Inspection Reports for Mountain Manor

The inspection was an unannounced required 1-year inspection conducted to evaluate compliance with licensing regulations.

The inspection found no deficiencies or violations. The facility met all required standards including safety equipment, food supplies, temperature controls, and record reviews, although personnel and resident records were noted as incomplete.

The visit was an unannounced case management inspection conducted regarding an incident report received by the department on 2025-07-15 involving two residents in the common area.

The incident involved residents R1 and R2 after dinner on 2025-07-15. The facility notified the responsible parties and physician as required. No deficiencies were cited as a result of this incident.

The visit was triggered by an incident report received on 2025-07-15. The incident was investigated and found to have no deficiencies. The facility followed notification protocols.

The visit was an unannounced case management inspection conducted to investigate an absent without leave incident involving a resident who left the facility unassisted contrary to physician's orders.

The investigation found that a resident left the facility unassisted despite a physician's report indicating the resident was unable to leave unassisted, posing an immediate health and safety risk. The facility increased safety checks following the incident and was cited for deficiencies related to insufficient staffing to meet resident needs.

The visit was triggered by a complaint regarding a resident who was absent without leave on 05/11/25. The complaint was substantiated by the finding that the resident left unassisted despite medical restrictions.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-01-10 alleging that staff inappropriately spoke to a resident in care.

Based on interviews and records reviewed, the allegation that staff inappropriately spoke to residents in care did not occur in the assisted living section and was found to be unfounded.

The complaint alleged inappropriate staff communication with a resident. The investigation found the allegation to be unfounded, meaning it was false or without reasonable basis.

The visit was an unannounced case management inspection conducted in response to a SOC 341 report received by the Department regarding an incident involving a resident's unwitnessed fall and subsequent allegation of sexual assault.

The inspection focused on reviewing the incident involving Resident 1's unwitnessed fall and allegation of sexual assault, including discussions about the resident's medical history, confusion related to urinary tract infections, and facility staffing. The incident remains under review by the Department.

The complaint involved an unwitnessed fall on 10/7/2024 and an allegation of sexual assault by the resident at the emergency room. A police report was filed. The facility was not notified until discharge paperwork was reviewed. The resident has a history of confusion related to UTIs and a tendency to talk about sexual assault when confused. There are no male caregivers at the facility. The incident remains under review.

The visit was an unannounced required annual inspection to evaluate the facility's compliance using the full care tool.

The inspection found no deficiencies. The Licensing Program Analyst conducted a tour, medication count, and file reviews, and observed compliance with health and safety requirements.

The visit was conducted as a case management investigation regarding an absent without leave incident report received by the department on 2024-05-06.

The investigation found that resident R1 was observed leaving the facility unassisted despite a physician's report indicating R1 was unable to leave unassisted, posing an immediate health and safety risk. Deficiencies were cited related to insufficient staffing to ensure resident supervision.

The visit was complaint-related due to an absent without leave incident involving resident R1. The complaint was substantiated by findings that R1 left the facility unassisted against medical advice.

The inspection was an unannounced required one-year inspection conducted to evaluate compliance with licensing regulations using the CARE inspection tool.

No deficiencies were observed during the inspection. The facility was found to be in compliance with health, safety, and personal rights standards. The Administrator Certificate was noted as expired, and a backlog in renewal was discussed.

An unannounced complaint investigation visit was conducted in response to an allegation that a resident caused injuries to another resident in care.

The complaint was found to be unfounded after investigation, as the incident occurred in a skilled nursing facility not regulated by this department, and public health was informed. The allegation was determined to be false or without reasonable basis.

The complaint was investigated and found to be unfounded, meaning the allegation was false, could not have happened, and/or was without a reasonable basis.

The inspection was an unannounced Case Management Inspection conducted to assess compliance and facility conditions, including COVID-19 protocols and facility risk assessment.

No immediate health, safety, or personal rights violations were observed during the inspection. The facility plans to discontinue building modifications to increase non-ambulatory capacity due to costs, and will continue fire watches until only one non-ambulatory resident remains. No deficiencies were cited.

The inspection was an unannounced Required-1 Year Inspection conducted to evaluate the health and safety compliance of the facility.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.

The inspection was an unannounced required annual inspection conducted to ensure compliance with health, safety, and infection control standards at the assisted living facility.

No deficiencies or violations were found during the inspection. The facility was found to be in compliance with infection control protocols and no immediate health, safety, or personal rights violations were observed.

The inspection visit was an unannounced complaint investigation conducted to address multiple allegations received on 03/11/2020 regarding inadequate record keeping, medication administration, safeguarding of personal belongings, admission agreement compliance, overcharging for services, and telephone responsiveness at Mountain Manor Senior Residence.

The investigation substantiated the allegation of inadequate record keeping related to resident mail and billing errors. All other allegations, including inappropriate medication administration, failure to safeguard personal belongings, non-compliance with admission agreement, overcharging for unauthorized services, and telephone issues, were found to be unsubstantiated.

The complaint investigation was substantiated for inadequate record keeping after evidence showed mix-ups in resident mail and billing errors. Other allegations including medication errors, safeguarding personal belongings, admission agreement violations, overcharging, and telephone responsiveness were found unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2020-07-10 regarding an improper rent increase at Mountain Manor Senior Residence.

The investigation substantiated the allegation that the facility increased resident rent without providing the required 60 days' written notice to residents or their responsible parties, posing a potential health risk to residents in care.

The complaint investigation was substantiated based on evidence that the facility failed to provide the required 60 days' written notice prior to increasing resident rent, violating California Code of Regulations, Title 22, Division 6.