated in writing to note significant changes and keep the appraisal accurate. The licensee failed to update the appraisal and written plan of care after each fall, posing a potential health and safety risk to residents.
Report Facts
Civil penalty amount: 500
Facility capacity: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Reitz | Executive Director | Met with Licensing Evaluator during investigation and named in findings |
| Tara Killinger | Vice President of Operations | Spoke with Licensing Evaluator by phone and involved in investigation findings |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 70
Deficiencies: 0
Date: Aug 3, 2023
Visit Reason
The visit was conducted to investigate complaints alleging that staff were overmedicating a resident and that staff were not wearing masks per COVID-19 guidelines.
Complaint Details
The complaint investigation was triggered by allegations of staff overmedicating a resident and staff not wearing masks per COVID-19 guidelines. The overmedicating allegation was found to be unfounded, and the mask-wearing allegation was unsubstantiated.
Findings
The investigation found the allegation of overmedicating a resident to be unfounded based on medication records and interviews. The allegation regarding staff not wearing masks was unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 70
Census: 55
Medication doses filled: 60
Medication doses given: 25
Medication doses released: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Evaluator | Conducted the complaint investigation and authored the report |
| John Crowley | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Capacity: 70
Deficiencies: 0
Date: Jan 26, 2023
Visit Reason
An unannounced complaint investigation was conducted following an allegation that staff failed to treat a resident with dignity and respect.
Complaint Details
The complaint alleged that a care staff member raised their voice in front of a resident causing disrespect. The allegation was unsubstantiated after interviews and investigation.
Findings
The investigation found no evidence that staff treated the resident disrespectfully. Interviews with staff, the executive director, ombudsman, and the resident indicated respectful treatment. The allegation was unsubstantiated.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Crowley | Executive Director | Met during investigation and named in findings. |
| Rebecca Knight | Licensing Program Analyst | Conducted the complaint investigation. |
| Lauren Crocker | Supervisor | Named as supervisor on report. |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 70
Deficiencies: 1
Date: Jan 26, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2022-11-17 regarding improper handling of potentially infectious material by facility staff.
Complaint Details
The complaint alleged that facility staff did not properly handle potentially infectious material. This allegation was substantiated based on interviews, observation, and photographic evidence. Other allegations about medication dispensing, universal precautions, and resident co-mingling during an outbreak were unsubstantiated.
Findings
The investigation substantiated that staff failed to wear gloves when emptying a resident's trash can containing vomit, posing a health risk. Other allegations regarding medication dispensing, universal precautions, and resident co-mingling during an outbreak were found unsubstantiated.
Deficiencies (1)
CCR 87470(a)(4)(a)(1) Infection Control Requirements: Staff failed to wear gloves when handling potentially infectious materials such as vomit, posing a health and safety risk to residents.
Report Facts
Facility Capacity: 70
Census: 70
Staff interviewed: 6
Residents symptomatic during outbreak: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Crowley | Executive Director | Met with Licensing Program Analyst during investigation and provided statements regarding staff practices |
| Rebecca Knight | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lauren Crocker | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 70
Deficiencies: 3
Date: Dec 15, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 07/25/2022 regarding resident dignity, staff behavior, mask usage, and other facility concerns.
Complaint Details
The complaint investigation was substantiated for allegations related to residents not being accorded dignity, unauthorized recording by staff, and staff not wearing masks as required. Other allegations including failure to assist residents with ADLs, facility cleanliness, and management oversight were unsubstantiated or unfounded.
Findings
The investigation substantiated allegations that staff shared photos and videos of residents without consent, violating resident dignity and privacy. The facility took corrective actions including disciplinary measures and staff training. Other allegations such as failure to assist residents with ADLs, facility cleanliness, and management oversight were found unsubstantiated or unfounded.
Deficiencies (3)
CCR 87468.1(a)(2): Residents were not free from humiliation as staff took photos and videos shared on a staff SnapChat group, laughing at residents with dementia. This posed an immediate risk to resident personal rights.
CCR 87468.2(a)(1): Residents were not afforded reasonable personal privacy as staff shared photos and videos on a staff SnapChat group without consent. This posed an immediate risk to resident personal rights.
CCR 87468.1(a)(2): Facility did not ensure safe and healthful accommodations as staff member S6 admitted to not always wearing a required surgical mask, posing a potential risk to residents.
Report Facts
Facility Capacity: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Crowley | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maribeth Senty | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Complaint Investigation
Capacity: 70
Deficiencies: 1
Date: Dec 15, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including a resident not being allowed access to visitors, not allowed to leave the facility, and appearing over medicated.
Complaint Details
The complaint investigation was substantiated for denial of visitor access, unsubstantiated for restricting resident leave, and unfounded for over medication. The findings were based on record reviews, interviews, and regulatory standards.
Findings
The investigation substantiated the allegation that a resident was denied visitor access, violating personal rights. The allegation that the resident was not allowed to leave the facility was unsubstantiated. The allegation that the resident appeared over medicated was found to be unfounded, with medications administered as prescribed.
Deficiencies (1)
CCR 87468.1(a)(11) requires residents to have visitors permitted during reasonable hours without prior notice. This was not met for resident R1, posing a potential risk to personal rights.
Report Facts
Facility Capacity: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| John Crowley | Executive Director | Facility administrator met during investigation |
Inspection Report
Annual Inspection
Capacity: 70
Deficiencies: 0
Date: Sep 8, 2022
Visit Reason
The inspection was a required unannounced 1-year annual inspection focusing on the infection control domain.
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
| Name | Title | Context |
|---|---|---|
| John Crowley | Executive Director | Met with Licensing Program Analyst during inspection and participated in facility tour. |
| Rebecca Knight | Licensing Program Analyst | Conducted the inspection and infection control domain evaluation. |
Inspection Report
Annual Inspection
Census: 58
Capacity: 70
Deficiencies: 0
Date: Oct 6, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on the infection control domain to ensure health and safety compliance at the facility.
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
| Name | Title | Context |
|---|---|---|
| John Crowley | Executive Director | Met with Licensing Program Analyst during inspection and named in report. |
| Rebecca Knight | Licensing Program Analyst | Conducted the inspection and authored the report. |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 70
Deficiencies: 0
Date: Jun 15, 2021
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations that the licensee did not ensure resident incontinent needs were met, the facility was clean and odorless, and resident medications were given as prescribed.
Complaint Details
The complaint investigation was unsubstantiated. Although the allegations may have been valid, there was not a preponderance of evidence to prove the violations occurred.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Interviews, observations, and record reviews indicated that incontinent needs were met, the facility was clean and odorless, and medications were administered as prescribed. Therefore, all allegations were unsubstantiated.
Report Facts
Capacity: 70
Census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Misty Valencia | Licensing Program Analyst | Conducted the complaint investigation visit |
| John Crowley | Administrator | Met with Licensing Program Analyst during the investigation |
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