Inspection Reports for
Fredericka Manor Retirement Community in Chula Vista
183 3rd Ave, Chula Vista, CA 91910, CA, 91910
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
51% occupied
Based on a December 2025 inspection.
Occupancy over time
Inspection Report
Census: 286
Capacity: 560
Deficiencies: 0
Date: Dec 1, 2025
Visit Reason
The visit was an unannounced Case Management visit in response to a self-reported incident involving a resident who had an unwitnessed fall resulting in a closed fracture.
Findings
A health and safety check was conducted, staff were interacted with, and facility records were reviewed. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and involved in exit interview. |
Inspection Report
Complaint Investigation
Census: 286
Capacity: 560
Deficiencies: 0
Date: Dec 1, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not meet a resident's bathing needs, did not provide adequate food service, left a resident unattended for an extended period, and did not provide privacy to the resident.
Complaint Details
The complaint was unsubstantiated based on the preponderance of evidence. The resident reported missed meals and baths but also admitted to purposely not calling staff to prove a point. Staff and records confirmed scheduled care and meal delivery. Privacy concerns during bathroom repairs were not supported by evidence.
Findings
The investigation found no evidence to substantiate the allegations. Records, interviews, and observations showed that the resident received scheduled baths with occasional refusals, meals were delivered within expected timeframes, staff checked on the resident during scheduled services or when called, and privacy was maintained during bathroom repairs.
Report Facts
Capacity: 560
Census: 286
Complaint received date: Jul 24, 2025
Scheduled baths per week: 2
Bathroom repair duration: 21
Meal delivery times: Scheduled meal times: Breakfast 8:45 a.m., Lunch 11:45 a.m., Dinner 4:45 p.m.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation |
| Corinna Norton | Resident Services Director | Met with Licensing Program Analyst during investigation |
| Ben Geske | Administrator | Facility administrator named in report header |
| Robyn Clark | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 284
Capacity: 560
Deficiencies: 1
Date: Oct 29, 2025
Visit Reason
Licensing Program Analyst Jose De La Cruz conducted an unannounced Required Annual Inspection to evaluate compliance with licensing requirements at Fredericka Manor.
Findings
The facility was found clean, sanitary, and in good repair with pathways free of obstruction and slip hazards. One deficiency was cited related to hot water temperature controls exceeding the allowed maximum temperature in two locations. No civil penalty was assessed and a Plan of Correction was developed.
Deficiencies (1)
Faucets used by residents for personal care did not maintain hot water temperature within the required range of 105 to 120 degrees Fahrenheit in two out of five temperature readings.
Report Facts
Residents present: 284
Total licensed capacity: 560
Hot water temperature readings: 128.1
Hot water temperature readings: 126.3
Hot water temperature reading: 115
Plan of Correction due date: Nov 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose De La Cruz | Licensing Program Analyst | Conducted the inspection and authored the report |
| Corinna Norton | Director of Resident Services | Facility representative met during inspection and exit interview |
| Robyn Clark | Licensing Program Manager | Named in report as Licensing Program Manager |
| Ben Geske | Administrator | Facility Administrator named in report |
Inspection Report
Annual Inspection
Census: 284
Capacity: 560
Deficiencies: 1
Date: Oct 29, 2025
Visit Reason
Licensing Program Analyst Jose De La Cruz conducted an unannounced Required Annual Inspection to review the facility's compliance with licensing requirements.
Findings
The facility was found clean, sanitary, and in good repair with required furnishings and safety measures in place. One deficiency was cited related to hot water temperature controls exceeding the allowed maximum in two locations.
Deficiencies (1)
Hot water temperature controls did not maintain water temperature between 105°F and 120°F in two out of five readings, posing a potential health and safety risk.
Report Facts
Residents in care: 284
Total licensed capacity: 560
Hot water temperature readings: 128.1
Hot water temperature readings: 126.3
Hot water temperature readings: 115
Plan of Correction due date: Nov 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose De La Cruz | Licensing Program Analyst | Conducted the inspection and cited deficiency |
| Corinna Norton | Director of Resident Services | Facility representative met during inspection and exit interview |
| Robyn Clark | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 270
Capacity: 560
Deficiencies: 0
Date: May 9, 2025
Visit Reason
The visit was an unannounced Case Management Visit in response to a self-reported incident involving two residents who experienced delayed assistance after pressing their pendant button.
Findings
The Licensing Program Analyst interviewed staff and residents and reviewed facility records. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and involved in exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Case Management Visit. |
| Ben Geske | Administrator | Named as facility administrator. |
Inspection Report
Census: 270
Capacity: 560
Deficiencies: 0
Date: May 9, 2025
Visit Reason
The visit was an unannounced Case Management Visit conducted in response to a self-reported incident involving two residents who experienced delayed assistance after pressing their pendant button.
Findings
The Licensing Program Analyst interviewed staff and residents and reviewed facility records. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and involved in exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Case Management Visit. |
Inspection Report
Complaint Investigation
Census: 276
Capacity: 560
Deficiencies: 0
Date: Feb 13, 2025
Visit Reason
The visit was conducted in response to a self-reported incident involving a resident's missing cash, which was reported to Community Care Licensing on 2025-02-10.
Complaint Details
The complaint involved a report from the resident's Power of Attorney about missing cash withdrawn on 2024-12-17, with an internal investigation and police report filed. No deficiencies were substantiated.
Findings
The Licensing Program Analyst conducted an unannounced case management visit, interviewed the resident, reviewed facility records, and found no deficiencies cited or observed during the visit.
Report Facts
Cash missing: 500
Cash missing: 600
Incident report number: 12894
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
Inspection Report
Complaint Investigation
Census: 276
Capacity: 560
Deficiencies: 0
Date: Feb 13, 2025
Visit Reason
The visit was conducted in response to a self-reported incident involving a missing sum of money belonging to Resident 1, reported by the resident's Power of Attorney.
Complaint Details
The complaint involved a missing amount of $500 to $600 from Resident 1's funds, following a withdrawal of $800 on 12/17/2024. The facility conducted an internal investigation and filed a police report with the Chula Vista Police Department, incident #12894. No deficiencies were found during the investigation.
Findings
The Licensing Program Analyst conducted an unannounced case management visit, interviewed the resident, reviewed facility records, and found no deficiencies cited or observed during the visit.
Report Facts
Amount missing: 500
Amount missing: 600
Amount withdrawn: 800
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and involved in the exit interview |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
Inspection Report
Annual Inspection
Census: 278
Capacity: 560
Deficiencies: 0
Date: Oct 10, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. Resident rooms and common areas met all requirements, and safety equipment was functional.
Report Facts
Hospice waiver approved residents: 15
Non-ambulatory residents allowed: 119
Bedridden residents allowed: 5
Hot water temperature: 114
Ambient temperature: 75
Perishable food supply: 2
Non-perishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the inspection and evaluation |
| Corinna Norton | Director of Resident Services | Met with the Licensing Program Analyst during the inspection and exit interview |
Inspection Report
Annual Inspection
Census: 278
Capacity: 560
Deficiencies: 0
Date: Oct 10, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. Resident rooms and common areas met all regulatory standards, and records review did not raise any licensing concerns.
Report Facts
Hospice waiver approved residents: 15
Non-ambulatory residents allowed: 119
Bedridden residents allowed: 5
Hot water temperature: 114
Ambient temperature: 75
Perishable food supply: 2
Non-perishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the inspection and authored the report |
| Corinna Norton | Director of Resident Services | Facility representative met during inspection and exit interview |
Inspection Report
Complaint Investigation
Census: 265
Capacity: 560
Deficiencies: 0
Date: Jul 25, 2024
Visit Reason
An unannounced complaint investigation was conducted based on allegations including obstructed resident room passageways and staff not following a resident's special diet.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included obstructed passageways and failure to follow a resident's special diet. Evidence showed the resident's move-in boxes were managed by a moving company and dietary needs were generally met with regular communication between staff and the resident.
Findings
The investigation found the allegations unsubstantiated. Resident's room passageways were not obstructed as the resident had hired a moving company and unpacking was not a facility service. The resident's special diet was generally followed, although the resident could choose any menu items including carbohydrates.
Report Facts
Capacity: 560
Census: 265
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Corinna Norton | Director of Resident Services | Met with the evaluator and discussed complaint elements |
| Craig Sumner | Administrator | Facility administrator named in the report |
| Simon Jacob | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 265
Capacity: 560
Deficiencies: 0
Date: Jul 25, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that a resident's room passageways were obstructed and that staff were not following the resident's special diet.
Complaint Details
The complaint investigation was unsubstantiated, meaning the preponderance of evidence standard was not met and the allegations were not valid.
Findings
The investigation found the allegations to be unsubstantiated. The resident's room passageways were not obstructed as the resident had hired a moving company and unpacking services were not provided by the facility. The resident's special diet was generally followed as prescribed, although the resident could select any menu items including carbohydrates.
Report Facts
Capacity: 560
Census: 265
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the investigation and participated in exit interview |
| Craig Sumner | Administrator | Named as facility administrator |
Inspection Report
Census: 265
Capacity: 560
Deficiencies: 0
Date: Jun 12, 2024
Visit Reason
The visit was an unannounced Case Management Visit in response to a self-reported incident involving Resident 1 who suffered a fall and fracture.
Findings
The Licensing Program Analyst interviewed staff and reviewed facility records. Resident 1 was discharged back to the facility on June 8, 2024. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Census: 265
Capacity: 560
Deficiencies: 0
Date: Jun 12, 2024
Visit Reason
The visit was an unannounced Case Management Visit in response to a self-reported incident involving a resident who suffered a fall and fracture.
Findings
The Licensing Program Analyst interviewed staff and reviewed facility records. The resident was discharged back to the facility on June 8, 2024. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Case Management Visit. |
| Ben Geske | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 260
Capacity: 560
Deficiencies: 0
Date: Jan 17, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an LIC624 Incident Report regarding Resident #1 leaving the facility and being unable to find their way back home, which prompted a police intervention.
Complaint Details
The complaint involved Resident #1 leaving the facility unassisted on 12/27/2023 and being returned by police later that evening unharmed. The resident had Mild Cognitive Impairment but was assessed as able to safely leave unassisted prior to the incident. The facility had a written Absentee Notification Plan which staff followed, and the resident's care needs were reappraised and adjusted accordingly.
Findings
No deficiencies were cited during the visit. The facility followed its Absentee Notification Plan, notified the resident's physician, and performed a timely reappraisal of the resident's care needs, subsequently relocating the resident to a secured memory care section. Technical Assistance was issued regarding the Absentee Notification Plan.
Report Facts
Capacity: 560
Census: 260
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Interviewed during the visit and participated in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection visit |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 260
Capacity: 560
Deficiencies: 0
Date: Jan 17, 2024
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding Resident #1 who left the facility and was unable to find their way back home, prompting a police intervention.
Complaint Details
The complaint involved Resident #1 leaving the facility unassisted and being found by police later that evening. The resident was unharmed, and the facility's response and care appraisal were appropriate and timely.
Findings
No deficiencies were cited during the visit. The facility followed its Absentee Notification Plan, notified the resident's physician, and performed a timely reappraisal of care needs, relocating the resident to a secured memory care section. Technical Assistance was issued regarding the Absentee Notification Plan.
Report Facts
Capacity: 560
Census: 260
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Interviewed during the visit and participated in the exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection visit |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 205
Capacity: 560
Deficiencies: 0
Date: Jan 3, 2024
Visit Reason
An unannounced collateral visit was conducted by Licensing Program Analyst Sabel Martinez to discuss the purpose of the visit and interview staff.
Findings
No deficiencies were cited during the visit. An exit interview was conducted with the Director of Health Services, and licensing appeal rights were provided.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced collateral visit and interviews. |
| Cha Cha Doles | Director of Health Services | Met with the Licensing Program Analyst during the visit and exit interview. |
Inspection Report
Census: 205
Capacity: 560
Deficiencies: 0
Date: Jan 3, 2024
Visit Reason
An unannounced collateral visit was conducted by the Licensing Program Analyst to discuss the purpose of the visit and conduct interviews with staff.
Findings
No deficiencies were cited during this unannounced collateral visit. An exit interview was conducted and the Licensee/Appeal Rights were provided.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cha Cha Doles | Director of Health Services | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Annual Inspection
Census: 244
Capacity: 560
Deficiencies: 0
Date: Nov 2, 2023
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations at Fredericka Manor.
Findings
The facility was found to be in substantial compliance with regulations, with operational safety systems, adequate staffing, proper medication storage and administration, sanitary resident rooms, and compliant staff and resident records. No deficiencies or violations were noted in the report.
Report Facts
Non-ambulatory residents: 119
Bedridden residents: 5
Hospice care waiver: 15
Perishable food supply: 2
Nonperishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and evaluation |
| Ben Geske | Executive Director | Facility representative who granted entry and participated in exit interview |
| Lujan | Campus Director | Accompanied the Licensing Program Analyst during the facility tour |
Inspection Report
Annual Inspection
Census: 244
Capacity: 560
Deficiencies: 0
Date: Nov 2, 2023
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations at Fredericka Manor.
Findings
The facility was found to be in substantial compliance with regulations, with operational safety systems, adequate staffing, proper medication storage and administration, sanitary resident rooms, and compliant staff and resident records. No deficiencies or violations were noted in the report.
Report Facts
Non-ambulatory residents: 119
Bedridden residents: 5
Hospice care waiver residents: 15
Food supply days: 2
Food supply days: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Ben Geske | Executive Director | Facility representative who granted entry and participated in the inspection |
| Lujan | Campus Director | Accompanied Licensing Program Analyst during facility tour |
Inspection Report
Complaint Investigation
Census: 274
Capacity: 560
Deficiencies: 0
Date: Jun 14, 2023
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to a self-submitted SOC341 Report of Suspected Dependent Adult/Elder Abuse involving a resident and staff members.
Complaint Details
The complaint was related to a suspected dependent adult/elder abuse incident involving Resident #1 and Staff #1, with Staff #2 and Staff #3 as witnesses. The complaint was self-submitted by the licensee and was not substantiated based on the investigation.
Findings
The investigation found no preponderance of evidence that staff abused the resident or violated their personal rights. No deficiencies were cited or observed during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit. |
| Lizzette Tellez | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 274
Capacity: 560
Deficiencies: 0
Date: Jun 14, 2023
Visit Reason
The visit was conducted in response to a self-submitted SOC341 Report of Suspected Dependent Adult/Elder Abuse involving a resident and staff members.
Complaint Details
The complaint involved a suspected dependent adult/elder abuse incident reported by the licensee. The resident had baseline memory loss and resided in a secured memory care unit. The investigation included interviews and record reviews, and the complaint was not substantiated.
Findings
The investigation found no preponderance of evidence that staff abused the resident or violated their personal rights. No deficiencies were cited or observed during the visit.
Report Facts
Capacity: 560
Census: 274
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with during the visit and participated in the exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced case management incident visit |
Inspection Report
Complaint Investigation
Census: 251
Capacity: 560
Deficiencies: 0
Date: Jan 20, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility did not safeguard a resident's belongings.
Complaint Details
The complaint alleged that the facility did not safeguard a resident's belongings, specifically a missing wedding ring after a flooding incident. The allegation was found unsubstantiated based on interviews and records review.
Findings
The investigation found that the allegation was unsubstantiated. Despite a flooding incident in a resident's room and a missing wedding ring, the facility staff searched thoroughly and no evidence was found to support the claim that the facility failed to safeguard the resident's belongings.
Report Facts
Capacity: 560
Census: 251
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation visit |
| Craig Sumner | Administrator | Facility administrator mentioned in report header |
| Jolene Hall | Executive Assistant | Met with Licensing Program Analyst during investigation and exit interview |
| Denise Powell | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 251
Capacity: 560
Deficiencies: 0
Date: Jan 20, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility did not safeguard a resident's belongings.
Complaint Details
The complaint alleged that the facility did not safeguard a resident's belongings, specifically a missing wedding ring after a flooding incident. The allegation was unsubstantiated based on interviews and records review.
Findings
The investigation found that the resident experienced flooding in their room due to a broken toilet, and subsequently reported a missing wedding ring. Facility staff searched extensively but the ring was not found. The allegation was determined to be unsubstantiated as there was insufficient evidence to support the claim.
Report Facts
Facility capacity: 560
Census: 251
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Craig Sumner | Administrator | Facility administrator named in the report |
| Jolene Hall | Executive Assistant | Met with Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Census: 257
Capacity: 560
Deficiencies: 0
Date: Oct 4, 2022
Visit Reason
An unannounced Case Management Visit was conducted to review the facility file, interact with staff and residents, and conduct a health and safety visit.
Findings
No deficiencies were cited or observed during this visit. All staff present had current criminal record clearances.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Annual Inspection
Census: 257
Capacity: 560
Deficiencies: 0
Date: Oct 4, 2022
Visit Reason
The inspection was an unannounced Required 1-Year Visit conducted to evaluate the facility's compliance with licensing requirements, including infection control measures.
Findings
No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan, including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the inspection and exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and evaluation. |
Inspection Report
Census: 257
Capacity: 560
Deficiencies: 0
Date: Oct 4, 2022
Visit Reason
An unannounced Case Management Visit was conducted to review the facility file, interact with staff and residents, and conduct a health and safety visit.
Findings
No deficiencies were cited or observed during this visit. All staff present had current criminal record clearances.
Report Facts
Capacity: 560
Census: 257
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Director of Resident Services | Met during the visit and participated in the exit interview |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Case Management Visit |
| Denise Powell | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 249
Capacity: 560
Deficiencies: 0
Date: Aug 24, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the facility did not meet resident's nutritional needs, did not keep residents hydrated, and did not communicate appropriately with responsible parties.
Complaint Details
The complaint was investigated and determined to be unfounded because the alleged victim was in a Skilled Nursing Facility section not under the licensing agency's jurisdiction.
Findings
The investigation found that the alleged victim was residing in the Skilled Nursing section, which is outside the jurisdiction of the Community Care Licensing Division. Therefore, the allegations were determined to be unfounded and the complaint was dismissed.
Report Facts
Capacity: 560
Census: 249
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation visit |
| Corinna Norton | Director of Resident Services | Met with the Licensing Program Analyst during the visit and participated in the exit interview |
Inspection Report
Complaint Investigation
Census: 249
Capacity: 560
Deficiencies: 0
Date: Aug 24, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the facility did not meet residents' nutritional needs, did not keep residents hydrated, and did not communicate appropriately with responsible parties.
Complaint Details
The complaint was determined to be unfounded as the alleged victim was in a Skilled Nursing Facility, which is not under the jurisdiction of the investigating agency.
Findings
The investigation found that the alleged victim was residing in the Skilled Nursing section, which is outside the jurisdiction of the Community Care Licensing Division. Therefore, the allegations were determined to be unfounded and the complaint was dismissed.
Report Facts
Capacity: 560
Census: 249
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation visit |
| Corinna Norton | Director of Resident Services | Met with the Licensing Program Analyst during the investigation and received the report |
Inspection Report
Census: 253
Capacity: 560
Deficiencies: 0
Date: Jun 6, 2022
Visit Reason
An unannounced Case Management Visit was conducted to review the facility file, interact with staff and residents, and conduct a health and safety visit.
Findings
No deficiencies were cited or observed during this visit. All staff present had current criminal record clearances.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Case Management Visit. |
| Jolene Hall | Executive Assistant | Met with the Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Census: 253
Capacity: 560
Deficiencies: 0
Date: Jun 6, 2022
Visit Reason
An unannounced Case Management visit was conducted to review the facility file, interact with staff and residents, and obtain facility records.
Findings
No deficiencies were cited or observed during this health and safety visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Jolene Hall | Executive Assistant | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 252
Capacity: 560
Deficiencies: 0
Date: Apr 15, 2022
Visit Reason
An unannounced Case Management visit was conducted related to an incident report concerning a staff medical emergency and missing resident medications.
Complaint Details
The visit was triggered by a self-reported unusual incident involving Staff 1's medical emergency and missing medications for Resident 1. No deficiencies were found.
Findings
No deficiencies were cited during the visit. Additional guidance was provided regarding reporting requirements and the level of detail needed in incident reports.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Craig Sumner | Executive Director | Discussed the purpose of the visit and participated in the exit interview. |
| Esther Miller | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Corinna Norton | Director of Resident Services | Allowed entry to the Licensing Program Analyst during the visit. |
Inspection Report
Census: 252
Capacity: 560
Deficiencies: 0
Date: Apr 15, 2022
Visit Reason
An unannounced Case Management visit was conducted related to an incident report involving a staff medical emergency and missing resident medications.
Findings
No deficiencies were cited during the visit. Additional guidance was provided regarding reporting requirements and the level of detail needed in incident reports.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Craig Sumner | Executive Director | Discussed the purpose of the visit and participated in the exit interview. |
| Esther Miller | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Corinna Norton | Director of Resident Services | Allowed entry to the Licensing Program Analyst during the visit. |
Inspection Report
Annual Inspection
Census: 251
Capacity: 560
Deficiencies: 0
Date: Oct 27, 2021
Visit Reason
The inspection was an annual required licensing inspection focused on infection control due to the COVID-19 pandemic.
Findings
No deficiencies were observed during the inspection. The facility demonstrated compliance with infection control practices including COVID-19 mitigation measures such as a sign-in policy, hand hygiene promotion, face coverings, and adequate PPE supply.
Report Facts
Non-ambulatory residents: 119
Bedridden residents: 5
Hospice care waiver: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the annual inspection |
| Craig Sumner | Executive Director | Facility representative met during inspection |
| Corinna Norton | Resident Services Director | Greeted Licensing Program Analyst and granted entry |
Inspection Report
Census: 251
Capacity: 560
Deficiencies: 0
Date: Oct 27, 2021
Visit Reason
The visit was an unannounced case management incident investigation following a self-reported incident where a resident eloped from the memory care unit unnoticed but was returned the same day without injury.
Findings
No deficiencies were cited during the visit after interviews and record reviews were conducted.
Report Facts
Capacity: 560
Census: 251
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit |
| Craig Sumner | Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 251
Capacity: 560
Deficiencies: 0
Date: Oct 27, 2021
Visit Reason
The visit was an unannounced case management incident investigation following the facility's self-report of a resident elopement from the memory care unit on October 24, 2021.
Complaint Details
The complaint involved a resident eloping unnoticed from the memory care unit but remaining on the facility campus and returned safely the same day. No deficiencies were substantiated.
Findings
During the visit, interviews and resident records were reviewed, and no deficiencies were cited. The resident was returned safely with no injuries.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Craig Sumner | Executive Director | Facility administrator who was met during the visit and involved in the exit interview. |
Inspection Report
Complaint Investigation
Census: 250
Capacity: 560
Deficiencies: 0
Date: Sep 16, 2021
Visit Reason
The visit was an unannounced case management investigation triggered by a self-reported incident involving a resident receiving an incorrect amount of prescribed as needed medication (PRN) on September 11, 2021.
Complaint Details
The complaint involved Resident 1 receiving an incorrect amount of prescribed as needed medication resulting in medical intervention. The investigation is ongoing with no substantiation or deficiencies cited at this time.
Findings
During the visit, interviews and record reviews were conducted, and no deficiencies were cited. The case management requires further investigation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Craig Sumner | Executive Director | Facility representative met during the visit and involved in the incident report. |
Inspection Report
Complaint Investigation
Census: 250
Capacity: 560
Deficiencies: 0
Date: Sep 16, 2021
Visit Reason
The visit was an unannounced case management investigation triggered by a self-reported incident involving a resident receiving an incorrect amount of prescribed as needed medication (PRN) on September 11, 2021.
Complaint Details
The complaint involved Resident 1 receiving an incorrect amount of prescribed as needed medication resulting in medical intervention. The investigation was ongoing at the time of the report.
Findings
During the visit, interviews and record reviews were conducted, and no deficiencies were cited. The case management requires further investigation.
Report Facts
Facility capacity: 560
Census: 250
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit |
| Craig Sumner | Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Census: 270
Capacity: 560
Deficiencies: 0
Date: Jul 14, 2021
Visit Reason
An unannounced case management visit was conducted to check on the health and safety of residents in care at the facility.
Findings
No immediate health and/or safety concerns were observed during the visit, and no deficiencies were issued.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Corinna Norton | Resident Services Director | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Census: 270
Capacity: 560
Deficiencies: 0
Date: Jul 14, 2021
Visit Reason
An unannounced case management visit was conducted to check on the health and safety of residents in care.
Findings
No immediate health and/or safety concerns were observed during the visit, and no deficiencies were issued.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinna Norton | Resident Services Director | Met with during the visit and involved in the exit interview. |
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Denise Powell | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 270
Capacity: 560
Deficiencies: 0
Date: Jul 13, 2021
Visit Reason
The visit was an unannounced case management incident investigation following a facility self-reported incident where a resident eloped from the memory care unit on July 7, 2021.
Complaint Details
The visit was triggered by a self-reported incident involving Resident 1 eloping from the memory care unit. No deficiencies were found during the investigation.
Findings
During the visit, interviews and resident record reviews were conducted, and no deficiencies were cited at this time.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Corinna Norton | Resident Services Director | Met with the Licensing Program Analyst during the visit and received the report. |
Inspection Report
Complaint Investigation
Census: 270
Capacity: 560
Deficiencies: 0
Date: Jul 13, 2021
Visit Reason
The visit was an unannounced case management inspection triggered by a self-reported incident where a resident eloped from the memory care unit on July 7, 2021.
Complaint Details
The complaint involved an incident where Resident 1 eloped from the memory care unit and was found outside the unit. The facility self-reported this incident to Community Care Licensing on July 12, 2021.
Findings
During the visit, interviews and resident record reviews were conducted, and no deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit and inspection. |
| Corinna Norton | Resident Services Director | Met with the Licensing Program Analyst during the visit and was involved in the exit interview. |
| Craig Sumner | Administrator | Named as the facility administrator. |
| Denise Powell | Licensing Program Manager | Named as the Licensing Program Manager overseeing the inspection. |
Inspection Report
Census: 247
Capacity: 560
Deficiencies: 0
Date: Jun 28, 2021
Visit Reason
The visit was an unannounced case management visit to discuss Incident Reports received on June 25, 2021, and to review staff and resident records and conduct interviews.
Findings
No deficiencies were observed during the visit. The Licensing Program Analyst conducted interviews and reviewed records without identifying any issues.
Report Facts
Capacity: 560
Census: 247
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit |
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit |
Inspection Report
Census: 247
Capacity: 560
Deficiencies: 0
Date: Jun 28, 2021
Visit Reason
The visit was an unannounced case management incident visit to discuss Incident Reports received on June 25, 2021, including review of staff and resident records and interviews.
Findings
No deficiencies were observed during the visit. An exit interview was conducted and the report along with licensee appeal rights was provided to the Director of Resident Services.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced case management visit and interviews. |
| Corinna Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit and received report and appeal rights. |
Inspection Report
Complaint Investigation
Census: 246
Capacity: 560
Deficiencies: 0
Date: Apr 12, 2021
Visit Reason
The visit was conducted to discuss an Incident Report received on April 07, 2021, via an unannounced virtual Case Management visit due to COVID-19.
Complaint Details
The visit was triggered by an Incident Report received on April 07, 2021. No deficiencies were found during the investigation.
Findings
No deficiencies were observed during the visit. The Licensing Program Analyst interviewed staff, requested resident records, and briefly toured the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced virtual Case Management visit. |
| Corrina Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 246
Capacity: 560
Deficiencies: 0
Date: Apr 12, 2021
Visit Reason
The visit was conducted to discuss an Incident Report received on April 07, 2021, as part of a Case Management - Incident unannounced virtual visit due to COVID-19.
Complaint Details
The visit was triggered by an incident report received on April 07, 2021. No deficiencies or substantiation status were noted.
Findings
No deficiencies were observed during the visit after interviewing staff, reviewing resident records, and touring the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the unannounced virtual Case Management visit. |
| Corrina Norton | Director of Resident Services | Met with Licensing Program Analyst during the visit. |
Inspection Report
Census: 245
Capacity: 560
Deficiencies: 0
Date: Mar 22, 2021
Visit Reason
The visit was a virtual Case Management visit conducted to discuss Incident Reports received on March 10, 15, 16, and 17, 2021.
Findings
No deficiencies were observed during the visit. The Licensing Program Analyst interviewed staff, requested staff records, and briefly toured the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Craig Sumner | Executive Director | Met with Licensing Program Analyst during the visit. |
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