Inspection Reports for
Creekview Assisted Living
2900 STONERIDGE DRIVE, PLEASANTON, CA, 94588
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
2.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
45% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
52% occupied
Based on a January 2026 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 71
Capacity: 136
Deficiencies: 0
Date: Jan 21, 2026
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements at Creekview Assisted Living Facility.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, medications, and safety equipment. No deficiencies were cited during the visit, and all reviewed documents were complete.
Report Facts
Residents records reviewed: 5
Staff records reviewed: 5
Fire extinguisher last serviced: Jan 20, 2026
Emergency disaster drill last conducted: Jan 15, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick D. McElroy | Executive Director | Met with Licensing Program Analyst during inspection |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the inspection visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 136
Deficiencies: 0
Date: Mar 26, 2025
Visit Reason
The inspection visit was an unannounced case management visit conducted due to receiving an incident/injury report dated 03/24/2025 regarding an un-witnessed fall of a resident.
Complaint Details
The visit was triggered by a complaint incident report concerning an un-witnessed fall of a resident. No deficiencies were found during the investigation.
Findings
During the visit, the Licensing Program Analyst interviewed the Administrator and two wellness nurses, reviewed the resident's care plan and staff schedule, and confirmed the resident was present. No deficiencies were cited during the visit.
Report Facts
Capacity: 136
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick D. McElroy | Administrator | Met with during the inspection and involved in the visit related to the incident investigation |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the inspection visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 27, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to administer and/or clarify a doctor's order for Furosemide medication for Resident 2, who had pitting edema in both legs for 17 days.
Complaint Details
The complaint investigation found that Resident 2 was not given Furosemide as ordered from 2/9/25 to 2/24/25 despite having +2 edema. The facility did not clarify the unclear order parameters with the physician until 2/25/25. The issue was substantiated with minimal harm.
Findings
The facility failed to administer Furosemide as ordered for Resident 2, who had worsening pitting edema and a history of heart failure. The facility did not clarify the unclear medication order with the physician until the day after the issue was observed.
Deficiencies (1)
F 0684: The facility failed to provide appropriate treatment and care by not administering or clarifying the doctor's order for Furosemide for Resident 2, resulting in increased edema and risk of complications.
Report Facts
Residents sampled: 17
Resident 2 BIMS score: 0
Furosemide dosage: 60
Furosemide PRN dosage: 20
Pitting edema level: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA 1) | Reported Resident 2's leg swelling was worse on observation day | |
| Registered Nurse (RN 1) | Observed 3+ pitting edema and noted Furosemide was discontinued | |
| Director of Nursing (DON) | Reviewed Resident 2's records and stated the facility did not clarify the medication order with the doctor until 2/25/25 |
Inspection Report
Annual Inspection
Census: 67
Capacity: 136
Deficiencies: 0
Date: Dec 27, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements at Creekview Assisted Living Facility.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, medications, and various safety and emergency preparedness measures. No deficiencies were cited during the visit.
Report Facts
Residents records reviewed: 6
Staff records reviewed: 6
Fire extinguisher last serviced: Dec 2, 2024
Emergency disaster plan last reviewed: Aug 8, 2024
Emergency disaster drill last conducted: Dec 11, 2024
Hot water temperature: 114
Hallway temperature: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick D. McElroy | Administrator | Met with Licensing Program Analyst during inspection |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 69
Capacity: 136
Deficiencies: 0
Date: Jan 18, 2024
Visit Reason
An unannounced 1-year required inspection was conducted to evaluate compliance with licensing requirements at Creekview Assisted Living Facility.
Findings
The inspection found the facility to be in compliance with no deficiencies cited. The facility was well maintained with adequate safety measures, sufficient staffing, and proper emergency supplies.
Report Facts
Residents records reviewed: 8
Staff records reviewed: 6
Staff with TB test on file: 6
Fire alarm testing date: Dec 12, 2023
Fire extinguisher service date: Feb 5, 2023
Emergency Disaster Plan posting date: 202310
Fire drill date: Oct 19, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vivian Wong | Assisted Living Director | Met with Licensing Program Analyst during inspection |
| Patrick D. McElroy | Administrator | Facility administrator not available at time of inspection |
| Kelly Nguyen | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Routine
Census: 51
Deficiencies: 8
Date: Apr 13, 2023
Visit Reason
Routine inspection of Creekview Skilled Nursing to assess compliance with regulatory standards including resident dignity, medication management, food safety, infection control, and COVID-19 vaccination.
Findings
The facility was found deficient in maintaining resident dignity and privacy, medication reconciliation and labeling, food safety and sanitation practices, infection prevention and control, and COVID-19 vaccination education and documentation.
Deficiencies (8)
F 0550: The facility failed to ensure dignity and maintain privacy for Resident 14 by posting uncovered care instructions above the bed visible to visitors.
F 0755: The facility failed to reconcile controlled substances for Resident 37, with morphine bottle contents not matching the controlled drug record.
F 0761: The facility failed to date three open medication bottles and one container of blood sugar test strips, risking medication effectiveness.
F 0802: The facility failed to ensure kitchen staff competency in using the three compartment sink, testing sanitizer solution, and cleaning the juice machine, risking foodborne illness for 45 residents.
F 0803: The facility failed to follow the menu for Resident 4 by serving pureed broccoli instead of minced and moist broccoli, risking compromised nutrition.
F 0812: The facility failed to store, prepare, distribute, and serve food safely, including thawing meat improperly, poor hand hygiene, damaged utensils, ice machine contamination, and undated or improperly stored resident food.
F 0880: The facility failed to implement infection prevention and control practices, including unlabeled bedpans and basins, contaminated feeding pump residue, unclean wheelchairs, incorrect isolation signage, and improper hand hygiene during resident care.
F 0887: The facility failed to educate residents and staff on COVID-19 vaccination and did not properly document vaccination status for Residents 46 and 249.
Report Facts
Residents affected: 51
Residents affected: 45
Residents affected: 8
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Vocational Nurse 3 | LVN | Interviewed regarding uncovered care instructions and feeding pump residue |
| Director of Nursing | DON | Interviewed regarding medication reconciliation, infection control signage, and COVID-19 vaccination |
| Food and Nutrition Services Director | FNSD | Interviewed regarding kitchen sanitation, food storage, and menu compliance |
| Certified Nursing Assistant 1 | CNA | Observed and interviewed regarding improper hand hygiene during peri-care |
| Certified Nursing Assistant 2 | CNA | Observed and interviewed regarding improper hand hygiene during peri-care |
| Infection Preventionist 1 | IP | Interviewed regarding infection control practices and signage |
Inspection Report
Census: 69
Capacity: 136
Deficiencies: 0
Date: Dec 14, 2022
Visit Reason
An unannounced case management visit was conducted following receipt of a self-reported incident regarding staff sticking a resident's hand.
Findings
The Licensing Program Analyst interviewed the administrator, reviewed training documents and video footage, and found that staff had been fully trained on personal rights. No deficiencies were cited during the visit.
Report Facts
Capacity: 136
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick D. McElroy | Administrator | Interviewed during the visit and reviewed incident footage |
| Kelly Nguyen | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 136
Deficiencies: 0
Date: Sep 7, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were interfering with a resident's medical record while in care.
Complaint Details
The complaint was investigated and determined to be unfounded, meaning the allegation was false, could not have happened, and/or was without reasonable basis.
Findings
The investigation found that the resident was not in assisted living or memory care, and staff did not interfere with the resident's medical record. The allegation was determined to be unfounded and the complaint was dismissed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick D. McElroy | Administrator | Met with Licensing Program Analyst during complaint investigation. |
| Kelly Nguyen | Licensing Program Analyst | Conducted the complaint investigation. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 136
Deficiencies: 1
Date: Jul 21, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the facility air conditioning unit is in disrepair.
Complaint Details
The complaint investigation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violation(s) did or did not occur.
Findings
The investigation found that the facility air conditioning unit is indeed in disrepair; however, the facility was responsive to residents' needs and accommodations. The allegation was determined to be unsubstantiated due to insufficient evidence to prove a violation.
Deficiencies (1)
Facility air conditioning unit is in disrepair.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick D. McElroy | Administrator | Met with Licensing Program Analyst during the complaint investigation. |
| Kelly Nguyen | Licensing Program Analyst | Conducted the complaint investigation. |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 136
Deficiencies: 0
Date: Jun 24, 2022
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that a facility staff member financially abused a resident in care.
Complaint Details
The complaint alleged financial abuse of a resident by facility staff. The allegation was investigated and found to be unfounded.
Findings
The investigation found that the alleged abuser was not a staff person of the facility, and therefore the allegation was determined to be unfounded and dismissed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick D. McElroy | Administrator | Met with during investigation and involved in interview regarding complaint. |
| Kelly Nguyen | Licensing Program Analyst | Conducted the complaint investigation. |
| Bennett Fong | Licensing Program Manager | Participated in the complaint investigation. |
Inspection Report
Annual Inspection
Census: 69
Capacity: 136
Deficiencies: 0
Date: May 13, 2022
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as part of the required 1-year licensing evaluation.
Findings
The inspection found the facility to be compliant with infection control standards, including proper PPE use, screening procedures, and adequate food supply. No deficiencies were cited during the visit.
Report Facts
Staff records reviewed: 4
Staff records with health screening: 4
Document submission deadline: May 23, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick D. McElroy | Administrator | Met with Licensing Program Analysts during inspection |
| Kelly Nguyen | Licensing Evaluator | Conducted the inspection and signed the report |
| Bennett Fong | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 3
Date: Nov 15, 2019
Visit Reason
The inspection was conducted as an annual survey to assess compliance with healthcare regulations and standards at Creekview Skilled Nursing.
Findings
The facility was found deficient in monitoring fluid intake and output for a resident with an indwelling catheter, administering oxygen without a physician's order, and maintaining sanitary food preparation conditions including uncovered beards of dietary staff and contaminated ice machines.
Deficiencies (3)
F 0690: The facility failed to monitor and document fluid intake and output for Resident 43 with an indwelling catheter as required by facility policy.
F 0695: Oxygen was administered to Resident 144 without a physician's order, placing the resident at risk for delayed treatment of adverse effects.
F 0812: The facility failed to maintain sanitary food preparation conditions; two dietary staff did not cover their beards and two ice machines contained brownish/black substances.
Report Facts
Residents affected: 14
Residents affected: 1
Residents affected: 54
Date survey completed: Nov 15, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Vocational Nurse 1 | LVN | Named in catheter care deficiency interview |
| Director of Nursing | DON | Named in catheter care and oxygen administration deficiencies |
| Kitchen Utility Staff 1 | KU 1 | Named in food sanitation deficiency observation |
| Director of Dietary Services | DDS | Named in food sanitation deficiency observation |
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