Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Annual Inspection
Deficiencies: 1
Oct 30, 2025
Visit Reason
The Department of Social and Health Services completed a full inspection of the Assisted Living Facility to determine compliance with Assisted Living Facility requirements.
Findings
The facility failed to ensure there was a system in place to inform visitors and outside agencies on how to exit without sounding the alarm, which is required for freedom of movement.
Deficiencies (1)
| Description |
|---|
| Failure to have a system in place to inform visitors and outside agencies on how to exit without sounding the alarm. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Ramirez | Assisted Living Facility Licensor | Department staff who did the inspection and provided consultation. |
| Elaine Lopez | Licensor | Department staff who did the inspection and provided consultation. |
Inspection Report
Life Safety
Deficiencies: 4
Apr 1, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Blossom Creek Senior Alzheimer Comm facility on 04/01/2025.
Findings
The inspection found that all cited fire safety code requirements, including listing of power taps, sprinkler system maintenance, illuminated exit signs, and emergency power systems, were corrected.
Deficiencies (4)
| Description |
|---|
| Relocatable power taps shall be listed and labeled in accordance with UL standards. |
| Sprinkler systems shall be tested and maintained in accordance with Section 901. |
| Electrically powered exit signs shall be listed, labeled, and illuminated at all times. |
| Emergency and standby power systems shall be maintained to supply service within required time. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sam Mead | Maint. Director | Named as Owner or Authorized Representative signing the inspection documents. |
| Andrea Ely | Deputy State Fire Marshal | Signed the inspection report dated 2025-04-01. |
Inspection Report
Follow-Up
Census: 41
Deficiencies: 3
Mar 20, 2025
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies from Compliance Determinations 56662 and 50444.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to negotiated service agreements and ongoing assessments were corrected.
Complaint Details
Complaint investigation triggered by allegations including a resident's fall with fractured hip and failure to update assessment, multiple unwitnessed falls with injuries not reported, and a lost wheelchair incident. Another complaint involved alleged neglect with concerns of skin integrity, weight loss, and poor hygiene. Investigations found failed practices related to care implementation and ongoing assessments but did not substantiate abuse or neglect.
Deficiencies (3)
| Description |
|---|
| Failed to ensure that cares and services were implemented according to each resident's negotiated service agreement for 3 of 4 residents, resulting in residents not receiving cares and placed at risk for undignified experience and potential health problems. |
| Failed to complete an ongoing focused assessment when the negotiated service agreement no longer addressed the need of a resident after multiple falls with injury requiring medical treatment for 1 of 1 resident. |
| Failed to ensure resident records were maintained in a manner that allowed department representatives to access records during on-site investigations (corrected during investigation). |
Report Facts
Total residents: 41
Resident sample size: 3
Closed records sample size: 1
Missed meals: 14
Weight loss percentage: 6.16
Falls: 9
Incident reports missing: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Shull | Community Complaint Investigator | Conducted on-site verification and complaint investigations |
| Laura Williams-Davis | ALF Field Manager | Signed follow-up inspection letter and complaint investigation correspondence |
| Staff E | Caregiver | Provided statements regarding oral care, showers, and documentation practices |
| Staff C | Medication Technician | Provided statements regarding Resident 1's care and wheelchair use |
| Staff D | Kitchen Manager | Provided statements regarding meal attendance tracking |
| Staff A | Executive Director | Provided statements regarding weight monitoring and incident report procedures |
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