Inspection Reports for
Country Place Assisted Living

The facility was generally compliant with safety and environmental standards, but deficiencies were cited for failure to conduct yearly updates for the Appraisal Needs and Services Plan and for not conducting quarterly emergency drills.

The complaint investigation was substantiated for staff mismanaging resident's medication. The allegations of staff threatening a resident and not providing proper transportation services were unsubstantiated.

The allegation of staff mismanaging a resident's medication was substantiated based on interviews, observations, and record reviews. The allegations that staff threatened a resident and failed to provide proper transportation services were unsubstantiated due to lack of sufficient evidence.

The complaint investigation was substantiated for allegations that staff did not provide designated smoking areas and did not have planned activities for residents during a COVID-19 lockdown from 2025-05-08 to 2025-06-05. Allegations that staff yelled, mistreated residents, or used inappropriate language were unsubstantiated.

Two allegations were substantiated: staff did not provide designated smoking areas and did not have planned activities for residents during a COVID-19 lockdown from 2025-05-08 to 2025-06-05. Two other allegations regarding staff yelling, mistreatment, and use of inappropriate language were unsubstantiated based on interviews and observations.

The facility failed to notify the licensing agency of a COVID outbreak in a timely manner, violating reporting requirements. Two residents initially tested positive on 05/08/25, with subsequent positive cases among residents and staff, leading to a lockdown and suspension of activities.

The inspection found deficiencies including the absence of a COVID-19 screening station, four expired fire extinguisher re-inspection tags, and missing documentation for quarterly emergency/fire drills.

The complaint was substantiated based on the missing Physician Report for Resident 1 as observed during the initial 10-day complaint opening.

The Licensing Program Analyst observed that Resident 1's Physician Report (LIC602) was missing from the file. The Administrator confirmed that Resident 1 does not have a current Physician Report, substantiating the allegation.

The inspection found deficiencies related to pest control and waste management, including the presence of ants in a resident room and open trash bins in residents' rooms and bathrooms, posing potential health and safety risks.

The facility was found to have violated Title 22 Section 87415 (a)(2) Night Supervision due to absence of supervision during the fire alarm incident. An immediate civil penalty of $500 was assessed.

The complaint alleging residents were left unsupervised was substantiated. Fire responders found no staff awake during a fire alarm that lasted 30 minutes. Staff were found sleeping in their cars. One staff member was terminated and another placed on unpaid leave. Mandatory staff retraining was scheduled.

The allegation that residents were left unsupervised was substantiated. Staff were found asleep in their cars during a fire alarm, leaving residents unsupervised for approximately 30 minutes. The facility administrator confirmed corrective actions including staff termination and retraining.

The complaint investigation was substantiated for the allegation that the facility was unsanitary. All other allegations including odiferous conditions, lack of dignity, privacy, assistance, insufficient staff, inadequate food quantity, and unmet diapering and showering needs were unsubstantiated.

The investigation substantiated the allegation that the facility was unsanitary due to urine/feces stains on living room furniture posing a health risk. All other allegations related to staff behavior, privacy, assistance, staffing levels, food quantity, diapering, and showering needs were found to be unsubstantiated based on interviews, observations, and record reviews.

The complaint investigation was substantiated for improper medication management but unsubstantiated for illegal eviction. The medication issue involved a resident being without medication for 6 days due to untimely refills. The eviction allegation was disproven as the resident was hospitalized and not evicted.

The investigation substantiated that staff did not properly manage a resident's medication, resulting in a 6-day medication gap. The allegation of illegal eviction was unsubstantiated as the resident was admitted to a psychiatric hospital and did not return voluntarily.

The complaint investigation was substantiated based on evidence including incident reports and interviews. The allegations of inadequate supervision and resident injury were confirmed, while the allegation of facility malodor was unsubstantiated.

Two allegations were substantiated: staff failed to provide adequate supervision leading to a resident altercation causing injury, and a resident suffered a hip fracture requiring hospitalization and rehabilitation. A third allegation of facility malodor was unsubstantiated.

The complaint investigation was substantiated for the presence of head and body lice on a resident. The resident was treated and quarantined to prevent spread. Another complaint about the environment was unsubstantiated.

The investigation substantiated the allegation that a resident had head and body lice infestation, confirmed by hospital records and treatment. Another allegation regarding failure to provide a comfortable environment was unsubstantiated based on observations and interviews.

The complaint was substantiated. The facility refused to accept resident R1 back after a rehabilitation stay following a fall injury. The rehab center was initially told to call back because the facility would not accept the resident. The resident returned to the facility on 06/10/2020 after correction.

The allegation was substantiated based on interviews and record reviews. The facility initially refused to accept the resident back after a rehabilitation stay, which violated resident rights under Title 22 CCR.

The complaint investigation was substantiated for staff training deficiencies but unsubstantiated for lack of supervision, failure to safeguard residents' personal valuables, and failure to meet residents' medical and dental needs.

The investigation substantiated that three staff members did not meet the required initial and annual training hours. The allegations of lack of supervision, failure to safeguard personal valuables, and failure to meet medical and dental needs were unsubstantiated.