Inspection Reports for
Fountain Square of Lompoc

The inspection found the facility generally compliant with regulations, with no violations in document and file reviews. However, several Type B deficiencies were cited related to facility maintenance and safety, including water temperature exceeding standards, unlocked chemical storage, and disrepair of the kitchen door and courtyard fountain.

The complaint investigation was substantiated regarding staff not responding timely to resident call buttons, supported by documentation of 668 calls with 33% taking over 10 minutes to respond and 5 serious incident reports showing call response times exceeding 24 minutes. Other allegations about toileting, showering, rough handling, and food service were unsubstantiated.

The complaint that staff failed to respond timely to resident call buttons was substantiated with evidence showing significant delays in response times, including documented incidents where the resident called 911 due to delayed assistance. Other allegations regarding toileting, showering, rough handling, and food service were unsubstantiated based on interviews, documentation, and observations.

The complaint investigation was substantiated for the allegation that the facility did not answer residents' call buttons in a timely manner. Other allegations regarding unmet care needs, violation of personal rights, and unsanitary conditions were unsubstantiated.

The investigation substantiated that the facility did not answer residents' call buttons in a timely manner, with response times averaging 41 minutes for late calls. Allegations that the facility did not meet residents' care needs, violated residents' personal rights, and was not maintained sanitary were unsubstantiated.

The facility was found to be in violation of CCR 87309(a) for failing to secure a loaded gun brought into the facility by a staff member, posing an immediate health and safety risk to residents. The staff member was terminated and the facility was issued a citation.

The inspection found an unsecured medication room posing an imminent danger to residents and multiple Serious Incident Reports with late or missing required information. Specifically, 18 of 105 SIRs were submitted late and 7 of 105 lacked attending physician details and treatment information.

The complaint was substantiated. Allegations included staff neglect causing resident injuries, failure to document incidents properly, residents left soiled in bed for extended periods, and unmet resident needs. Investigations revealed multiple falls, injuries, elopements, and insufficient staffing.

The investigation substantiated that the facility failed to provide adequate care and supervision, resulting in resident injuries and falls. Staff did not properly document incidents, and residents were left soiled and unattended due to insufficient staffing and malfunctioning call systems. Multiple residents eloped from the facility, indicating inadequate supervision.

The complaint was substantiated. Allegations included staff not preventing financial exploitation and not safeguarding resident belongings. Evidence included missing items, fraudulent billing for unauthorized physical therapy sessions for Residents 1 and 2, lack of visitor sign-in by the billed therapist, and lack of staff screening at facility entrances.

The investigation substantiated that staff failed to prevent financial exploitation and safeguard residents' personal belongings, including missing Medicare card, hearing aids, cell phone, and fraudulent billing for unauthorized physical therapy sessions. Lack of staff screening at facility entrances contributed to these issues.

The complaint was substantiated. The allegation was that staff did not ensure resident call buttons were in good repair. The investigation confirmed the pendant system was down since 03/25/2025 and malfunctioning, posing a potential risk to residents.

The investigation substantiated the allegation that the resident call button pendant system was down and malfunctioning for almost two weeks, with inaccurate room number alerts and pull strings not working. The facility had a loaner system in place and was conducting hourly checks while repairs were ongoing.

The facility was found to be in compliance with health and safety regulations, with clean and operable appliances, appropriate furnishings, adequate food and medication storage, and proper emergency preparedness. One employee was noted missing a health screening/TB test result in their personnel file.

The facility failed to submit required incident reports to the licensing agency regarding a resident's fall and physical altercation, violating reporting requirements. The facility will be cited for these deficiencies.

The complaint investigation was triggered by allegations that due to lack of supervision, Resident #1 was hit by another resident, was not assisted with bathing/showering, was overmedicated, and that their belongings were not safeguarded. The allegation of lack of supervision was substantiated, while the other allegations were unsubstantiated.

The investigation substantiated the allegation of lack of supervision resulting in multiple incidents posing immediate health and safety risks to Resident #1. Allegations of failure to meet resident needs, overmedication, and failure to safeguard belongings were unsubstantiated based on interviews, record reviews, and observations.

The complaint investigation was triggered by allegations that facility staff did not meet resident needs, had insufficient staffing, failed to notify the responsible party about a change in condition, failed to report incidents, and delayed response to call buttons. The investigation substantiated the first, third, and fourth allegations, and found insufficient staffing but unsubstantiated for the call button response allegation.

The investigation substantiated that facility staff did not meet resident needs, failed to notify the responsible party about a change in condition, and did not report incidents as required. The allegation of insufficient staffing was unsubstantiated but the facility was found to have insufficient staff at the time posing potential risk. The allegation that staff do not respond timely to call buttons was unsubstantiated.

The visit was complaint-related, investigating complaint #29-AS-20240627081510. The complaint was substantiated as deficiencies were found regarding failure to report incidents and death of Resident #1.

The facility failed to submit required incident reports for Resident #1's hospitalizations and death, despite providing appropriate medical attention. This failure posed a potential health and safety risk to residents in care.