Inspection Reports for
Hollenbeck Palms

The facility was found to be in good repair with clean and comfortable resident rooms, proper infection control practices, and compliance in staff and resident records. No deficiencies were noted during this visit.

The facility was found to be in good repair with clean and comfortable resident rooms, proper infection control practices, and compliant staff and resident records. No deficiencies were noted during this visit.

The complaint alleged that staff were not distributing residents' medication as prescribed. Interviews with ten residents and ten staff members denied the allegation. Medication procedures were confirmed to be followed, including a two-hour window for administration and documentation of missed medications. The allegation was unsubstantiated.

The investigation included interviews with residents and staff, document reviews, and observations. All interviewed residents and staff denied the allegation, and no health or safety risks were found in reviewed medication records. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff were not distributing residents' medication as prescribed. Interviews with ten residents and ten staff members denied the allegation. Documentation and observations supported that medication distribution procedures were followed properly. The allegation was unsubstantiated.

The investigation included interviews with residents and staff, document reviews, and observations. All interviewed residents and staff denied the allegation, and no health or safety risks were found in reviewed medication records. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff were not distributing residents' medication as prescribed. Interviews with ten residents and ten staff members denied the allegation. Documentation and observations supported that medication was distributed properly. The allegation was unsubstantiated.

The investigation included interviews with residents and staff, document reviews, and observations. All interviewed residents and staff denied the allegation, and no health or safety risks were found in reviewed prescriptions. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The facility was found to be in compliance with licensing requirements with no deficiencies observed. Observations included proper safety measures, medication storage, staff training, infection control practices, and maintenance of resident records.

The complaint alleged staff financially abused a resident. The investigation was unannounced and conducted by Licensing Program Analyst Kimberly Ramirez. The complaint was found to be unfounded, meaning the allegation was false or without reasonable basis.

The investigation found that the resident resides in an independent living accommodation and does not receive care or supervision from the facility. Based on records and interviews, the complaint was found to be unfounded and was dismissed.

The inspection covered 12 CARE tool domains including infection control, physical plant safety, staffing, and resident rights. The facility was found to have adequate staffing, proper fire clearance, and clean food service areas. Due to time constraints, the annual inspection was not completed and will be continued at a later date.

The facility was observed to be in good repair, properly furnished, and compliant with safety and infection control standards. Resident and staff files were complete and in order. No deficiencies were found during this inspection visit.

The complaint involved Resident #1 who lost balance and fell from an exterior staircase. The resident was independent and fully ambulatory with no cognitive impairments. The investigation concluded no neglect or supervision issues.

The investigation found no signs of neglect or lack of supervision related to the incident. No deficiencies were issued following the review of relevant medical and facility records.

The complaint involved a fall incident of Resident #1 on 2022-11-01 resulting in injury. The complaint was not substantiated as no neglect or lack of supervision was found.

The investigation found that Resident #1, an independent resident, fell due to missing a step and sustained a Le Fort 1 level fracture. No neglect or lack of supervision was found, and no deficiencies were issued. Preventative measures such as yellow strips on steps were implemented.

The facility was found to be in good repair with no observed deficiencies. Infection control practices were properly implemented, including COVID-19 protocols, PPE availability, and resident/staff health screenings.

The facility was toured including the memory care unit, bedrooms, bathrooms, and common areas. All areas met Title 22 regulations, emergency systems were tested and working, and no deficiencies were cited during the visit.