Inspection Reports for
Coronado Retirement Village

The complaint was unsubstantiated after investigation. Allegations included facility disrepair, non-nutritious meals, and delayed staff response to call buttons. Interviews, observations, and record reviews did not corroborate these claims.

The investigation found no evidence to substantiate the allegations. Maintenance issues were promptly addressed, meals were found to be nutritious with alternatives available, and call button response times met facility policy standards.

The complaint alleged that the licensee attempted unlawful eviction/discharge of Resident #1 by not allowing them to return after hospital discharge. The allegation was unsubstantiated after investigation.

The investigation found inconsistent statements and insufficient evidence to support the allegation. The facility allowed the resident to return after hospital discharge, and the allegation was deemed unsubstantiated.

The complaint alleged that staff failed to meet Resident #1's care needs after a fall resulting in injuries that were not reported. The investigation included interviews, record reviews, and a facility tour. The allegation was unsubstantiated due to lack of corroborating evidence.

The investigation found inconsistent statements and insufficient evidence to support the allegation. The resident was independent and often refused staff checks, which were documented in the facility's logs. The allegation was deemed unsubstantiated.

The complaint alleged that staff did not accord resident safe accommodations, specifically that a resident was found lying with a pillow over their face. The allegation was unsubstantiated after investigation.

The investigation found inconsistent statements and no corroborating evidence to support the allegation. The complaint was deemed unsubstantiated after interviews, record reviews, and a brief facility tour.

The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. An advisory note was issued regarding Personal Rights documentation.

The complaint investigation was unsubstantiated. Allegations included failure to administer medications as prescribed, failure to follow the resident's care plan, and failure to provide agreed services. The investigation included unannounced visits, interviews, and records review. No evidence was found to support the allegations.

The investigation found that medication administration issues were related to parameters requiring a nurse, which was managed by private caregivers as agreed. The resident's care plan did not require blood pressure checks, and meal/tray services were inconsistently provided but charges were adjusted accordingly. The allegations were unsubstantiated based on interviews, records review, and outside source input.

The complaint alleged staff failed to safeguard Resident #1's $150, reported missing in April 2025. The resident stated the money was stolen while asleep, and staff denied responsibility. The allegation was unsubstantiated due to lack of corroborating evidence.

The investigation found inconsistent statements and insufficient evidence to support the allegation. The complaint was deemed unsubstantiated after interviews, record reviews, and a facility tour.

The complaint included allegations that staff did not give medications as prescribed, residents’ needs were unmet due to insufficient staff, the licensee did not abide by the admissions agreement, and staff were not properly trained. The investigation determined these allegations to be unsubstantiated.

The investigation found no preponderance of evidence to substantiate the allegations. Staff and resident interviews, records review, and outside sources confirmed medications were given as prescribed, resident needs were met despite staffing concerns, admissions agreements were followed, and staff received adequate training.

The complaint alleging unsanitary conditions was investigated and deemed unsubstantiated due to insufficient evidence.

The investigation found that the facility was clean and sanitary based on observations, record reviews, and interviews. There was insufficient evidence to substantiate the allegation of unsanitary conditions.

The facility was found to be in full compliance with no deficiencies observed. The environment was safe, clean, and well-equipped, with proper storage of medications and emergency equipment functioning correctly.

No deficiencies were cited during the visit. The Licensing Program Analyst conducted interviews and reviewed pertinent facility and resident records.

No health and safety concerns were identified and no deficiencies were cited during the visit after reviewing the resident's records and interviewing staff.

The complaint alleged that staff did not provide resident records to the resident's authorized representative. The allegation was investigated and found to be unsubstantiated.

The investigation found that the facility had provided over 400 pages of resident records to the authorized representative in September 2023 and maintained frequent contact with the representative. The allegation was unsubstantiated as the preponderance of evidence standard was not met.

The complaint alleged lack of supervision resulted in resident physical abuse by another resident causing serious injury. The allegation was unsubstantiated after investigation.

The investigation included observation, record reviews, interviews, and video evidence. The allegation of neglect/lack of supervision resulting in physical abuse and serious injury was found to be unsubstantiated.

The complaint alleged that a resident was hit by an unknown adult while in care, resulting in injury. The investigation found no conclusive evidence to support the allegation, and the complaint was deemed unsubstantiated.

The investigation included observations, record reviews, and interviews with residents, staff, and outside sources. The allegation was found to be unsubstantiated due to insufficient evidence supporting that the resident was assaulted.

The complaint included allegations that a resident was denied visitors, not accorded privacy, medication was not given as prescribed, untrained staff provided catheter care, staff did not obtain medical attention, and staff did not notify the power of attorney of changes. The investigation concluded all allegations were unsubstantiated.

The investigation found no preponderance of evidence to substantiate the allegations. Resident records, staff interviews, and outside sources verified that medication was given as prescribed, catheter care was provided by trained staff, medical needs were met, visitation was supervised as requested, and responsible parties were notified of changes.

The complaint was unsubstantiated based on interviews and record reviews. Allegations included staff preventing the resident from leaving, theft of personal belongings, and inappropriate speech. The resident's medical condition and behavior explained the circumstances, and no violations were found.

The investigation found no preponderance of evidence to substantiate the allegations. The resident has a diagnosis that prevents unassisted leaving and a history of wandering. Personal belongings were often lost or donated prior to admission, and accusations of staff misconduct were unsubstantiated.

The complaint alleged staff did not follow physician's orders for Resident 1, including medication administration and evaluation for surgery. The allegation was determined to be unsubstantiated based on evidence reviewed.

The investigation found insufficient evidence to support the allegation that staff did not follow physician's orders. Records and interviews confirmed the resident was allowed to consume alcohol as prescribed by their physician.

The facility was found to be fully staffed with adequate PPE supplies. No deficiencies were cited or observed during the inspection.

No deficiencies were cited during the health and safety check conducted at the facility. The Licensing Program Analyst reviewed the incident and facility records without identifying any violations.

No deficiencies were cited during the visit. The incident requires further investigation.

No deficiencies were cited or observed during the inspection. The facility's infection control measures, including disinfection, testing surveillance, screening protocols, and PPE use, were evaluated and found satisfactory.

The complaint alleged that staff did not provide access to a resident's records after a legal representative served a subpoena. The investigation included interviews with the Administrator, Executive Director, and outside sources, as well as review of facility records. The allegation was found unsubstantiated.

The investigation found insufficient evidence to support the allegation that staff did not provide access to the resident's records. The allegation was determined to be unsubstantiated based on interviews and record reviews.

The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis.

The investigation found the complaint to be unfounded. The facility had a stocked activities area, posted daily and monthly activity calendars accessible to residents, and a full-time activities director. Interviews with staff and residents did not support the allegations.

The complaint alleged inadequate supervision causing multiple falls, untrained medication technicians, and improper medication administration. The investigation found these allegations unsubstantiated based on interviews, records review, and medical evidence.

The investigation found that staff provided adequate supervision and followed care plans, medication technicians had received recent training, and medications were administered according to physician orders. The allegations were unsubstantiated due to lack of evidence.