Inspection Reports for
Brookdale San Marcos

CA, 92078

Back to Facility Profile

Deficiencies (last 6 years)

Deficiencies (over 6 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

88% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 67% occupied

Based on a December 2025 inspection.

Occupancy over time

120 150 180 210 240 270 Dec 2021 Jul 2022 Jul 2023 Dec 2023 Oct 2025 Dec 2025

Inspection Report

Annual Inspection
Census: 163 Capacity: 245 Deficiencies: 0 Date: Dec 8, 2025

Visit Reason
The inspection was an unannounced required 1-year annual inspection conducted to evaluate compliance with licensing requirements.

Findings
The facility was found to be clean, clutter-free, and compliant with safety and regulatory standards. No deficiencies were observed during the inspection, including fire safety, emergency preparedness, medication security, and staff training.

Report Facts
Residents receiving hospice services: 5 Fire clearance capacity: 245 Food supply duration: 2 Food supply duration: 7 Hot water temperature range: 112.1 to 118.5

Employees mentioned
NameTitleContext
Amber RodgersExecutive DirectorMet with Licensing Program Analyst during inspection and received the report.
Javina GeorgeLicensing Program AnalystConducted the inspection visit.
Mario PrestonAdministrator/DirectorNamed as facility administrator/director.

Inspection Report

Complaint Investigation
Census: 167 Capacity: 245 Deficiencies: 0 Date: Oct 31, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff did not treat a resident with dignity and respect and did not provide a comfortable environment for the resident.

Complaint Details
The complaint alleged that staff were unprofessional and rude toward Resident #1, including incidents in the dining hall involving staff and the resident. The investigation found no preponderance of evidence to prove the allegations. The resident was documented to have engaged in harassing and challenging behaviors, which contributed to the situation.
Findings
The investigation included interviews, record reviews, and observations. The allegations were found to be unsubstantiated based on the evidence, including staff and resident interviews and documentation of the resident's challenging behavior.

Report Facts
Capacity: 245 Census: 167

Employees mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation
Mario PrestonLicensee/AdministratorFacility licensee who denied the allegations

Inspection Report

Complaint Investigation
Census: 167 Capacity: 245 Deficiencies: 0 Date: Oct 31, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint alleging staff neglect resulting in a resident abusing another resident.

Complaint Details
The complaint alleged staff neglect resulting in a resident abusing another resident. The allegation was deemed unsubstantiated based on interviews, record reviews, and observations.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of staff neglect resulting in resident abuse. Interviews, record reviews, and observations confirmed that the residents involved have hearing loss, one is bedridden and on hospice, and there was no documentation or witness statements supporting the abuse claim.

Report Facts
Capacity: 245 Census: 167

Employees mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation
Mario PrestonAdministrator / LicenseeFacility administrator who denied the allegation

Inspection Report

Complaint Investigation
Census: 160 Capacity: 245 Deficiencies: 0 Date: Oct 27, 2025

Visit Reason
An unannounced case management - incident visit was conducted to follow up on an unusual incident report submitted by the facility regarding an allegation that an unknown male entered Resident #1's bedroom at night and did inappropriate acts.

Complaint Details
The visit was triggered by a complaint alleging that an unknown male entered Resident #1's bedroom at night and did inappropriate acts. The complaint was investigated through interviews, observations, and documentation review.
Findings
During the visit, the Licensing Program Analyst interviewed the Executive Director and Resident #1, conducted observations including taking pictures of the resident's unit, and noted various hazards in the resident's bedroom that did not follow code enforcement. Concerns will be cross-reported to appropriate agencies.

Employees mentioned
NameTitleContext
Valerie FloresLicensing Program AnalystConducted the unannounced case management - incident visit and investigation.
Amber RodgersExecutive DirectorMet with Licensing Program Analyst during the visit and was provided a copy of the report.
Anthony PerezLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 160 Capacity: 245 Deficiencies: 0 Date: Oct 27, 2025

Visit Reason
The visit was an unannounced case management - incident inspection conducted to follow up on an unusual incident report submitted by the facility regarding an allegation that an unknown male entered Resident #1's bedroom at night and did inappropriate acts.

Complaint Details
The complaint involved an allegation by Resident #1 that an unknown male entered their bedroom at night and committed inappropriate acts. The visit was conducted to investigate this incident.
Findings
During the visit, the Licensing Program Analyst interviewed the Executive Director and Resident #1, conducted observations and took pictures of the resident's unit, and noted various hazards in the resident's bedroom that did not follow code enforcement. The analyst will be cross-reporting concerns to appropriate agencies.

Report Facts
Capacity: 245 Census: 160

Employees mentioned
NameTitleContext
Amber RodgersExecutive DirectorMet with Licensing Program Analyst during the inspection and involved in the investigation
Valerie FloresLicensing Program AnalystConducted the unannounced case management - incident visit
Anthony PerezLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 173 Capacity: 245 Deficiencies: 0 Date: Oct 9, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that the facility failed to assist a resident with oral hygiene and failed to seek dental treatment for the resident.

Complaint Details
The complaint alleged that the facility failed to assist resident R1 with oral hygiene and failed to seek dental treatment for the resident. The allegations were unsubstantiated due to insufficient evidence to prove the alleged violations occurred.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff, residents, and the Executive Director, along with document reviews, indicated that dental hygiene assistance orders are followed when present, and family often handles dental appointments. No deficiencies were cited during the visit.

Report Facts
Capacity: 245 Census: 173

Employees mentioned
NameTitleContext
Amber RogersExecutive DirectorInterviewed during the investigation and involved in findings related to dental hygiene assistance

Inspection Report

Complaint Investigation
Census: 167 Capacity: 245 Deficiencies: 0 Date: Dec 17, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to allegations including denial of emergency room transport, overcharging for food, failure to provide a new call button bracelet, untimely staff checks on a resident, and denial of visitor entry due to COVID-19 policies.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included denial of ER transport, overcharging for food, failure to provide a new call button bracelet, untimely staff checks, and denial of visitor entry due to COVID. Interviews and evidence did not support these claims.
Findings
Based on interviews, records review, and evidence, all complaint allegations were found to be unsubstantiated. The facility followed protocols for emergency transport, meal provision, call button availability, staff responsiveness, and visitor policies consistent with COVID-19 guidelines.

Report Facts
Facility Capacity: 245 Census: 167 Complaint Control Number: 08-AS-20220114123811 Complaint Received Date: Jan 14, 2022

Employees mentioned
NameTitleContext
Tiffany HolmesLicensing Program AnalystConducted the complaint investigation and delivered findings
Amber RodgersAssociate Executive DirectorFacility representative interviewed during investigation and exit interview
Mario PrestonAdministratorFacility administrator named in report header
John RanteSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 179 Capacity: 245 Deficiencies: 0 Date: Nov 20, 2024

Visit Reason
The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Kathleen Banrasavong to evaluate compliance with regulatory requirements.

Findings
The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed. All reviewed client and employee records met regulatory standards, and safety, infection control, medication storage, and fire safety requirements were satisfactorily met.

Report Facts
Records reviewed: 5 Records reviewed: 5 Water temperature: 108 Fire extinguisher charge date: Dec 27, 2023 Last fire inspection date: Oct 8, 2024

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorMet with Licensing Program Analyst and named in report
Kathleen BanrasavongLicensing Program AnalystConducted the annual inspection
Jazmond D HarrisSupervisorSupervisor named in the report

Inspection Report

Annual Inspection
Census: 179 Capacity: 245 Deficiencies: 0 Date: Nov 20, 2024

Visit Reason
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.

Findings
The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed. All reviewed client and employee records met requirements, and safety, infection control, medication storage, and fire safety measures were compliant.

Report Facts
Client records reviewed: 5 Employee records reviewed: 5 Food supply duration: 7 Food supply duration: 2 Water temperature: 108 Fire extinguisher charge date: Dec 27, 2023 Last fire inspection date: Oct 8, 2024

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorMet with during inspection and named in report
Kathleen BanrasavongLicensing Program AnalystConducted the inspection
Jazmond D HarrisLicensing Program ManagerNamed in report

Inspection Report

Annual Inspection
Census: 153 Capacity: 245 Deficiencies: 0 Date: Dec 15, 2023

Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations.

Findings
The facility was inspected inside and outside with no obstructions found. All required safety equipment and postings were present. The facility was clean, well-maintained, and operating appropriately with no Title 22, Division 6 Regulation violations observed or cited.

Report Facts
Staff files reviewed: 5 Resident files reviewed: 6

Employees mentioned
NameTitleContext
Mario PrestonAdministratorMet with Licensing Program Analyst during inspection and received copy of report
Venus MixsonLicensing Program AnalystConducted the annual inspection
Jazmond D HarrisSupervisorSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 1 Capacity: 245 Deficiencies: 0 Date: Dec 15, 2023

Visit Reason
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations.

Findings
The facility was inspected inside and outside with no obstructions found. All required safety equipment and postings were present. The facility was clean, well-maintained, and operating within regulations. No Title 22, Division 6 Regulation violations were observed or cited during the visit.

Report Facts
Licensed capacity: 245 Current census: 1

Employees mentioned
NameTitleContext
Mario PrestonAdministratorMet with Licensing Program Analyst during inspection and named in report
Venus MixsonLicensing Program AnalystConducted the inspection and authored the report
Jazmond D HarrisLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 151 Capacity: 245 Deficiencies: 0 Date: Nov 7, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not have the required training to care for residents, resident rooms were not kept sanitary, and the licensee did not ensure personnel requirements were met.

Complaint Details
The complaint was unsubstantiated based on interviews, observations, and record review. Allegations regarding staff training, sanitation of resident rooms, and personnel requirements were not supported by the evidence.
Findings
The investigation included interviews, record reviews, and facility tours. The evidence did not substantiate the allegations; staff were found to have received appropriate training, resident rooms were generally clean, and staffing levels were adequate to meet resident care needs.

Report Facts
Capacity: 245 Census: 151 Complaint Control Number: 08-AS-20200713092605

Employees mentioned
NameTitleContext
Rebecca A RuizLicensing Program AnalystConducted the complaint investigation visit
Mario PrestonExecutive DirectorMet with the Licensing Program Analyst during the visit and participated in the exit interview

Inspection Report

Complaint Investigation
Census: 151 Capacity: 245 Deficiencies: 0 Date: Nov 7, 2023

Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not have the required training to care for residents, resident rooms were not kept sanitary, and the licensee did not ensure personnel requirements were met.

Complaint Details
The complaint was unsubstantiated after investigation. Allegations included inadequate staff training, unsanitary resident rooms, and unmet personnel requirements. Evidence did not support these claims.
Findings
The investigation included interviews, record reviews, and facility tours, which found that staff received appropriate training, resident rooms were generally clean, and staffing levels were adequate. The allegations were determined to be unsubstantiated based on the evidence.

Report Facts
Capacity: 245 Census: 151 Estimated Days of Completion: 0

Employees mentioned
NameTitleContext
Rebecca A RuizLicensing Program AnalystConducted the complaint investigation
Mario PrestonExecutive DirectorFacility representative met during investigation
Mary Ellen HeilgeistAdministratorFacility administrator mentioned in report
Lizzette TellezLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Complaint Investigation
Census: 159 Capacity: 245 Deficiencies: 0 Date: Aug 4, 2023

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not ensure a resident received their medications and that staff mismanaged the resident's medications.

Complaint Details
The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff and resident interviews, along with a review of the resident's file and Medication Administration Records, indicated the resident self-administered medications and staff only administered medications for three days before returning them to the resident. The allegations were determined to be unsubstantiated.

Report Facts
Capacity: 245 Census: 159 Estimated Days of Completion: 90 Medication administration days: 3

Employees mentioned
NameTitleContext
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation
Amber RodgersAssociate Executive DirectorMet with investigator during the visit
Joel EsquivelSupervisorSupervisor overseeing the investigation
Mario PrestonAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 159 Capacity: 245 Deficiencies: 0 Date: Aug 4, 2023

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not ensure that a resident had their medications and that staff mismanaged the resident's medications.

Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations did or did not occur.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff and resident interviews, along with a review of the resident's file and Medication Administration Records, indicated the resident self-administered medications with brief assistance from staff for three days before medications were returned to the resident for unsupervised self-administration.

Report Facts
Estimated Days of Completion: 90 Medication administration days: 3

Employees mentioned
NameTitleContext
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation visit
Joel EsquivelLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Amber RodgersAssociate Executive DirectorFacility representative met during the investigation and exit interview
Mario PrestonAdministratorFacility Administrator named in the report

Inspection Report

Complaint Investigation
Census: 152 Capacity: 245 Deficiencies: 0 Date: Jul 27, 2023

Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff were not abiding by the addendum to the admissions agreement.

Complaint Details
The complaint alleged that staff were not abiding by the addendum to the admissions agreement, specifically regarding rental amounts. The allegation was unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegation. The facility had documented a rent increase and retention discount properly, and the new rental amount took effect as stated.

Report Facts
Capacity: 245 Census: 152 Rental amount old: 3930 Rental amount new: 4473 Retention discount: 113

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorInterviewed regarding rental amount and admissions agreement
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 152 Capacity: 245 Deficiencies: 0 Date: Jul 27, 2023

Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff were not abiding by the addendum to the admissions agreement, specifically regarding rental amounts.

Complaint Details
The complaint alleged that staff were not abiding by the addendum to the admissions agreement related to rental amounts. The allegation was unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found that the facility had documented a rent increase and retention discount appropriately, and there was insufficient evidence to substantiate the allegation that staff were not abiding by the admissions agreement addendum. The allegation was therefore unsubstantiated.

Report Facts
Capacity: 245 Census: 152 Rent increase amount: 4473 Retention discount: 113 Old rental amount: 3930

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorMet with Licensing Program Analyst and provided information regarding the rental agreement and complaint
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation visit
Joel EsquivelLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 150 Capacity: 245 Deficiencies: 1 Date: Jun 23, 2023

Visit Reason
An unannounced visit was conducted to investigate a complaint alleging unlawful eviction of a resident from the facility.

Complaint Details
The complaint alleged unlawful eviction. The allegation was substantiated based on observation, interview, and file review.
Findings
The investigation found that the facility issued a 30-day eviction notice to a resident without proper diagnosis, as the resident refused a psychiatric evaluation and no documentation supported the alleged delusional behavior and hallucination. The allegation was substantiated.

Deficiencies (1)
Eviction Procedures; The licensee did not comply by evicting resident without proper diagnosis which poses a potential health, safety or personal rights risk to persons in care.
Report Facts
Capacity: 245 Census: 150 Plan of Correction Due Date: Jul 3, 2023

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorMet with Licensing Program Analyst and acknowledged the eviction notice issued
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation visit
Joel EsquivelLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 163 Capacity: 245 Deficiencies: 0 Date: Nov 9, 2022

Visit Reason
The visit was conducted to investigate complaint number 18-AS-20220606112050 at the facility.

Complaint Details
Complaint number 18-AS-20220606112050 was investigated and found to have no deficiencies.
Findings
During the visit, interviews were conducted with residents and no deficiencies were cited. An exit interview was held with the Business Office Manager where the report and LIC811 were discussed and provided.

Employees mentioned
NameTitleContext
Debbie SpenceBusiness Office ManagerMet with Licensing Program Analyst during the complaint investigation visit.
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation visit.
Deborah MullenSupervisorSupervisor named in the report.

Inspection Report

Complaint Investigation
Census: 163 Capacity: 245 Deficiencies: 0 Date: Nov 9, 2022

Visit Reason
The visit was conducted to investigate complaint number 18-AS-20220606112050 at the facility.

Complaint Details
Complaint number 18-AS-20220606112050 was investigated and found to have no deficiencies.
Findings
During the visit, interviews were conducted with residents and no deficiencies were cited.

Employees mentioned
NameTitleContext
Debbie SpenceBusiness Office ManagerMet with Licensing Program Analyst during the visit and participated in exit interview.
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation visit.
Deborah MullenLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Complaint Investigation
Census: 168 Capacity: 245 Deficiencies: 0 Date: Jul 18, 2022

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that a resident sustained pressure injuries while in care.

Complaint Details
The complaint was unsubstantiated based on interviews with the resident, nurse, and file review. There was no preponderance of evidence to prove the alleged violation occurred.
Findings
The investigation found that the resident had multiple pressure injuries prior to admission and was receiving treatment. There was insufficient evidence to substantiate the allegation that the injuries occurred while in care, resulting in an unsubstantiated finding.

Report Facts
Capacity: 245 Census: 168

Employees mentioned
NameTitleContext
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation
Mario PrestonAdministratorFacility administrator named in report header
Tania DupreAssociate Executive DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 168 Capacity: 245 Deficiencies: 0 Date: Jul 18, 2022

Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained pressure injuries while in care.

Complaint Details
The complaint alleged that a resident sustained pressure injuries while in care. The investigation concluded the allegation was unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found that the resident had multiple pressure injuries prior to admission and was receiving treatment. There was insufficient evidence to substantiate the allegation that the injuries were sustained while in care, resulting in an unsubstantiated finding.

Report Facts
Capacity: 245 Census: 168

Employees mentioned
NameTitleContext
Chinwe NwogeneLicensing Program AnalystConducted the complaint investigation
Tania DupreAssociate Executive DirectorMet with Licensing Program Analyst during investigation
Mario PrestonAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 163 Capacity: 245 Deficiencies: 1 Date: Apr 25, 2022

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff failed to meet a resident's needs and refused to provide transportation for a resident.

Complaint Details
The complaint investigation was substantiated for the allegation that staff failed to meet the resident's needs related to communication and hearing aid assistance. The allegation that staff refused to provide transportation was unsubstantiated and dismissed.
Findings
The investigation substantiated that staff failed to assist a resident with severe hearing impairment in communicating with callers and obtaining a new hearing aid, constituting a personal rights violation. The allegation that staff refused to provide transportation was found to be unfounded as transportation was provided.

Deficiencies (1)
Failure to regularly observe residents for changes and provide appropriate assistance, including failure to assist with communication for a resident with hearing impairment.
Report Facts
Capacity: 245 Census: 163 Deficiencies cited: 1 Plan of Correction Due Date: Apr 26, 2022

Employees mentioned
NameTitleContext
Mario PrestonAdministratorNamed in relation to denial of knowledge about resident's hearing aid issues and involved in exit interview
Crystal ColvinLicensing Program AnalystConducted the complaint investigation and authored the report

Inspection Report

Complaint Investigation
Census: 163 Capacity: 245 Deficiencies: 1 Date: Apr 25, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff failed to meet a resident's needs and refused to provide transportation for a resident.

Complaint Details
The complaint was substantiated regarding staff failing to meet the resident's needs due to lack of assistance with communication and hearing aid issues. The complaint regarding refusal of transportation was unfounded.
Findings
The allegation that staff failed to meet a resident's needs was substantiated due to staff failing to assist a resident with severe hearing impairment in communicating with callers and failing to assist with obtaining a new hearing aid or notifying the resident's Power of Attorney. The allegation that staff refused to provide transportation was found to be unfounded as the facility did provide transportation to the resident's appointment.

Deficiencies (1)
Staff failed to assist resident and their callers with communication needs related to hearing impairment, violating personal rights.
Report Facts
Capacity: 245 Census: 163 Deficiencies cited: 1 Plan of Correction Due Date: Apr 26, 2022

Employees mentioned
NameTitleContext
Mario PrestonAdministratorNamed in findings related to denial of knowledge about resident's hearing aid issues and involved in exit interview
Crystal ColvinLicensing Program AnalystConducted the complaint investigation and authored the report
Joel EsquivelLicensing Program ManagerOversaw the complaint investigation process

Inspection Report

Follow-Up
Census: 158 Capacity: 245 Deficiencies: 0 Date: Mar 10, 2022

Visit Reason
The visit was an unannounced case management follow-up regarding a death report received on 2022-01-04 for Resident 1.

Findings
No immediate health or safety issues were observed during the visit, and no deficiencies were cited.

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorMet during the visit and involved in discussion regarding the incident report.
Iby StrongLicensing Program AnalystConducted the unannounced case management visit.
John RanteSupervisor mentioned in the report.

Inspection Report

Follow-Up
Census: 158 Capacity: 245 Deficiencies: 0 Date: Mar 10, 2022

Visit Reason
The visit was an unannounced case management follow-up regarding a death report received on 2022-01-04 for Resident 1 (R1).

Findings
No immediate health or safety issues were observed during the visit, and no deficiencies were cited.

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorMet during the visit and participated in the exit interview.

Inspection Report

Annual Inspection
Census: 142 Capacity: 245 Deficiencies: 0 Date: Dec 28, 2021

Visit Reason
Licensing Program Analyst Ramon Serrano conducted an unannounced Required 1-Year Visit to evaluate the facility's compliance, including infection control measures.

Findings
No deficiencies were cited or observed during the inspection. The facility was found to have current criminal record clearances for all staff and was implementing infection control protocols effectively.

Report Facts
Capacity: 245 Census: 142

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorMet with Licensing Program Analyst during the inspection and participated in the exit interview
Ramon SerranoLicensing Program AnalystConducted the unannounced Required 1-Year Visit

Inspection Report

Annual Inspection
Census: 142 Capacity: 245 Deficiencies: 0 Date: Dec 28, 2021

Visit Reason
The inspection was an unannounced required 1-year visit to evaluate the facility's compliance with licensing requirements and infection control protocols.

Findings
No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.

Employees mentioned
NameTitleContext
Mario PrestonExecutive DirectorMet with Licensing Program Analyst during inspection and discussed the purpose of the visit.
Ramon SerranoLicensing Program AnalystConducted the unannounced required 1-year visit and evaluation.
Denise PowellLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Capacity: 245 Deficiencies: 0 Date: Sep 9, 2020

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations against facility staff regarding resident privacy, use of universal precautions, safeguarding of personal belongings, cleanliness, dignity and respect, and accuracy of resident mental condition information.

Complaint Details
The complaint involved multiple allegations including failure to afford resident privacy, failure to use universal precautions, failure to safeguard resident's personal belongings, failure to clean resident's room properly, failure to treat resident with dignity and respect, and failure to keep accurate information regarding a resident's mental condition. All allegations were found unsubstantiated due to lack of evidence or insufficient data.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. The facility staff policies and practices were reviewed, and interviews conducted, but none of the claims met the standard for substantiation. All allegations were determined to be unsubstantiated.

Report Facts
Facility capacity: 245

Employees mentioned
NameTitleContext
Anna KennedyLicensing EvaluatorConducted the complaint investigation visit
Mary Ellen HeilgeistExecutive DirectorFacility representative met during investigation and exit interview
Rebecca HedgecockSupervisorSupervisor overseeing the complaint investigation

Viewing

Loading inspection reports...