Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
83% occupied
Based on a January 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Jan 15, 2026
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate compliance with licensing requirements at Hampshire Manor Inc.
Findings
The Licensing Program Analyst conducted a thorough tour and review of the facility, including resident and staff files, and found no deficiencies during the inspection. All areas and documentation were in compliance with regulations.
Report Facts
Food supply minimum days: 7
Food supply minimum days: 2
Hot water temperature: 109.7
Fire extinguisher last serviced date: Jul 2, 2025
Resident files reviewed: 5
Staff records reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with Licensing Program Analyst during inspection and involved in facility tour |
| Graham Gunby | Licensing Program Analyst | Conducted the inspection and authored the report |
| Troy Ordonez | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Jan 15, 2026
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The Licensing Program Analyst conducted a thorough tour and review of the facility, including resident and staff files, and found the facility to be in compliance with no deficiencies cited during the inspection.
Report Facts
Food supply minimum days: 7
Food supply minimum days: 2
Hot water temperature: 109.7
Fire extinguisher last serviced date: Jul 2, 2025
Resident files reviewed: 5
Staff records reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with Licensing Program Analyst during inspection and involved in facility tour |
| Graham Gunby | Licensing Program Analyst | Conducted the inspection and authored the report |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 5
Capacity: 6
Deficiencies: 5
Date: Dec 22, 2025
Visit Reason
The inspection visit was a Case Management - Legal/Non-compliance visit conducted to address issues related to the facility's failure to maintain compliance with licensing laws, including a substantiated complaint involving resident elopement and other regulatory concerns.
Complaint Details
The visit followed a substantiated complaint in which staff failed to prevent a resident from leaving the facility unassisted, resulting in citations and civil penalties. The appeal of the citation was denied.
Findings
The Department identified multiple areas of concern including acceptance of residents with elopement behaviors beyond the facility's supervision ability, failure to update residents' Needs and Services Plans, insufficient staff training on elopement risk, inadequate administrator oversight, and improper use of door alarms. A written compliance plan was required to address these issues, with potential for increased monitoring or enforcement action if compliance is not achieved.
Deficiencies (5)
Acceptance and retention of residents with elopement or exit seeking behaviors beyond the facility’s ability to safely supervise.
Failure to consistently update residents Needs and Services Plans and reappraisals to reflect changes in condition.
Insufficient staff training related to elopement risk, exit-seeking behaviors, and supervision requirements.
Administrator oversight, accountability, and fulfillment of required duties.
Improper use, adjustment, or deactivation of door alarms intended to monitor resident movement.
Report Facts
Capacity: 6
Census: 5
Corrective action due date: Jan 22, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Facility Administrator involved in the inspection and findings |
| Mary Roberts | Operating Officer | Facility representative present at Non-Compliance conference |
| Laura Munoz | Licensing Program Manager | Department representative involved in the inspection |
| Troy Ordonez | Licensing Program Manager | Department representative involved in the inspection |
| Graham Gunby | Licensing Program Analyst | Department representative involved in the inspection |
Inspection Report
Census: 5
Capacity: 6
Deficiencies: 5
Date: Dec 22, 2025
Visit Reason
The inspection visit was a Case Management - Legal/Non-compliance visit conducted to address issues related to a substantiated complaint involving staff failure to prevent a resident from leaving the facility unassisted, resulting in citations and civil penalties.
Complaint Details
The visit was triggered by a substantiated complaint in which staff failed to prevent a resident from leaving the facility unassisted. The appeal of the citation was denied.
Findings
The Department identified multiple areas of concern including acceptance and retention of residents with elopement or exit-seeking behaviors beyond the facility's supervision ability, failure to update residents' Needs and Services Plans, insufficient staff training on elopement risk and supervision, inadequate administrator oversight, and improper use of door alarms. A written compliance plan was required to address these issues.
Deficiencies (5)
Acceptance and retention of residents with elopement or exit seeking behaviors beyond the facility’s ability to safely supervise.
Failure to consistently update residents Needs and Services Plans and reappraisals to reflect changes in condition.
Insufficient staff training related to elopement risk, exit-seeking behaviors, and supervision requirements.
Administrator oversight, accountability, and fulfillment of required duties.
Improper use, adjustment, or deactivation of door alarms intended to monitor resident movement.
Report Facts
Capacity: 6
Census: 5
Corrective action due date: Jan 22, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Facility Administrator involved in the inspection and oversight issues |
| Mary Roberts | Operating Officer | Facility representative present at the Non-Compliance conference |
| Laura Munoz | Licensing Program Manager | Department representative at the Non-Compliance conference |
| Troy Ordonez | Licensing Program Manager | Department representative and Licensing Program Manager |
| Graham Gunby | Licensing Program Analyst | Department representative and Licensing Program Analyst |
Inspection Report
Plan of Correction
Census: 5
Capacity: 6
Deficiencies: 0
Date: Nov 12, 2025
Visit Reason
Unannounced Plan of Correction (POC) visit to verify correction of previous deficiencies from the visit on 10/16/2025.
Findings
The Plan of Correction from the previous visit was cleared with no deficiencies cited during this unannounced inspection. The facility was toured and resident files reviewed to ensure health and safety compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with during inspection and named in report. |
| Troy Ordonez | Licensing Program Manager | Conducted inspection and named in report. |
| Graham Gunby | Licensing Program Analyst | Conducted inspection and named in report. |
| Alycia Rayner | Regional Manager | Conducted inspection and named in report. |
Inspection Report
Plan of Correction
Census: 5
Capacity: 6
Deficiencies: 0
Date: Nov 12, 2025
Visit Reason
The visit was an unannounced Plan of Correction (POC) inspection to verify correction of deficiencies cited in a previous visit on 10/16/2025.
Findings
During the visit, the Regional Manager and Licensing Program Manager toured the facility and reviewed resident files. The Plan of Correction from the previous visit was cleared and no deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with during the inspection and involved in the Plan of Correction clearance. |
| Troy Ordonez | Licensing Program Manager | Conducted the inspection and met with the Administrator. |
| Graham Gunby | Licensing Program Analyst | Conducted the inspection and met with the Administrator. |
| Alycia Rayner | Regional Manager | Conducted the inspection and toured the facility. |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 1
Date: Oct 16, 2025
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2025-06-12 alleging that staff did not prevent a resident from leaving the facility unassisted.
Complaint Details
The complaint alleged that staff did not prevent resident R1 from leaving the facility unassisted, resulting in R1 eloping and requiring hospitalization. The allegation was substantiated based on record reviews, interviews, and observations. The resident had a history of wandering and exit-seeking behaviors, and staff failed to supervise properly during a shift change.
Findings
The investigation substantiated that the facility failed to provide adequate care and supervision, resulting in a resident eloping unsupervised for approximately one hour and being hospitalized for sepsis and dehydration. The facility did not update the care plan or ensure door alarms were audible and staff monitored exits.
Deficiencies (1)
Failure to ensure that resident R1 has a current reappraisal/Needs and Service Plan on file, posing an immediate health and safety risk to residents in care.
Report Facts
Civil penalty amount: 500
Deficiency count: 1
Capacity: 6
Census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with during the investigation and named in findings regarding failure to update care plan and supervision. |
| Graham Gunby | Licensing Program Analyst / Evaluator | Conducted the complaint investigation and authored the report. |
| Bethany Mirlohi | Licensing Program Analyst | Arrived at the facility unannounced to deliver complaint findings. |
| Troy Ordonez | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Date: Jul 25, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-03-04 regarding resident care, staff training, staffing levels, food supply, medication availability, and adult briefs/diapers supply.
Complaint Details
The complaint included allegations that residents' briefs were not changed often enough, staff did not receive adequate training, there was insufficient staffing, insufficient food supply, residents might run out of medications, and residents might run out of adult briefs/diapers. All allegations were investigated and found to be unfounded.
Findings
All allegations were found to be unfounded after interviews with staff and administrator, review of training records, observation of the facility and supplies, and medication logs. The facility was found to have adequate staffing, training, food, medications, and supplies.
Report Facts
Capacity: 6
Census: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tryon | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Troy Ordonez | Licensing Program Manager | Oversaw the complaint investigation |
| Cathy Dustin | Administrator | Facility administrator interviewed by phone during investigation |
| Kim Bao Tram Tran | Staff | Staff member interviewed during the investigation visit |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: May 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not ensure a resident was hydrated resulting in hospitalization and that staff did not dispense medications as prescribed.
Complaint Details
The complaint included two main allegations: 1) Facility staff did not ensure resident hydration resulting in hospitalization, which was found to be unfounded. 2) Facility staff did not dispense medications as prescribed, which was found to be unsubstantiated due to lack of evidence of staff error and resident non-compliance with medication intake.
Findings
The investigation found the hydration allegation to be unfounded with no evidence of staff neglect. The medication dispensing allegation was unsubstantiated, with findings indicating resident behavior caused medication issues rather than staff error. No deficiencies were cited.
Report Facts
Facility capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with during investigation and referenced in findings |
| Todd Tryon | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 0
Date: May 28, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-08-29 regarding multiple allegations about staff conduct and facility operations at Hampshire Manor Inc.
Complaint Details
The complaint included nine allegations related to staff speaking inappropriately to residents, failure to report incidents, delayed medical care, residents left soiled, lack of planned activities, staff working without criminal clearance, and insufficient staff training. All allegations were found to be unfounded after investigation.
Findings
The investigation found no credible evidence to support any of the allegations, including inappropriate staff behavior, failure to report incidents, delayed medical attention, leaving residents soiled, lack of planned activities, staff working without criminal clearance, and inadequate staff training. All allegations were determined to be unfounded and no deficiencies were cited.
Report Facts
Capacity: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with during investigation and named in report |
| Todd Tryon | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Dec 30, 2024
Visit Reason
The inspection was an unannounced annual visit conducted to evaluate the facility's compliance with regulations.
Findings
The facility was found to be clean, well-furnished, and in good repair with adequate food supplies and secured medications. Documentation was appropriate and the facility appeared to be in substantial compliance with regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with during the inspection and involved in review of CARE Tool. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Dec 30, 2024
Visit Reason
The inspection was an unannounced annual visit conducted to evaluate the facility's compliance with regulations.
Findings
The facility was found to be in substantial compliance with regulations. The home was clean, well-furnished, and in good repair, with adequate food supplies and secured medications. Documentation in resident and staff files was appropriate.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with during inspection and involved in CARE Tool review. |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Aug 22, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation into allegations that facility staff were not providing incontinence care to a resident.
Complaint Details
The complaint alleged that facility staff were not providing incontinence care to a resident. After investigation, including interviews and documentation review, the allegation was found to be unsubstantiated.
Findings
The Licensing Program Analyst investigated the allegation by interviewing staff, witnesses, and reviewing resident documentation. The allegation was found to be unsubstantiated as staff reported providing incontinence care, hospice staff had no concerns, and documentation supported care was provided.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bethany Mirlohi | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Cathy Dustin | Administrator | Met with Licensing Program Analyst during inspection and provided information |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Dec 6, 2023
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate the health and safety conditions of the facility and ensure compliance with licensing regulations.
Findings
The inspection found the facility to be in good condition with no deficiencies cited. Observations included clean and sanitary resident bathrooms, proper food storage, locked medications, operable fire safety equipment, and adequate staff training.
Report Facts
Residents observed: 6
Staff observed: 1
Resident files reviewed: 3
Staff records reviewed: 1
Fire extinguishers: 2
Fire extinguisher last service date: Sep 1, 2023
Fire drill last conducted: Oct 23, 2023
Hot water temperature: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Executive Director | Met with Licensing Program Analyst during inspection and named in report |
| Sarena Keosavang | Licensing Program Analyst | Conducted the inspection |
| Troy Ordonez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on the infection control domain to ensure health and safety compliance at the facility.
Findings
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with Licensing Program Analyst during inspection and involved in infection control domain completion. |
| Sarena Keosavang | Licensing Program Analyst | Conducted the Required-1 Year Inspection and infection control domain evaluation. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Jan 11, 2022
Visit Reason
The Licensing Program Analyst conducted a required 1-year annual inspection utilizing the infection control domain to ensure compliance with health and safety standards.
Findings
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with Licensing Program Analyst during inspection |
| Jacob Williams | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Sep 29, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on infection control protocols and overall health and safety compliance.
Findings
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Dustin | Administrator | Met with Licensing Program Analyst during inspection and involved in infection control domain completion. |
| Sarena Keosavang | Licensing Program Analyst | Conducted the Required-1 Year Inspection and infection control domain evaluation. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
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