Inspection Reports for Fountaingrove Lodge

The inspection was an unannounced Annual Required - 1 Year inspection conducted to evaluate compliance with licensing requirements, including infection control, emergency disaster plans, and facility maintenance.

The facility was generally compliant with required plans and supplies, including infection control and emergency preparedness. However, two Type B deficiencies were cited: a resident's room in the memory care unit smelled strongly of urine indicating inadequate cleaning, and broken blinds were observed in the same resident's room and adjacent sitting area, indicating maintenance issues.

The inspection was conducted in response to a complaint alleging that staff were restricting a resident's ability to have visitation.

The investigation found no evidence to support the allegation that staff restricted resident visitation. The allegation was determined to be unsubstantiated after interviews, record reviews, and observations.

The complaint alleged that staff were restricting a resident's ability to have visitation. The investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation did or did not occur.

The inspection was a case management-incident visit conducted to obtain more information on a resident AWOL (elopement) incident reported by the Administrator.

The facility was found deficient for failing to ensure auditory devices or staff alert features were active to monitor exits on exterior doors and perimeter fence gates, which led to a resident eloping from the memory care unit without staff knowledge or supervision, resulting in a fall and injuries to the resident.

The inspection was a case management-incident visit conducted to obtain more information on a resident incident reported by the Administrator.

The Licensing Program Analyst reviewed resident records and staff roster but found no deficiencies cited during this inspection.

An unannounced complaint investigation was conducted in response to allegations that staff did not prevent residents from entering other residents' rooms, causing harm, and inappropriately locking resident rooms.

The investigation found that residents in the memory care unit have care plans and are monitored and redirected as needed. Residents may have locked rooms with keys if they can manage them, and staff assist residents in accessing their rooms. There was no evidence to support the allegations, and no deficiencies were cited.

The complaint was unsubstantiated based on interviews, record reviews, and observations. Allegations included failure to prevent residents from entering other rooms, causing harm, and inappropriate locking of rooms. No violations were found.

The inspection was an unannounced complaint investigation conducted in response to allegations received on 04/03/2024 regarding inadequate resident care at Fountaingrove Lodge.

The investigation found no evidence to substantiate the allegations of neglect or inadequate care. Interviews, record reviews, and observations indicated that resident care, including hygiene, hydration, and room cleanliness, met facility standards. No deficiencies were cited.

The complaint alleged that staff did not check on the resident every 2 hours, left the resident soiled for extended periods, failed to assist with showering, did not maintain room cleanliness, did not respond timely to calls, did not provide clean linen, and did not ensure hydration. The investigation concluded these allegations were unsubstantiated due to lack of evidence.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 07/31/2024 regarding multiple water leaks in an apartment unit that had not been repaired.

The investigation substantiated the complaint that the apartment unit had multiple water leaks in the last few months, with the latest leak on 07/27/2024 not yet repaired due to pending kitchen repairs. The facility has provided rent credits and offered alternative accommodations to affected residents. A deficiency was cited for failure to maintain the facility in a clean, safe, sanitary, and good repair condition.

The complaint alleging multiple unrepaired water leaks in an apartment unit was substantiated. The investigation found four leaks in 2024, with the latest leak on 07/27/2024 pending repair. Rent credits were provided to affected residents, and alternative accommodations were offered but declined. The deficiency citation was issued under California Code of Regulations 87303(a).

The inspection was an unannounced Annual Required - 1 Year inspection conducted to evaluate compliance with licensing regulations and facility plans.

The facility was found to have all required plans in place including infection control, emergency disaster, and dementia plans. Staff files and resident files were reviewed with all required certifications and clearances present. The facility met regulatory requirements for fire safety, emergency supplies, and environmental safety. No deficiencies were cited during this visit.

The inspection was a case management incident inspection conducted to review and obtain additional information on a resident incident recently reported to the Department.

The Licensing Program Analyst reviewed the incident report, death report, and resident records, including medical documentation. The resident was identified as independent and able to access the community on their own. Staff addressed the incident as needed when it occurred. No deficiencies were cited during the inspection.

This was an unannounced pre-licensing inspection conducted as part of a change of ownership application for the facility, which is currently operating.

The inspection found that the facility's requested capacity remains at 173 with fire clearance approvals for nonambulatory and bedridden residents. Fire extinguishers were serviced and tagged, exits were unobstructed, and the facility had sufficient emergency supplies, furnishings, lighting, and safety equipment including evacuation chairs and PPE supply.

The visit was conducted as part of a Change of Ownership application process for the facility.

The applicant/administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.