Inspection Reports for Atria Santa Clarita

An unannounced annual inspection was conducted as a required one-year visit to evaluate the facility's compliance with licensing regulations.

The facility was found to be clean, well-maintained, and appropriately furnished with no obstructions in passageways. Residents were observed eating healthy food, and safety features such as grab bars and emergency pull cords were in place. The inspection was not completed due to time constraints and will continue at a later date.

The visit was an unannounced complaint investigation triggered by allegations received on 06/06/2023 regarding resident falls and failure to provide incident reports to the resident's authorized representative.

The investigation found that the resident did sustain several falls due to a change in mobility, but the facility responded appropriately and there was no neglect. The allegation that staff failed to provide incident reports was unsubstantiated due to insufficient evidence.

The complaint involved two allegations: 1) Resident sustained multiple falls while in care, and 2) Staff failed to provide resident's authorized representative with incident reports. Both allegations were found to be unsubstantiated based on documentation and interviews.

The visit was an unannounced complaint investigation triggered by allegations received on 2024-08-12 regarding inadequate resident care including failure to ensure residents are showered, lack of daily activities, and a resident wandering away from the facility due to lack of supervision.

The investigation found the first two allegations (failure to ensure residents are showered and lack of daily activities) to be unsubstantiated based on interviews, observations, and document review. However, the allegation that a resident wandered away from the facility due to lack of staff supervision was substantiated, representing an immediate health and safety risk. A citation was issued and a plan of correction was implemented during the visit.

The complaint investigation was triggered by allegations that staff did not ensure residents were showered, did not provide daily activities, and that a resident wandered away from the facility due to lack of care and supervision. The first two allegations were unsubstantiated, while the third was substantiated with a citation issued.

The inspection was conducted as a complaint investigation following allegations including illegal eviction of a resident, billing for services not agreed upon, and failure to provide requested records to a resident's authorized representative.

The investigation found all allegations to be unsubstantiated based on interviews, record reviews, and documentation provided by the facility and residents.

The complaint investigation addressed allegations that staff illegally evicted a resident, billed a resident for unauthorized services, and did not provide requested records to a resident's authorized representative. All allegations were found unsubstantiated after review of notices, payment records, assessments, interviews with residents and staff, and confirmation that requested records were received by the authorized representative.

The inspection was conducted as a required unannounced annual inspection to evaluate compliance with licensing regulations for the assisted living facility.

The facility was found to be clean, well-maintained, and appropriately furnished with no health or safety hazards noted. Resident and staff records were complete and up to date, medications were administered as prescribed, and emergency equipment was in place and functional.

An unannounced case management visit was conducted due to a resident eloping from the facility multiple times.

The facility was cited for failing to have an auditory device or staff alert feature to monitor exits, which resulted in a resident with dementia eloping on three occasions. This posed an immediate health and safety risk to residents.

The visit was triggered by a complaint regarding a resident (#1) diagnosed with dementia eloping from the facility on 05/05/2024, 05/18/2024, and 05/24/2024. The resident was not allowed to leave unassisted. The complaint was substantiated as the facility was cited and a civil penalty assessed.

An unannounced case management visit was conducted due to a resident eloping from the facility on 03/09/2024.

The investigation revealed that resident #1, diagnosed with dementia, eloped from the facility due to lack of supervision and staff alert systems. The resident was returned by police, and the incident posed an immediate health and safety risk to residents.

The visit was complaint-related due to a resident eloping incident. The lack of care and supervision was determined to be the cause, posing an immediate health and safety risk.

An unannounced complaint investigation was conducted due to allegations that residents' safety pendents were inoperable.

The investigation confirmed that the resident safety pendents were not working for four days due to a computer system crash, which was repaired by 01/22/2024. Residents were notified, and no health or safety concerns were found. The allegation was substantiated and the plan of correction was cleared during the visit.

The complaint was substantiated. The resident safety pendents were inoperable for four days due to a computer system crash. The system was repaired and verified to be operational by the time of the visit.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff failed to properly report an incident to an authorized representative.

The investigation found that staff did contact the family member and primary care physician on the night of the incident. Based on interviews and record reviews, the allegation was deemed unsubstantiated at this time.

The complaint alleged that there was no communication from the facility about Resident #1 being rushed to emergency surgery for a broken hip on 10/21/19. The allegation was found unsubstantiated after investigation.

The visit was a case management inspection triggered by an incident report concerning resident #1, where staff failed to follow physician orders when administering medication.

The inspection found that staff did not administer medication according to the physician's orders, posing a health and safety risk to residents. A citation was issued during the visit.

The visit was complaint-related due to an incident report about medication administration errors for resident #1. The complaint was substantiated as staff failed to follow physician orders.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-05-10 alleging lack of care and supervision resulting in dehydration.

The investigation found insufficient information to support the allegation of lack of care and supervision resulting in dehydration. The allegation was deemed unsubstantiated based on hospital records, staff interviews, and review of facility care practices.

The complaint was received on 2021-05-10 and investigated through interviews with staff, family members, and review of hospital and sheriff department records. The allegation was unsubstantiated.

Unannounced complaint investigation visit conducted to investigate allegations including staff diagnosing a resident without proper consent and a resident sustaining an injury from a fall while in care.

The investigation found that the resident was diagnosed with Dementia prior to moving in and the evaluation was ordered by the resident's primary care physician, not facility staff. Regarding the fall injury allegation, records and staff interviews confirmed that the resident was assessed as a minimal fall risk and was monitored every two hours as scheduled. The allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff diagnosing a resident without proper consent and a resident sustaining an injury from a fall. The investigation found no evidence supporting these allegations.

The visit was an unannounced complaint investigation triggered by an allegation that facility staff were not providing assistance to residents in a timely manner.

Based on interviews with residents and staff, record reviews, and observations, there was insufficient evidence to verify the allegation of delayed assistance due to understaffing. Residents and staff reported that response times were generally between five to ten minutes, and no health or safety hazards were noted.

The complaint alleged that facility staff were not providing assistance to residents in a timely manner due to understaffing. The allegation was unsubstantiated after investigation.

The inspection was an unannounced complaint investigation visit triggered by allegations of lack of care and supervision resulting in multiple falls with severe injuries, and insufficient staffing leading to unmet resident needs.

The investigation substantiated the allegations that Resident #1 experienced multiple falls due to inadequate supervision and that the memory care unit was understaffed at times, impacting resident care. However, more recent staff interviews indicated sufficient staffing during later periods. A citation was issued and appeal rights discussed.

The complaint was substantiated. Allegations included lack of care and supervision causing multiple falls with severe injuries, and insufficient staffing in the memory care unit. Investigations included interviews with staff and review of hospital and sheriff department records. The findings confirmed lapses in supervision and staffing during the relevant periods.

The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff billed a resident for services not being provided and failed to discuss changes in the resident's condition with the family and physician.

The investigation substantiated that the resident's level of care was increased from Level One to Level Two without notifying the resident's responsible party and physician in writing, which violates regulations. No health and safety hazards were observed during the visit.

The complaint was substantiated. Allegations included billing for services not provided and failure to notify family and physician of changes in resident's condition. Investigation confirmed the latter as substantiated.

The visit was an unannounced complaint investigation conducted in response to allegations received on 08/29/2022 regarding resident hygiene, incontinent care, and eviction notice issues at the facility.

After interviews with staff, residents, and the reporting party, as well as physical inspections, the investigation found insufficient evidence to substantiate the allegations. Residents appeared clean and well-groomed, incontinent care was reportedly provided timely, and no eviction notice was issued to the resident in question.

The complaint included allegations that staff did not ensure resident hygiene needs were met, did not provide appropriate incontinent care, and issued an improper eviction notice to a resident. All allegations were found to be unsubstantiated based on interviews, observations, and record reviews.

An unannounced Case Management visit was conducted following an SOC341 received on 2022-08-02 alleging that staff grabbed and pulled a resident by the arm and wrist to re-direct them, causing soreness.

The Licensing Program Analyst interviewed staff and a resident, found no health and safety hazards, and no action was taken during the visit.

The complaint alleged that staff #1 grabbed and pulled resident #1 by the arm and wrist causing soreness. The complaint was investigated through interviews with three staff and one resident. No action was taken.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-03-15 regarding resident care, communication with authorized representatives, and facility disrepair.

The investigation found insufficient evidence to substantiate the allegations that a resident was not assisted with services, that the facility failed to communicate changes in services to the authorized representative, and that the facility was in disrepair. All allegations were determined to be unsubstantiated based on interviews, observations, and record reviews.

The complaint involved three main allegations: 1) Resident not being assisted with services such as diaper changing and wound care; 2) Facility did not communicate with the authorized representative about changes in services; 3) Facility was in disrepair with a leaking ceiling in a resident's room. All allegations were investigated through interviews, record reviews, and physical inspections and were found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-03-09 regarding a resident's door being in disrepair.

The allegation that the resident's door was in disrepair was substantiated. The door was left in disrepair while the room was occupied, which posed a potential health, safety, or personal rights risk to residents. No other health and safety hazards were noted during the visit.

The complaint investigation was substantiated based on interviews, observations, and record review. The resident's door was found to be in disrepair, and the facility failed to completely remove the mechanism from the disrepaired door, resulting in a visitor and resident being locked in the room.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not providing resident medications as prescribed.

The allegation that Resident #1 was given potassium pills twice daily instead of once daily as prescribed was substantiated. No other health and safety hazards were noted during the visit.

The complaint was substantiated based on investigation findings that Resident #1 was administered potassium medication twice daily contrary to the physician's order for once daily. The investigation included document review and staff interviews.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not seek timely medical care for a resident and that the facility had C diff contamination.

The investigation found insufficient evidence to substantiate the allegations. Staff notified the resident's physician timely and called 911 upon rapid decline. No other cases of C diff were found in the facility, and no health and safety hazards were noted during the visit.

The complaint was unsubstantiated based on interviews, record reviews, and observations. Allegations included failure to seek timely medical care and presence of C diff contamination, both found unsubstantiated.

An unannounced complaint investigation visit was conducted in response to an allegation that staff do not assist residents with showering.

Based on interviews and observations, there was not enough information to verify the allegation. The investigation found that all hygiene needs were being met, residents had shower schedules, and caregivers were available to assist those who needed help. The allegation was unsubstantiated.

The complaint alleged that staff did not assist with showering, specifically that a resident (R1) did not shower for weeks. The allegation was found to be unsubstantiated after investigation.

An unannounced complaint investigation visit was conducted to investigate allegations including a resident's walker being in disrepair and staff not safeguarding residents' personal belongings.

The investigation found that the resident's walker was repaired promptly after the family reported it, and there was insufficient information to substantiate the allegation regarding lost personal belongings. Therefore, the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated based on interviews and record reviews. The resident's walker issue was addressed promptly after being reported, and there was no evidence supporting the claim that staff failed to safeguard the resident's personal belongings.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 03/10/2022 regarding resident overheating, dehydration, and lack of hot water for a week.

The investigation found insufficient evidence to substantiate the allegations. The facility maintained room temperatures between 72-75º, residents had access to water and hydration, and the hot water issue was resolved within a week with alternate arrangements made for resident hygiene. No health or safety hazards were noted.

The complaint investigation was unsubstantiated. Allegations included resident overheating, resident dehydration, and lack of hot water for a week. All allegations were found unsubstantiated based on interviews, observations, and documentation.

An unannounced complaint investigation visit was conducted to investigate allegations that the facility was malodorous and that residents' rooms were dirty.

The investigation found no evidence to support the allegations; no malodor was detected in the Memory Care unit hallways and common areas, and inspections of multiple resident rooms found them clean and free of filth, dust, or sticky floors. The allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated based on the findings of the unannounced visit and prior inspections.

An unannounced complaint investigation visit was conducted in response to allegations received on 2020-03-09 regarding staff locking residents in their rooms and residents' doors being in disrepair.

The investigation found that residents' rooms could only be locked from the inside and no staff locked residents in their rooms. The allegation of locked rooms was unsubstantiated. Regarding the door disrepair allegation, it was found that the resident had aggressively handled the door causing damage, but a repair work order was placed and completed promptly. This allegation was also unsubstantiated.

The complaint investigation was unsubstantiated based on interviews, physical inspection, and document review. Allegations included staff locking residents in rooms and residents' doors being in disrepair.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-01-21 regarding staff not safeguarding a resident's personal belongings.

The investigation found no relevant information to support the allegation that staff did not safeguard the resident's personal belongings. The allegation was determined to be unsubstantiated.

The complaint alleged that staff did not safeguard Resident #1's dentures, which were reported lost. The investigation included interviews and record reviews, concluding the allegation was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-01-21 regarding allegations about resident care and facility conditions.

The investigation found no relevant information to support any of the allegations, including that a resident was left in their room all day, failure to provide a 60-day notice of rent increase for COVID expenses, and a resident's closet door being in disrepair. All allegations were unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included a resident being left in their room all day, failure to provide proper rent increase notice, and a broken closet door. Investigations included interviews, observations, and record reviews, all resulting in no substantiation.

An unannounced complaint investigation visit was conducted in response to allegations received on 01/21/2022 regarding resident hygiene, laundry service, room cleanliness, proper dressing, and water provision.

All allegations were investigated through interviews, observations, and room inspections. The investigation found no relevant information to support any of the allegations, and all were determined to be unsubstantiated.

The complaint included nine allegations such as staff not meeting resident's hygiene needs, inadequate laundry service, dirty resident rooms, improper dressing of residents, and insufficient water provision. The investigation concluded all allegations were unsubstantiated.

Unannounced complaint investigation visit conducted to investigate an allegation that staff hit a resident.

The allegation that staff member S2 hit Resident #1 was substantiated based on witness testimony and investigation. S2 was immediately suspended and later terminated. The facility failed to ensure the resident's personal rights were respected, posing an immediate safety risk.

The complaint alleged that staff hit a resident. The allegation was substantiated based on witness statements and investigation. Staff member S2 was suspended and terminated. Citation was issued and appeal rights were discussed.

The inspection was an unannounced complaint investigation visit triggered by complaints received on 2021-10-20 regarding staff not reporting incidents to a resident's responsible party, significant resident weight loss, and insufficient staffing.

The investigation substantiated that staff failed to report an incident to the resident's responsible party and that a resident suffered significant weight loss due to medical condition, not neglect. The allegation of insufficient staffing was unsubstantiated. One deficiency was cited related to failure to file an incident report and notify the responsible party.

The complaint investigation was substantiated for failure to report an incident to the resident's responsible party and for significant resident weight loss, which was determined to be due to medical condition and not neglect. The allegation of insufficient staffing was unsubstantiated.

The inspection was a required one-year unannounced infection control visit to evaluate compliance with health and safety standards.

The facility was found to have appropriate infection control measures in place, including PPE availability, mask usage, and COVID-19 prevention signage. The physical plant was clean and well-maintained, with proper food storage, fire safety equipment, and resident accommodations. No deficiencies or violations were noted in the report.

The visit was an unannounced complaint investigation conducted in response to allegations received on 10/20/2021 regarding resident injury, room cleanliness, hygiene needs, and hazard removal in the resident's room.

The investigation found that the resident sustained a minor self-inflicted injury from a broken picture frame that staff were unaware of. The resident's room was inspected multiple times and found to be clean and free of hazards. Staff reported removing hazardous items when discovered. The resident's hygiene needs were met and the resident appeared clean and well-groomed. All allegations were unsubstantiated based on interviews, inspections, and observations.

The complaint included allegations that a resident sustained injury while in care, the resident's room was not being cleaned, the resident's hygiene needs were not being met, and staff did not ensure the resident's room was free of hazards. The investigation concluded all allegations were unsubstantiated.

The inspection was conducted as an unannounced complaint investigation in response to an allegation that facility staff failed to meet a resident's needs.

Based on interviews with residents and staff, as well as a review of the staffing schedule, the allegation was found to be unsubstantiated. Residents and staff reported that staffing was sufficient and residents felt safe and well cared for.

The complaint alleged that facility staff failed to meet a resident's needs. The investigation included interviews with the resident in question, other residents, and staff, as well as a review of staffing schedules. The allegation was determined to be unsubstantiated.