Inspection Reports for
New West Haven II
2551 CAMEO DRIVE, CAMERON PARK, CA, 95682
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
25% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
43% occupied
Based on a February 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 29
Capacity: 67
Deficiencies: 0
Date: Feb 23, 2026
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and ensure the health and safety of residents.
Findings
The inspection found no deficiencies. Staff files contained required paperwork and training, and all areas toured were in compliance with health and safety standards.
Inspection Report
Monitoring
Census: 36
Capacity: 67
Deficiencies: 0
Date: Nov 3, 2025
Visit Reason
Unannounced quarterly on-site visit regarding the Stipulation and Waiver and Order, effective from 10/16/2023 to 10/16/2025, to assess compliance and discuss the end of probation terms.
Findings
The facility was found to be in compliance with the Stipulations and Waiver and Order. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Scarberry | Administrator | Met with Licensing Program Analyst during the inspection. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the unannounced quarterly on-site visit. |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 36
Capacity: 67
Deficiencies: 0
Date: Oct 14, 2025
Visit Reason
The visit was a case management visit to ensure the facility is following the stipulation and waiver.
Findings
The Licensing Program Analyst reviewed the probation binder and confirmed with the Med Tech that the facility is complying with probation conditions. No concerns or deficiencies were noted during the brief walkthrough.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Maranville | Med Tech | Met with during the inspection and confirmed compliance with probation conditions. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the case management visit and confirmed compliance. |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 38
Capacity: 67
Deficiencies: 0
Date: Jul 14, 2025
Visit Reason
The visit was a case management visit to ensure the facility is following the stipulation and waiver.
Findings
The Licensing Program Analyst reviewed the probation binder and confirmed with the Administrator that the facility is complying with probation conditions. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Scarberry | Administrator | Met with during the inspection and confirmed compliance with probation conditions. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the case management visit and confirmed compliance. |
| Tania Langland | Administrator/Director | Named as facility administrator/director in the report header. |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 67
Deficiencies: 0
Date: Jun 18, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-04-17 regarding facility disrepair, cleanliness, and resident comfort.
Complaint Details
The complaint included allegations that the facility was in disrepair, staff did not ensure cleanliness/sanitization, and staff did not provide a comfortable environment for residents. The investigation included interviews with staff and residents and observations on multiple dates. All allegations were found to be unsubstantiated or unfounded.
Findings
The investigation found all allegations to be unsubstantiated or unfounded. The facility was not in disrepair, was clean and sanitary, and residents reported feeling comfortable and safe.
Report Facts
Resident statements: 4
Staff statements: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jennifer Scarberry | Administrator | Met with evaluator during investigation |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 67
Deficiencies: 0
Date: Jun 18, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-05-06 regarding medication mismanagement, unmet medical needs, inadequate food service, and mistreatment of residents.
Complaint Details
The complaint investigation addressed allegations that staff mismanaged residents' medications, did not ensure residents' medical needs were met, did not provide adequate food service, and did not treat residents with dignity or respect. All allegations were found to be unsubstantiated or unfounded based on interviews and document review.
Findings
The investigation found all allegations to be unsubstantiated or unfounded. Documentation and interviews showed no evidence of medication errors, unmet medical needs, inadequate food service, or mistreatment of residents. Residents and staff reported satisfaction with care and services.
Report Facts
Capacity: 67
Census: 42
Staff interviews: 4
Resident interviews: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Scarberry | Administrator | Facility representative met during the investigation |
| Tania Langland | Administrator | Named as facility administrator in report header |
Inspection Report
Census: 36
Capacity: 67
Deficiencies: 0
Date: Apr 22, 2025
Visit Reason
The visit was a case management visit to ensure the facility is following the stipulation and waiver related to legal/noncompliance conditions.
Findings
The Licensing Program Analyst reviewed the probation binder and confirmed with the Administrator that the facility is complying with probation conditions. A brief walkthrough found no concerns and no deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Scarberry | Administrator | Met with during inspection and confirmed compliance with probation conditions. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the case management visit and inspection. |
| Tania Langland | Administrator/Director | Named as facility administrator/director in report header. |
Inspection Report
Annual Inspection
Census: 37
Capacity: 67
Deficiencies: 0
Date: Mar 17, 2025
Visit Reason
The inspection was conducted as a required annual unannounced visit to evaluate compliance with licensing regulations.
Findings
The facility was toured and reviewed for health and safety compliance. No deficiencies were cited, and all staff files contained the required paperwork and training.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Maranville | Med Tech | Met with during the inspection. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the annual inspection. |
| Laura Munoz | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Census: 38
Capacity: 67
Deficiencies: 0
Date: Feb 10, 2025
Visit Reason
The visit was a case management visit to ensure the facility is following the stipulation and waiver related to legal/noncompliance.
Findings
The Licensing Program Analyst confirmed the facility is complying with probation conditions. The home was well maintained and residents appeared to have their needs met. No deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Maranville | Med Tech | Met with during the inspection and confirmed compliance with probation conditions. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the case management visit and evaluation. |
| Tania Langland | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 67
Deficiencies: 0
Date: Sep 17, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-07-17 regarding resident care issues including call pendants, showering, clothing, hygiene, bedding, room sanitation, diet adherence, and response times.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to ensure working call pendants, unmet showering, clothing, hygiene, and bedding needs, unsanitary rooms, non-adherence to special diets, and untimely staff responses. Evidence did not support these claims.
Findings
The investigation found all allegations to be unsubstantiated based on interviews, observations, and record reviews. The facility was determined to be meeting residents' needs for hygiene, clothing, bedding, sanitation, call pendant functionality, timely staff response, and dietary accommodations.
Report Facts
Capacity: 67
Census: 34
Resident interviews: 7
Staff interviews: 6
Complaint received date: Jul 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Scarberry | Administrator | Facility administrator met during investigation |
| Tania Langland | Administrator | Named as facility administrator in report header |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Monitoring
Census: 36
Capacity: 67
Deficiencies: 0
Date: Sep 10, 2024
Visit Reason
The Licensing Program Analyst conducted an unannounced health and safety check in response to the facility being on probation.
Findings
The analyst checked the food supply and conducted a brief walkthrough with staff. No concerns or citations were noted, and stipulation requirements were met.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Maranville | Med Tech | Met with during the inspection. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the health and safety check. |
| Laura Munoz | Supervisor | Supervisor named in the report. |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 67
Deficiencies: 0
Date: Jul 3, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including staff allowing a resident to leave unassisted, facility not following stipulation requirements, gate disrepair, and mold presence in a resident's room.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff allowing a resident to leave unassisted, failure to follow stipulation requirements, gate disrepair, and mold in a resident's room. The department found no preponderance of evidence to prove violations occurred.
Findings
The investigation found no evidence to substantiate the allegations. Residents do not leave unassisted, staff schedules meet stipulation requirements, the gate was not in disrepair at the time of inspection, and no mold was present in resident rooms.
Report Facts
Capacity: 67
Census: 38
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jennifer Scarberry | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 67
Deficiencies: 1
Date: Jul 1, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility refused to produce records to a resident or the resident’s representative.
Complaint Details
The complaint alleged that the facility refused to produce records. The allegation was substantiated based on evidence obtained during the unannounced visit.
Findings
The investigation substantiated that the licensee did not provide records to the resident’s representative, violating confidentiality and record access regulations. The licensee agreed to provide the records and submit proof by the plan of correction due date.
Deficiencies (1)
CCR 87506(c)(1): The licensee failed to safeguard confidentiality and did not produce records for a resident’s representative, posing a potential health and safety risk.
Report Facts
Capacity: 67
Census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jennifer Scarberry | Administrator | Met with the evaluator during the investigation |
Inspection Report
Monitoring
Census: 38
Capacity: 67
Deficiencies: 0
Date: Jun 13, 2024
Visit Reason
The Licensing Program Analyst conducted an unannounced health and safety check in response to the facility being on probation.
Findings
The analyst checked the food supply and conducted a brief walkthrough with the administrator. No concerns or citations were noted during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Scarberry | Administrator | Met with during the inspection and involved in walkthrough. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the unannounced health and safety check. |
Inspection Report
Monitoring
Census: 35
Capacity: 67
Deficiencies: 0
Date: Apr 26, 2024
Visit Reason
The Licensing Program Analyst conducted an unannounced health and safety check in response to the facility being on probation.
Findings
The analyst checked the food supply and conducted a brief walkthrough with the administrator. No concerns or citations were noted during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Scarberry | Administrator | Met with during the inspection and involved in walkthrough. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the health and safety check. |
Inspection Report
Annual Inspection
Census: 31
Capacity: 67
Deficiencies: 0
Date: Apr 9, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and ensure the health and safety of residents.
Findings
The inspection found no deficiencies. Staff files and medication administration were compliant, and the facility environment was safe with no health or safety violations observed.
Inspection Report
Complaint Investigation
Census: 29
Capacity: 67
Deficiencies: 1
Date: Aug 16, 2023
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that facility staff gave wrong medications to a resident.
Complaint Details
The complaint alleging that facility staff gave wrong medications to a resident was substantiated based on interviews and record reviews. The facility reported the medication error and sought medical treatment for the resident. The investigation met the preponderance of evidence standard.
Findings
The investigation substantiated the allegation that staff dispensed the wrong medication to a resident (R1). The facility documented the medication error and sought medical observation and treatment for the resident following the error.
Deficiencies (1)
CCR 80075(b)(5)(B) - Medication was not given according to the physician's directions. Staff gave wrong medications to resident R1, which were not ordered by the physician, posing an immediate health and safety risk.
Report Facts
Census: 29
Total Capacity: 67
Plan of Correction Due Date: Aug 17, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Scarberry | Administrator | Met with the evaluator during the investigation and exit interview |
| Laura Munoz | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Follow-Up
Census: 32
Capacity: 67
Deficiencies: 2
Date: Mar 21, 2023
Visit Reason
The inspection was a case management follow-up visit to address a substantiated allegation of failure to seek timely medical attention for a resident.
Complaint Details
The visit was triggered by a substantiated complaint alleging failure to seek timely medical attention and failure to notify the authorized representative. The complaint was substantiated.
Findings
The Department substantiated allegations that the facility failed to seek immediate medical care after a resident's fall and did not notify the resident's authorized representative in a timely manner. Deficiencies were cited for violations of California Code of Regulations Title 22 related to medical care and resident rights, and a civil penalty was issued for serious bodily injury.
Deficiencies (2)
CCR Title 22 § 87465(g) requires immediate telephone notification to 9-1-1 if an injury results in an imminent threat to a resident’s health. The facility failed to seek immediate medical attention after the resident’s fall and subsequent pain.
CCR Title 22 § 87468.1(a)(8) mandates that residents’ representatives be regularly informed of care activities. The facility did not notify the resident’s Power of Attorney about the fall and health condition until the resident was hospitalized.
Report Facts
Civil penalty amount: 9500
Initial civil penalty amount: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Scarberry | Administrator | Met with during the inspection and involved in the case management visit. |
| Joel Matkovich | Licensee | Spoke with Licensing Program Analyst and Manager by phone regarding the visit. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Laura Munoz | Licensing Program Manager | Conducted the inspection and authored the report. |
Inspection Report
Follow-Up
Census: 32
Capacity: 67
Deficiencies: 2
Date: Mar 21, 2023
Visit Reason
The inspection was a case management follow-up visit to verify correction of a substantiated allegation that a resident became severely dehydrated resulting in hospitalization due to lack of care and supervision.
Complaint Details
The visit was a follow-up to a substantiated complaint investigation regarding a resident who became severely dehydrated resulting in hospitalization. The allegation was substantiated.
Findings
The Department substantiated the allegation that the facility failed to provide adequate care and supervision, resulting in a resident's severe dehydration and hospitalization. Deficiencies were cited for violations of California Code of Regulations Title 22 related to basic services and observation of residents. A civil penalty of $10,000 was issued for serious bodily injury.
Deficiencies (2)
87464 Basic Services (f)(1): The facility failed to provide adequate care and supervision, resulting in a resident becoming severely dehydrated and hospitalized.
87466 Observation of the Resident: The facility did not ensure regular observation and documentation of changes in the resident's condition, including hydration status.
Report Facts
Civil penalty amount: 10000
Inspection Report
Annual Inspection
Census: 33
Capacity: 67
Deficiencies: 0
Date: Feb 14, 2023
Visit Reason
The visit was an unannounced annual inspection conducted to assess infection control compliance and overall health and safety of residents.
Findings
The facility was found to be in substantial compliance with infection control requirements. No immediate health, safety, or personal rights violations were observed, and no deficiencies were cited.
Inspection Report
Complaint Investigation
Census: 37
Capacity: 67
Deficiencies: 2
Date: Sep 9, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including failure to provide medications as prescribed and staff not wearing face masks.
Complaint Details
The complaint investigation was substantiated. Allegations included failure to provide medications as prescribed and staff not wearing face masks. Both allegations were found valid based on interviews, observations, and document reviews.
Findings
The investigation substantiated that residents were not provided medications as prescribed and staff were not consistently wearing face masks when interacting with residents.
Deficiencies (2)
CCR 87645(a)(5) Incidental Medical and Dental Care-The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by a resident not receiving prescribed medication as documented in the MAR.
CCR 80072(a)(2) Personal Rights-Residents must be accorded safe, healthful, and comfortable accommodations. This requirement was not met as staff were not consistently wearing masks as observed and reported.
Report Facts
Facility Capacity: 67
Resident Census: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Evaluator | Conducted the complaint investigation |
| Joel Matkovich | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 67
Deficiencies: 0
Date: Sep 9, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not providing adequate service to residents in care.
Complaint Details
The complaint alleged staff were not providing adequate service to residents. The allegation was found to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred. The allegation was determined to be unsubstantiated after interviews, document review, and observation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Evaluator | Conducted the complaint investigation |
| Joel Matkovich | Administrator | Facility administrator named in the report |
| Jennifer Scarberry | Met with during the investigation |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 67
Deficiencies: 1
Date: Aug 18, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including unexplained injuries to a resident, the facility being unkept, and staff mismanaging a resident's medication.
Complaint Details
The complaint investigation was unannounced and conducted due to allegations of unexplained injuries, unkept facility conditions, and medication mismanagement. The first two allegations were unsubstantiated, while the medication mismanagement was substantiated.
Findings
The investigation found the allegations of unexplained injuries and the facility being unkept to be unsubstantiated. However, the allegation of staff mismanaging a resident's medication was substantiated due to missing medication administration records and resident reports of not receiving appropriate medication.
Deficiencies (1)
CCR 87465(a)(5) Incidental Medical and Dental Care-The licensee shall assist residents with self-administered medications as needed. Staff failed to provide medication to a resident in a timely manner as prescribed, posing a potential health and safety risk.
Report Facts
Capacity: 67
Census: 38
Deficiency count: 1
POC Due Date: Sep 2, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Lacey Ripoll | Med Tech | Met with Licensing Program Analyst during investigation |
| Tania Langland | Administrator | Facility administrator who acknowledged receipt of the report |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 67
Deficiencies: 1
Date: Aug 18, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-04-27 regarding staff response times, resident care, and facility conditions.
Complaint Details
The complaint investigation was triggered by allegations that staff failed to respond timely to resident call buttons, left residents in soiled diapers for extended periods, and that the facility was malodorous. The first two allegations were unsubstantiated, while the allegation of insufficient staffing was substantiated.
Findings
The investigation found two allegations unsubstantiated, including staff response to call buttons and facility odor. One allegation regarding insufficient staffing to meet residents' needs was substantiated, citing lapses in care and missed medications due to understaffing.
Deficiencies (1)
CCR 87411(a): Facility personnel are not sufficient in numbers and competent to meet resident needs. This has resulted in lapses in care and missed medications, posing an immediate risk to residents' health and safety.
Report Facts
Capacity: 67
Census: 38
Deficiency count: 1
Plan of Correction Due Date: Sep 2, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Lacey Ripoll | Med Tech | Met with Licensing Program Analyst during investigation |
| Tania Langland | Administrator | Facility administrator who acknowledged receipt of report |
Inspection Report
Annual Inspection
Census: 42
Capacity: 67
Deficiencies: 0
Date: Apr 7, 2022
Visit Reason
Unannounced annual visit utilizing the infection control domain was performed as a required 1-year inspection.
Findings
The inspection found no deficiencies. Two technical advisories were issued related to infection control.
Inspection Report
Annual Inspection
Census: 31
Capacity: 67
Deficiencies: 0
Date: Dec 23, 2021
Visit Reason
Unannounced annual visit utilizing the infection control domain was performed as a required 1-year inspection.
Findings
There were no deficiencies found during the visit. Two technical advisories were issued.
Inspection Report
Capacity: 67
Deficiencies: 6
Date: Sep 16, 2021
Visit Reason
The visit was an unannounced office evaluation related to substantiated findings from a prior investigation report, resulting in additional deficiencies issued.
Complaint Details
The visit was related to substantiated findings from a prior investigation report (IB Report # ND2521-05105), indicating complaint-related issues.
Findings
The facility was found to have multiple deficiencies including staff working without criminal clearance, false claims made by staff, failure to report a resident's injury, inadequate administrator presence, refusal to furnish requested records, and pending civil penalties related to injury reporting violations.
Deficiencies (6)
CCR 87355(a) - Staff members Ashley Kelly, Olga Estrada, Kitty Flannagan, and Joshua Sullivan were present and working without criminal clearance, violating licensing requirements and posing immediate health and safety risks.
CCR 87207 - Staff member Sunnybrook Matkovich submitted a backdated UIR and misled the department's investigator about the submission date, violating false claims regulations and posing immediate health and safety risks.
CCR 87211(A)(1)(b) - The facility failed to report an incident where resident R1 sustained a fractured hip within seven days, violating reporting requirements and posing potential health and safety risks.
CCR 87405(a) - Administrator Joel Matkovich was not physically present in the facility to adequately manage it, violating administrator duties and posing potential health and safety risks.
CCR 87761 - Penalties related to failure to report resident injuries are pending departmental review; no civil penalties assessed at the time of the report.
CCR 87755(c) - The facility failed to furnish requested records to the licensing agency, violating inspection authority requirements and posing potential health and safety risks.
Report Facts
Deficiencies cited: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Kelly | Named as staff working without criminal clearance | |
| Olga Estrada | Named as staff working without criminal clearance | |
| Kitty Flannagan | Named as staff working without criminal clearance | |
| Joshua Sullivan | Named as staff working without criminal clearance | |
| Sunnybrook Matkovich | Named as staff who submitted false claims | |
| Joel Matkovich | Administrator | Named as administrator not physically present to manage facility |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 67
Deficiencies: 2
Date: Aug 5, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not seek medical attention in a timely manner and did not notify the authorized representative of changes in health conditions.
Complaint Details
The complaint investigation was substantiated for failure to seek timely medical attention and failure to notify the authorized representative of a resident's fall and condition change. One allegation regarding neglect causing a fracture was unsubstantiated.
Findings
The investigation substantiated that the facility failed to seek medical treatment for a resident's fall and subsequent pain and failed to notify the resident's Power of Attorney until the resident was sent to the hospital days later. Another allegation regarding neglect causing a fracture was unsubstantiated.
Deficiencies (2)
CCR 87465(g) requires immediate telephone notification to 9-1-1 if an injury results in an imminent threat to a resident’s health. This requirement was not met as evidenced by a resident sustaining a fall and the facility failing to seek medical attention.
CCR 87468.1(a)(8) requires licensees to regularly inform representatives of activities related to care or services. This requirement was not met as evidenced by a resident sustaining a fall which was not reported to the resident’s Power of Attorney until days later.
Report Facts
Capacity: 67
Census: 22
Plan of Correction Due Date: Aug 6, 2021
Plan of Correction Due Date: Aug 20, 2021
Inspection Report
Complaint Investigation
Census: 21
Capacity: 67
Deficiencies: 0
Date: Jul 8, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2021-01-04 regarding resident falls, medication issues, pressure injuries, food denial, staffing inadequacies, and resident care concerns.
Complaint Details
The complaint included multiple allegations such as residents suffering falls, unlabeled medications, untimely medication administration, pressure injuries, food denial, inadequate staffing, and failure to ensure residents were eating. The allegations were found unsubstantiated due to the generalized nature and lack of evidence.
Findings
The investigation found the allegations to be unsubstantiated due to lack of identifying information and insufficient evidence to prove the alleged violations occurred.
Report Facts
Capacity: 67
Census: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Smith | Licensing Evaluator | Conducted the complaint investigation |
| Joel Matkovich | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 21
Capacity: 67
Deficiencies: 0
Date: Jun 24, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2020-12-22 regarding inadequate cleaning, resident care, and staff training at the facility.
Complaint Details
The complaint was unsubstantiated. Allegations included facility staff not cleaning resident bathrooms, residents left in soiled diapers and linens, and inadequate staff training. The investigation found no preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found no evidence to substantiate the allegations of unclean bathrooms, residents left in soiled diapers or linens, or inadequate staff training. The facility was under COVID-19 lockdown during the complaint period, which impacted normal services.
Report Facts
COVID-19 positive cases: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Earlene Martin | Named as the staff member who preps and dispenses medication | |
| Joel Matkovich | Administrator | Named as backup person for medication administration and facility administrator |
| Michael Smith | Licensing Evaluator | Conducted the complaint investigation |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 21
Capacity: 67
Deficiencies: 0
Date: May 14, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2021-05-07 regarding the facility's air conditioner being in disrepair.
Complaint Details
The complaint allegation was that the air conditioner was in disrepair. The allegation was found to be unsubstantiated, meaning there was not a preponderance of evidence to prove the violation occurred.
Findings
The investigation found that while one of the facility's large air conditioners was not working properly, the facility took measures to move affected residents, began repairs, and maintained the inside temperature below 80 degrees. The complaint allegation was determined to be unsubstantiated due to insufficient evidence.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Lusby | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Kimberly Rimert | Resident Services Director | Met with the Licensing Program Analyst during the investigation. |
| Joel Matkovich | Administrator | Named as facility administrator. |
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