Inspection Reports for Highgate Senior Living at Temecula

The visit was an unannounced complaint investigation conducted to address allegations including residents not being assisted with medication administration, inadequate food service, and non-adherence to resident contracts.

The investigation found that residents were assisted with medication as appropriate, food service was adequate and timely with a variety of options, and resident contracts were adhered to with consent for changes. All three allegations were deemed unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred. Allegations investigated included failure to assist residents with medication, inadequate food service, and non-adherence to resident contracts.

The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations for the facility.

The facility was found to be generally compliant with regulations, including proper food storage, secured medications, updated resident files, and operational fire safety systems. The fire alarms were last tested on 2024-03-14 and found to be functioning properly. No issues or concerns were observed during the visit.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff were not administering medication to a resident according to physician's instructions.

The investigation found that the facility did not have a signed doctor's order to administer the medication until 8/8/2024, and the medication was administered as prescribed from that date. The complaint was determined to be unfounded as the allegation was false or without reasonable basis.

The complaint alleged that staff were not administering medication to Resident 1 as prescribed by a physician. The investigation included interviews with the resident's Power of Attorney agent, Assistant Healthcare Director, and review of medical and medication records. It was found that the facility was awaiting a signed doctor's order before administering the medication and began administration promptly upon receipt. The complaint was unfounded.

An unannounced complaint investigation was conducted to investigate the allegation that staff does not ensure the bedroom door for a resident is in good repair.

The investigation found that the resident's bedroom door knob was functioning properly, with residents and staff able to unlock the door without issue. The complaint was determined to be unfounded as there was no evidence of disrepair.

The complaint alleged that staff did not ensure the resident's bedroom door was in good repair. The investigation included interviews with staff and review of maintenance records, finding no issues or repair requests. The complaint was found to be unfounded.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that the facility did not have an active Director on site and that facility staff did not ensure residents' rooms were clean and orderly.

The allegation that the facility lacked an active Director with a valid administrator's certificate was substantiated, as no current employees possessed the required certification and no one was acting as administrator during the absence of the newly hired administrator. The allegation regarding pets urinating and defecating in resident rooms causing odor was unsubstantiated based on interviews and observations during the visit.

The complaint investigation was substantiated regarding the lack of an active Director with a valid administrator's certificate on site. The allegation about pets causing odor in resident rooms was unsubstantiated.

An unannounced visit was conducted regarding an open complaint currently under investigation related to the care of residents with dementia.

The facility failed to have an updated Physician's Report for Resident One diagnosed with dementia, with the last report dated 03/02/2022. This deficiency was cited under Title 22 Regulation 87705(c)(5) and poses a potential health and safety risk.

The visit was triggered by an open complaint currently under investigation. The deficiency relates to failure to comply with care requirements for persons with dementia.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations including staff training deficiencies and delayed response to residents' call buttons.

The investigation substantiated that staff were behind on required training and that response times to residents' call buttons were sometimes excessively delayed, ranging from two to five hours. Other allegations, such as operating without an administrator and heater disrepair, were found unsubstantiated.

The complaint investigation was substantiated for allegations that staff lacked appropriate training and did not answer residents' call buttons in a timely manner. The allegations regarding the facility operating without an administrator and heater units being in disrepair were unsubstantiated.

The visit was an unannounced health and safety follow-up conducted to assess the facility after a fire incident that occurred in the kitchen on 10/02/2023.

The inspection found that the fire was extinguished by the sprinkler system with no injuries reported. There were only cosmetic damages to the kitchen wall and ceiling, and the kitchen remains closed pending repairs and approval. No immediate health and safety concerns were observed during the visit.

An unannounced complaint investigation visit was conducted to investigate allegations of verbal abuse, physical abuse, and staff going through a resident's personal items.

The investigation found insufficient evidence to substantiate the allegations of verbal abuse, physical abuse, or staff going through resident's personal items. Interviews with residents and staff, as well as file reviews, did not support the claims.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

An unannounced case management visit was conducted to follow up on an Incident Report received on December 22, 2022, regarding a resident’s unauthorized checks that were cashed.

During the visit, the Licensing Program Analyst toured the facility, interviewed residents, reviewed staff files, and collected pertinent documents. No deficiencies were cited during the visit.

An unannounced case management visit was conducted to follow up on a self-reported incident at the facility.

No health or safety concerns were observed during the visit. The facility had sufficient staff, adequate food and medication supplies, and utilities were operating without issue. Additional time was needed to conclude the follow-up on the incident.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations regarding resident care at Highgate Senior Living-Temecula.

The investigation found insufficient evidence to substantiate any of the allegations, including claims of pressure injury development, multiple falls, failure to follow doctor's orders, lack of resident re-appraisal, improper clothing fit, inadequate hygiene assistance, delayed medical attention, and failure to safeguard personal property.

The complaint investigation was unsubstantiated. Allegations included resident developing a pressure injury, sustaining multiple falls, staff not following doctor's orders, not re-appraising resident, not ensuring proper clothing fit, not assisting with hygiene, not seeking timely medical attention, and not safeguarding personal property. Documentation and interviews supported that care and procedures were appropriately followed.

An unannounced annual inspection was conducted with an emphasis on infection control to evaluate compliance with Community Care Licensing guidelines.

The facility demonstrated proper infection control measures including signage, hand hygiene supplies, cleaning provisions, and PPE use. No deficiencies were cited during the inspection.

An unannounced complaint investigation was conducted regarding the allegation that the facility did not have a designated person acting in the Administrator's absence during an unexpected emergency absence of the Administrator.

The investigation found that although the Administrator was absent for one week, coverage was ensured by staff members who did not hold Administrator certification. Operations proceeded as usual with no reported concerns to resident health, safety, or personal rights. Therefore, the allegation was deemed unsubstantiated and no citations were issued.

The complaint alleged that the facility lacked a designated person acting as Administrator during Kathleen Williams' absence from February 16 to February 20, 2020. The allegation was investigated and found unsubstantiated due to lack of evidence of violation.

report_5_331800160_inx4_2024-01-16.pdf