Inspection Reports for
Cascades of Grass Valley

The complaint alleged that the licensee did not assist in arranging for medical care appropriate to residents' needs. The investigation found that staff had communicated with the resident's power of attorney and physician, monitored the resident's condition, and followed medical instructions. The allegation was determined to be unfounded.

The investigation included interviews, facility tour, and record review. The allegation was found to be unfounded as staff had actively worked with home health, hospice, and the resident's physician to address medical needs and monitor the resident's condition.

The complaint alleging lack of hot water was substantiated based on interviews and observations. The facility actively repaired the hot water issue in a timely manner, and no residents were significantly affected.

The investigation found that the facility experienced intermittent hot water outages during the week of 11/10/2024 to 11/16/2024, which were repaired on 11/14/2024. Residents were provided showers with some delays, but no deficiencies were cited due to timely correction and limited resident impact.

No deficiencies were cited during the inspection. The Licensing Program Analysts toured the Memory Care Unit and requested the addition of a delayed egress gate, with the facility to provide updates on installation timing.

The inspection found the facility to be in compliance with all applicable regulations. No deficiencies were cited, and all safety and operational checks, including medication storage and emergency equipment, were satisfactory.

The resident with dementia left the facility but was located outside at an adjacent intersection within 8 minutes without injury. The facility plans to conduct another assessment and increase staff presence in the courtyard area to prevent recurrence.

The complaint investigation addressed allegations that residents were not showered timely, left in soiled diapers/clothing, hygiene needs were unmet, rooms were not cleaned timely, and staff did not reorder supplies timely. The allegations were found to be unfounded based on evidence and interviews.

The investigation found all allegations to be unfounded. Residents were observed to be clean, groomed, and odor free. Rooms and apartments were clean and organized, and staff interviews confirmed care plans were followed.

The licensing evaluator reviewed relevant reports, care plans, and interviewed staff regarding the incident. No deficiencies were cited during this visit.

The complaint alleged improper supervision of residents. The investigation included interviews with staff and review of care plans and staffing schedules. The allegation was found unsubstantiated.

The investigation found sufficient staffing to meet residents' needs and provide observation. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

No deficiencies were cited during the case management visit. The licensing evaluator reviewed the incident, interviewed involved staff and the resident's spouse, and obtained relevant documentation including physician's report and staff CPR/First aid certificates.

The complaint alleged that staff do not provide activities for residents in care. The allegation was found to be unfounded as the facility provided evidence of ongoing activities and staffing adjustments.

The investigation found that although there was a gap in having a full-time Activity Director, activities were still being conducted by part-time staff and care staff. The allegation was found to be unfounded based on the evidence provided.

The facility was found to be in substantial compliance with no deficiencies cited. The infection control domain was reviewed and found compliant, and no immediate health, safety, or personal rights violations were observed during the tour.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.