Inspection Reports for Hollywood Hills Senior Living

The inspection was an unannounced continuation of the required annual inspection initially conducted on 09/12/2025, focusing on multiple facility domains including fire safety, kitchen hygiene, medication storage, and resident accommodations.

The facility generally maintained compliance with safety, cleanliness, and resident accommodations standards. However, deficiencies were noted including two kitchen staff not wearing hairnets, an unlocked medication refrigerator accessible to residents, and medication room door left open, posing health and safety risks.

The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with licensing requirements.

The facility was inspected for cleanliness, physical plant condition, infection control measures, and resident records. The delayed egress system and infection control plan were found to be in compliance. Resident records reviewed appeared complete and current. The inspection was not fully completed due to time constraints and will be finished at a later date.

An unannounced complaint investigation was conducted in response to allegations that food service personnel were performing duties in an unsanitary manner, including improper food handling, inadequate dishwashing, and failure to wear hair nets.

The investigation found that while kitchen equipment and food storage areas were properly maintained and clean, the dishwasher temperature gauge was unreadable and daily dishwashing temperatures were not logged. Additionally, two out of three food service staff were observed not wearing gloves, leading to substantiation of the sanitation allegation.

The complaint alleged that kitchen staff did not practice proper food handling standards, did not wash dishes thoroughly, and did not wear hair nets. The allegation was substantiated based on observations and interviews.

The visit was a case management inspection to address deficiencies observed during the investigation of complaint #31-AS-20250506094816. The deficiencies were related to the complaint but were not alleged in it.

The Administrator did not have a fingerprint clearance on file since their date of hire (08/10/20), which is a violation subject to an immediate civil penalty. Citations were issued accordingly.

The visit was triggered by complaint #31-AS-20250506094816. The deficiencies found were related to the complaint but were not alleged. The Administrator lacked a fingerprint clearance, constituting a substantiated violation.

The visit was an unannounced complaint investigation conducted to investigate allegations including staff not preventing a viral outbreak and the facility food warmer being in disrepair.

The investigation found the allegations unsubstantiated. Observations showed proper infection control measures during a gastrointestinal outbreak affecting residents and staff, and the food warmer was tested and found to be working properly within safe temperature ranges.

The complaint alleged that staff did not prevent a viral outbreak affecting multiple residents and that the facility food warmer was in disrepair but still in use. The investigation found that 32 residents and 8 staff were affected by the GI outbreak, but proper infection control measures were observed. The food warmer was tested and found to be functioning correctly. The allegations were unsubstantiated.

The visit was conducted to verify the Chapter 7 Bankruptcy Report filed by Pacifica Senior Living as reported by the media and to discuss related lawsuits and their impact on the facility.

The facility management confirmed that despite multiple lawsuits against related entities, there was no financial impact on the facility, residents, or staff. Management communicated changes to staff and residents, and the bankruptcy did not affect the communities as Pacifica Senior Living was no longer the management company.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff were not able to provide care services to a resident.

The investigation found the allegation unsubstantiated based on interviews with staff, residents, the responsible family member, and review of relevant documents, confirming that the resident received proper care and supervision.

The complaint alleged that staff were not providing care to Resident #1 and were unnecessarily calling 911. The investigation revealed that Resident #1 had dementia and altered mental status, with documented incidents requiring emergency services. Staff and family member interviews supported that care and supervision were adequate. The allegation was unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff did not prevent a resident from eloping while in care.

The investigation found sufficient evidence to substantiate the allegation that staff failed to prevent a resident with dementia from wandering unattended outside the facility. The facility lacked surveillance cameras but is considering installing them and using tracking fobs to prevent future elopements.

The complaint was substantiated. The allegation involved Resident #1 wandering unattended outside the facility. Interviews and document reviews confirmed the resident was placed as an Assisted Living resident with frequent observation, but supervision was insufficient to prevent elopement.

The visit was an unannounced complaint investigation conducted in response to allegations that the facility failed to report suspected abuse and neglect of residents in care.

The investigation found insufficient evidence to substantiate the allegations of abuse and neglect. Interviews with staff, residents, and family members did not corroborate the claims, and no health or safety issues were observed during the visit.

The complaint alleged that a staff member held and pushed a pillow over the face of Resident #1 and that Resident #2 was found covered in urine and feces lying on the floor, with neglect attributed to night shift staff. The allegations were refuted by staff supervisors and not corroborated by other staff or residents. The allegation was deemed unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not respond timely to a resident's alerts and did not provide adequate care and supervision.

The investigation found that six out of seven residents reported timely staff response to service calls, and seven out of seven residents stated staff provided professional and satisfactory care. Therefore, the allegations were deemed unsubstantiated.

The complaint was unsubstantiated based on interviews and observations. Allegations included staff not responding timely to resident alerts and inadequate care and supervision, both of which were not proven.

An unannounced complaint investigation visit was conducted to investigate an allegation of staff physically abusing a resident at the facility.

The investigation found insufficient evidence to corroborate the allegation of physical abuse by staff against the resident. Interviews with staff, residents, and a family member did not support the claim, and the allegation was deemed unsubstantiated.

The allegation involved staff physically abusing Resident #1 during a diaper change in January 2025. Multiple staff and residents interviewed denied witnessing or hearing of any abuse. The resident had passed away prior to the investigation. The family member confirmed professional and respectful treatment of the resident. The allegation was unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff spoke inappropriately to a resident.

The allegation that staff spoke inappropriately to Resident #2 was substantiated based on interviews with staff and the resident. The facility took corrective action by disciplining the caregiver and removing them from providing direct care to the resident.

The complaint alleged that staff caregiver (S7) yelled at Resident #2 (R2) and acted unprofessionally and rudely. The allegation was substantiated after interviews with staff and the resident. The caregiver received a written warning and was removed from providing direct care to R2.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not prevent a resident from eloping while in care.

The investigation substantiated that Resident 1, diagnosed with dementia, eloped from the facility unsupervised on two occasions, posing a potential health and safety risk. Staff interviews and record reviews confirmed the lack of adequate supervision.

The complaint alleged that staff did not prevent a resident from eloping. The allegation was substantiated based on records review and interviews. Resident 1 was found wandering outside the facility on two occasions and was returned safely. The facility was notified and plans for staff retraining were made.

An unannounced complaint investigation was conducted to investigate allegations that night shift staff were not meeting the incontinence needs of residents in the memory care unit.

Observations of resident bedrooms and interviews with staff and residents revealed that all residents appeared clean and dry, with no evidence of neglect in incontinence care. The allegation was deemed unsubstantiated based on these findings.

The complaint alleged that night shift staff neglected to provide incontinence service assistance to memory care residents. After investigation, including observations and interviews, the allegation was found to be unsubstantiated.

Unannounced complaint investigation visit conducted due to allegations that staff did not prevent a resident from sustaining a fracture and did not seek medical attention in a timely manner.

Investigation found that facility staff failed to report a resident's fall incident to supervisory staff and did not provide required medical assessment and treatment in a timely manner, posing an immediate health and safety risk. The allegations were substantiated and a civil penalty was issued.

The complaint was substantiated. Facility staff failed to prevent a resident from sustaining a fracture and did not seek medical attention in a timely manner. Staff failed to report the fall incident, delayed notifying hospice, and did not conduct proper injury assessments.

An unannounced complaint investigation was conducted to investigate the allegation that unqualified staff was providing care and supervision at the facility.

The investigation substantiated that Staff#1, who functions primarily as a memory care activities assistant, did not have documented proof of completing all required 'in-service' staff trainings, posing a potential health and safety risk to residents.

The complaint alleged that unqualified staff was providing care and supervision. The allegation was substantiated based on review of Staff#1's employee file and corroborative statements indicating lack of documented proof of completed trainings.

The inspection was conducted as a complaint investigation following allegations received on 09/28/2023 regarding lack of planned activities, hydration, residents' rights to wear their own clothes, and assistance during overnight shifts.

Three allegations regarding activities, hydration, and residents' clothing were found unsubstantiated based on interviews and observations. One allegation regarding inadequate assistance during overnight shifts was substantiated due to inconsistent night shift rounds and staffing coverage, posing a potential health and safety risk.

The complaint investigation was triggered by allegations that staff did not provide planned activities, hydration between meals, residents' right to wear their own clothes, and assistance during overnight shifts. The first three allegations were unsubstantiated, while the allegation about overnight assistance was substantiated.

The visit was conducted to investigate multiple allegations received on 2024-09-30 regarding inadequate incontinence care, lack of laundry service, and improper medication distribution at Pacifica Senior Living Hollywood Hills.

Based on records review, staff and resident interviews, and observations, all allegations were found to be unsubstantiated. Staff provide incontinence care, laundry service, and medication administration as prescribed, although some residents expressed frustration with response times and service frequency.

The complaint investigation was unannounced and focused on allegations that staff did not meet residents' incontinence needs, failed to provide laundry service, and did not distribute medications as prescribed. After thorough investigation, all allegations were determined to be unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate allegations that staff did not respond timely to a resident's alerts and did not provide adequate care and supervision.

The investigation found that staff did respond timely to resident service calls and provided adequate care and supervision. Interviews, observations, and record reviews did not substantiate the allegations, which were deemed unsubstantiated.

The complaint alleged that staff failed to respond timely to a resident's service call button and did not provide adequate care and supervision. The investigation found no evidence to support these allegations, and they were unsubstantiated.

The visit was an unannounced complaint investigation triggered by allegations received on 2023-08-22 regarding unexplained bruises on a resident and staff not safeguarding a resident's personal belongings.

The investigation found the allegations unsubstantiated based on staff interviews, records review, and external observations including a police health check and hospice staff input. No suspicious injuries or evidence of staff negligence were found.

The complaint involved two allegations: 1) Resident sustained multiple unexplained bruises; 2) Staff did not safeguard resident’s personal belongings. Both allegations were deemed unsubstantiated after review of medical records, staff interviews, and external checks.

The visit was conducted as a complaint investigation following allegations of insufficient staff supervision leading to residents entering other residents' rooms and inadequate food service resulting in a resident missing breakfast.

Based on observations, records review, and interviews with residents and staff, both allegations were found to be unsubstantiated. Staffing levels were deemed sufficient to prevent unauthorized room entry and to provide adequate food service.

The complaint alleged that staff did not supervise residents adequately, causing residents to enter other residents' rooms, and that staff did not provide adequate food service, resulting in a resident missing breakfast. Both allegations were investigated and found unsubstantiated.

The visit was conducted to investigate complaints alleging staff mismanagement of resident medication and insufficient staffing to meet resident needs at Pacifica Senior Living Hollywood Hills.

The investigation included records review, staff and resident interviews, and a physical plant tour. Both allegations were found to be unsubstantiated based on evidence that medication was administered as prescribed with a corrected notation error, and staffing levels were adequate to meet resident needs.

The complaint investigation was unannounced and focused on two allegations: medication mismanagement and insufficient staffing. After review and interviews, both allegations were determined to be unsubstantiated.

The visit was a subsequent complaint investigation related to complaint #31-AS-20240724164758, conducted to assess compliance and investigate deficiencies at the facility.

The investigation found that the facility's documentation retention policy was not in compliance with California Title 22 requirements, as records were only retained for 90 days instead of the required minimum of three years, representing a potential health and safety issue.

The visit was triggered by complaint #31-AS-20240724164758. The deficiency related to records retention was substantiated during the investigation.

An unannounced complaint investigation was conducted regarding an allegation that staff did not assist a resident with mobility needs in a timely manner.

The investigation found that the allegation was unsubstantiated. Staff addressed the resident's wheelchair issue on the same day it was reported, and the resident confirmed their mobility needs were met timely.

The complaint alleged that staff did not assist Resident #1 with mobility needs promptly due to a loose wheelchair leg pad causing irritation. Interviews and observations confirmed the issue was resolved the same day, and the allegation was unsubstantiated.

The visit was conducted as a case management visit in conjunction with a complaint investigation related to a theft of a resident's personal belongings.

The facility failed to report the theft of a resident's personal property to law enforcement within the required timeframe, violating theft and loss policies. The deficiency was addressed during the visit by implementing staff in-service training.

The complaint investigation was related to theft of resident #1's personal belongings. The facility did not comply with reporting requirements to law enforcement, which posed a potential personal rights risk to residents.

The inspection was conducted as an unannounced complaint investigation regarding an allegation that staff did not safeguard a resident's personal belongings, specifically jewelry items belonging to Resident #1.

The investigation found that the facility has theft and loss policies prominently posted and staff are trained on these policies. Resident files showed acknowledgment of these policies. Interviews with residents denied the allegation, and there was no preponderance of evidence to prove the alleged violation. Therefore, the complaint was unsubstantiated.

The complaint alleged that staff did not safeguard Resident #1's personal belongings, specifically jewelry items, which were reported stolen. After investigation including interviews and record reviews, the allegation was found unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted due to allegations that the facility was in disrepair and that personnel requirements, specifically annual First Aid training for staff, were not being met.

The allegation of facility disrepair was unsubstantiated after physical inspection and interviews, with no health and safety issues observed. However, the allegation that annual First Aid training was not provided to staff was substantiated, with training pending and scheduling efforts in progress.

The complaint investigation included two allegations: 1) Facility is in disrepair, which was unsubstantiated; 2) Personnel requirements not met, specifically annual First Aid training not completed, which was substantiated.

The visit was conducted as a complaint investigation following a complaint received on 07/24/2024 alleging that staff was providing false information to residents.

Interviews with residents and staff did not corroborate the allegation. Six of seven residents and five of seven staff stated they had neither heard nor witnessed the Administrator providing false information. The allegation was determined to be unsubstantiated based on observations, interviews, and document review.

The complaint alleged that staff was providing false information to residents. The investigation found no preponderance of evidence to substantiate the allegation, and it was deemed unsubstantiated.

The visit was conducted to investigate a complaint alleging that staff did not comply with reporting requirements related to an injury sustained by a resident.

The investigation found that staff were aware of the resident's injury and submitted the required incident report in a timely manner according to regulations. The allegation that staff failed to follow proper reporting requirements was unsubstantiated.

The complaint alleged that staff did not submit an incident report for a resident injury as required by Title 22 reporting requirements. The allegation was found to be unsubstantiated after review of documents and interviews.

The inspection visit was an unannounced continuation of the required 1 Year Annual Inspection conducted on 06/06/2024 to observe, review, and inspect remaining inspection domains at the facility.

The facility was found to have no immediate health and safety hazards. Fire detection and protection systems were functional and maintained, kitchen and medication storage met requirements, laundry and common areas were clean and safe, resident bedrooms and bathrooms were properly equipped and maintained, and resident and staff records were complete and current.

The inspection was an unannounced required annual visit and inspection of the facility conducted by the Licensing Program Analyst.

The facility was inspected for cleanliness, condition, infection control protocols, and resident records. Resident records appeared complete and current. The annual inspection was not fully completed due to time constraints and will be completed at a later date.

An unannounced complaint investigation visit was conducted to investigate allegations that staff were not assisting a resident with incontinence needs, did not respond to the resident's call button in a timely manner, and did not allow the resident to manage their own medication.

The investigation found that the resident was not allowed to self-administer medications due to safety concerns confirmed by the resident's physician and service plan. The allegation regarding untimely response to call buttons and incontinence needs was unsubstantiated based on resident interviews and observations.

The complaint was unsubstantiated. Allegations included staff not assisting with incontinence needs, delayed response to call button, and restricting resident from managing own medication. Observations and interviews did not support these allegations.

An unannounced complaint investigation was conducted to investigate allegations that staff were not dispensing medication as prescribed and that staff did not respond to resident call buttons in a timely manner.

The investigation substantiated that a resident missed a dose of METFORMIN 500 MG on February 18, 2024, due to delayed medication delivery and failure to report the incident. Another allegation regarding staff response to call buttons was unsubstantiated based on observations and interviews.

The complaint investigation was substantiated regarding missed medication dose due to delayed delivery and lack of incident reporting. The allegation about delayed staff response to call buttons was unsubstantiated after interviews and observations.

An unannounced complaint investigation was conducted in response to an allegation that the facility's central heating system was not working.

The investigation found that the central heating system was not working on the fourth and sixth floors of the assisted living portion, but the facility maintained a comfortable temperature using portable heaters and timely repairs. The allegation was substantiated without deficiency.

The complaint was substantiated. The heating system issues were limited to two floors, with mitigation measures in place including portable heaters and frequent repairs. Residents interviewed mostly reported no heating issues.

An unannounced complaint investigation visit was conducted due to allegations that the facility did not prevent a resident from developing a stage 4 pressure injury and did not seek medical attention in a timely manner.

The investigation substantiated that Resident #1 developed prohibited health conditions including multiple pressure injuries while in care. The facility failed to seek proper medical attention or a higher level of care in a timely manner, resulting in significant health risks to the resident.

The complaint was substantiated. The facility failed to prevent the development of a stage 4 pressure injury and did not seek timely medical attention for Resident #1, resulting in prohibited health conditions and delayed hospital transfer.

The inspection was conducted as a complaint investigation following an allegation that residents wandered away due to lack of supervision.

The investigation substantiated the allegation that a resident eloped from the memory care unit due to staff failing to ensure the elevator was properly secured and locked, posing a potential health and safety risk.

The complaint was substantiated. Resident #1 eloped from the memory care unit on 09/21/2023 and was missing for several hours before being returned by police. Staff did not ensure the elevator was locked, contributing to the elopement.

The visit was a case management inspection conducted in conjunction with complaint number 31-AS-20230928100059 to investigate an incident involving a resident eloping from the memory care unit.

The facility failed to report the elopement incident of resident #1 as required, submitting invalid documentation that did not match the incident report, resulting in a citation for failure to report.

The visit was triggered by complaint number 31-AS-20230928100059. The complaint was substantiated by the finding that the facility did not report the elopement incident as required.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-04-28 regarding emergency lighting availability, staff assistance during meals, and resident injuries due to staff neglect.

The investigation found insufficient evidence to substantiate the allegations related to emergency lighting, meal assistance, and resident injuries. Observations and interviews confirmed emergency lighting was available, staff provided appropriate meal assistance, and the resident's injuries were not linked to staff neglect. No deficiencies or health and safety hazards were cited.

The complaint involved three main allegations: lack of emergency lighting during an emergency, improper staff assistance during meals, and resident injuries due to staff neglect. All allegations were found to be unsubstantiated after interviews, observations, and record reviews.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-05-13 regarding insufficient staffing and neglect leading to a resident's wound infection.

Based on observations, interviews, and record review, there was insufficient evidence to substantiate the allegations of inadequate staffing and neglect causing a resident's wound infection. No health and safety hazards were noted and no deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included that resident needs were not met due to lack of staffing and that neglect caused a resident wound infection. Interviews with residents and staff, as well as record reviews, did not corroborate these allegations.

An unannounced complaint investigation was conducted in response to an allegation that staff over medicated a resident in care.

The investigation found no sufficient evidence to support the allegation. Records showed the resident had not been given the alleged medication for over a month, and staff interviews confirmed medication was administered only as needed. The allegation was determined to be unsubstantiated.

The complaint alleged that staff over medicated a resident. The investigation included document review, physical plant tour, and staff interviews. The allegation was found to be unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-02-21 regarding resident personal belongings not being safeguarded, residents being left soiled, a resident injury from a fall, and insufficient staffing.

After interviews, record reviews, and observations, none of the allegations were substantiated. There was no evidence of missing belongings, residents left soiled, fall injuries, or insufficient staffing. Staff and residents reported adequate care and staffing levels, and no health and safety hazards were noted during the visit.

The complaint investigation was unsubstantiated. Allegations included missing resident belongings, residents left soiled for extended periods, resident injury from a fall, and insufficient staffing. Investigations included interviews with staff, residents, and other parties, document reviews, and physical plant tours. No evidence was found to verify the allegations.

An unannounced complaint investigation visit was conducted following a complaint received on 2023-04-28 regarding the facility staff not providing non-slip mats for residents' showers.

The investigation found that the facility staff do not provide non-slip mats to residents, with only 2 out of 13 observed bedrooms having non-slip mats in the bathroom showers. The allegation was substantiated, but no health and safety hazards were noted during the visit.

The complaint was substantiated based on observations and interviews confirming the lack of non-slip mats in residents' showers.

An unannounced complaint investigation visit was conducted to investigate allegations that residents were being mistreated while in care.

The investigation found no evidence of mistreatment or neglect. Interviews with staff and residents, as well as record reviews, did not substantiate the allegations. No health and safety hazards were noted during the visit.

The complaint alleged mistreatment of residents. The allegation was unsubstantiated based on interviews and record review.

An unannounced complaint investigation visit was conducted to investigate allegations that the heater was not working in residents' rooms on the 3rd floor.

The investigation found that the heating system on the 3rd floor had been malfunctioning since December 12, 2022, affecting four out of eight occupied bedrooms. The facility had an ongoing heating and air conditioning issue since July 2022 and had failed to correct the problem following a previous complaint investigation in September 2022. The allegation was substantiated.

The complaint investigation was substantiated based on interviews, record review, and observations. The facility had an ongoing heating issue since July 2022 and failed to correct the problem after a prior complaint investigation on 09/23/2022.

An unannounced complaint investigation visit was conducted to investigate allegations that the facility was not providing residents with an adequate quantity of food and that the air conditioning was not in proper working condition in residents' rooms.

The investigation found no sufficient evidence to substantiate the allegations. Residents reported adequate and sufficient food with variety and nutrition, and the facility had addressed air conditioning issues on the 3rd floor by providing portable air conditioners and initiating repairs. Temperatures in inspected rooms were within regulatory range.

The complaint investigation was unannounced and conducted on 09/30/2022. The allegations were unsubstantiated based on observations, interviews, and record reviews.

The inspection was a required one-year unannounced infection control visit to assess compliance with infection prevention and control measures.

The facility was found to be in compliance with infection control standards, with no deficiencies cited. Observations included proper signage, PPE availability, clean and well-maintained kitchen, bedrooms, bathrooms, medication storage, and common areas. Fire safety equipment was tested and passed.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility did not issue a refund to the authorized representative upon a resident's death.

The investigation substantiated that the facility failed to issue a refund in the correct amount to the resident's Power of Attorney after the resident passed away, which may pose a potential health and safety risk to clients in care.

The complaint was substantiated. The allegation was that the facility charged $2,200 for extended level of care while the resident was hospitalized and did not refund the remainder of the rent. The facility refunded only a prorated amount for two days of March after a 30-day notice was given, but the resident passed away before the notice period ended. The admission agreement states termination upon death. The facility cleared the resident's room before the 30-day notice period ended. The investigation concluded the allegation was substantiated.

The visit was an unannounced case management follow-up on an incident reported on 2022-05-03 involving a missing booklet of coin collection belonging to Resident #1.

The Licensing Program Analyst conducted interviews and a physical plant tour, confirming that the missing item was not declared on the resident's inventory list. The Executive Director reported the incident to the police and conducted an internal investigation and staff in-service. No health and safety issues were observed during the visit.

Unannounced case management visit to follow up on an incident reported on 2022-05-04 involving an allegation that Resident #1 inappropriately touched Resident #2.

Interviews and record reviews did not substantiate the allegation of inappropriate touching. No health and safety issues were observed during the visit.

The complaint involved an allegation that Resident #1 touched Resident #2 inappropriately. Interviews with residents and staff did not confirm the incident, and the complaint was not substantiated.

The visit was an unannounced case management follow-up on a self-reported incident by the facility that occurred on 12/24/2021 involving an allegation of resident abuse.

The investigation included interviews and a body and skin check of the resident, which revealed no bruising or concerns. The resident denied the incident, but further investigation was deemed necessary based on documents and interviews.

The complaint involved an allegation that a resident was manhandled and assaulted by another individual. The resident denied the incident, and no physical evidence was found. The Licensing Program Analyst determined further investigation was required.

An unannounced complaint investigation was conducted to investigate an allegation of lack of supervision resulting in a resident wandering away from the facility.

Based on interviews and document review, it was concluded that the resident did not wander away from the facility. The complaint was found to be without a reasonable basis and was dismissed. No health and safety hazards were noted during the visit.

The complaint alleged lack of supervision resulting in resident wandering away from the facility. The allegation was investigated and deemed unfounded after confirming the resident left the hospital against medical advice and was located by staff using a cell phone tracker.

Unannounced case management visit to follow up on a self-reported incident that occurred on 2021-11-10 involving a resident.

No immediate health and safety issues were noted during the visit. Further investigation was determined to be required based on documents obtained.

Unannounced case management visit to follow up on an incident that occurred on 9/11/21 involving a resident found outside the facility.

No immediate health and safety issues were noted during the visit. Further investigation is required based on documents obtained.

An unannounced complaint investigation was conducted in response to allegations that the facility was not isolating a COVID-19 positive resident and staff had not notified residents or responsible parties of confirmed COVID cases, as well as allegations that facility staff were not wearing masks.

The investigation found the allegations regarding failure to isolate a COVID-19 positive resident and failure to notify were unfounded as there were no active COVID-19 cases at the time and proper isolation/quarantine procedures were followed. However, the allegation that staff were not wearing masks was substantiated based on observations of staff not wearing masks, posing a potential health and safety risk.

The complaint investigation was initiated due to allegations that the facility was not isolating a COVID-19 positive resident and staff had not notified residents or responsible parties of confirmed COVID cases, and that staff were not wearing masks. The first allegations were found to be unfounded, while the mask-wearing allegation was substantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility charged a $2,000 fee for a resident and then refused to admit the resident.

The investigation found no sufficient information to support the allegation, which was therefore unsubstantiated. No health and safety hazards were noted during the visit.

The complaint alleged that the facility charged a $2,000 community fee for Resident #1 and then refused admission. The investigation revealed that the resident was not admitted due to changes in health condition and that the fee was refunded. The allegation was unsubstantiated.

An unannounced complaint investigation was conducted in response to allegations including unqualified staff providing care, residents being left on the floor for extended periods, and facility staffing shortages.

Based on interviews and record review, there was insufficient information to support the allegations, and all were determined to be unsubstantiated at this time.

The complaint investigation addressed multiple allegations such as unqualified staff providing care, residents left on the floor for extended periods, and staffing shortages. The investigation found no sufficient evidence to substantiate these allegations.

The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing and infection control requirements.

The facility was found to be in compliance with no deficiencies cited. All residents and staff are fully vaccinated, and COVID-19 mitigation procedures including isolation, quarantine, and PPE use are properly implemented and maintained.