Inspection Reports for
Fair Oaks Estates Inc

The Licensing Program Analyst reviewed care plans, monthly staff training, eMar system reports, and shift-change meetings documentation. The facility was observed to be in compliance with no deficiencies cited.

The Licensing Program Analyst reviewed care plans, staff training, eMar system reports, the Executive Director's additional training, and shift-change meetings documentation. The facility was found to be in compliance with no deficiencies cited.

The complaint involved concerns about bedbugs and cockroaches causing bug bites to a resident. The investigation included interviews, observations, pest control reports, and medical record reviews. The allegations were found to be unfounded, meaning they were false or without reasonable basis.

The investigation found no evidence of pests in the resident's room or surrounding areas after multiple inspections and pest control visits. Medical records and physician assessments showed no signs of bug bites or lesions, and the resident's skin condition was attributed to dry skin, not pests. The allegations were determined to be unfounded.

The meeting covered findings including revocation of license and administrator's certificate stayed with probation, needs and services plans for clients with restricted health conditions, monthly staff training, maintaining eMARs system with quarterly reports to CCL, terms of probation, future license applications, and completion of probation.

The inspection found the facility to be in compliance with all applicable regulations. No deficiencies were cited, and the facility was observed to be properly maintained and safe for residents.

The complaint was unsubstantiated based on medication counts, interviews, and documentation. The allegation that staff did not provide medication as prescribed was not proven.

The Licensing Program Analyst conducted a medication count and interviews, finding no medication errors at the time of inspection. Although the allegation may have occurred previously, there was insufficient evidence to substantiate the complaint, and no deficiencies were cited.

The complaint alleged that staff overmedicated a resident. The investigation found that the resident had refused medications multiple times and that the facility communicated with the resident's physician and responsible party. Medical records showed the resident was hospitalized for a suspected stroke with no indication of overmedication. The allegation was unsubstantiated.

The investigation included interviews and review of documentation. The allegation was found to be unsubstantiated as there was no preponderance of evidence to prove the violation occurred. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included failure to dispense medication as prescribed and failure to provide personal care supplies. Evidence did not support the allegations.

The investigation included interviews, medication counts, and documentation review. No medication errors were observed and residents reported receiving medications as prescribed. Personal care supplies were provided upon move-in, and the facility had ample linens available. The allegations were found to be unsubstantiated with no deficiencies cited.

The complaint included allegations that a resident sustained an unexplained fracture, was left on the floor for an extended period, staff failed to communicate incidents to responsible parties, floors were not clean, and staff did not seek timely medical attention. The investigation found no evidence to substantiate these allegations; the fracture was documented with no fall history, the resident was not left on the floor, communication with responsible parties was confirmed, floors were clean and sanitized, and medical attention was appropriately sought.

The investigation found all allegations unsubstantiated or unfounded based on interviews, observations, and documentation. No deficiencies were cited, and the facility was found to have appropriately communicated incidents and maintained clean floors.

The complaint alleged that the licensee was not keeping the facility free from pests. The investigation included inspections, interviews with residents and staff, and review of pest control documentation. The complaint was found to be unsubstantiated.

The investigation found no current evidence of pests in the facility. Interviews and observations indicated that pest control services are regularly provided and effective. The allegation was unsubstantiated and no deficiencies were cited.

The facility was found to be in compliance with no deficiencies cited. The environment, food storage, medication storage, and safety equipment were all observed to be properly maintained and safe for residents.

The complaint involved allegations related to personal rights. Interviews with a resident and staff indicated accommodations were made and no complaints were substantiated. The allegation was unsubstantiated.

The investigation included interviews and documentation review. The allegation was found to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.

The complaint alleged that a resident was isolated 24/7, neglected, and that staff were not addressing her mental health needs. The resident was offered mental health services but declined. The investigation concluded the allegation was unfounded, meaning it was false or without reasonable basis.

The investigation found the allegation to be unfounded. Staff had taken consistent follow-up actions to address the resident's concerns, including weekly 1:1 meetings with a Care Coordinator, and the resident had made significant progress in socializing and participating in activities. The resident declined offered mental health services and had more issues with the placement agency than the facility.

The complaint was unsubstantiated. Although some incidents occurred in the past, no evidence was found between 8/1/23 and 1/16/24 to prove neglect or failure to supervise resulting in sexual assault. Previous citations for food storage and residents' personal rights violations were noted but did not relate to current allegations.

The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents denied witnessing illegal drug use, no contaminated food was served, and no neglectful supervision resulting in sexual assault was found during the investigation period.

The complaint investigation was unsubstantiated. Allegations included pest presence, unsafe food preparation, dirty dishes, and unclean kitchen. Interviews, observations, and documentation review did not find sufficient evidence to prove violations occurred.

The investigation found no evidence to substantiate the allegations. The facility was observed to be clean, food was properly stored and prepared, dishes were washed, and no signs of pests were found. The facility had addressed a previous cockroach issue by hiring a professional pest control company.

The complaint involved three allegations: staff not ensuring residents' oxygen tanks were full, a resident sustaining injury while in care, and staff not being sufficiently trained. After investigation, all allegations were unsubstantiated.

The investigation found no preponderance of evidence to substantiate the allegations. Staff were observed and interviewed, and documentation was reviewed, concluding that residents' oxygen tanks were adequately maintained, the injury incident was documented without hospital transfer, and staff had required training.

The plan of correction was cleared during the visit. The facility has scheduled deep cleaning of the kitchen and pest control services. Staff were informed about upcoming training on food storage and disposal. No additional deficiencies were issued.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. Allegations included physical behavior between residents, medication mismanagement, unmet showering needs, inappropriate staff speech, failure to follow food allergy lists, failure to report falls, untimely resident changing, failure to reposition residents, and neglect resulting in client assaults. All were found unsubstantiated or unfounded.

The investigation found all allegations to be unsubstantiated or unfounded after review of records and interviews. No credible evidence supported claims of neglect, abuse, or improper care practices.

The facility was found to be in substantial compliance with infection control requirements. No immediate health, safety, or personal rights violations were observed and no deficiencies were cited.

No deficiencies were noted during the visit. The report was reviewed and a copy was left with the facility.

The facility was observed to be clean and appropriately staffed with no adverse effects on residents during the protest. No deficiencies were noted during the inspection.

The facility was found to be clean, safe, and sanitary with all resident care needs appearing to be met. No deficiencies were noted during the inspection.

The complaint included allegations that a resident was locked in her room, unable to use the signal system, and that facility staff did not treat the resident with respect. The investigation found the first two allegations unfounded and the third allegation unsubstantiated.

The investigation found all allegations to be unfounded or unsubstantiated. The resident was not locked in her room, had access to signal systems via personal devices, and staff did not use derogatory language as alleged.

The complaint investigation addressed allegations that staff verbally abused residents, were physically rough with residents, and failed to follow a resident's care plan. Interviews with residents, staff, and review of documentation found conflicting or insufficient evidence to substantiate these claims. The findings were unsubstantiated or unfounded.

The investigation found all allegations to be unsubstantiated or unfounded. There was no preponderance of evidence to prove staff verbally or physically abused residents, and the facility was found to be following the resident's care plan as required.

The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the Assisted Living and Memory Care Units, review of infection control measures, and verification of COVID-19 protocols.

The complaint was investigated based on allegations of delayed call button responses, inadequate food service, delayed prescription refills, unmet showering needs, and untimely room cleaning. The findings were that the complaints were unfounded or unsubstantiated, meaning there was no reasonable basis or insufficient evidence to prove violations.

The investigation found that the facility met Title 22 requirements and the complaints were either unfounded or unsubstantiated. Residents reported their needs were met, food service was adequate, prescription refill delays were due to external factors, and rooms and showers were provided as scheduled.

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 complaint alleged the facility did not seek medical attention for residents with rashes and did not prevent the spread of scabies. The investigation included interviews and record reviews, finding that residents were evaluated and treated appropriately, and staff were instructed on infection control measures. The allegations were found to be unfounded.

The investigation found that the facility appropriately sought medical attention for residents with rashes and took measures to prevent the spread of scabies. The allegations were determined to be unfounded.