Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
69% occupied
Based on a October 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 72
Capacity: 105
Deficiencies: 2
Date: Oct 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on July 21, 2025, alleging that staff were not meeting residents' toileting needs and not providing adequate food service to residents.
Complaint Details
The complaint investigation was triggered by allegations received on July 21, 2025, including staff not meeting residents' toileting needs and inadequate food service. The toileting allegation was substantiated based on resident and staff interviews and documentation review. The food service allegation was also substantiated due to multiple resident complaints and observations. Other allegations about response times to calls, temperature maintenance during an outage, and bathing needs were unsubstantiated.
Findings
The investigation substantiated that staff did not meet residents' toileting needs, including timely incontinent care and restroom assistance, primarily due to understaffing on the 'pm' shift. It was also substantiated that food service was inadequate, with food often served at lukewarm or room temperature, posing a potential health risk. Other allegations regarding timely response to resident calls, maintaining comfortable temperatures during an outage, and meeting bathing needs were found to be unsubstantiated.
Deficiencies (2)
Failure to ensure incontinent residents are checked during known incontinent periods, including at night, resulting in residents not receiving timely incontinent care.
Failure to ensure food service procedures protect the safety, acceptability, and nutritive values of food, evidenced by food being served at lukewarm or room temperature.
Report Facts
Capacity: 105
Census: 72
Staffing: 1
Response time: 5
Response time: 1560
Residents needing toileting help: 10
Plan of Correction due date: Nov 12, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabrina Calzada | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Cristina Ortiz | Administrator | Facility administrator met during the investigation and named in findings |
| Dana Stansel | Administrator | Named as facility administrator in report header |
| Maribeth Senty | Supervisor | Supervisor overseeing the licensing evaluation |
| S1 | Staff member who usually attends to resident R1 promptly | |
| S2 | Temporary Lead Chef | Culinary staff observed preparing and plating food |
| S3 | Prep Cook | Culinary staff present during food service observation |
Inspection Report
Annual Inspection
Census: 69
Capacity: 105
Deficiencies: 0
Date: Sep 23, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and ensure the health and safety of residents in care.
Findings
The facility was found to be in full compliance with no deficiencies cited. Resident and staff files contained all required paperwork and training. The facility was clean, well organized, and had no health or safety violations observed during the tour.
Report Facts
Resident files reviewed: 11
Staff files reviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cristina Ortiz | Administrator/Director | Met with Licensing Program Analyst during inspection and toured facility |
| Melissa Parks | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 105
Deficiencies: 0
Date: Dec 12, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-11-01 regarding staffing sufficiency and food service quality at the facility.
Complaint Details
The complaint alleged that the licensee was not ensuring sufficient staff to meet resident needs and that food services were inadequate in quality and quantity. Both allegations were investigated and found to be unfounded.
Findings
The investigation found both allegations to be unfounded. Staff and residents reported adequate staffing levels with timely response to call buttons, and food services were described as good quality with generous portions and accommodations for special dietary needs.
Report Facts
Capacity: 105
Census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during investigation |
| Todd Tryon | Licensing Evaluator | Conducted the complaint investigation |
| Troy Ordonez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 105
Deficiencies: 0
Date: Dec 12, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-11-01 regarding staffing adequacy and food service quality at the facility.
Complaint Details
The complaint alleged that the licensee was not ensuring adequate staffing to meet resident needs and was not providing food services of sufficient quality and quantity. Both allegations were investigated and found to be unfounded.
Findings
The investigation found both allegations to be unfounded. Staff and residents reported sufficient staffing levels and timely response to call buttons. Residents and staff also reported satisfaction with the quality and quantity of food provided, with accommodations made for special dietary needs.
Report Facts
Capacity: 105
Census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Todd Tryon | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 91
Capacity: 105
Deficiencies: 0
Date: Aug 28, 2024
Visit Reason
The inspection visit was conducted as an annual inspection to evaluate the facility's compliance with regulations.
Findings
The facility was found to be clean, spacious, and well-maintained with no deficiencies noted. The infection control plan is followed, and required documentation was reviewed and found complete.
Report Facts
Resident files reviewed: 9
Staff files reviewed: 9
Staff count: 96
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during inspection |
| Todd Tryon | Licensing Evaluator | Conducted the inspection visit |
| Troy Ordonez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 91
Capacity: 105
Deficiencies: 0
Date: Aug 28, 2024
Visit Reason
The inspection was conducted as a required annual unannounced visit to evaluate compliance with regulations at the assisted living and memory care facility.
Findings
The facility was found to be clean, well-maintained, and in substantial compliance with regulations. No deficiencies were noted during the inspection.
Report Facts
Staff count: 96
Resident files reviewed: 9
Staff files reviewed: 9
Residents interviewed: 2
Staff interviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with during inspection and reviewed CARE Tool |
| Todd Tryon | Licensing Program Analyst | Conducted the inspection visit |
| Troy Ordonez | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 105
Deficiencies: 0
Date: Jun 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2024-05-02 regarding poor quality of food, lack of supervision resulting in resident falls, and untimely assistance to residents.
Complaint Details
The complaint investigation addressed three allegations: 1) Staff serving poor quality food, 2) Lack of supervision resulting in resident falls, and 3) Staff not providing timely assistance to residents. The first two allegations were found to be unfounded, meaning false or without reasonable basis. The third allegation was unsubstantiated, indicating insufficient evidence to prove the violation.
Findings
The investigation found the allegations of poor food quality and lack of supervision resulting in falls to be unfounded based on resident and staff interviews and observations. The allegation that staff do not provide timely assistance was found to be unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 105
Census: 85
Resident interviews: 5
Staff interviews: 7
Care staff interviews: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bethany Mirlohi | Licensing Program Analyst | Evaluator conducting the complaint investigation |
| Dana Stansel | Administrator | Facility administrator met during inspection |
| Troy Ordonez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 105
Deficiencies: 0
Date: Jun 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 2024-05-02 regarding poor quality of food, lack of supervision resulting in resident falls, and staff not providing timely assistance to residents.
Complaint Details
The complaint investigation addressed three allegations: poor quality of food, lack of supervision resulting in resident falls, and staff not providing timely assistance. The first two allegations were found to be unfounded, meaning they were false or without reasonable basis. The third allegation was unsubstantiated, indicating there was not enough evidence to prove the violation occurred.
Findings
The investigation found the allegations of poor food quality and lack of supervision resulting in falls to be unfounded, with sufficient food variety and staff availability observed. The allegation that staff do not provide timely assistance was found to be unsubstantiated due to insufficient evidence despite some concerns about wait times.
Report Facts
Capacity: 105
Census: 85
Resident interviews: 5
Staff interviews: 7
Staff interviews: 5
Resident interviews: 5
Resident wait time: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bethany Mirlohi | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Dana Stansel | Administrator | Facility administrator met during the investigation |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 81
Capacity: 105
Deficiencies: 0
Date: Aug 9, 2023
Visit Reason
The inspection visit was an unannounced continuation of the annual case management inspection to ensure compliance with health and safety regulations.
Findings
The Licensing Program Analyst toured various areas of the facility and reviewed resident and staff files, finding no immediate health, safety, or personal rights violations. No deficiencies were cited as a result of the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Administrator | Met with Licensing Program Analyst during inspection |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the inspection and evaluation |
| Troy Ordonez | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 81
Capacity: 105
Deficiencies: 0
Date: Aug 9, 2023
Visit Reason
The inspection visit was an unannounced continuation of the annual case management inspection to ensure the health and safety of residents in care.
Findings
The Licensing Program Analyst toured multiple areas of the facility and reviewed resident and staff files, finding no immediate health, safety, or personal rights violations. No deficiencies were cited as a result of the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Administrator | Met with Licensing Program Analyst during inspection and involved in facility tour and review. |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the inspection and facility evaluation. |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 84
Capacity: 105
Deficiencies: 0
Date: Aug 3, 2023
Visit Reason
Licensing Program Analyst Bethany Mirlohi arrived unannounced to conduct an annual inspection of the facility.
Findings
During the inspection, 6 resident files and 6 staff files were reviewed. All facility staff had received criminal record clearances and resident records contained all required documents. A current liability insurance copy was observed. The inspection was not completed due to time restraints and will be continued on a later date.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bethany Mirlohi | Licensing Program Analyst | Conducted the annual inspection. |
| Dana Stansel | Administrator | Met with Licensing Program Analyst during inspection. |
| Troy Ordonez | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 84
Capacity: 105
Deficiencies: 0
Date: Aug 3, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to review compliance with licensing requirements.
Findings
The Licensing Program Analyst reviewed 6 resident files and 6 staff files, confirming that all staff had criminal record clearances and resident records contained all required documents. A copy of current liability insurance was observed. The inspection was not completed due to time restraints and will be continued on a later date.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Administrator | Met with Licensing Program Analyst during inspection |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the annual inspection |
| Troy Ordonez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Capacity: 105
Deficiencies: 3
Date: Feb 16, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 08/31/2022 regarding staff not ensuring bedridden residents' meals were within reach, improper disposal of dirty diapers, insufficient staffing, and residents being left unattended without food, diaper changes, or bedding changes.
Complaint Details
The complaint investigation was triggered by multiple allegations including failure to ensure bedridden residents' meals were within reach, improper disposal of dirty diapers, insufficient staffing, and residents left unattended without food or hygiene care. The allegation about meals was unsubstantiated. The other allegations were substantiated based on interviews, staff and resident reports, and video evidence. The facility was found to have staffing shortages impacting resident care.
Findings
The investigation found the allegation about meals within reach unsubstantiated. However, allegations that staff did not properly dispose of dirty diapers, that the facility was short staffed and unable to meet resident needs, and that residents were left unattended for extended periods were substantiated based on interviews, observations, and evidence including a family-installed camera. The facility was cited for insufficient staffing posing a potential health and safety risk.
Deficiencies (3)
Facility staff did not properly dispose of dirty diapers from resident's room.
Facility did not have sufficient staff to meet resident's needs.
Facility staff left resident unattended for an extended period of time with no food, change of diaper, or change of bedding.
Report Facts
Capacity: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during investigation |
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 105
Deficiencies: 1
Date: Feb 16, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-08-31 regarding allegations of inadequate care and staffing at the facility.
Complaint Details
The complaint investigation was based on multiple allegations: 1) bedridden resident's meals not within reach (unsubstantiated), 2) improper disposal of dirty diapers (substantiated), 3) insufficient staffing to meet resident needs (substantiated), and 4) resident left unattended for extended period with no food, diaper, or bedding change (substantiated). The substantiated findings were supported by staff and resident interviews and evidence including a family-installed camera.
Findings
The investigation found one allegation unsubstantiated regarding bedridden residents' meals not being within reach, but substantiated allegations that staff did not properly dispose of dirty diapers, the facility was short staffed affecting resident care, and that a resident was left unattended for an extended period with no food, diaper change, or bedding change.
Deficiencies (1)
Facility staff was not sufficient in numbers to meet the needs of residents, posing a potential health and safety risk.
Report Facts
Capacity: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 105
Deficiencies: 0
Date: Dec 20, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 06/20/2022 regarding resident safety, staff conduct, care quality, and food service at Atria Rocklin facility.
Complaint Details
The complaint investigation addressed allegations including unsafe environment, rough handling of residents, lack of dignity in care, rushing residents during meals, serving old food causing sickness, unexplained injuries, unmet toileting and hygiene needs, unmet housekeeping needs, and failure to seek hospice care. All allegations were determined to be unsubstantiated or unfounded.
Findings
The investigation included interviews with residents, staff, and review of facility records. All allegations were found to be unsubstantiated or unfounded as there was insufficient evidence to prove the claims. No citations were issued.
Report Facts
Facility capacity: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
| Dana Stansel | Executive Director | Facility representative met during investigation |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 105
Deficiencies: 0
Date: Dec 20, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-06-20 regarding allegations of unsafe environment, rough handling of residents, lack of dignity, rushing residents during meals, serving old food causing sickness, and unexplained injuries.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included unsafe environment, rough handling, lack of dignity, rushing meals, old food causing sickness, and unexplained injuries. Interviews and record reviews did not support these claims. The allegations were determined to be unsubstantiated or unfounded.
Findings
After interviews with residents, staff, and review of records, the allegations were found to be unsubstantiated or unfounded. No evidence of unsafe environment, neglect, or unexplained injuries was observed. Residents and staff denied the allegations, and no citations were issued.
Report Facts
Facility capacity: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
| Dana Stansel | Executive Director | Facility representative met during the investigation |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 89
Capacity: 105
Deficiencies: 0
Date: Sep 26, 2022
Visit Reason
The inspection was an unannounced Required 1-Year inspection conducted to ensure health and safety compliance at the assisted living facility.
Findings
No immediate health, safety, or personal rights violations were observed during the tour of the facility. The facility was found to be in compliance with infection control protocols and other regulatory requirements, with no deficiencies cited.
Report Facts
Residents observed outdoors: 2
Residents observed participating in activity: 10
Perishable food supply: 2
Non-perishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during inspection and involved in infection control domain completion |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection and evaluation |
Inspection Report
Annual Inspection
Census: 89
Capacity: 105
Deficiencies: 0
Date: Sep 26, 2022
Visit Reason
The inspection was an unannounced Required 1-Year inspection conducted to ensure compliance with health, safety, and infection control standards at the assisted living facility.
Findings
The facility was found to be in compliance with no immediate health, safety, or personal rights violations observed. Infection control protocols were followed, and no deficiencies were cited during the inspection.
Report Facts
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during inspection and named in report |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection |
| Troy Ordonez | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 105
Deficiencies: 0
Date: Feb 15, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility does not meet residents' incontinence care needs and that the facility is not maintained clean and sanitary.
Complaint Details
The complaint was received on 10/19/2021 and involved allegations regarding inadequate incontinence care and poor facility cleanliness. After investigation, the findings were unsubstantiated with no evidence to prove the alleged violations occurred.
Findings
The investigation found that residents' incontinence care needs were met timely and the facility was clean, odor-free, and in safe sanitary conditions. Interviews with residents and staff supported these findings. The allegations were unsubstantiated and no citations were issued.
Report Facts
Capacity: 105
Census: 81
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Dana Stansel | Executive Director | Facility representative met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 105
Deficiencies: 0
Date: Feb 15, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility does not meet residents' incontinence care needs and that the facility is not maintained clean and sanitary.
Complaint Details
The complaint was unsubstantiated. Residents stated they never had to wait more than 10 minutes for incontinence care despite occasional short staffing. The facility was observed to be clean and well maintained. Staff and resident interviews indicated no issues with cleanliness or care. No citations were issued per California Code of Regulations, Title 22.
Findings
The investigation found that residents with incontinence needs reported timely care and that the facility was clean and odor free with safe sanitary conditions. Interviews and observations did not substantiate the allegations, and no citations were issued.
Report Facts
Capacity: 105
Census: 81
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Dana Stansel | Executive Director | Facility representative met during the investigation |
| Laura Munoz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 78
Capacity: 105
Deficiencies: 0
Date: Sep 22, 2021
Visit Reason
Licensing Program Analyst Williams arrived unannounced on 09/22/2021 to conduct a Required 1-Year Inspection utilizing the infection control domain.
Findings
The facility was toured and no immediate health, safety, or personal rights violations were observed. The facility was found to be in substantial compliance with infection control requirements and no deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during inspection |
| Jacob Williams | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 78
Capacity: 105
Deficiencies: 0
Date: Sep 22, 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 this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during inspection |
| Jacob Williams | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 105
Deficiencies: 1
Date: Jul 21, 2021
Visit Reason
The visit was an unannounced case management inspection conducted regarding an incident report received on 07/19/2021 about a medication error that occurred on 07/15/2021.
Complaint Details
The complaint was substantiated as the licensee failed to comply with medication administration regulations, posing an immediate health, safety, and/or personal rights risk to residents in care.
Findings
The facility failed to comply with medication administration regulations when a resident was given the wrong medications. The med-tech responsible was issued a final written warning, provided additional training, and shadowed on the next shift. A deficiency was cited related to this incident.
Deficiencies (1)
Failure to assist residents with self-administered medications as required, resulting in a resident receiving the wrong medications.
Report Facts
Capacity: 105
Census: 80
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during the visit and discussed the medication error incident |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 105
Deficiencies: 1
Date: Jul 21, 2021
Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report received on 07/19/2021 regarding a medication error that occurred on 07/15/2021.
Complaint Details
The visit was triggered by a complaint incident report regarding a medication error. The med-tech was issued a final written warning, provided additional training, and shadowed on the next shift. No adverse reactions occurred to the resident.
Findings
The investigation found that a resident (R1) was inadvertently given the wrong medications by a med-tech, who immediately noticed the error and notified proper parties. The resident was transported to the hospital with no adverse reactions. A deficiency was cited related to failure to assist residents properly with self-administered medications.
Deficiencies (1)
Failure to comply with regulation requiring assistance with self-administered medications, resulting in resident receiving wrong medications posing immediate health and safety risk.
Report Facts
Census: 80
Total Capacity: 105
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst to discuss incident |
| Danyle Wolter | Licensing Program Analyst | Conducted the case management visit and inspection |
| Laura Munoz | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
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