Inspection Reports for
Apple Ridge Assisted Living

The facility failed to provide a legally blind resident a third party witness during the review of admission documents, resulting in the resident not being fully informed. Additionally, the resident was charged above their basic Supplemental Security Income rate, accruing a monthly balance.

The inspection found that 10 staff members had criminal record clearances not associated with the facility and two staff members lacked criminal record clearances, posing immediate health, safety, and personal rights risks to residents. Immediate civil penalties were issued as a result.

The facility staff failed to assist resident 1 with their prescribed permethrin topical cream medication, resulting in the resident not receiving required treatment for lice. This posed a potential health and safety risk to the resident.

The complaint was substantiated based on evidence including interviews, record reviews, and social media posts. The facility posted a photo on Facebook showing residents' names and care information, violating confidentiality.

The investigation found that the facility did not safeguard the confidentiality of residents R1's and R2's health care records, as evidenced by a social media post revealing residents' names and care details. The complaint was substantiated and a deficiency was cited.

The complaint was substantiated regarding failure to notify the resident's responsible party of a change in condition. Other allegations related to resident care and facility conditions were unsubstantiated.

The investigation found insufficient evidence to substantiate allegations that a resident was not showered or was left in a soiled brief, and that the facility was malodorous or infested with insects. However, it was substantiated that the facility failed to notify the resident's responsible party of a change in the resident's condition and did not update the service plan accordingly.

The complaint investigation was substantiated regarding staff response delays to resident calls, with evidence including resident and staff interviews, observations, and record reviews. The dietary needs allegation was unsubstantiated based on interviews and observations. The complaint was received on 2025-08-25 and investigated on 2025-12-02.

The investigation substantiated that staff did not respond timely to residents' call buttons, resulting in delays in incontinence care and insufficient staffing. However, the allegation that residents' dietary needs were not met was unsubstantiated, with residents reporting no concerns about meal assistance or dietary care.

The complaint was substantiated based on interviews, record reviews, and direct observations. The allegation involved delayed response to call buttons and leaving residents in soiled clothing. The deficiency was not cited as it had been previously cited on 2025-11-25 under a different complaint control number.

The investigation substantiated the allegation that staff did not respond to residents' call buttons in a timely manner, with residents reporting waits from 30 minutes to several hours for incontinence care. Observations confirmed delayed responses and lack of audible alerts for call pendants, corroborating the complaint.

The complaint investigation was substantiated for allegations that staff did not respond to resident call buttons in a timely manner and did not serve food of good quality. The allegation that staff did not assist residents with obtaining medical care in a timely manner was unsubstantiated.

The investigation substantiated that staff did not respond timely to resident call buttons and did not serve food of good quality, citing improper food handling and inadequate staffing. The allegation regarding timely assistance with medical care was found unsubstantiated based on interviews and record review.

The complaint investigation was substantiated for insufficient staffing to meet residents' needs, based on staff and resident interviews, observations of delayed call responses, and review of facility records. The allegations of rash due to neglect and medication mismanagement were unsubstantiated.

The allegation that the licensee does not ensure enough staff to meet residents' needs was substantiated, citing delayed responses to call pendants and incontinence care. The allegations that a resident developed a rash due to staff neglect and that staff mismanaged medications were found unsubstantiated after interviews and record reviews.

The facility was found noncompliant with care and supervision requirements as the resident left unsupervised, posing an immediate health and safety risk. An immediate civil penalty of $1000 was assessed for this repeat violation. The facility has implemented corrective actions including staff training, installation of door alarms, and ordering wander guards.

The visit was triggered by a complaint incident report regarding an Absence Without Leave (AWOL) incident on October 4, 2025, involving a resident diagnosed with dementia who was not allowed to leave unassisted. The violation was substantiated and cited as a repeat violation.

The facility was found noncompliant with basic services requirements as a resident with dementia left the facility unsupervised and was found four blocks away. This posed an immediate health and safety risk and resulted in an immediate civil penalty of $1000 for a repeat violation.

The complaint was received on 2025-01-28 and investigated through multiple visits and interviews. The allegations included staff not meeting residents' needs resulting in injuries, not using two-person assists, not ensuring clean rooms, and not meeting laundry needs. The allegation regarding injuries was unsubstantiated, while the others were substantiated.

The investigation found the allegation of staff not meeting residents' needs resulting in injuries to be unsubstantiated. However, the allegations that staff were not using two-person assists for residents, not ensuring residents' rooms were kept clean, and not meeting residents' laundry needs were substantiated. Deficiencies were cited related to these substantiated allegations.

The facility failed to provide adequate care and supervision as Resident 1 left unassisted, posing an immediate health and safety risk. A citation was issued and a $500 civil penalty was assessed due to lack of care and supervision. The facility is required to conduct staff training and provide documentation to ensure residents do not leave unassisted.

The visit was complaint-related, following up on an AWOL incident involving Resident 1. The incident was substantiated, resulting in a citation and civil penalty.

The facility failed to provide adequate care and supervision as Resident 1 left unassisted, posing an immediate health and safety risk. A citation was issued under Title 22, Division 6, and a $500 civil penalty was assessed.

Multiple Type A deficiencies were cited related to medication mismanagement, false claims regarding medication administration, and unsafe storage of cleaning products accessible to residents, all posing immediate health, safety, or personnel rights risks. A civil penalty of $250 was assessed for a repeat violation.

The facility was found to have multiple Type A deficiencies including mismanagement of residents' medication, false claims regarding medication administration, and unsafe storage of bleach accessible to residents. A civil penalty of $250 was assessed for a repeat violation.

The complaint investigation was substantiated based on evidence including interviews with staff and residents, review of medication records, and observations. Allegations included medication mismanagement, falsification of medication records, and unsafe chemical use causing injury.

The investigation substantiated the allegations that staff mismanaged residents' medication, falsified medication administration records, and used chemicals unsafely, causing injury to a resident. Multiple interviews, record reviews, and observations confirmed these violations.

The complaint investigation was substantiated based on evidence including interviews with staff and residents, review of medication records, and observations. Allegations included medication mismanagement, falsification of medication records, and unsafe chemical use resulting in injury.

The investigation substantiated the allegations that staff mismanaged residents' medication, falsified medication administration records, and used chemicals unsafely causing injury to a resident. Multiple interviews, record reviews, and observations confirmed these violations.

The inspection identified multiple Type A deficiencies including broken and sharp gate and bed posing immediate safety risks, presence of a cockroach in the shower, unlocked laundry room with accessible detergent, and a resident without a required tuberculosis test. Plans of correction were requested with due dates.

The inspection found several deficiencies including broken and sharp gate and bed posing immediate safety risks, presence of a cockroach in the shower, unlocked laundry room with accessible detergent, and one resident lacking a required tuberculosis test. Plans of correction were requested with due dates.

The visit was complaint-related due to an elopement incident reported on 2025-04-09. The complaint was substantiated based on interviews and record review confirming the resident left the facility unattended.

The inspection found that the resident eloped from the facility, posing an immediate health and safety risk. Additionally, there was evidence of unmanaged incontinence with strong urine odor and soiled bedding observed in a resident's room.

The visit was complaint-related due to an incident report of a resident elopement on 2025-04-09. The complaint was substantiated based on interviews and record review confirming the elopement and safety risks.

The inspection found that a resident eloped from the facility, posing an immediate health and safety risk. Additionally, resident incontinence was not properly managed, with evidence of urine on bedding and strong odors observed.

The complaint investigation was substantiated. Allegations included staff not meeting residents' needs and yelling at residents. Interviews with residents and staff confirmed these issues, including neglect, inadequate staffing, delayed responses to resident needs, and poor facility cleanliness.

The investigation substantiated the allegations based on interviews and observations, finding that staff did not handle personal relationships with dignity and residents were not receiving basic services needed. The facility was cited for deficiencies posing immediate health, safety, and personnel rights risks.

The complaint investigation was substantiated based on interviews and observations. Allegations included staff yelling at residents, neglect in care such as delayed showers, broken beds, and unsanitary conditions. The preponderance of evidence supported these findings.

The investigation substantiated the allegations, finding that residents were not accorded dignity in personal relationships with staff and were not receiving basic services needed, posing immediate health, safety, and personnel rights risks. Observations included poor hygiene conditions and broken beds.

The complaint investigation was substantiated for allegations that staff left residents in soiled diapers for long periods and failed to provide showers. The allegations regarding air conditioning disrepair and residents not being fed were found unsubstantiated. The investigation included interviews with 9 staff and 9 residents, review of documentation, and multiple unannounced visits.

Two allegations were substantiated: staff left residents in soiled diapers for extended periods and did not provide showers as scheduled. The air conditioning system failure allegation was unsubstantiated as the system was repaired and portable units provided. The allegation that residents were not fed was also unsubstantiated based on staff and resident interviews and observations.

The complaint investigation was triggered by allegations received on 07/09/2024 regarding lack of hygiene assistance, theft by staff, and air conditioning issues. The hygiene allegation was substantiated, theft and air conditioning allegations were unsubstantiated.

The allegation that staff did not assist residents with hygiene needs was substantiated based on staff and resident interviews, observations, and record reviews. The allegations of staff stealing from residents and air conditioning disrepair were found to be unsubstantiated after investigation and review of documentation and interviews.

The complaint investigation was triggered by allegations received on 07/31/2024 concerning inadequate incontinence care, failure to answer call buttons, staff yelling, and inappropriate communication. The allegations were substantiated based on interviews with 9 staff and 9 residents, facility documentation, and observations. The facility was found to have systemic issues in staff responsiveness and behavior towards residents.

The investigation substantiated all allegations, finding that facility staff failed to meet residents' incontinence care needs, did not respond timely to call buttons, spoke inappropriately to residents, and yelled at residents. These issues were confirmed through interviews with staff and residents, facility documentation, and observations of the facility environment.

The complaint investigation was substantiated for allegations that staff left residents in soiled diapers for approximately three to seven hours and did not provide regular showers, averaging only two showers per month despite the schedule. The allegations that the air conditioning system was not repaired and that residents were not fed were found to be unsubstantiated.

The investigation substantiated that staff left residents in soiled diapers for extended periods and did not provide regular showers as scheduled. The allegation regarding the air conditioning system was unsubstantiated as the system was repaired and portable units were provided. The allegation that staff did not ensure residents were fed was also unsubstantiated based on staff and resident interviews and observations.

The complaint investigation was substantiated for the allegation that facility staff did not assist residents with hygiene needs, based on interviews with 9 staff and 9 residents, observations of strong urine odor, and record reviews. The allegation of staff stealing from residents was unsubstantiated, with staff denying theft and insufficient evidence. The allegation regarding air conditioning disrepair was unsubstantiated as the AC unit was repaired and portable units were provided.

The allegation that staff did not assist residents with hygiene needs was substantiated based on staff and resident interviews, observations, and record reviews showing inconsistent hygiene care and strong urine odor in hallways. The allegation of staff stealing from residents was unsubstantiated due to lack of evidence. The allegation of air conditioning disrepair was unsubstantiated as the AC unit was repaired and portable units were provided during downtime.

The complaint investigation was substantiated. Allegations included failure to meet residents' incontinence care needs, failure to answer call buttons timely, staff yelling at residents, and inappropriate communication by staff. Evidence included staff and resident interviews, facility documentation, and observations during multiple unannounced visits.

The investigation substantiated all allegations, finding that facility staff failed to meet residents' incontinence care needs, did not respond timely to call buttons, spoke inappropriately to residents, and yelled at residents. These issues posed immediate health, safety, and personal rights risks to residents.

The facility failed to report 22 incident reports within the required seven days of occurrence, posing immediate health, safety, and personal rights risks to residents. Deficiencies were cited related to this failure.

The facility failed to ensure that resident R1 was in a secured environment as required by their care plan, resulting in R1 eloping and sustaining injuries requiring emergency treatment. A $500 civil penalty was assessed for posing an immediate threat to the resident's health, safety, and personal rights.

The facility failed to report 22 incident reports within the required seven days of occurrence, posing immediate health, safety, and personal rights risks to persons in care. Deficiencies were cited for this failure with a plan of correction due.

The facility failed to report 22 incident reports within the required seven days of occurrence, including 5 COVID positive residents and 17 other medical incidents. This failure poses immediate health, safety, and personal rights risks to persons in care.

The facility failed to ensure the resident R1 was in a secured environment as required by their care plan, resulting in R1 eloping and sustaining injuries. A $500 civil penalty was assessed for bodily injury and severe pain due to this immediate threat to the resident's health and safety.

The complaint alleging the facility did not pass fire inspection clearance was substantiated based on interviews and record review. The facility was cited under 22 CCR Section 87202(a) and assessed a $500 civil penalty.

The investigation substantiated that the facility failed to pass its most recent fire inspection due to multiple violations including unpermitted change of use of a resident room to an administrative office and needed repairs to fire doors, latches, and smoke seals. The facility was cited for violating fire clearance requirements and assessed a $500 civil penalty.

The complaint alleging failure to pass fire inspection clearance was substantiated based on interviews and record review. The facility was cited under 22 CCR Section 87202(a) and assessed a $500 civil penalty.

The investigation substantiated that the facility failed its most recent fire inspection due to multiple violations including fire doors needing repairs and unauthorized change of use of a resident room to an administrative office without proper permits. Civil penalties of $500 were assessed.

The facility was inspected for health and safety compliance, including physical plant conditions, resident accommodations, and safety equipment. Two deficiencies were noted: the need for call pendants for each resident in the assisted living building and the requirement that all heat detector sensors be functioning. The facility did not pass the pre-licensing component at this time.

The facility was inspected for health and safety compliance, including physical plant conditions, resident rooms, and safety equipment. Two deficiencies were noted: the need for call pendants for each resident in the assisted living building and the requirement that all heat detector sensors be functioning. The facility did not pass the pre-licensing component at this time and will be re-inspected after corrections.