Inspection Reports for Cornerstone Assisted Living Community

The visit was an unannounced case management follow-up to gather additional information on an incident that was self-reported to Community Care Licensing on 2025-07-10.

During the visit, interviews and documentation related to the incident were obtained. No deficiencies were cited during this visit.

The visit was triggered by a self-reported incident involving staff (S1) kissing a resident (R1) on the lips approximately 2.5 months prior. Staff (S1) was terminated on 2025-07-01. The incident was reported to CCL on 2025-07-10.

The visit was an unannounced case management inspection to gather documents regarding an incident report submitted on 2025-07-21 and a death report submitted on 2025-07-24.

The inspection found no deficiencies. The Licensing Program Analyst reviewed incident and death reports related to a resident fall and subsequent death, and discussed reporting and documentation requirements with the care coordinator.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility is in disrepair and that the licensee is not ensuring a comfortable temperature for residents at all times.

The investigation substantiated the allegation that the facility is in disrepair due to a non-functional A/C unit affecting parts of the facility, posing a potential health and safety risk. The allegation regarding uncomfortable temperatures was unsubstantiated as temperatures were within regulatory limits and residents reported no discomfort.

The complaint investigation was substantiated for the allegation of facility disrepair due to non-functional A/C. The allegation regarding failure to maintain comfortable temperatures was unsubstantiated based on observations and resident interviews.

The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff were not ensuring contaminated surfaces were disinfected and not addressing changes in a resident's condition.

Based on record review, interviews, and observations, the allegations were found to be unsubstantiated. No odors or soiled surfaces were observed, and documentation showed appropriate care and cleaning practices. No deficiencies were cited during the visit.

The complaint investigation was unsubstantiated. Allegations included failure to disinfect contaminated surfaces and failure to address changes in Resident 1's condition. Evidence did not support these claims.

The inspection was an unannounced required 1-year annual inspection of the Cornerstone Assisted Living Facility to assess compliance with regulations.

The facility was generally found to be in compliance with regulations including safety, hygiene, and emergency preparedness. However, a deficiency was cited regarding centrally stored medication records not accurately reflecting prescription labels, posing a potential health and safety risk.

The inspection was an unannounced complaint investigation initiated due to an allegation that staff did not provide adequate supervision, resulting in a resident wandering away from the facility.

The complaint was substantiated as the facility failed to provide adequate supervision for Resident 1, who eloped from the facility. This posed an immediate health, safety, and personal rights risk to residents in care.

The complaint was substantiated. Resident 1, who has Mild Cognitive Impairment and is unable to leave the facility unassisted, was found wandering in a nearby shopping center after eloping from the facility on 10/13/2024. The facility self-reported the incident and submitted required documentation. The investigation confirmed inadequate supervision by staff.

Unannounced Case Management - Incident follow-up visit regarding 5 Unusual Incident/Injury Reports and 1 Death Report received by Community Care Licensing between 09/23/2024 and 10/22/2024.

The facility had medication errors including a pharmacy error resulting in a resident receiving an incorrect dose, an accidental medication administration, and failure to report two falls to the licensing agency. One resident had an unwitnessed fall and subsequently died due to heart failure. Deficiencies were cited related to medication administration and failure to submit timely incident reports.

The visit was conducted as a case management follow-up on a self-reported incident involving a resident who eloped from the facility without staff knowledge.

The facility was cited for failing to comply with regulations regarding the care of persons with dementia, specifically for inadequate safety measures to prevent elopement, posing an immediate health and safety risk to residents.

An unannounced complaint investigation was conducted in response to allegations received on 2023-12-06 regarding staff not meeting residents' needs, facility cleanliness, pest infestation, inadequate food service, and unsafe environment.

The investigation found no evidence to support the allegations. The facility was observed to be clean, pest control measures were in place, food service met regulations, and the environment was safe and comfortable. Therefore, the allegations were unsubstantiated.

The complaint investigation was unsubstantiated based on records review, staff interviews, and facility observations. No evidence was found to support the allegations.

An unannounced annual inspection was conducted to evaluate the facility's compliance with regulatory standards.

The inspection found the facility to be clean, well-maintained, and compliant with regulations. No deficiencies or citations were issued during the visit.

An unannounced complaint investigation was conducted in response to an allegation that staff did not prevent a resident from causing harm to other residents while in care.

The investigation found no evidence that the resident caused physical harm to others. The facility had implemented an updated care plan and taken steps to transfer the resident to a higher level of care. The complaint was found to be unsubstantiated due to lack of corroborating evidence.

The complaint alleged that staff did not prevent a resident (R1) from causing harm to other residents. The investigation included interviews, record reviews, and observations. Although R1 exhibited verbally and physically aggressive behaviors, there was no indication of physical harm to other residents. The facility intervened with care plans and legal eviction to place R1 in a higher level of care. The complaint was unsubstantiated.

The inspection was an unannounced annual required inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations at the Cornerstone Assisted Living Facility.

The facility was found to be in compliance with no deficiencies cited. Observations included proper visitor screening, functional fire safety systems, adequate PPE and incontinence supplies, and documented staff training on infection control.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 09/12/2022 alleging that a resident fell and sustained an injury due to building and grounds, staff did not seek timely medical attention, staff did not maintain resident's records accurately, and staff did not adequately supervise the resident.

Based on interviews, record reviews, observations, and staff interviews, the complaint allegations were found to be unsubstantiated. The grounds and floors were adequately maintained, the resident did not require immediate medical attention, the resident was capable of managing their own care, and resident records were complete and organized. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included resident injury due to building and grounds, failure to seek timely medical attention, inadequate supervision, and inaccurate record keeping. The investigation found no evidence to support these allegations.

The inspection was conducted as an unannounced complaint investigation following allegations that the facility was in disrepair and staff did not provide a safe environment for residents.

The investigation found that the facility door was in disrepair but could be manually operated by staff and did not pose a safety hazard. Documentation showed repair requests were made and repairs completed. There was insufficient evidence to substantiate the allegations, and the complaint was unsubstantiated.

The complaint was unsubstantiated. Allegations included facility disrepair and unsafe environment for residents. The investigation included observations, record reviews, security footage, and interviews. No deficiencies were cited.

The visit was conducted to follow up on a self-reported incident that occurred on 2022-01-24 involving staff and a resident, specifically an allegation that staff member S1 was observed yelling at resident R1.

The Licensing Program Analyst interviewed residents and conducted an investigation which resulted in the termination of staff member S1. No deficiencies were cited during this visit, but the incident requires further investigation.

Visit was complaint-related due to an incident involving staff yelling at a resident; the staff member was terminated based on the investigation.

The inspection was an unannounced annual inspection focused on infection control procedures and practices, including COVID-19 mitigation measures.

The facility had COVID-19 signage, screening, and mitigation plans in place, but deficiencies were noted including staff failing to wear face masks while providing care and a fire safety concern with conjoined resident bedrooms blocking a door.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-10-20 regarding understaffing, lack of supervision resulting in resident falls, residents wandering from the facility, and residents sustaining injuries while in care.

The investigation found the allegations to be unsubstantiated after interviews, observations, and record reviews. The facility was found to have appropriate staffing levels, and although an unwitnessed fall with injuries occurred, the facility responded appropriately and residents were observed to be content and safe.

The complaint alleged understaffing, lack of supervision resulting in resident falls, residents wandering from the facility, and residents sustaining injuries. The investigation found these allegations unsubstantiated due to insufficient evidence to prove violations occurred.

An unannounced complaint investigation was conducted regarding multiple allegations including inadequate supervision resulting in a resident fall, inappropriate staff behavior, failure to notify responsible parties of condition changes, unmet dietary needs, and falsification of resident charts.

The investigation found no substantiated evidence supporting the allegations. Staff conducted required room checks, residents had access to call lights, dietary needs were met with meal options, and no falsification of charts was found. The complaint was determined to be unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred. Allegations included inadequate supervision causing a fall, inappropriate staff speech, failure to notify family and doctor of condition changes, unmet dietary needs, and falsification of charts. Another complaint alleging removal of a resident's call button was found to be unfounded.