Inspection Reports for Crescent Landing at Garden Grove Memory Care

Unannounced complaint investigation visit conducted due to multiple allegations including failure to safeguard resident's belongings, failure to respond to call system, inadequate care and supervision, and other resident care concerns.

The investigation substantiated some allegations such as failure to safeguard resident's personal belongings and failure to respond to the emergency call system, posing health and safety risks. Other allegations related to resident care, assistance with meals, personal hygiene, and supervision were found unsubstantiated or unfounded based on staff interviews, observations, and documentation review.

Complaint investigation was substantiated for failure to safeguard resident belongings and failure to respond to call system. Other allegations such as failure to report medical condition changes, inadequate assistance with meals, socializing instead of providing care, improper laundry, lack of staff training, lack of supervision, failure to address hygiene and incontinence needs, failure to assist with phone calls, hydration issues, and inadequate care and supervision were unsubstantiated. An allegation regarding bedridden residents developing bed sores was unfounded.

The visit was an unannounced annual required inspection to evaluate compliance with licensing requirements at Ivy Terrace at Garden Grove.

The facility was found to be clean, safe, and sanitary with no health or safety concerns observed. However, a deficiency was cited for failure to maintain proof of required annual staff training in personnel records for three out of three staff files reviewed.

Unannounced case management visit to follow up on incident reports received by the department regarding a resident eloping from the facility and a witnessed fall.

The facility failed to ensure adequate care and supervision as Resident 1 eloped out of the facility through an improperly secured exit gate and was found outside the community. The resident was assessed without injury but this posed an immediate health and safety risk. A deficiency was cited accordingly.

Visit was complaint-related following incident reports of Resident 1 missing from the facility on 04/11/2025 and a witnessed fall on 04/13/2025. Resident diagnosed with Mild Cognitive Impairment and not allowed to leave unassisted. Facility investigation confirmed elopement through an exit gate used during construction and not normally used by staff.

An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements at Crescent Landing at Garden Grove Memory Care Facility.

The inspection found the facility to be clean, well-maintained, and in compliance with all applicable regulations including Title 22. No deficiencies or citations were issued, and infection control practices were observed to be adequate.

An unannounced complaint investigation was conducted in response to allegations that facility staff were not meeting clients' dietary needs, not properly addressing pest infestation, and not maintaining a comfortable temperature for residents.

The investigation found that the resident with a dietary order for double portions was receiving them and had alternative meal choices. The facility temperature was within regulatory limits, and no evidence of pest infestation was observed. The allegations were deemed unfounded.

The complaint investigation was initiated based on allegations received on 10/07/2024. After interviews, observations, and record reviews, the allegations were found to be false or without reasonable basis and thus unfounded.

An unannounced complaint investigation was conducted in response to allegations that staff did not provide transportation to a resident, mishandled resident medications, and that a resident did not receive medication as prescribed.

The investigation found that the resident's medications were administered per physician orders and that the facility denied transportation requests unrelated to health appointments. The allegations were deemed unfounded, meaning they were false or without reasonable basis.

The complaint investigation was initiated based on allegations of transportation denial, medication mishandling, and failure to administer prescribed medication. After review of records, interviews, and medication audit, the allegations were found to be unfounded.

Unannounced visit to investigate complaints alleging lack of supervision resulting in multiple falls and a hip fracture of a resident.

The investigation found that the facility had assessed and addressed the resident's fall risk with vigilance measures and hospice assistance. The allegations were determined to be unsubstantiated due to insufficient evidence to prove or refute the claims.

The complaint involved allegations of lack of supervision resulting in multiple falls and a hip fracture of resident R1. The investigation reviewed medical records, hospice notes, and facility measures. Resident R1 was identified as a high fall risk and measures such as alarms and low beds were authorized. The resident eventually passed away due to complications unrelated to supervision. The allegations were found unsubstantiated.

Licensing Program Analyst Kimberly Lyman made an announced visit to conduct a pre-licensing inspection for Crescent Landing at Garden Grove Memory Care facility.

The facility was toured and observed to have adequate structure, common areas, resident rooms, bathrooms, emergency supplies, and medication storage. Minor issues noted included a non-regulation size 'Let Us No' poster and absence of a posted menu. The facility is ready to be licensed.