Inspection Reports for Paintbrush Assisted Living and Memory Support
CA, 93722
Back to Facility ProfileInspection Report Summary
Most inspections of this facility found deficiencies related primarily to medication management, resident care communication, and safety measures, with several complaint investigations substantiating issues such as medication errors and failure to notify residents’ representatives. The most recent report from August 25, 2025, substantiated medication errors where two residents were given wrong medications and the incidents were not properly reported, posing immediate health and safety risks. Earlier reports also noted problems with medication storage, personnel training, and resident rights, but some complaint investigations were unsubstantiated or dismissed. There is a pattern of medication-related deficiencies and communication lapses, though the facility has occasionally shown clean inspections with no citations. No fines or license suspensions were listed in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Aug 25, 2025
Visit Reason
An unannounced complaint investigation visit was conducted due to allegations that staff dispensed medications not prescribed to residents and failed to report incidents involving residents as required.
Findings
The investigation substantiated that on 2025-07-21, two residents were given wrong medications by staff and the incident was not reported to the residents' representatives or to the licensing agency. Deficiencies were cited and a plan of correction was developed and accepted during the visit.
Complaint Details
The complaint was substantiated based on interviews and record review confirming medication errors on 7/21/25 and failure to report the incident as required.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee did not ensure residents were assisted with self-administration of medications as needed; staff gave residents wrong medications on 7/21/25, posing immediate health and safety risk. | Type A |
| Licensee did not ensure a written report was submitted to the licensing agency for the medication errors and did not report the incident to residents' responsible persons or physicians, posing potential health and safety risk. | Type B |
Report Facts
Facility capacity: 110
Deficiency Type A due date: Aug 26, 2025
Deficiency Type B due date: Sep 1, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deanne Edwards | Administrator | Facility administrator involved in discussion of allegations and findings |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 110
Deficiencies: 0
Aug 25, 2025
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations including unexplained injuries to a resident, failure to safeguard resident's personal possessions, and failure to prevent harm from dogs present in the facility.
Findings
The investigation found that the allegations were unfounded and dismissed. Resident care documentation was properly maintained, and no citations were issued.
Complaint Details
The complaint involved allegations of unexplained injuries to a resident, failure to safeguard personal possessions, and failure to prevent harm from dogs. After investigation, the allegations were found to be unfounded and dismissed.
Report Facts
Facility capacity: 110
Census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation and discussed findings with the Administrator |
| Deanne Edwards | Administrator | Facility Administrator involved in the investigation discussion |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 110
Deficiencies: 0
Apr 9, 2025
Visit Reason
The visit was an unannounced Case Management - Health & Safety inspection conducted in conjunction with an initial complaint investigation (Control Number 24-AS-20250408125753).
Findings
The inspection found that resident apartments and common areas in both Memory Care and Assisted Living were clean, well-furnished, and free of health and safety concerns. Staff were present and available to assist residents. No citations were issued.
Complaint Details
The visit was triggered by an initial complaint investigation; however, no health or safety concerns were observed and no citations were issued.
Report Facts
Capacity: 110
Census: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deanne Edwards | Administrator | Met with Licensing Program Analyst during the inspection and named in the report |
| Katie Brown | Licensing Program Analyst | Conducted the inspection and complaint investigation |
| Traci Horn | Memory Care Director | Accompanied the Licensing Program Analyst during the tour of Memory Care |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 110
Deficiencies: 2
Feb 10, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-11-01 regarding medication mismanagement and failure to provide resident's authorized representatives with resident records.
Findings
The investigation substantiated that staff mismanaged resident R1's medications, including missed doses, incorrect medication administration, and running out of medications. Additionally, the facility administrator refused to provide R1's MAR documentation to the designated representative, citing company policy, which was also substantiated.
Complaint Details
The complaint investigation was substantiated. Allegations included staff mismanaging resident's medication and not providing resident's authorized representatives with resident's records. Evidence included medication administration records, interviews, and email correspondence. The facility was found to have violated regulations related to incidental medical care and resident records.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to assist resident R1 with self-administered medications, including running out of medications and medication errors. | Type A |
| Failure to provide confidential resident information (MAR documentation) to R1's designated representative upon written request. | Type B |
Report Facts
Facility Capacity: 110
Census: 66
Medication administration errors: 1
Plan of Correction Due Dates: Feb 11, 2025
Plan of Correction Due Dates: Feb 17, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sergiy Pidgirny | Licensing Program Manager | Oversaw the complaint investigation |
| Deanne Edwards | Administrator | Facility administrator involved in interviews and findings related to medication management and record release |
Inspection Report
Census: 67
Capacity: 110
Deficiencies: 0
Oct 16, 2024
Visit Reason
The inspection visit was an unannounced Case Management - Health Checks inspection conducted to evaluate the health and safety conditions of the facility.
Findings
No health and safety issues were observed during the inspection. The facility was found clean and well-maintained with proper storage of supplies and secure medication and housekeeping carts. No citations were issued.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the Case Management - Health Checks inspection. |
| Melinda Ocaranza | Resident Care Director | Met with Licensing Program Analyst during the inspection and was interviewed. |
| Sergiy Pidgirny | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 67
Capacity: 110
Deficiencies: 3
Aug 26, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements for Paintbrush Assisted Living and Memory Care.
Findings
The facility was generally clean and well-maintained with appropriate furnishings, safety measures, and emergency preparedness. However, deficiencies were cited in the areas of personnel requirements, storage space, and incidental medical and dental care services.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Medications were accessible in resident rooms contrary to regulations, posing an immediate health and safety risk. | Type A |
| Accessible cleaning and disinfecting supplies were found in resident rooms, posing a potential health and safety risk. | Type B |
| Staff providing care had not received appropriate first aid certification from qualified agencies as required. | Type B |
Report Facts
Census: 67
Total Capacity: 110
POC Due Date: Aug 27, 2024
POC Due Date: Sep 26, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with Licensing Program Analyst during inspection and named in Plan of Correction |
| Katie Brown | Licensing Program Analyst | Conducted the inspection and signed the report |
| Sergiy Pidgirny | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Census: 65
Capacity: 110
Deficiencies: 0
Jul 12, 2024
Visit Reason
The inspection was an unannounced case management visit regarding the immediate exclusion of Staff 1 (S1) from the facility.
Findings
No deficiencies were observed during the visit. It was confirmed that Staff 1 (S1) never worked at the facility and was disassociated on 2024-07-03.
Report Facts
Capacity: 110
Census: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melinda Ocaranza | Resident Care Director | Met with Licensing Program Analyst during the inspection and involved in discussion about Staff 1 exclusion |
| Jennifer Vasquez | Administrator | Administrator was out of the facility and unable to attend the visit; was informed about Staff 1 exclusion |
| Katie Brown | Licensing Program Analyst | Conducted the unannounced case management inspection |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 85
Capacity: 110
Deficiencies: 3
Oct 12, 2023
Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analysts to evaluate compliance with regulatory requirements at the assisted living and memory care facility.
Findings
The facility was toured inside and out, with observations of resident rooms, kitchen, medication storage, safety equipment, and staff files. Deficiencies were cited related to medication storage, dementia care assessments, facility cleanliness, and maintenance issues such as mold in the ice machine.
Severity Breakdown
Type A: 2
Type B: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Licensee did not ensure medications were properly stored and/or inaccessible to residents, posing an immediate health and safety risk. | Type A |
| Licensee did not ensure residents with dementia had updated annual medical assessments and reappraisals as required, posing a potential health and safety risk. | Type B |
| Licensee did not ensure the facility was clean, safe, and sanitary; mold was observed in the ice machine. | Type A |
Report Facts
Deficiencies cited: 3
Plan of Correction Due Dates: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with Licensing Program Analysts during the inspection |
| Traci Horn | Memory Care Director | Participated in facility tour during inspection |
| Melinda Ocaranza | Resident Care Director | Received report and Plan of Correction documents during exit interview |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 110
Deficiencies: 1
Mar 15, 2023
Visit Reason
An unannounced complaint investigation visit was conducted based on a complaint received on 11/14/2022 regarding personal rights violations at Paintbrush Assisted Living and Memory Care.
Findings
The investigation found that the facility limited Resident R1's private visitation based on the request of R1's Power of Attorney, despite the POA documents not specifically authorizing visitation restrictions. This was substantiated as a violation of residents' personal rights.
Complaint Details
The complaint was substantiated based on evidence that the facility restricted Resident R1’s private visitation contrary to personal rights regulations. The Plan of Correction was developed and discussed with the administrator.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure that Resident R1’s visitors were permitted to visit privately; visitation was restricted to common areas and not allowed during mealtimes, violating personal rights regulations. | Type B |
Report Facts
Capacity: 110
Census: 75
Deficiency Type: 1
Plan of Correction Due Date: Mar 27, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jennifer Vasquez | Administrator | Facility administrator met with Licensing Program Analyst and received report and Plan of Correction |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 110
Deficiencies: 2
Mar 15, 2023
Visit Reason
The visit was a Case Management - Incident follow-up to investigate incidents reported by the facility, including an altercation with staff on 1/4/23, a resident fall on 11/12/22, and a medication error on 1/17/23.
Findings
Deficiencies were cited related to personnel training and observation of residents. Specifically, a medication error occurred where a staff member gave a routine medication as a PRN, and the resident's responsible party was not notified as required.
Complaint Details
The visit was complaint-related, following up on incidents including an altercation with staff, a resident fall, and a medication error. Deficiencies were substantiated as cited in the report.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not ensure that a trained Med Tech assisted a resident with medication safely and effectively as prescribed by the Physician; staff gave a routine medication as a PRN on 1/14/23 and 1/15/23. | Type A |
| Facility did not ensure that the resident's Responsible Party was notified after medication was not given according to Physician orders on 1/15 and 1/16/23; no documentation of notification was provided. | Type B |
Report Facts
Capacity: 110
Census: 75
Plan of Correction Due Date: Mar 15, 2023
Plan of Correction Due Date: Mar 27, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with Licensing Program Analyst during inspection and involved in Plan of Correction |
| Katie Brown | Licensing Program Analyst | Conducted the Case Management - Incident visit and authored the report |
| Sergiy Pidgirny | Licensing Program Manager | Supervisor overseeing the inspection and Plan of Correction process |
Inspection Report
Follow-Up
Census: 80
Capacity: 110
Deficiencies: 0
Nov 21, 2022
Visit Reason
The visit was an unannounced Case Management follow-up to review two Special Incident Reports submitted by the facility regarding injuries and falls involving residents R1 and R2.
Findings
During the visit, the Licensing Program Analyst observed residents, conducted interviews, and reviewed records related to the incidents. No citations were issued during this Case Management visit.
Report Facts
Capacity: 110
Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with Licensing Program Analyst during the visit |
| Katie Brown | Licensing Program Analyst | Conducted the Case Management visit |
| Sergiy Pidgirny | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 110
Deficiencies: 0
Aug 17, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint alleging that staff refused to provide a resident with copies of his monthly payment statements.
Findings
The investigation found the allegation to be unfounded. The Business Office Manager provided the requested documents to the resident, and no citations were issued during the visit.
Complaint Details
The complaint alleged that staff refused to provide a resident with copies of his monthly payment statements. The allegation was investigated through interviews and record review and was determined to be unfounded.
Report Facts
Complaint Control Number: 24-AS-20220809115404
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Kim Santos | Business Office Manager | Met with the Licensing Program Analyst and provided requested documents. |
Inspection Report
Annual Inspection
Census: 87
Capacity: 110
Deficiencies: 0
Jul 20, 2022
Visit Reason
The visit was an unannounced Annual Infection Control Inspection conducted to evaluate infection control procedures at the facility.
Findings
The inspection found that infection control procedures were properly implemented, including symptom screenings, vaccination, testing, visitation requirements, PPE availability, and cleaning protocols. No deficiencies were cited during this inspection.
Report Facts
PPE supply duration: 30
Perishable food supply duration: 2
Nonperishable food supply duration: 7
Forms update deadline: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the Annual Infection Control Inspection |
| Jennifer Vasquez | Administrator | Facility Administrator met with Licensing Program Analyst during inspection |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 110
Deficiencies: 0
Jul 20, 2022
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to a complaint received on 2022-02-15 regarding allegations that a resident sustained a UTI and another resident fell and sustained a fracture while in care.
Findings
The investigation found no preponderance of evidence to prove that the alleged violations occurred. The allegations that a resident sustained a UTI and another resident sustained a fracture due to lack of care or supervision were unsubstantiated. No deficiencies were cited.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Katie Brown. The allegations included a resident sustaining a UTI and a resident falling and sustaining a fracture. After record review and interviews, the allegations were determined to be unsubstantiated due to lack of evidence.
Report Facts
Complaint received date: Feb 15, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Vasquez | Administrator | Facility administrator met with the investigator and was involved in the investigation |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 110
Deficiencies: 1
May 17, 2022
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2022-01-13 regarding multiple allegations including staff not notifying resident's authorized representative of incidents, resident falls, unexplained injuries, staff behavior, and reporting suspected abuse.
Findings
The investigation substantiated one allegation related to staff failing to notify resident authorized representatives of incidents such as falls or hospitalizations. Other allegations including resident falls, unexplained injuries, staff yelling, and suspected abuse were found to be unsubstantiated due to lack of preponderance of evidence. Deficiencies were cited related to failure to ensure changes in resident condition were documented and communicated appropriately.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not notify resident authorized representatives of incidents such as falls or hospitalizations. Other allegations including resident falls with injury, unexplained injuries, staff yelling, inappropriate handling, odor control, pest control, and failure to report suspected abuse were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure residents are regularly observed for changes in condition and that such changes are documented and brought to the attention of the resident's physician and responsible person. | Type B |
Report Facts
Capacity: 110
Census: 87
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sergiy Pidgirny | Licensing Program Manager | Oversaw the complaint investigation |
| Marilyn Couzens | Resident Care Director | Met with Licensing Program Analyst during investigation |
| Jennifer Vasquez | Administrator | Facility administrator named in the report |
Inspection Report
Census: 90
Capacity: 110
Deficiencies: 0
Feb 25, 2022
Visit Reason
The visit was an unannounced Case Management visit conducted by Licensing Program Analyst Katie Brown to investigate a Special Incident Report regarding an incident between a former staff member and a current staff member that occurred on 2022-02-14.
Findings
No harm or injury occurred as a result of the incident. The facility called 911 and filed a Police Report. The Licensing Program Analyst interviewed involved parties and no citations were issued during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marilyn Couzens | Resident Care Director, LVN | Met with Licensing Program Analyst during the visit and involved in the incident investigation. |
| Katie Brown | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation. |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 110
Deficiencies: 0
Jan 14, 2022
Visit Reason
The inspection was conducted unannounced to perform a Health & Safety Inspection in conjunction with opening a complaint, conducted via tele-visit due to Covid-19 precautions.
Findings
No immediate Health and Safety concerns were observed during the tour of the facility, and no deficiencies were cited during this inspection.
Complaint Details
Inspection was conducted in conjunction with opening a complaint; no deficiencies were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with Licensing Program Analyst during inspection and exit interview. |
| Katie Brown | Licensing Program Analyst | Conducted the Health & Safety Inspection. |
| Sergiy Pidgirny | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 110
Deficiencies: 3
Sep 20, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 06/16/2021 regarding staff mismanaging residents' medication, failure to provide timely laundry services, and non-compliance with residents' admissions agreement.
Findings
The investigation substantiated that staff mismanaged medications, failed to provide timely laundry services, and did not conduct a required 30-day reassessment as per the admissions agreement. Other allegations such as failure to observe residents' condition, hygiene needs, malodorous rooms, and failure to provide water were found unsubstantiated or unfounded.
Complaint Details
The complaint investigation was substantiated for allegations of medication mismanagement, untimely laundry services, and failure to conduct a 30-day reassessment. Other allegations regarding observation of residents' condition, hygiene assistance, room odor, and provision of water were unsubstantiated or unfounded.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Licensee did not ensure that medications were taken as prescribed by the Physician; multiple instances where staff did not verify medication administration according to facility procedure. | Type A |
| Licensee did not ensure that the facility provided accommodations and services to ensure R1's soiled laundry was removed from the apartment in a timely manner. | Type B |
| Licensee did not ensure compliance with all applicable terms and conditions set forth in the admission agreement; R1 did not receive a 30-day re-evaluation/assessment as required. | Type B |
Report Facts
Capacity: 110
Census: 86
Deficiencies cited: 3
Plan of Correction Due Dates: Sep 21, 2021
Plan of Correction Due Dates: Sep 28, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Katie Brown | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Sergiy Pidgirny | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 110
Deficiencies: 1
Sep 2, 2021
Visit Reason
Unannounced complaint investigation visits were conducted based on complaints received on 05/03/2021 alleging staff allowed a resident to AWOL from the facility, staff not meeting residents' needs, and facility understaffing.
Findings
The complaint that staff allowed residents to AWOL was substantiated based on interviews and record review. The complaints that staff were not meeting residents' needs and that the facility was understaffed were found to be unsubstantiated and unfounded respectively after review of staffing schedules and interviews.
Complaint Details
The complaint investigation included three allegations: 1) Staff allowed residents R1 and R2 to leave the facility unsupervised through a side gate, which was substantiated. 2) Staff are not meeting residents' needs, which was unsubstantiated due to lack of evidence. 3) Facility is understaffed, which was unfounded based on staffing records and interviews.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to include additional information in the plan of operation for residents diagnosed with dementia as required by CCR 87208(c). | Type A |
Report Facts
Capacity: 110
Census: 85
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted complaint investigation and signed report |
| Jennifer Vasquez | Administrator | Facility administrator met with investigators and involved in plan of correction |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 110
Deficiencies: 1
Jul 21, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not respond to call buttons in a timely manner.
Findings
The investigation substantiated that a resident's call button was activated and not cleared by staff for 38 minutes, resulting in the resident requiring emergency medical care. The facility failed to ensure timely response to call buttons, posing an immediate health and safety risk.
Complaint Details
The complaint alleging staff did not respond to call buttons in a timely manner was substantiated based on review of the facility's pendent report and interviews. The resident's call button was not cleared for 38 minutes, resulting in emergency medical care.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Personnel Requirements – Facility personnel were not sufficient in numbers and competent to meet resident needs, specifically failing to respond timely to resident call buttons. | Type A |
Report Facts
Call button response delay: 38
Capacity: 110
Census: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Jennifer Vasquez | Administrator | Facility administrator interviewed during investigation and named in findings |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Routine
Census: 83
Capacity: 110
Deficiencies: 0
Jun 18, 2021
Visit Reason
The inspection was an unannounced Infection Control Inspection conducted as a required one-year visit to assess compliance with COVID-19 related infection control procedures.
Findings
The facility was found to be in compliance with required infection control practices including symptom screenings, testing, visitation protocols, quarantine/isolation procedures, PPE use and training, and daily infection control procedures. No deficiencies were cited during the inspection.
Report Facts
Resident apartments toured: 8
Medication supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with Licensing Program Analyst during inspection and identified as Infection Control Lead |
| Katie Brown | Licensing Program Analyst | Conducted the Infection Control Inspection |
| Sergiy Pidgirny | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 110
Deficiencies: 2
May 7, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2021-02-08 regarding the care and conditions at Paintbrush Assisted Living and Memory Care.
Findings
The investigation substantiated several allegations including that a resident's room was filthy and malodorous, staff did not provide basic laundry services, and the resident was allowed to sleep in soiled bedding for extended periods. One allegation regarding staff not meeting the resident's hygiene needs was unsubstantiated, and a complaint about a resident fall was found unfounded.
Complaint Details
The complaint investigation was substantiated for allegations of filthy resident room, inadequate laundry service, soiled bedding, and malodorous room. The allegation of staff not meeting resident's hygiene needs was unsubstantiated. The complaint regarding a resident fall was unfounded.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee did not ensure R1's room was clean and sanitary. R1's room smelled of urine related to use of soiled linens and mattress. | Type B |
| Licensee did not ensure adequate laundry service to ensure R1 did not sleep on soiled bed linens or that soiled clothing was removed from the apartment. Licensee did not ensure R1 had a clean mattress. | Type B |
Report Facts
Capacity: 110
Census: 80
Deficiencies cited: 2
Plan of Correction Due Date: May 17, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with during inspection and involved in findings |
| Katie Brown | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Sergiy Pidgirny | Licensing Program Manager | Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 110
Deficiencies: 2
Mar 8, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that the facility was not coordinating a resident's medical care with the resident's authorized representative and other related complaints.
Findings
The investigation found one allegation unsubstantiated regarding coordination of medical care with the authorized representative. Two allegations were substantiated: failure to notify the authorized representative of a change in the resident's condition and failure to dispense resident's medication as prescribed, with documentation confirming missed medication doses.
Complaint Details
The complaint investigation was initiated due to allegations that the facility was not coordinating resident's medical care with the authorized representative, did not notify the authorized representative of a change in condition, and did not dispense medication as prescribed. The first allegation was unsubstantiated; the latter two were substantiated based on interviews, record reviews, and documentation.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| No documentation on the Medication Administration Record (MAR) that medication was given to resident as ordered, posing an immediate health and safety risk. | Type A |
| Failure to notify resident's Authorized Representative that Home Health services were ordered and started without their knowledge or authorization, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 110
Census: 83
Deficiency Type A POC Due Date: Mar 9, 2021
Deficiency Type B POC Due Date: Mar 15, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katie Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Fowler | Administrator | Facility administrator named in the report |
| Jennifer Vasquez | Administrator | Met with Licensing Program Analyst during investigation and exit interview |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 0
Mar 4, 2021
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to a complaint received on 2020-07-16 alleging that a resident sustained multiple pressure injuries and a fall while in care.
Findings
The investigation found that the resident was not diagnosed with pressure wounds and had an allergic reaction instead. The facility followed proper procedures after the resident's unwitnessed fall, including assessment and calling 911. The complaint was found to be unfounded and dismissed.
Complaint Details
The complaint alleged that a resident sustained multiple pressure injuries and a fall while in care. The complaint was investigated and found to be unfounded.
Report Facts
Capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shawna Doucette | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Vasquez | Administrator | Met with during investigation and exit interview |
| Sergiy Pidgirny | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 0
Mar 4, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 07/16/2020 regarding staff failing to properly conduct medical assessments, notify authorized representatives of incidents, meet residents' hygiene needs, and provide planned activities.
Findings
The investigation found that medical assessments were completed but not signed by the resident or representative, and there was no evidence to substantiate allegations related to hygiene needs or planned activities. The allegation regarding notification of authorized representatives is being investigated separately. Overall, the allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to conduct proper medical assessments, failure to notify authorized representatives, unmet hygiene needs, and lack of planned activities. The notification allegation is under separate investigation. No evidence was found to prove the other allegations.
Report Facts
Facility capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Vasquez | Administrator | Met with during complaint investigation and exit interview |
| Shawna Doucette | Licensing Program Analyst | Conducted the complaint investigation |
| Sergiy Pidgirny | Licensing Program Manager | Named in report as Licensing Program Manager |
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