Inspection Reports for
Ivy Park at Santa Monica

The facility was found to be in good condition with no observed deficiencies. Staff files, resident files, medication administration, physical plant, safety equipment, and food supplies were all reviewed and found compliant with regulations.

The facility was found to be in compliance with all applicable regulations with no deficiencies observed. The physical plant, staff files, resident files, medication administration, safety equipment, and food supplies were all inspected and found to be satisfactory.

The complaint investigation was unsubstantiated. Allegations included staff mismanaging medication, failure to re-evaluate residents before memory care placement, inadequate activities and transportation, unclean rooms, lack of bedding provision, and restrictions on resident participation in activities. Interviews with staff and residents, document reviews, and observations did not support these allegations.

The investigation included interviews with staff and residents, review of documentation, and facility observations. All allegations were found to be unsubstantiated due to lack of preponderance of evidence proving the alleged violations occurred.

The complaint investigation was unsubstantiated. Allegations included staff mismanaging medication, failure to re-evaluate residents before memory care placement, lack of activities, inadequate transportation, unclean rooms, lack of bedding, and restricting resident participation in activities with their husband. Interviews and document reviews did not support these allegations.

The investigation included interviews with staff and residents, document reviews, and observations. All allegations including medication mismanagement, lack of resident re-evaluation before memory care placement, inadequate activities, transportation issues, room cleanliness, bedding provision, and restrictions on resident participation in activities were found to be unsubstantiated due to insufficient evidence.

The licensing analyst reviewed assessment documents for the involved residents, confirmed they were separated into different rooms, and observed no health or safety concerns during the visit.

The Administrator reported that the involved residents were separated into different rooms, responsible parties were notified, and staff will continue to monitor behaviors. No health or safety concerns were observed during the visit.

The complaint investigation was unsubstantiated. Allegations included staff not meeting dietary needs by not grinding food as ordered and isolating a resident without informing them. Interviews and document reviews did not support the allegations sufficiently to confirm violations.

The investigation found that 5 of 6 residents and all staff denied the dietary needs allegation, with one resident confirming the dinner was not ground as ordered. Regarding isolation, 5 of 6 residents and all staff denied improper isolation, with documentation showing isolation was ordered by a doctor and responsible party notified. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included staff not meeting dietary needs and isolating a resident without informing them. Interviews, document reviews, and observations were conducted. Evidence did not support the allegations sufficiently to confirm violations.

The investigation found that 5 of 6 residents and all staff denied the dietary needs allegation, with only 1 resident confirming the issue regarding ungrounded food. Regarding isolation, 5 of 6 residents and all staff denied improper isolation, with documentation supporting isolation orders and notification. The allegations were ultimately unsubstantiated due to insufficient evidence.

The complaint included allegations of inadequate supervision leading to a resident fall, unmet hygiene needs, unsanitary and disrepair conditions including mold, verbal mistreatment of a resident, and unsafe environment. The investigation involved interviews with staff, residents, and review of facility records. The allegations were found unsubstantiated due to lack of evidence.

The investigation found no evidence to support the allegations. Interviews with staff and residents, facility record reviews, and physical inspections revealed that the facility maintained a clean, safe, and sanitary environment, provided appropriate care and supervision, and addressed maintenance requests promptly. The allegations were determined to be unsubstantiated.

The complaint included allegations of inadequate supervision leading to a resident slipping in the shower, failure to meet hygiene needs, unsanitary and disrepair conditions including mold, staff yelling at a resident, and an unsafe environment. The investigation involved interviews with staff and residents, review of facility records, and physical inspection. The resident involved was independent and had a private care provider present during the fall. No evidence was found to substantiate the allegations, and the complaint was deemed unsubstantiated.

After interviews, facility inspections, and record reviews, the investigation found no evidence to support the allegations. The resident was found to be largely independent, the facility was maintained in a clean and safe condition, and staff interactions were professional. The allegations were determined to be unsubstantiated.

The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All safety equipment was operable, infection control practices were followed, and no citations were issued.

The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All safety equipment was operable, infection control practices were followed, and no discrepancies were found in medication administration records. No citations were issued.

The complaint alleged that a resident was admitted to the hospital after the facility failed to provide insulin medication for at least 5 days. The allegation was unsubstantiated based on interviews and record review.

The investigation found insufficient evidence to support the allegation that facility staff did not administer medication as prescribed. Interviews with staff and residents, as well as record reviews, indicated that the resident self-administered insulin and staff witnessed it. The allegation was determined to be unsubstantiated and no deficiencies were cited.

The complaint alleged that a resident was admitted to the hospital after the facility failed to provide insulin medication for at least 5 days. The investigation found no evidence to support this allegation, and it was determined unsubstantiated.

The investigation included interviews with staff and residents and review of medication records. The allegation was found to be unsubstantiated due to insufficient evidence, with staff and residents denying the claim and records showing the resident self-administered insulin with staff witnessing.

The allegation was that staff did not safeguard resident’s personal belongings. The allegation was unsubstantiated after interviews with 6 staff and 6 residents, and observations of residents' rooms.

The investigation included interviews with staff and residents, review of records, and room inspections. All interviewed staff and residents denied the allegation, and observations showed residents' belongings were secured. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not safeguard residents' personal belongings. The allegation was unsubstantiated after investigation, including interviews with six staff members and six residents, and room inspections.

The investigation included interviews with staff and residents, review of records, and room inspections. All interviewed staff and residents denied the allegation, and observations showed residents' belongings were secured. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The complaint involved two allegations: 1) staff overcharging residents for services, and 2) staff not providing residents with an itemized list of fees. The investigation included interviews with staff and residents, review of resident files, admission agreements, and billing. The allegations were found to be unsubstantiated due to lack of sufficient evidence.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff and residents, document reviews, and a facility tour revealed no present or imminent threat to resident health and safety, and the allegations were determined to be unsubstantiated.

The complaint involved two allegations: 1) staff overcharging residents for services, and 2) staff not providing residents with an itemized list of fees. Both allegations were investigated through interviews, document reviews, and facility tours. The findings were unsubstantiated due to lack of sufficient evidence.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff and residents, review of resident files, admission agreements, and billing showed that while some residents were not available or records were missing due to ownership changes, there was no clear proof of overcharging or failure to provide itemized fee lists. The allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff not managing resident illness during quarantine, not meeting toileting needs, not ensuring hallways were free from hazards, and not addressing inappropriate interactions between residents. Interviews and record reviews did not support these claims.

The investigation found no preponderance of evidence to substantiate any of the allegations. Staff and resident interviews, as well as record reviews, indicated that the alleged violations did not occur, resulting in all allegations being unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff not managing resident illness during quarantine, not meeting toileting needs, failing to keep hallways free from hazards, and not addressing inappropriate resident interactions. Interviews and record reviews did not support these claims.

The investigation found no preponderance of evidence to substantiate any of the allegations. Interviews with residents and staff, as well as record reviews, indicated that the alleged violations did not occur or were unsubstantiated.

The complaint investigation was triggered by allegations that the licensee did not provide notice of rate change to residents, was overcharging residents for services, and did not provide itemized lists of fees. Interviews with residents, staff, and the administrator, along with document reviews, found no preponderance of evidence to prove these allegations. The findings were unsubstantiated.

The investigation found that although allegations were made about rate change notices, overcharging, and itemized fee lists, there was insufficient evidence to substantiate any violations. The facility had seven active COVID-19 cases at the time of the visit, and all allegations were determined to be unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated. Allegations included failure to provide notice of rate change, overcharging residents, and not providing itemized fee lists. Interviews with residents, staff, and the administrator, along with document reviews, showed that notices were sent, residents were aware of rate increases due to operational costs, and itemized fees were included in resident agreements. No evidence supported the allegations.

The investigation found that although allegations were made regarding rate change notices, overcharging, and itemized fee lists, there was insufficient evidence to substantiate any violations. The facility had seven residents positive for COVID-19 at the time of visit, and all allegations were determined unsubstantiated with no deficiencies cited.

The facility was found to be in compliance with no deficiencies cited. All areas inspected, including resident rooms, bathrooms, common areas, and kitchen, were safe and well-maintained. Staff and resident records were reviewed and found complete with required certifications and assessments.

The facility was found to be in compliance with no deficiencies cited. Resident rooms, bathrooms, common areas, and kitchen were inspected and found to meet regulatory requirements. Staff and resident records were reviewed and found complete and current.

The complaint was unsubstantiated based on interviews with ten residents and ten staff members, observations during the facility tour, and record reviews. No evidence supported the allegations regarding resident care or dishwashing practices.

The investigation included interviews with residents and staff, a tour of the facility, and record reviews. No evidence was found to support the allegations, and the complaint was determined to be unsubstantiated. No deficiencies were cited during the visit.

The complaint was unsubstantiated based on interviews with ten residents and ten staff members, observations during the facility tour, and record reviews. No evidence supported the allegations of residents being left in soiled urine/feces or sharing plates with a dog.

The investigation included interviews with residents and staff, a tour of the facility, and record reviews. No evidence was found to support the allegations, and the complaint was determined to be unsubstantiated. No deficiencies were cited during the visit.

The complaint alleged that a resident was pushed by another resident resulting in a head injury due to lack of supervision. The allegation was unsubstantiated after investigation.

The investigation found no evidence to support the allegation. Interviews with residents and staff, as well as record reviews, did not substantiate the claim. No deficiencies were cited during the visit.

The complaint alleged that due to lack of supervision, a resident was pushed by another resident causing a head injury. The investigation found no evidence to support this allegation and deemed it unsubstantiated.

The investigation included interviews with residents and staff, a tour of the facility, and record reviews. No evidence was found to support the allegation, and no deficiencies were cited. The allegation was determined to be unsubstantiated.

The complaint alleged that a facility caregiver inspected Resident #1's genital area without consent, constituting sexual assault, and that staff were not following the resident's care plan. The investigation included interviews with staff, residents, and review of medical and care documents. The complaint was ultimately unsubstantiated due to lack of evidence.

The investigation found insufficient evidence to substantiate the allegations of sexual assault and failure to follow the care plan. Interviews with staff and residents, review of care plans, and incident reports did not support the claims. No deficiencies were cited during the visit.

The complaint involved allegations that a facility caregiver inspected a resident's genital area without consent, constituting sexual assault, and that staff were not following the resident's care plan. The complaint was unsubstantiated after investigation, including interviews with staff, residents, and review of care plans and incident reports. The reporting party later withdrew the complaint.

The investigation found no substantiated evidence to support the allegations. The sexual assault allegation was unsubstantiated due to lack of consent and no complaints from the resident or witnesses. The care plan was found to be generally followed, with some residents reporting no concerns, though one resident reported a missed shower. No deficiencies were cited during the visit.

The complaint was unsubstantiated. Allegations included failure to reassess resident, failure to notify POA of resident's change of condition, and improper rate increase notification. Staff and residents denied the allegations and provided supporting documentation. The investigation found no sufficient evidence to prove violations.

Based on interviews with staff and residents, review of documentation, and available evidence, there was insufficient evidence to substantiate the allegations. The facility provided documentation and communication records supporting their compliance, and no deficiencies were cited.

The complaint was unsubstantiated due to lack of sufficient evidence to prove the alleged violations. Staff provided documentation including admission agreements, physician reports, service plans, and correspondence with the POA. Residents interviewed expressed satisfaction with care and supervision.

The investigation included interviews with staff and residents, review of documentation, and communication records. Staff and residents denied the allegations and provided evidence of reassessments, notifications to POA, and proper rate increase notices. There was insufficient evidence to substantiate the allegations, and no deficiencies were cited.

The facility was found to be in compliance with infection control practices, including screening protocols, PPE availability, and sanitation. No deficiencies were cited during this inspection visit.

The facility was found to be in compliance with infection control practices, including screening protocols, PPE availability, and proper facility maintenance. No deficiencies were cited during this inspection visit.

The complaint alleged that facility staff were changing residents' special food preferences and not meeting nutritional needs. The investigation found no signed agreement for food preferences in one resident's file, but the facility provided meals according to USDA guidelines and accommodated texture-modified diets. A 30-day notice was given to one resident regarding discontinuation of their specific menu. Interviews with residents and staff confirmed accommodation of dietary needs. The complaint was unsubstantiated.

The investigation included interviews with residents and staff, review of facility records, and an inspection. No evidence was found to support the allegation that the facility failed to accommodate residents' food preferences and nutritional needs. The allegation was determined to be unsubstantiated.

The complaint alleged that facility staff were changing a resident's special food preferences and not meeting nutritional needs. The investigation found no preponderance of evidence to prove the alleged violations, resulting in an unsubstantiated finding.

The investigation included interviews, file reviews, and facility inspection and found no evidence to support the allegation. The facility was found to accommodate residents' dietary needs, and the complaint was determined to be unsubstantiated.