Deficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
59% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Annual Inspection
Capacity: 100
Deficiencies: 0
Date: Jun 5, 2025
Visit Reason
This was an unannounced annual inspection visit conducted as a required one-year inspection.
Findings
The inspection included a tour of the facility, review of resident and staff training records, and discussions on several topics. No deficiencies were cited during this visit.
Report Facts
Number of bedrooms: 56
Memory care unit rooms: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Executive Director | Met with during the inspection and finished the tour. |
| Clayton Fowler | Maintenance Director | Toured the facility with the Licensing Program Analyst. |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced annual visit. |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Capacity: 100
Deficiencies: 0
Date: Jun 5, 2025
Visit Reason
This was an unannounced annual inspection visit conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found no deficiencies. Several resident records and staff training records were reviewed, and multiple areas of the facility were toured.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Executive Director | Met with during the inspection and finished the tour with the Licensing Program Analyst. |
| Clayton Fowler | Maintenance Director | Toured the facility with the Licensing Program Analyst. |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 100
Deficiencies: 0
Date: May 6, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not prevent an outbreak of scabies.
Complaint Details
The complaint alleged that staff did not prevent an outbreak of scabies. The investigation concluded the allegation was unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that one resident was being treated for a non-contagious skin issue and no residents or staff had developed any rashes or contagious diseases. The allegation was concluded to be unfounded.
Report Facts
Capacity: 100
Census: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Evaluator | Conducted the complaint investigation |
| Kristie Laine | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 100
Deficiencies: 0
Date: May 6, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not prevent an outbreak of scabies.
Complaint Details
The complaint was that staff did not prevent an outbreak of scabies. The allegation was investigated and found to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that one resident was being treated for a non-contagious skin issue and no residents or staff had developed rashes or contagious diseases. The allegation was concluded to be unfounded with no deficiencies cited.
Report Facts
Capacity: 100
Census: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Evaluator | Conducted the complaint investigation |
| Kristie Laine | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 100
Deficiencies: 1
Date: May 1, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff were not adequately trained to meet residents' needs and that staff were intoxicated while working with residents.
Complaint Details
The complaint investigation was substantiated for the allegation that staff were not adequately trained to meet residents' needs, specifically regarding colostomy and catheter care. The allegation that staff were intoxicated while working was found to be unfounded.
Findings
The allegation regarding inadequate staff training was substantiated due to lack of training on colostomy care and incomplete training on catheter care, posing a potential health and safety risk. The allegation that staff were intoxicated while working was found to be unfounded with no staff observed working intoxicated.
Deficiencies (1)
Personnel Requirements - General. All personnel shall be given on the job training or have related experience in the job assigned to them. This requirement not met as evidence by the facility based on review of training logs the staff didn't have training prior to taking care of residents with colostomy bag and catheter which poses a potential health and safety risk to resident in care.
Report Facts
Capacity: 100
Census: 58
Deficiencies cited: 1
Plan of Correction Due Date: May 30, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kristie Laine | Administrator | Facility administrator interviewed during investigation |
| Troy Ordonez | Licensing Program Manager | Named in report as licensing program manager |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 100
Deficiencies: 1
Date: May 1, 2025
Visit Reason
This was an unannounced complaint investigation visit conducted in response to allegations that staff were not adequately trained to meet residents' needs and that staff were intoxicated while working with residents.
Complaint Details
The complaint investigation was substantiated for the allegation that staff were not adequately trained to meet residents' needs, specifically regarding colostomy and catheter care. The allegation that staff were intoxicated while working was found to be unfounded.
Findings
The allegation regarding inadequate staff training was substantiated due to lack of training on colostomy care and incomplete training on catheter care, posing a potential health and safety risk. The allegation of staff intoxication was found to be unfounded with no evidence of intoxicated staff during the investigation.
Deficiencies (1)
Personnel Requirements - General. All personnel shall be given on the job training or have related experience in the job assigned to them. Staff did not have training prior to taking care of residents with colostomy bag and catheter which poses a potential health and safety risk.
Report Facts
Capacity: 100
Census: 58
Plan of Correction Due Date: May 30, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Evaluator | Conducted the complaint investigation and authored the report |
| Kristie Laine | Administrator | Facility administrator interviewed during investigation |
| Troy Ordonez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 56
Capacity: 100
Deficiencies: 0
Date: May 15, 2024
Visit Reason
This was an unannounced annual inspection visit required by the licensing authority to evaluate the facility's compliance with regulations.
Findings
The inspection included a tour of the facility, review of resident and staff training records, and discussion of administrative topics. No deficiencies were cited during this visit.
Report Facts
Bedrooms: 56
Memory care unit rooms: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator/Director | Met with during the inspection |
| Clayton Fowler | Maintenance Director | Toured the facility with the Licensing Program Analyst |
| Troy Ordonez | Licensing Program Manager | Named in the report header |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced annual visit |
Inspection Report
Annual Inspection
Census: 56
Capacity: 100
Deficiencies: 0
Date: May 15, 2024
Visit Reason
This was an unannounced annual inspection visit to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found no deficiencies. Several resident and staff training records were reviewed, and some updates were requested to be submitted by June 1, 2024.
Report Facts
Facility bedrooms: 56
Memory care unit rooms: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator/Director | Facility administrator met during inspection |
| Clayton Fowler | Maintenance Director | Toured facility with licensing evaluator |
| Kerry Hiratsuka | Licensing Evaluator | Conducted the inspection |
| Troy Ordonez | Supervisor | Supervisor of licensing evaluation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 100
Deficiencies: 0
Date: Apr 25, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-02-05 regarding inadequate food service, lack of dignity in staff treatment, and uncomfortable living environment for residents.
Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations regarding food service, staff treatment, and living environment.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff, observations, and inspections did not confirm the complaints, resulting in an unsubstantiated finding.
Report Facts
Capacity: 100
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator | Facility administrator involved in the investigation and referenced in findings |
| Kerry Hiratsuka | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Manager overseeing the licensing program and report |
Inspection Report
Census: 56
Capacity: 100
Deficiencies: 1
Date: Apr 25, 2024
Visit Reason
The visit was a Case Management - Deficiencies inspection conducted to investigate the licensee's change of the annual rate increase date without obtaining signed agreements from residents.
Findings
The licensee changed the date of the annual rate increase from the anniversary date to the beginning of the year without signed resident agreements for the change. Although the licensee gave the required 60-day notice for the fee increase, the signed modification for the date change was not obtained, constituting a deficiency.
Deficiencies (1)
Failure to retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications related to the annual fee increase date change.
Report Facts
Capacity: 100
Census: 56
Plan of Correction Due Date: May 25, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the inspection and signed the report |
| Troy Ordonez | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
| Kristie Laine | Administrator/Director | Facility Administrator met during inspection |
Inspection Report
Census: 56
Capacity: 100
Deficiencies: 1
Date: Apr 25, 2024
Visit Reason
The visit was an unannounced case management inspection focused on deficiencies related to the facility's admission agreements and fee increase procedures.
Findings
The licensee changed the dates of the annual rate increase from the anniversary date to the beginning of the year without obtaining signed agreements from residents agreeing to the change. Although the licensee provided the required 60-day notice for the fee increase, the signed modification for the date change was not obtained, constituting a regulatory deficiency.
Deficiencies (1)
Failure to retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications, specifically the signed modification for the change in the annual fee increase date.
Report Facts
Capacity: 100
Census: 56
Plan of Correction Due Date: May 25, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator/Director | Facility administrator present during inspection |
| Kerry Hiratsuka | Licensing Evaluator | Evaluator conducting the inspection |
| Troy Ordonez | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 100
Deficiencies: 0
Date: Apr 25, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-02-05 regarding inadequate food service, lack of dignity in staff treatment, and uncomfortable living environment for residents.
Complaint Details
The complaint investigation addressed three allegations: 1) inadequate food service, 2) staff not treating residents with dignity, and 3) uncomfortable living environment due to kitchen noise and vibrations. The findings were unsubstantiated as evidence was insufficient to prove the allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff, observations, and inspections did not confirm the complaints, resulting in an unsubstantiated finding.
Report Facts
Capacity: 100
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator / Executive Director | Facility administrator involved in the investigation and inspection process |
| Kerry Hiratsuka | Licensing Evaluator | Evaluator who conducted the complaint investigation |
| Troy Ordonez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Capacity: 100
Deficiencies: 0
Date: Jan 11, 2024
Visit Reason
The visit was conducted to deliver an amended report for complaint #59-AS-20231109113548, originally delivered on 11/30/2023.
Complaint Details
Complaint #59-AS-20231109113548 was investigated and found to be unfounded.
Findings
The findings of the complaint were determined to be unfounded and no deficiencies were cited during this visit.
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Jan 11, 2024
Visit Reason
This visit was conducted to deliver an amended report for complaint #59-AS-20231109113548, originally delivered on 11/30/2023.
Complaint Details
Complaint #59-AS-20231109113548 was investigated and found to be unfounded.
Findings
The findings of the complaint remain unchanged and were determined to be unfounded. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Evaluator | Conducted the visit and delivered the amended report. |
| Troy Ordonez | Supervisor | Named as supervisor in the report. |
| Kristie Laine | Administrator | Facility administrator met during the visit. |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Nov 30, 2023
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that staff do not provide residents with activities, clean linen, or ensure resident rooms are kept clean.
Complaint Details
The complaint investigation was unannounced and addressed three allegations: lack of activities, lack of clean linen, and unclean resident rooms. All allegations were found to be unfounded based on observations, interviews, and documentation.
Findings
The investigation found that residents were participating in activities, linens were being cleaned, and rooms were maintained clean with proper documentation for exceptions. All allegations were determined to be unfounded.
Report Facts
Capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kristie Laine | Administrator | Facility administrator met during the investigation |
| Troy Ordonez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Nov 30, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-11-09 regarding lack of activities, unclean linens, and unclean resident rooms at Brunswick Village facility.
Complaint Details
The complaint included allegations that staff did not provide residents with activities, clean linen, or ensure resident rooms were kept clean. The investigation concluded all allegations were unfounded.
Findings
The investigation found all allegations to be unfounded after reviewing resident files, interviewing residents and staff, observing activities, laundry, and housekeeping schedules, and inspecting twelve rooms which were all clean.
Report Facts
Capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Evaluator | Conducted the complaint investigation visit |
| Kristie Laine | Administrator | Facility administrator met during the investigation |
| Troy Ordonez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 58
Capacity: 100
Deficiencies: 0
Date: May 4, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements for the facility.
Findings
The inspection found that all resident and staff files contained the required paperwork and training, the facility was compliant with fire drills, and no health or safety violations were observed during the tour of the facility. No deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the unannounced annual inspection and reviewed files and facility conditions. |
| Clayton Fowler | Senior Building Services Director | Toured the facility with the Licensing Program Analyst to ensure health and safety of residents. |
Inspection Report
Annual Inspection
Census: 58
Capacity: 100
Deficiencies: 0
Date: May 4, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and ensure the health and safety of residents.
Findings
The inspection found that all resident and staff files contained the required paperwork and training, the facility complied with fire drills, and no health or safety violations were observed during the tour. The facility was requested to update certain licensing documents and liability insurance by 5/18/2023. No deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the unannounced annual inspection and evaluation. |
| Clayton Fowler | Senior Building Services Director | Accompanied the Licensing Program Analyst during the facility tour. |
Inspection Report
Annual Inspection
Census: 50
Capacity: 100
Deficiencies: 0
Date: Jun 16, 2022
Visit Reason
The inspection was a Required-1 Year unannounced visit to conduct an annual inspection focusing on the infection control domain.
Findings
No deficiencies were cited during the inspection. The facility was toured and no immediate health, safety, or personal rights violations were observed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Clayton Fowler | Senior Building Services Director | Met with Licensing Program Analyst during inspection and authorized to sign report. |
| Kristie Laine | Administrator | Spoke by phone with Licensing Program Analyst and authorized Senior Building Services Director to sign report. |
| Michael Hood | Licensing Program Analyst | Conducted the Required-1 Year Inspection. |
| Anthony Perez | Licensing Program Manager | Named in report header. |
Inspection Report
Annual Inspection
Census: 50
Capacity: 100
Deficiencies: 0
Date: Jun 16, 2022
Visit Reason
The inspection was an unannounced Required-1 Year inspection focusing on the infection control domain to ensure compliance and resident safety.
Findings
The inspection found no immediate health, safety, or personal rights violations. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the inspection and infection control domain evaluation. |
| Clayton Fowler | Senior Building Services Director | Met with the Licensing Program Analyst during the inspection and authorized signing of the report. |
| Kristie Laine | Administrator | Spoke by phone with the Licensing Program Analyst and authorized the Senior Building Services Director to sign the report. |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 100
Deficiencies: 1
Date: Oct 15, 2021
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility failed to report an outbreak.
Complaint Details
The complaint was substantiated based on evidence that the facility did not report a suspected outbreak to the appropriate authorities despite multiple residents and staff showing symptoms.
Findings
The investigation found that between August 27 and September 13, 2021, several residents and staff experienced symptoms of vomiting and/or diarrhea, which was not reported to Nevada County Public Health or Community Care Licensing as an outbreak. The allegation was substantiated.
Deficiencies (1)
Facility failed to notify Community Care Licensing and Nevada County Public Health of 7 residents with similar symptoms as a suspected outbreak within 24 hours as required.
Report Facts
Residents symptomatic: 7
Staff symptomatic: 3
Deficiency due date: Oct 29, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator | Interviewed during investigation and acknowledged the failure to report the outbreak. |
| Melissa Lusby | Licensing Program Analyst | Conducted the complaint investigation. |
| Anthony Perez | Licensing Program Manager | Oversaw the complaint investigation. |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 100
Deficiencies: 1
Date: Oct 15, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility failed to report an outbreak.
Complaint Details
The complaint was substantiated based on evidence that the facility did not report an outbreak involving seven residents with similar symptoms and three staff members to the appropriate authorities.
Findings
The investigation found that between August 27, 2021 and September 13, 2021, seven residents and three staff experienced symptoms of vomiting and/or diarrhea, which was not reported to Nevada County Public Health or Community Care Licensing as an outbreak. The allegation was substantiated.
Deficiencies (1)
Facility failed to report a suspected outbreak to Nevada County Public Health and Community Care Licensing within 24 hours.
Report Facts
Residents symptomatic: 7
Staff symptomatic: 3
Capacity: 100
Census: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator | Interviewed during complaint investigation; acknowledged failure to report outbreak |
| Melissa Lusby | Licensing Evaluator | Conducted complaint investigation |
| Anthony Perez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Aug 11, 2021
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not adhere to state anti-smoking laws at an assisted living facility.
Complaint Details
The complaint alleged non-adherence to state anti-smoking laws. The allegation was found to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation concluded that the allegation was unfounded after interviews, policy reviews, and measurements of the smoking area distance from the main building.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the complaint investigation and exit interview. |
| Kristie Laine | Administrator | Facility administrator met during the investigation. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Aug 11, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff does not adhere to state anti-smoking laws at an assisted living facility.
Complaint Details
The complaint was regarding non-adherence to state anti-smoking laws. The allegation was found to be unfounded.
Findings
The investigation concluded that the allegation was unfounded after interviews, review of facility policies, and measurement of the smoking area distance from the main building.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Evaluator | Conducted the complaint investigation and exit interview. |
| Kristie Laine | Administrator | Facility administrator met with during the investigation. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 100
Deficiencies: 2
Date: Jul 23, 2021
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations that the facility did not follow doctor's orders and failed to notify the power of attorney regarding a resident's change of condition.
Complaint Details
The complaint investigation was substantiated for allegations that the facility did not follow doctor's orders and failed to notify the power of attorney regarding a resident's change of condition. Another allegation of medication mismanagement was unsubstantiated.
Findings
The investigation substantiated that the facility did not follow doctor's orders by failing to discontinue a pain medication as ordered and did not notify the responsible party immediately after a resident's unwitnessed fall. Another allegation of medication mismanagement was unsubstantiated due to insufficient evidence.
Deficiencies (2)
Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by failure to maintain 1 of 1 resident's PRN pain medication on order which poses a potential health and safety risk to resident in care.
To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidenced by failure to notify the responsible party of 1 of 1 resident per facility Fall Response Procedure which poses a potential health and safety risk for resident in care.
Report Facts
Capacity: 100
Census: 54
Deficiencies cited: 2
Plan of Correction Due Date: Aug 2, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator | Met with during complaint investigation |
| Pheej Cheng | Licensing Program Analyst | Conducted the complaint investigation |
| Maribeth Senty | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 100
Deficiencies: 2
Date: Jul 23, 2021
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations that the facility did not follow doctor's orders and failed to notify the Power of Attorney (POA) regarding a resident's change of condition.
Complaint Details
The complaint investigation was substantiated for failure to follow doctor's orders and failure to notify POA regarding resident's change of condition. The allegation of medication mismanagement was unsubstantiated due to lack of sufficient evidence.
Findings
The investigation substantiated that the facility did not follow doctor's orders related to a resident's medication and failed to notify the POA immediately after the resident's unwitnessed fall. Another allegation of medication mismanagement was found unsubstantiated due to insufficient evidence.
Deficiencies (2)
Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by failure to maintain a resident's PRN pain medication on order.
Facility failed to notify the responsible party immediately as stated in facility's Fall Response Procedure after a resident's fall.
Report Facts
Census: 54
Total Capacity: 100
Deficiencies cited: 2
Plan of Correction Due Date: Aug 2, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Pheej Cheng | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maribeth Senty | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 100
Deficiencies: 0
Date: Jun 9, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility was not following care plans, not following doctor's orders for medications, and that staff were not being respectful to residents.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without a reasonable basis.
Findings
The investigation reviewed medication records, physician reports, nursing notes, service plans, and conducted interviews. The Department concluded that the allegations were unfounded.
Report Facts
Capacity: 100
Census: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Lusby | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Marlene McCrary | Health Services Director | Met with during the investigation |
| Faith Brown | Business Office Director | Screened the evaluator prior to entry |
| Kristie Laine | Administrator | Facility administrator |
| Anthony Perez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 100
Deficiencies: 0
Date: Jun 9, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2021-02-10 regarding the facility not following care plans, doctor's orders for medications, and staff disrespect towards residents.
Complaint Details
The complaint investigation was triggered by allegations that the facility was not following care plans, doctor's orders for medications, and that staff were disrespectful to residents. The investigation concluded these allegations were unfounded.
Findings
After reviewing records and conducting interviews, the Department concluded that the allegations were unfounded, meaning they were false or without reasonable basis.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Lusby | Licensing Evaluator | Conducted the complaint investigation and authored the report |
| Marlene McCrary | Health Services Director | Met with the evaluator during the investigation |
| Faith Brown | Business Office Director | Screened the evaluator prior to entry |
| Anthony Perez | Supervisor | Named as supervisor on the report |
Inspection Report
Annual Inspection
Census: 54
Capacity: 100
Deficiencies: 0
Date: May 26, 2021
Visit Reason
The inspection was a Required-1 Year unannounced visit to conduct an annual inspection utilizing the infection control domain.
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 the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator | Met with Licensing Program Analysts during the inspection and involved in infection control domain completion. |
Inspection Report
Annual Inspection
Census: 54
Capacity: 100
Deficiencies: 0
Date: May 26, 2021
Visit Reason
The inspection was a Required-1 Year unannounced visit to conduct the annual inspection focusing on the infection control domain.
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 the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristie Laine | Administrator | Met with Licensing Program Analysts during the inspection and involved in infection control domain completion. |
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