Inspection Reports for Diamond Oaks Residential Care

The purpose of the visit was to conduct a pre-licensing inspection for change of ownership.

There were no deficiencies noted during the inspection.

The inspection was an unannounced annual inspection conducted to ensure compliance with health and safety regulations at the facility.

The facility was generally clean and residents expressed satisfaction with care. No immediate health, safety, or personal rights violations were observed except for water temperature exceeding the regulatory range in two bathroom locations, which posed a potential risk.

The inspection was a case management visit conducted to perform a health and safety check at the facility.

The facility was found to be clean and orderly with sufficient staffing to attend to resident care needs. Medications and chemicals were secured, food supplies met requirements, and the home was at a comfortable temperature. No deficiencies were noted during the inspection.

An unannounced complaint investigation was conducted following a complaint received on 2024-08-05 regarding insufficient care and supervision of a resident and delayed medical treatment after a fall incident on 2024-08-04.

The investigation substantiated that staff did not provide sufficient care and supervision to resident R1, who required assistance with ambulation, resulting in a fall and serious injury. Staff delayed calling 9-1-1, instead contacting Hospice and the Administrator, causing a delay of approximately 1 hour and 40 minutes before emergency care was received. Another allegation regarding food quality was found unsubstantiated.

The complaint was substantiated. Staff failed to ensure sufficient care and supervision for resident R1, who fell and sustained serious injuries. Staff delayed seeking timely medical treatment by not calling 9-1-1 immediately, instead contacting Hospice and the Administrator first. The delay was approximately 1 hour and 40 minutes before R1 was admitted to the emergency room. Another complaint about food quality was unsubstantiated.

The visit was a case management inspection conducted to deliver complaint findings related to an incident report of a resident's fall with injury.

The fall did not appear to be due to lack of supervision and the resident received timely medical care. No deficiencies were noted as a result of the inspection.

The complaint involved an incident report of resident R1's fall with injury. The complaint was investigated and found not substantiated as the fall was not due to lack of supervision and medical care was timely.

The inspection was an unannounced annual inspection conducted to evaluate the facility's compliance with health and safety regulations using the CARE inspection tool.

No deficiencies were cited during the inspection. The facility was found to be very clean, with no immediate health, safety, or personal rights violations observed. Resident files and staff files were complete.

An unannounced complaint investigation visit was conducted in response to allegations received on 2024-01-16 regarding staff restraining a resident and prohibiting resident visits, as well as allegations of medication mismanagement and inadequate feeding.

The investigation substantiated that staff restrained a resident using a weighted blanket tied in place and that visits were at times discouraged or limited by appointment, posing immediate and potential risks to resident rights. Allegations regarding medication mismanagement and inadequate feeding were found unsubstantiated due to lack of evidence.

The complaint investigation was substantiated for allegations that staff restrained a resident and prohibited resident visits. The allegations of medication mismanagement and inadequate feeding were unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were verbally abusive toward residents.

The investigation found that the facility met Title 22 requirements, was clean and well staffed, and that residents and families were very happy with care and interactions. The complaint was determined to be unfounded and dismissed.

The complaint alleged verbal abuse by staff toward residents. The complaint was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

An unannounced visit was conducted to perform the required annual inspection of the facility.

The inspection found the facility to be operating within the scope of its license with no deficiencies observed or cited. The facility was clean, well-maintained, and compliant with safety and care standards.

The inspection was a Required-1 Year unannounced visit to conduct an annual inspection focusing on infection control compliance.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.

The inspection was an unannounced Required-1 Year Inspection focusing on infection control to ensure compliance with health and safety regulations.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.