Inspection Reports for Hidden Gem by Splendor Oaks Senior Living

The visit was conducted to issue citations for violations found in a prior meeting on 09/29/2025 during the process of change of ownership.

The licensee failed to transfer the criminal record clearance to the new administrator, did not maintain a lease or title for the licensed property, and failed to notify the Department in writing within 30 days of hiring a new administrator. These violations posed immediate and potential risks.

The inspection was an unannounced annual inspection conducted to ensure compliance with health and safety regulations using the CARE inspection tool.

No immediate health, safety, or personal rights violations were observed during the inspection. Resident and staff files were reviewed and found mostly complete, with one staff file missing a recent CPR certificate. No deficiencies were cited as a result of this inspection.

The visit was conducted as a plan of correction (POC) unannounced inspection to review the facility's response to a citation written on 08/01/2024.

The Licensing Program Analyst and the Administrator designee discussed the plan of correction and accounting related to the citation. No additional citations were issued as a result of this visit.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations including violation of admission agreement requirements, failure to provide requested records, medication mismanagement, diet not followed, medical care not provided, and failure to report resident death.

The investigation substantiated that the licensee violated admission agreement requirements, including failure to provide approved agreements and timely refunds to a resident's estate. Other allegations such as medication mismanagement and diet not followed were found unsubstantiated, and the complaint regarding medical care and failure to report resident death was found unfounded. Deficiencies related to admission agreement violations were cited with potential health and safety risks.

The complaint investigation was substantiated for allegations related to admission agreement violations, including failure to provide approved agreements and refunds. Allegations of medication mismanagement and diet not followed were unsubstantiated. Allegations of medical care not provided and failure to report resident death were unfounded.

The inspection was an unannounced annual inspection conducted to ensure compliance with health and safety regulations using the CARE inspection tool.

No immediate health, safety, or personal rights violations were observed. The facility was clean, residents appeared satisfied with care, and resident and staff files were complete and well organized. No deficiencies were cited.

The visit was an unannounced required annual inspection to evaluate compliance with regulatory standards.

The facility was found to be clean, well organized, and in compliance with all health and safety regulations. No deficiencies were observed or cited during the inspection.

Unannounced complaint investigation visit conducted in response to allegations that a resident needs a higher level of care and that the facility failed to get the resident up and left them in bed.

The investigation found that the facility met Title 22 requirements and that the resident's placement was appropriate. The complaint was determined to be unfounded and dismissed.

The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis.

The inspection was an unannounced annual inspection conducted to evaluate infection control and overall health and safety compliance at the facility.

The inspection found that the water temperature in the resident shower room sink was 124°F, exceeding the allowed maximum and posing an immediate health and safety risk. Cleaning supplies were found unsecured in the garage. Records for symptom screening and staff testing were advised to be maintained.

As a result of this investigation, the allegation was substantiated based on the preponderance of evidence standard.

The inspection was an unannounced Required-1 Year Inspection conducted to assess infection control compliance and overall health and safety of residents at the facility.

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.

Unannounced investigation of a complaint received on 2021-04-23 alleging overcharging fees, denial of access to personal belongings, injury by staff, and lack of dignity and respect in care.

After interviews with staff, residents, family members, and review of documentation, all four allegations were found to be unfounded, meaning the allegations were false or without reasonable basis.

Complaint involved four allegations: 1) resident being overcharged fees, 2) staff denying resident access to personal belongings, 3) staff injuring a resident while providing care, and 4) staff not treating resident with dignity and respect. All allegations were investigated and found to be unfounded.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-07-13 regarding alleged violations of admission agreement fee increases at Splendor Oaks Senior Living 2.

The investigation substantiated that the licensee violated the requirement to provide residents with at least 60 days' prior written notice of fee increases. The facility increased fees without proper notification, posing a potential risk to residents' personal rights. The licensee rescinded the initial notice and issued a new notice to residents in July 2020, completing the plan of correction.

The complaint was substantiated. The allegation that the licensee violated the terms of admission agreement fee increase was found valid based on records review and interviews. The licensee agreed to rescind the rate increase and provide residents a 60-day notice of upcoming rate changes.