Inspection Reports for Farmstead at Dixon Senior Living

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-06-24 regarding staff violating residents' personal rights and improper assistance during resident transfers.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews, document reviews, and observations indicated that staff had received required training and no complaints were found against the staff involved. No deficiencies or citations were issued.

The complaint alleged that staff violated a resident's personal rights by pulling the resident's arm and threatening eviction, and that staff did not properly assist a resident during transfers resulting in a fall and fracture. Both allegations were found unsubstantiated after interviews, record reviews, and observations.

The inspection was an unannounced case management follow-up visit triggered by a self-reported incident involving a medication error that occurred on 2025-08-06.

The facility failed to comply with the requirement to assist residents with self-administered medications, as Resident 1 did not properly receive a medication ordered by a doctor, posing an immediate health and safety risk. Staff received medication training following the incident.

The visit was complaint-related, following a self-reported incident of a medication error on 2025-08-06. The report indicates that the medication error was substantiated.

The visit was an unannounced case management visit to follow up on staff S1 and the status regarding an incident that occurred on 2025-06-23.

The Administrator conducted an internal investigation and disciplinary action against staff S1, including staff-wide training on resident personal rights. No deficiencies or citations were found at the time of the visit.

The visit was an unannounced annual inspection conducted by Licensing Program Analyst Jill Nakagawa to evaluate compliance with regulations and assess facility conditions.

The inspection found the facility to be clean and well-maintained, with proper dining room setup and medication management training underway. However, a deficiency was cited due to medication errors, including a resident not receiving a prescribed medication, posing an immediate health risk.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements at the Farmstead at Dixon facility.

The facility was found to be clean, well-maintained, and compliant with regulations. No citations were issued during the inspection. The facility provides ample social and recreational activities, and water temperatures were within required limits.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-05-28 regarding medication mismanagement, inaccurate medication records, failure to report incidents, inadequate evaluation of residents' service needs, and inadequate supervision resulting in a resident wandering away.

The investigation found no evidence to substantiate the allegations. Medication records were accurate, medications were administered as prescribed, incidents were reported as required, residents' service needs were appropriately evaluated, and supervision was adequate. All allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint involved multiple allegations including medication mismanagement, inaccurate medication records, failure to report incidents, inadequate evaluation of residents' service needs, and inadequate supervision leading to a resident wandering away. All allegations were investigated and found unsubstantiated.

An unannounced case management visit was conducted to follow up on resident R1 and their medication management.

The Licensing Program Analyst observed that the facility staff were diligent in working with resident R1 to maintain a good rapport and high level of trust. There were no deficiencies found and no citations issued at the time of the visit.

The visit was an unannounced case management inspection triggered by an incident reported by the Administrator regarding a resident (R1) who eloped from the facility on May 15, 2024.

The investigation concluded that the facility failed to provide adequate care and supervision to resident R1, who left the facility unattended despite having a documented diagnosis of dementia and a care plan addressing elopement risk. The resident was found unharmed approximately half a mile from the facility.

The visit was complaint-related due to an incident where resident R1 eloped from the facility on May 15, 2024. The complaint was substantiated based on the findings of inadequate supervision and failure to implement safety measures.

The inspection was a post licensing visit conducted unannounced to evaluate the facility following initial licensing.

The inspection found no deficiencies. Observations included unobstructed exits, complete first aid kits, adequate supplies, compliant fire extinguishers, proper medication storage, and regulatory compliance with water temperature and food supplies.

The visit was a pre-licensing inspection conducted to evaluate the readiness of The Farmstead at Dixon for final approval and licensing.

The facility was found to be new, well-appointed, and prepared to serve independent living, assisted living, and memory care residents. No deficiencies were noted, and all areas including administration, food service, medication management, physical plant, and safety features were reviewed and found satisfactory.

Initial licensing evaluation conducted via telephone call with the Community Care Licensing Division (CAB) to verify applicant and administrator understanding of Title 22 and facility operation requirements.

The applicant and administrator successfully completed Component II of the licensing process, demonstrating understanding of facility operation, admission policies, staffing, health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.