Inspection Reports for
Oakmont of Concord

The visit was triggered by a complaint involving an incident where a night shift staff member slapped a resident. The allegation was substantiated enough to place the staff member on leave and file a police report. The Executive Director reported inconsistent accounts of the incident and steps taken to prevent recurrence.

The investigation found inconsistent stories regarding the incident, a police report was filed, and the staff member involved was placed on leave. No citations were issued during the visit, and the facility plans to conduct new Mandated Reporter training to prevent future occurrences.

The complaint involved an incident where a night shift staff member slapped a resident. A police report was filed, and the staff member was put on leave due to the nature of the allegations and inconsistent statements.

The investigation found inconsistent accounts of the incident, with the staff member placed on leave pending further notice. No citations were issued during the visit, and the facility plans to conduct new Mandated Reporter training to prevent future occurrences.

The facility was found to be in full compliance with no deficiencies noted. All areas toured were adequate, staff and resident files were complete and up to date, medications were properly managed, and safety equipment and emergency plans were current.

The facility was found to be in full compliance with no deficiencies noted. All areas toured were adequate, staff and resident files were complete and up to date, medications were properly managed, and safety equipment and emergency plans were current.

The complaint included allegations of residents sustaining unexplained injuries, staff not providing timely medical attention, medication mismanagement, incomplete medication records, outdated medical assessments, and improper biohazard trash disposal. After investigation, all allegations were found unsubstantiated or unfounded.

The investigation found all allegations to be unsubstantiated or unfounded after review of resident records, interviews with staff and residents, and inspection of the facility. No deficiencies were cited and the facility was found to have appropriate medication management, timely medical assessments, and proper biohazard disposal.

The complaint alleged that staff did not follow communicable infection protocols. The investigation concluded the allegations were unsubstantiated.

The investigation found that one resident had a norovirus diagnosis but was hospitalized during the infectious period. The facility implemented enhanced cleaning protocols upon the resident's return and monitored other residents and staff, with no other confirmed cases. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not follow communicable infection protocols. The investigation concluded the allegations were unsubstantiated.

The investigation found that one resident diagnosed with norovirus was hospitalized during the infectious period, and upon return, the facility implemented enhanced cleaning protocols with no other confirmed cases. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint alleged staff engaged in inappropriate behavior causing resident injury. The investigation included interviews with multiple staff and review of documents. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation found that the resident's fall was not due to staff inappropriate behavior. Interviews and records indicated the resident was agitated and a fall risk. There was insufficient evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.

The visit included delivery of findings for complaint #15-AS-20250115085215 dated 01/15/25. Counseling was conducted with staff regarding job descriptions, fall management, and residents' rights. Training recommendations were made based on interviews with multiple staff members.

No citations were issued during the visit. Counseling and training recommendations were made related to Care Provider Job Description, Fall Management Protocol, Residents Rights - Employee Version, and Diversity, Equity, and Inclusion training for specific staff.

The allegation was that staff engaged in inappropriate behavior resulting in a resident sustaining an injury. After investigation, including interviews and document review, the allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The investigation included interviews with staff and review of relevant documents. It was found that the resident's fall was not due to staff inappropriate behavior, and there was insufficient evidence to substantiate the allegation. Therefore, the complaint was unsubstantiated.

Complaint #15-AS-20250115085215 was investigated with interviews of staff members S1, S2, S4, and S5. Counseling and training recommendations were made; no citations were issued.

The Licensing Program Analyst conducted counseling on 01/15/25 regarding Care Provider Job Description, Fall Management Protocol, and Residents Rights - Employee Version. Additional training in Diversity, Equity, and Inclusion (DEI) was recommended for one staff member. No citations were issued.

The complaint involved a staff member yelling at a resident. The staff member was suspended on 12/31/2024 and terminated on 1/5/2025. The facility investigation confirmed the incident and the staff member was deemed ineligible for rehire.

The facility conducted a full investigation, suspended and terminated the involved staff member, and provided training on Elder Abuse Reporting and managing aggressive behavior. The resident was evaluated and found not adversely affected. No deficiencies were cited during the visit.

The complaint involved a staff member (S1) yelling at a resident (R1) on 12/31/24. The staff member was suspended immediately and later terminated. The resident was evaluated and found not to be adversely affected. The complaint was substantiated by staff admissions and investigation.

The facility conducted a full investigation, suspended and terminated the staff member involved, and provided staff training on elder abuse reporting and managing aggressive behavior. No deficiencies were cited during the visit.

The complaint involved a staff member placing tape on a resident's mouth. The staff member was suspended immediately and later terminated. The resident was evaluated and found not to be adversely affected. The staff member expressed remorse and was deemed ineligible for rehire.

The investigation confirmed the staff member admitted to the action and was suspended and terminated. The resident was evaluated and appeared not adversely affected. The facility conducted staff training on Resident Rights. No deficiencies were cited during the visit.

The complaint involved a staff member placing tape on a resident's mouth. The staff member was suspended on 12/25/24 and terminated on 12/31/24. The resident was evaluated and found not to be adversely affected. The staff member admitted the action and expressed remorse.

The investigation confirmed the staff member admitted to the action and was suspended and terminated. The resident was evaluated and appeared not adversely affected. No deficiencies were cited during the visit, and the facility conducted staff training on Resident Rights.

The complaint alleged staff retaliation against residents and that the licensee did not ensure a portion of resident council meetings were conducted without facility staff present. The investigation found no evidence of retaliation or improper conduct of meetings, resulting in the allegations being unsubstantiated.

The investigation included interviews with staff and residents and review of documentation. The allegations that staff retaliated against residents and that resident council meetings were not conducted without staff presence were found to be unsubstantiated based on the information obtained.

The complaint allegations were that staff retaliate against residents in care and that the licensee does not ensure that a portion of resident council meetings are conducted without the presence of facility staff. After investigation, these allegations were determined to be unsubstantiated.

The investigation included interviews with staff and residents and review of documentation. The allegations that staff retaliated against residents and that resident council meetings were not conducted without staff presence were found to be unsubstantiated based on the information obtained.

The Licensing Program Analysts toured the facility and reviewed resident and staff records, medications, and safety equipment. No deficiencies were cited during the visit.

The inspection found no deficiencies. The facility was toured, records reviewed, and safety equipment checked, all of which were in compliance with regulations.

The complaint was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

The investigation found that the facility does not control residents' individual phone lines and staff assist residents with phone issues. The allegation was determined to be unfounded, and no deficiencies were observed or cited during the visit.

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

The investigation found that the facility does not control residents' individual phone lines and staff assist residents with phone issues when needed. The allegation was determined to be unfounded with no deficiencies observed or cited during the visit.

The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of resident and staff records, and verification of safety measures such as fire clearance, temperature controls, and medication storage.

The inspection found no deficiencies. The facility was toured, resident and staff records were reviewed, and safety features such as fire clearance, lighting, temperature, and emergency equipment were verified as compliant.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations did or did not occur.

The investigation found that the facility had procedures for power outages and made accommodations for residents during a recent outage. Staff response times to call buttons varied depending on circumstances but were generally within 15 minutes. There was insufficient evidence to substantiate the allegations, and the complaint was deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included improper provisions during a power outage and untimely response to call buttons. Interviews with staff, residents, and family members, as well as record reviews, did not provide sufficient evidence to substantiate the allegations.

The investigation found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations did or did not occur, resulting in the allegations being unsubstantiated. Residents were accommodated during the power outage with staff checking on them every 30-45 minutes, and call button response times varied between immediate and up to 15 minutes depending on staff availability.

The complaint investigation was unannounced and conducted by Licensing Program Analysts L. Francisco and P. Watson. The allegations included restrictions on family visits, unexplained injury, failure to ensure glasses, and denial of a TV. Interviews with staff, residents, and family members, as well as record reviews, were conducted. The findings concluded the allegations were unsubstantiated or unfounded.

The investigation found that family visits were allowed with scheduled appointments, the resident's unexplained injury was due to dental extractions, and the resident's glasses were not needed as per the optometrist. The allegation regarding the TV was found to be unfounded as a TV was observed in the resident's room. Overall, the allegations were unsubstantiated or unfounded.

The complaint investigation was unsubstantiated. Allegations included staff not allowing resident to visit with family, resident having an unexplained injury, staff not ensuring resident had glasses, and staff not allowing resident to have a TV. The investigation found no preponderance of evidence to prove violations; the TV allegation was unfounded.

The investigation found that family members were allowed to visit residents with scheduled appointments, the resident's missing teeth were due to dental extractions, and the resident's glasses were not always worn by choice. Another allegation about denial of a TV was found to be unfounded. Overall, the allegations were unsubstantiated or unfounded.

The inspection found the facility to be in compliance with infection control requirements, including proper PPE use, adequate food supply, posted visitor policies, and maintenance of safety equipment. No deficiencies were cited during the visit.

The facility was found to have adequate infection control measures including proper PPE use, sufficient food supply, posted visitor policies, and routine disinfection of common surfaces. No deficiencies were cited during the visit.