Inspection Reports for Kirkwood Orange

The inspection was an unannounced required annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.

The facility was found to be in compliance with no deficiencies noted. The physical plant, emergency preparedness, infection control, medication administration, and documentation were all satisfactory.

The inspection was an unannounced Required Annual Inspection conducted by Licensing Program Analysts to evaluate compliance with regulations at the facility.

The facility was found generally compliant with safety and operational standards, including secure medication storage, emergency preparedness, and resident accommodations. However, one Type B deficiency was issued for outdated medical assessments in resident files, and two Technical Assistance advisory notes were given regarding staff association and hand-washing facilities.

The visit was an unannounced case management inspection conducted due to an incident report received on April 24, 2024, regarding a medication error that occurred on April 22, 2024.

The inspection found that resident 1 (R1) received a medication error involving a double dose of prescribed medication, posing a potential health and safety risk. Citations were issued per Title 22 Division 6 of the California Code of Regulations.

The visit was triggered by a complaint/incident report regarding a medication error involving resident 1 (R1). The error was substantiated by interviews and document review. Resident 1 was placed on a 48-hour observation and assessed by a physician. No health and safety concerns were expressed by the resident during the interview.

An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2024-05-03 regarding staff safeguarding resident personal items, facility odor, staff conduct, provision of daily activities, and pest control.

The investigation found no corroboration for most allegations based on resident and staff interviews, observations, and documentation review. However, some residents reported occasional sightings of cockroaches, though pest control measures were in place. Overall, there was insufficient evidence to substantiate the allegations, and the complaint was deemed unsubstantiated.

The complaint included allegations that staff did not safeguard residents' personal items, failed to keep the facility free from marijuana odor, posed risks to residents, did not provide daily activities, and did not keep the facility free from pests. The investigation found these allegations unsubstantiated due to lack of corroborating evidence.

The visit was an unannounced complaint investigation triggered by allegations that the facility did not provide medications to residents as prescribed and failed to follow reporting requirements of missed medications to the department.

The investigation substantiated that the facility missed medications for 9 residents on 12/16/2023 and delayed reporting the incidents to the department until 12/29/2023. Interviews with residents and staff confirmed the missed medications and failure to report in a timely manner, posing immediate and potential health and safety risks.

The complaint was substantiated based on interviews, document reviews, and observations. The facility missed medications for 9 residents and failed to report the incidents within the required timeframe due to management and staffing changes.

Unannounced visit to investigate a complaint received on 10/26/2022 alleging that a resident sustained a fracture while in care.

The complaint was substantiated based on observations, interviews, and record reviews. It was found that a night shift caregiver was not paying attention and moved the resident's legs incorrectly, causing injury, and failed to report the incident to a supervisor. Deficiencies were issued per Title 22, California Code of Regulations.

Complaint alleging that a resident sustained a fracture while in care was substantiated. The investigation found that the night shift caregiver moved the resident's legs incorrectly and failed to report the injury.

An unannounced visit was conducted to perform a case management and health and safety check in conjunction with complaint number 22-AS-20221026170408.

The facility was found to be in good repair with no immediate threats to resident health and safety. Fire and safety equipment were operational and recent fire inspections were passed. No citations were issued during this visit.

Visit was conducted in response to complaint 22-AS-20221026170408. No immediate threats or citations were found.

The inspection was an unannounced Required 1 Year inspection conducted to evaluate the facility's compliance with regulatory standards.

The facility was found to be clean and sanitary with all required elements present. No deficiencies were cited during the inspection. COVID-19 precautions and emergency preparedness measures were observed and found adequate.

The inspection was an unannounced Required 1 Year inspection conducted to evaluate the facility's compliance with licensing requirements.

The facility was found to be clean and sanitary with all required elements present, including COVID-19 precautions, emergency supplies, and updated resident files. No deficiencies were cited during the inspection.