Inspection Reports for Merrill Gardens at Rolling Hills Estates

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

The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All safety equipment was operable, food supplies were adequate, and records including medication administration and personnel files were maintained in order. No citations were issued during this visit.

An unannounced case management visit was conducted to verify that the facility's delayed egress exits are back in working order.

The Licensing Program Analyst observed two delayed egress exits in working order with an open-release time of around 20 seconds and confirmed that alarms notify staff appropriately. No deficiencies were cited during the visit.

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.

The facility was found to be in good condition with no deficiencies noted. All resident rooms, safety equipment, infection control practices, and documentation were inspected and found to be in order.

The visit was an unannounced complaint investigation triggered by an allegation that a resident sustained a fracture while in care.

The investigation revealed multiple unwitnessed falls by Resident #1, including an initial fall outside the facility resulting in a fracture. Despite the incidents, there was insufficient evidence to substantiate neglect or lack of supervision by the facility, and the allegation was found to be unsubstantiated.

The complaint alleged neglect/lack of supervision resulting in a resident sustaining a fracture. The investigation included interviews, medical record reviews, and observations. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations including staff yelling at a resident, rough handling of a resident, delayed response to a resident's call for assistance, and failure to follow reporting requirements.

The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff, as well as document reviews, indicated that the allegations were unsubstantiated and no deficiencies were observed during the visit.

The complaint included allegations that staff yelled at a resident, handled a resident roughly, did not respond timely to a resident's call for assistance, and failed to follow reporting requirements. After investigation, these allegations were found to be unsubstantiated based on interviews and record reviews.

The visit was conducted as a Case Management follow-up on an incident report received by the department regarding an allegation of a resident being drugged and sexually assaulted by facility staff.

The Licensing Program Analyst did not observe any deficiencies during the investigation and therefore no citations were issued at this time.

The complaint involved an allegation by resident (R#1) that they were drugged and sexually assaulted by facility staff (S#1). The investigation included review of records, hospital discharge papers, and interviews with the administrator, staff, and residents. The complaint was not substantiated as no deficiencies were found.

The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations for the facility serving non-ambulatory elderly adults.

The facility was found to be sanitary, appropriately furnished, and compliant with safety and infection control standards. However, a deficiency was cited related to staff not documenting medication given to residents' family, posing a potential health and safety risk.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2022-11-16 alleging that facility staff did not provide residents' current medical records to emergency personnel, did not report incidents accurately, and did not dispense medication as prescribed.

The investigation included interviews with staff and residents, review of records, and a facility tour. All three allegations were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred. No deficiencies were cited.

The complaint involved three allegations: 1) Facility staff did not provide residents current medical records to emergency personnel; 2) Facility staff did not report incident accurately; 3) Staff did not dispense medication as prescribed. All allegations were investigated through interviews and record reviews and were found unsubstantiated.

The visit was an unannounced complaint investigation initiated to obtain additional information regarding allegations that facility staff did not properly transfer a resident causing a fall, did not respond to residents' call buttons in a timely manner, and did not maintain residents' hygiene.

The investigation included interviews with staff and residents, review of records, and observation. All allegations were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included improper resident transfer causing a fall, delayed response to call buttons, and failure to maintain residents' hygiene. Staff and residents denied the allegations, and records showed compliance with training and care plans.

The inspection was an unannounced complaint investigation triggered by an allegation that staff were mismanaging resident medication.

The investigation included interviews and record reviews which found that staff followed proper procedures for medication management, including documentation of refused or spilled medication. Residents and staff denied any mismanagement. The allegation was unsubstantiated due to lack of preponderance of evidence.

Allegation: Staff are mismanaging resident medication. The complaint was investigated through interviews with staff and residents, and review of training and care manuals. The allegation was found unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not providing adequate food service, specifically that food was served cold to residents.

The investigation found that residents reported food was served cold about 90% of the time, while staff stated food was served warm and reheated if needed. The heating lamp was broken but has since been repaired. The preponderance of evidence supported the allegation that residents were served cold food for all three daily meals over the last few weeks, resulting in a substantiated finding and a citation for violation of dietary quality and quantity requirements.

The complaint was substantiated. The allegation was that staff were not providing adequate food service, specifically serving cold food to residents. The investigation included interviews with staff and residents, kitchen inspection, and document review. The heating lamp was found broken but repaired during the investigation.

An unannounced case management incident visit was conducted following a Serious Incident Report (SIR) regarding a resident (R#1) possibly facing eviction due to non-compliance with medication management.

The facility was attempting to reassess R#1's medication management, but the resident and family were initially uncooperative. The facility decided not to proceed with eviction after working with the resident and primary care provider to adjust medication causing side effects.

The inspection was an unannounced complaint investigation triggered by an allegation that staff were not providing adequate food service, specifically that food was served cold to residents.

The investigation found that residents frequently received cold food for all three meals a day, substantiating the complaint. The heating lamp was broken but has since been repaired. Interviews with staff and residents, kitchen tours, and record reviews supported the finding that the food was often served cold.

The complaint was substantiated. The allegation was that staff were not providing adequate food service, specifically that food was served cold to residents. Interviews and observations confirmed the allegation.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-01-23 regarding food service and hygiene concerns at the facility.

The investigation included interviews with staff and residents and a tour of the facility. The allegations that food was served cold, food was not prepared safely, and staff were not observing proper hygiene and sanitation practices were found to be unsubstantiated due to insufficient evidence.

The complaint included allegations that food was served cold, food was not prepared in a safe/healthful manner, and staff were not observing personal hygiene and food services sanitation practices to protect food from contamination. After interviews with seven staff and ten residents, the allegations were found unsubstantiated.

The visit was a case management - deficiency visit conducted to observe and address deficiencies during an unrelated complaint visit.

The inspection found that the kitchen, located on two floors, had dirty appliances, walls, floors, and counters, which violated the California Code of Regulations requiring the facility to be clean, safe, sanitary, and in good repair.

An unannounced annual required and infection control visit was conducted to evaluate the facility's compliance with regulations and infection control practices.

The facility was found to be in good repair with no deficiencies observed. Infection control practices were adequate, including sanitizing stations, PPE availability, and vaccination status of residents and staff. No citations or technical advisories were issued.

An unannounced annual required visit was conducted with a primary focus on infection control measures.

The facility was found to be clean, well-maintained, and compliant with infection control protocols including screening, PPE supply, and sanitation. No deficiencies were observed during the visit.