Inspection Reports for Olive Branch Assisted Living

The inspection was an unannounced complaint investigation visit conducted to investigate an allegation that staff changed a resident's doctor without resident consent.

The investigation found the allegation to be unsubstantiated after interviewing five staff and eight residents, who confirmed no staff changes to residents' doctors or medical insurance. One resident confirmed changing their medical insurance independently.

The allegation was that staff changed a resident's doctor without consent, causing issues contacting the previous or new doctor and medication changes. The allegation was unsubstantiated based on staff and resident interviews.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements at Olive Branch Assisted Living.

The facility was toured and observed to have appropriate furnishings, safety equipment, and clean common areas. No citations were issued during the inspection.

The visit was an unannounced complaint investigation conducted in response to an allegation that the facility was unlawfully evicting a resident.

The investigation found that the resident was aggressive and had violated house rules, leading to a 30-day eviction notice. Based on staff and resident interviews and records review, the allegation of unlawful eviction was unsubstantiated.

The complaint alleged that the facility was unlawfully evicting a resident who had refused medication and exhibited aggressive behavior. The resident was placed on a 51/50 hold after an incident. Interviews and documentation supported the facility's actions, and the allegation was unsubstantiated.

The inspection visit was an unannounced complaint investigation triggered by a complaint received on 07/19/2023 regarding allegations including illegal eviction, rough handling of residents by staff, inappropriate staff speech, and staff yelling at residents.

The investigation found all allegations to be unsubstantiated based on staff and resident interviews, observations during the visit, and review of documentation. No citations were issued and no evidence supported the allegations.

The complaint included allegations of illegal eviction, staff handling residents roughly, staff speaking inappropriately to residents, and staff yelling at residents. All allegations were found to be unsubstantiated after interviews with residents and staff, observations, and document review.

An unannounced annual inspection was conducted at the Olive Branch Assisted Living facility to evaluate compliance with licensing requirements.

The facility was toured and observed to have appropriate furnishings, safety equipment, and adequate supplies. Common areas, kitchen, and laundry facilities were clean and properly maintained. No citations were issued during the exit interview.

An unannounced complaint investigation visit was conducted to investigate allegations that staff leave residents soiled for extended periods and do not answer call buttons in a timely manner.

The investigation included interviews with staff and residents, physical plant tours, and call button response tests. No malodor or unclean residents were observed, and response times averaged three minutes. Based on observations and interviews, there was insufficient evidence to substantiate the allegations, which were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included residents being left in soiled diapers for up to five hours and delayed response to call buttons. Interviews and observations did not verify these claims.

An unannounced complaint investigation was conducted regarding an allegation that staff did not ensure a resident's air conditioning unit was not in disrepair and did not sufficiently cool the resident's room.

The investigation found that the air conditioning units were working and maintained resident rooms within regulatory temperature limits. The allegation was deemed unsubstantiated with no immediate health or safety risks observed.

The complaint alleged that the cooling unit for Resident #1's room did not sufficiently cool the room. After interviews, record reviews, and temperature measurements, the allegation was unsubstantiated.

The visit was an unannounced complaint investigation conducted to gather additional information, conduct interviews, and deliver findings related to multiple allegations against the facility.

All allegations including mishandling of resident's personal funds, failure to keep rooms odor-free, inadequate laundry services, improper bathroom maintenance, inappropriate locking of sliding doors, unmet hygiene needs, improper feeding, and poor maintenance of facility grounds were found to be unsubstantiated based on interviews, observations, and record reviews.

The complaint investigation was triggered by multiple allegations including mishandling of a resident's personal funds, failure to keep rooms free from odor, lack of laundry services, improper bathroom maintenance, inappropriate locking of sliding doors, unmet hygiene needs, improper feeding, and poor facility grounds maintenance. The investigation found all allegations unsubstantiated.

The inspection was an unannounced complaint investigation conducted to address the allegation that the facility is in disrepair, specifically concerning a broken elevator.

The investigation substantiated the allegation that the elevator has been broken for over ten days, confirmed by observations, staff, residents, and the administrator. The facility was found not to have ensured the elevator was in repair, posing potential health and safety risks.

The complaint was substantiated. The allegation was that the elevator had been broken for over ten days. Interviews with four staff members and eight residents confirmed the elevator was not working. The administrator confirmed delays due to maintenance parts being ordered.

The visit was an unannounced complaint investigation triggered by an allegation that staff abandoned a resident.

The investigation found that the allegation of staff abandoning the resident was unsubstantiated. The resident had been given a 30-day eviction notice due to serious violations of house rules, and was transferred to another facility with appropriate care.

The complaint alleged that staff abandoned a resident who was left at West LA Medical Center without an eviction notice. The investigation revealed the resident had signed a 30-day eviction notice due to violent behavior and was transferred to another facility. The allegation was unsubstantiated.

The visit was conducted as a complaint investigation following an allegation that facility staff did not safeguard a resident's personal belongings.

The investigation found the allegation unsubstantiated based on staff and resident interviews, review of the resident's admission agreement, and records indicating the resident had no money and had directed donation of belongings while hospitalized. No citations were issued.

The complaint alleged that facility staff did not safeguard a resident's personal belongings. The allegation was unsubstantiated after investigation.

The visit was an unannounced complaint investigation conducted to gather information, conduct interviews, and deliver findings regarding allegations of staff screaming at residents and mistreating a resident while in care.

The investigation found the allegations unsubstantiated based on staff and resident interviews and record reviews. Eight residents confirmed they were treated well and respectfully, and no citations were issued.

The complaint alleged that staff were screaming at residents and mistreating a resident. The investigation determined these allegations were unsubstantiated after interviews and record reviews.

An unannounced annual inspection was conducted at the Olive Branch Assisted Living facility to evaluate compliance with licensing requirements.

The facility was toured including resident rooms, common areas, kitchen, and laundry areas. All areas were found to be clean, properly furnished, and maintained with appropriate safety measures such as fire extinguishers, alarms, and medication storage. No citations were issued during the exit interview.

The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2023-12-15 alleging that facility staff were not seeking medical attention for a resident with a fungus on the tongue.

The investigation found no reports of residents not receiving medical attention. Documentation showed several appointments for the resident were cancelled or missed by the resident. The allegation was unsubstantiated and no citations were issued.

The complaint alleged that facility staff were not seeking medical attention for a resident with a fungus on the tongue who had been asking for assistance for two months. The complaint was unsubstantiated based on interviews, observations, and record reviews.

The inspection visit was initiated as a complaint investigation for Complaint #31-AS-20230719132921 regarding a damaged ceiling in a resident's room.

The Licensing Program Analyst observed a small hole with a water mark in the ceiling of a resident's room. The maintenance staff had begun repair work due to water leaks caused by heavy rains, but the repair was not completed. A deficiency was cited for the damaged ceiling posing an immediate health, safety, or personal rights risk to residents.

Complaint #31-AS-20230719132921 was investigated. The deficiency related to the damaged ceiling was substantiated and cited.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-02-02 regarding multiple allegations about staff practices at Olive Branch Assisted Living.

All five allegations investigated, including improper resident assessments before admission, failure to ensure residents attend medical appointments, inadequate medications, insufficient clothing, and improper staff training, were found to be unsubstantiated based on interviews, observations, and record reviews.

The complaint included allegations that staff were not properly assessing residents before admissions, not ensuring residents attend scheduled medical appointments, not ensuring residents had adequate medications, not ensuring residents had adequate clothing, and that staff were not properly trained. All allegations were investigated and deemed unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate the allegation that staff are not properly assessing residents before admissions.

Based on interviews with administrators, staff, and residents, as well as a review of eight resident records, there was insufficient pertinent information to support the allegation. The complaint was determined to be unsubstantiated.

The complaint alleged that staff were not properly assessing residents before admissions. The investigation included interviews with five staff members, three residents, and review of resident records. The allegation was found to be unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff opened residents' mail.

The investigation found that staff do not open residents' mail. Interviews with staff and residents confirmed that mail is either hand delivered or placed in locked mailboxes unopened. The allegation was deemed unsubstantiated.

The complaint alleged that staff opened residents' mail. Interviews with three staff members and eleven residents revealed no evidence of mail being opened by staff. The allegation was unsubstantiated.

The visit was an unannounced Case Management Incident visit to obtain more information regarding documents previously emailed to the Licensing Program Analyst related to an incident report of a missing resident.

The Licensing Program Analyst arrived to investigate the incident of a missing resident reported on 07/13/22. The resident was found missing during night medication rounds on 07/12/22, and the facility contacted the police. Additional information was pending from the resident's physician, and a subsequent visit was planned once that information was obtained.

The visit was triggered by a complaint involving a missing resident (R1) who was found missing during night medication rounds on 07/12/22. The facility reported the incident to the police. The Licensing Program Analyst requested medical and appraisal reports and was awaiting further details from the resident's physician.

An unannounced Plan of Correction (POC) visit was conducted to verify correction of deficiencies cited during a prior unannounced annual visit on 05/18/22.

The Plan of Correction was cleared during the visit. Licensing Program Analysts observed designated staff taking visitor temperatures and confirmed compliance with prior cited regulation 87470(c)(1)(f).

An unannounced complaint investigation was conducted based on a complaint received on 05/20/2022 regarding staff not safeguarding resident's personal belongings and withholding resident's mail.

The investigation substantiated that staff failed to safeguard a resident's personal belongings by not completing the required Resident Theft and Lost Record (LIC 9060) after items were reported missing. Another allegation that staff withheld resident's mail was unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for staff not safeguarding resident's personal belongings, specifically missing clothing and two medical pillows, with no LIC 9060 filed. The allegation that staff withheld resident's mail was unsubstantiated.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control measures at the assisted living facility.

The inspection found deficiencies related to infection control, specifically failure to screen for COVID-19 symptoms upon entry and staff not wearing masks, posing immediate health and safety risks. Other areas such as fire safety, common areas, kitchen, bedrooms, bathrooms, and outdoor areas were observed to be in compliance.

An unannounced infection control visit was conducted as part of a required 1-year routine inspection to verify compliance with the facility's approved COVID-19 mitigation plan.

The Licensing Program Analyst confirmed the facility was in compliance with various aspects of the mitigation plan, including visitor screening, availability of handwashing and sanitizing supplies, adequate PPE, and posted signage. No concerns were noted at the time of the visit.