Inspection Reports for Newport Mesa Senior Living

An unannounced case management visit was conducted to perform a health and safety check following an incident report of elopement involving resident R1 on October 5, 2025.

The facility's main entry door was partially malfunctioning, allowing resident R1 to exit unsupervised, posing an immediate health and safety risk. Temporary alarm measures were in place, and staff received updated training on elopement protocols. No other health or safety concerns were observed during the visit.

The visit was triggered by a complaint regarding an elopement incident involving resident R1 on October 5, 2025. The complaint was substantiated as the facility failed to maintain a functioning door alarm.

An unannounced Plan of Corrections visit was conducted to verify that deficiencies issued on August 5, 2025 had been corrected.

The Plan of Corrections was fulfilled by the assigned due dates, clearing the Type A deficiency CCR 87303(e)(2) and the Type B deficiency CCR 87303(i).

An unannounced Plan of Corrections Inspection was conducted to verify correction of deficiencies issued on 2025-05-21 during the required annual inspection.

The inspection found that the hot water temperature in the bathroom by room 8 was 126.5 degrees F, exceeding the maximum allowed temperature, posing an immediate health and safety risk. Additionally, only one resident living unit had a signal system installed, which poses a potential health and safety risk. The plan of correction for two citations was not completed by the due date.

An unannounced Plan of Corrections Inspection was conducted to verify correction of deficiencies issued on 2025-05-21 during the required annual inspection.

The Licensing Program Analyst verified that some deficiencies were corrected, including replacement of a smoke alarm in room 19 and eradication of fruit flies in the prep kitchen. However, some fire system components still require replacement and water temperature in a bathroom was above acceptable levels. No deficiencies were cleared at this time.

An unannounced required annual visit was conducted to evaluate compliance with licensing requirements for Newport Mesa Senior Living Facility.

The inspection found several deficiencies including missing smoke alarm in room 19, presence of fruit flies in the prep kitchen, hot water temperature below required levels, absence of a resident signal system, lack of recent fire system maintenance records, and no emergency drills conducted within the last quarter. Plans of correction were requested for all deficiencies.

The visit was conducted as an office meeting to verify the Chapter 7 Bankruptcy Report filed by Pacifica Senior Living as reported by the media.

The meeting confirmed that despite multiple lawsuits involving Pacifica Senior Living, there was no financial impact on the properties, residents, or staff. It was also noted that Pacifica Senior Living Management was no longer managing the communities, and there were no pending lawsuits against the operating entities.

The inspection was an unannounced complaint investigation triggered by allegations received on 2024-10-23 that the facility did not ensure that modified diets prescribed by a resident's physician as a medical necessity were provided.

The investigation found that Resident 1 was prescribed a special pureed diet but was fed solid food by staff member S1, resulting in aspiration and hospitalization. The facility failed to ensure staff compliance with diet orders, and the allegation was substantiated based on interviews, record reviews, and observations.

The complaint was substantiated. The allegation was that the facility did not ensure that modified diets prescribed by a resident's physician as a medical necessity were provided. Evidence included staff interviews, incident reports, physician's orders, and observations.

The inspection was an unannounced complaint investigation visit conducted in response to allegations that medication was not administered appropriately and that residents' care needs were not being met.

The investigation substantiated that medication was not administered appropriately due to missed doses caused by medications not being in stock, posing an immediate health risk. Another allegation regarding residents' care needs not being met was unsubstantiated due to lack of corroborating evidence.

The complaint investigation was substantiated for the allegation that medication was not administered appropriately, with evidence showing missed medication doses due to supply issues. The allegation that residents' care needs were not met was unsubstantiated due to insufficient evidence.

An unannounced required comprehensive annual inspection was conducted to evaluate compliance with licensing regulations.

The facility was found to be clean, well-maintained, and operating safely with sufficient food supply and care staff. However, a citation was issued for incomplete and outdated staff personnel files, including missing First Aid/CPR certification, annual trainings, and health screenings.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility planned group activities without proper PPE and failed to cohort COVID-19 positive residents from negative residents.

The investigation found that staff wore masks during a resident outing but residents often removed masks; there was no evidence linking the outing to increased COVID-19 cases, and the facility followed cohorting guidelines by isolating residents based on COVID-19 status. Both allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included improper PPE use during group activities and failure to cohort COVID-19 positive residents. Evidence showed staff wore masks and residents were cohorted appropriately. The facility had COVID-19 positive staff working only with positive residents as allowed. No conclusive evidence linked the outing to increased COVID-19 cases.

This unannounced case management visit was conducted to follow up on an incident reported to the Community Care Licensing Division on June 3, 2023, involving a resident who was unaccounted for during head count.

The facility acted appropriately and in a timely manner to address the incident. No injuries were observed, and no deficiencies were noted during the visit per Title 22 Division 6 of the California Code of Regulations.

The visit was an unannounced Required 1 Year inspection to evaluate compliance with licensing regulations for Pacifica Senior Living Newport Mesa.

No deficiencies were observed during the inspection. The facility was found to be in compliance with regulations including fire safety, medication storage, staff training, and physical plant conditions.