Inspection Reports for Manzanita Village Senior Living

An unannounced complaint investigation was conducted following an allegation that facility staff was negligent in a resident's death.

The investigation found that the resident became agitated during showering, fell and struck their head, and despite staff efforts, the fall was not prevented. The facility complied with protocols and safety measures, and the cause of death was accidental blunt force trauma. The allegation of staff negligence was unsubstantiated.

The complaint alleged negligence by facility staff in a resident's death. The allegation was found unsubstantiated based on interviews, observations, and records reviewed.

The visit was an unannounced Case Management with Deficiencies inspection conducted to assess care and supervision following information received on May 14, 2025, about a resident wandering into another resident’s room.

The facility was found to have sufficient staff, adequate food and medication supplies, and no immediate health or safety threats. However, a deficiency was cited for failure to prevent a resident from wandering into another resident’s room, posing an immediate risk to health and safety.

The visit was an unannounced Health and Safety case management visit conducted to assess the facility's compliance with health and safety standards.

No immediate threats to the health, safety, or welfare of residents were observed. The facility was clean, well-organized, with sufficient staff and supplies, and no deficiencies were cited during the visit.

The inspection was an unannounced continuation of a required annual inspection to evaluate compliance with regulatory requirements at the facility.

The inspection found the facility generally in compliance with regulatory standards, including physical plant safety, staffing, food service, medical and dental care, and resident records. Minor issues such as missing furniture in some rooms were addressed during the visit and resulted in an advisory notice. No deficiencies were cited at the time of the visit.

The inspection was a required annual unannounced visit conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.

The facility has an Infection Control Plan that was last reviewed in 2022 and is currently followed during outbreaks. The Plan of Operation and emergency preparedness plans are in place. Staff have appropriate fingerprint clearances and training, though postural support training was incomplete for four care staff members. Several required resident rights notices were not posted, resulting in advisory notices. A follow-up visit is needed to complete the inspection due to insufficient time.

The inspection was an unannounced visit to follow up on alleged thefts involving residents' property and valuables at the facility.

The investigation revealed multiple reports of theft involving two residents, including unauthorized withdrawals and transactions totaling up to $8,000. The staff member implicated was discharged, and law enforcement was notified. Additional time is required to complete the investigation.

The visit was triggered by complaints of theft involving residents R1 and R2. Allegations included unauthorized withdrawals and missing funds. The staff member involved was identified as S1 and was discharged. Attempts to obtain a statement from S1 were unsuccessful. Law enforcement was involved.

The visit was an unannounced Case Management Death Report inspection in response to the death of Resident #1, reported on 09/09/2024, who died of unknown cause on 09/07/2024.

During the visit, the Licensing Program Analyst reviewed Resident #1's file and related documents. No deficiencies were cited during this inspection.

The inspection was an unannounced visit to follow up on two incident reports received from the facility relating to alleged theft of personal items belonging to a resident.

The Licensing Program Analyst reviewed and collected relevant records related to the alleged theft. Additional time is required to conclude the investigation and obtain further information.

The visit was triggered by two reports of theft of personal items belonging to Resident One (R1). The investigation is ongoing and not yet concluded.

The inspection was an unannounced visit to continue the required annual inspection of the facility.

The facility was found to be clean, well-maintained, and compliant with licensing requirements. No citations were issued during this visit. Staff training and resident care plans, including hospice care, were in place and up to date.

Licensing Program Analyst Stephanie Martinez made an unannounced visit to conduct a required annual inspection of the facility.

Staff interviews showed sufficient knowledge and awareness in providing appropriate care and supervision. The Emergency Disaster Plan requires updates as it incorrectly states an emergency generator is available, but the facility has none on premises. A return visit will be conducted to complete the inspection due to insufficient time.

An unannounced complaint investigation was conducted in response to allegations that staff refused to accept a resident back into care following hospitalization and failed to ensure prompt communication with the resident's representative.

The investigation found that the facility did not deny the resident's return but recommended transfer to a skilled nursing facility for appropriate care. Communication with the resident's representative was not fully documented, and attempts to contact the representative were unsuccessful. Due to insufficient information, both allegations were deemed unsubstantiated.

The complaint was unsubstantiated due to insufficient evidence to prove the alleged violations occurred. Allegations included refusal to accept resident back after hospitalization and failure to promptly communicate with the resident's representative.

The inspection was conducted as a pre-licensing visit for a change in ownership to serve as a residential facility for the elderly, ages 60 and above.

The facility was toured and found to have appropriate accommodations including furniture, linens, private bathrooms, emergency exits, fire and carbon monoxide detectors, kitchen supplies, medication carts, and functional laundry equipment. The fire clearance was reviewed and emergency plans were current.