Inspection Reports for Paramount House Senior Living

The visit was an unannounced case management inspection to deliver amendments to a previously issued complaint report that was issued in error on 2025-10-21.

No deficiencies were issued during this unannounced visit where amendments to the complaint report were delivered and signed by the Executive Director.

The visit was a case management visit to discuss an 8-second video received by Community Care Licensing showing a staff member purportedly dancing on top of a resident sink while working, which was shared and since taken down from TikTok.

No residents were present during the video production, and the video was taken by an outside party not employed by the facility. The staff member involved was made aware that such conduct could lead to permanent exclusion from caregiving work. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-02-13 regarding allegations including the facility not answering the phone line, resident incontinent care needs not met, and failure to safeguard resident's personal belongings.

The allegation that the facility is not answering the phone line (including call bells) was substantiated based on interviews, observations, and record review. The allegations regarding resident incontinent care needs not met and failure to safeguard resident's personal belongings were unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for the allegation that the facility was not answering phone calls and call bells promptly, with documented instances of residents waiting 15 minutes or more 57 times, including 7 times over 30 minutes. The other allegations about incontinent care and safeguarding personal belongings were unsubstantiated after review of interviews, observations, and documentation.

An unannounced Annual Required 1-year inspection visit was conducted to evaluate compliance with licensing regulations at the facility.

The facility was found to be clean, well-maintained, and compliant with safety and dietary regulations. Two technical violations were issued related to unsecured cleaning supplies and staff training deficiencies. No formal deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff yelled at residents and did not ensure residents' incontinence needs were being met.

Based on interviews, document reviews, and observations, the allegations were found to be unsubstantiated. There was conflicting information regarding the allegations, and no preponderance of evidence was found to prove the violations occurred.

The complaint investigation was unsubstantiated. Allegations included staff yelling at residents and failure to meet incontinence needs. Evidence showed timely response to calls for assistance and documented refusals of care. Resident had a documented history of UTIs unrelated to staff actions.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-09-30 regarding failure to notify a resident's responsible party of an incident and inadequate food services to residents.

The investigation found both allegations to be unsubstantiated based on interviews, observations, and document reviews. Staff did notify the responsible party as required, and food services were deemed adequate according to menus and resident care plans. No deficiencies were cited during the visit.

The complaint involved two allegations: staff did not notify a resident’s responsible party of an incident, and staff were not providing adequate food services to residents. Both allegations were found unsubstantiated after investigation.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not answering residents' call buttons in a timely manner and were not meeting residents’ bathing needs.

The investigation substantiated the allegations that staff failed to respond timely to residents' call buttons, with documented delays of 15 minutes or more occurring 91 times over four months, and that residents did not receive the agreed-upon frequency of bathing, receiving approximately half the contracted number of baths.

The complaint was substantiated based on interviews, observations, and record reviews. The reporting party alleged staff delays in responding to call buttons and failure to meet bathing needs, both of which were confirmed by evidence including resident interviews and documentation of wait times and bathing frequency.

The inspection was an unannounced complaint investigation visit triggered by complaints alleging the facility did not ensure a safe environment, was not kept clean, safe and sanitary, and that staff were not providing adequate care and supervision to residents.

The complaint that staff were not providing adequate care and supervision was found to be unsubstantiated due to lack of corroborating evidence. However, allegations that the facility did not ensure a safe environment and was not kept clean, safe and sanitary were substantiated. Specifically, several unhoused individuals gained access to the facility posing an immediate safety risk, and a resident's bedside commode was not properly disposed of in a timely manner, posing health and safety risks.

The complaint investigation was substantiated for allegations that the facility did not ensure a safe environment and was not kept clean, safe and sanitary. The allegation that staff were not providing adequate care and supervision was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation of neglect/lack of care and supervision resulting in a resident being hospitalized.

The allegation of neglect/lack of supervision resulting in resident hospitalization was unsubstantiated due to insufficient corroborating evidence. No deficiencies were cited, but a separate case management visit was initiated to issue a citation for general lack of supervision and failure to provide basic services to the resident.

The complaint alleged neglect/lack of care and supervision that resulted in a resident being hospitalized. The investigation found contradicting information and insufficient evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.

The case management visit was conducted to address separate violations found during a complaint investigation regarding complaint number 21-AS-20231129102127.

The Licensing Program Analyst found that on 11/22/2023, a resident (R1) was left unattended and soiled in their wheelchair for several hours, despite care plan requirements for two-person assist transfers and two-hour room checks. The facility was unable to prove adequate supervision and proper room checks were conducted for R1.

The visit was complaint-related, addressing violations found during complaint investigation number 21-AS-20231129102127. The deficiency was substantiated as the facility failed to provide adequate supervision and proper room checks for resident R1.

The visit was an unannounced complaint investigation triggered by an allegation that staff would not allow a resident to return to the facility.

The investigation found that the resident had returned to the facility but was sent out for medical attention due to symptoms of C-diff. The facility was not properly informed of the resident's condition, which is a prohibited health condition. However, the facility followed regulation protocols for approved exception and the allegation was unsubstantiated due to lack of corroborating evidence.

The complaint alleged that staff would not allow resident R1 to return to the facility. The allegation was found to be unsubstantiated due to conflicting information and lack of corroborating evidence.

An unannounced Annual Required – 1 year inspection visit was conducted to evaluate compliance with licensing regulations and facility standards.

The facility was found to be clean, well-maintained, and compliant with safety and health regulations. Several technical violations were issued related to an unsecured laundry room, incomplete medication record entry, and staff training deficiencies. No formal deficiencies were cited during the visit.

The visit was an unannounced follow-up on an incident report regarding a resident who was hospitalized due to burns.

The facility took corrective actions including updating the resident's care level, issuing a formal notice regarding smoking policies, and increasing monitoring. No deficiencies were cited during this visit.

An unannounced complaint investigation visit was conducted in response to an allegation of neglect/lack of supervision resulting in a resident fall with injury.

The investigation found that Resident #1 had a documented change of condition and a propensity to attempt to get out of bed without assistance. The allegation of neglect/lack of supervision resulting in a resident fall with injury was unsubstantiated due to insufficient evidence.

The complaint alleged neglect/lack of supervision resulting in a resident fall with injury. The allegation was determined to be unsubstantiated as there was not a preponderance of evidence to prove the violation occurred.

The inspection was an unannounced complaint investigation visit triggered by allegations including improper oxygen administration, neglect/lack of supervision, and physical plant concerns.

The investigation substantiated that staff failed to ensure oxygen tanks were turned on for residents during transport, there were multiple instances of delayed response to call bells indicating neglect, and a rat trap was found in a resident's closet indicating physical plant issues. Plans of correction were required for staff training, timely response, and pest control.

The complaint investigation was substantiated. Allegations included oxygen not being used accordingly, neglect/lack of supervision, and physical plant issues. The investigation confirmed these issues through interviews, document reviews, and observations.

The inspection was an unannounced Case Management-Incident visit conducted to investigate an incident where Resident R1 eloped from the facility without staff knowledge on February 8, 2023.

The inspection found that the facility failed to implement adequate safety measures to prevent Resident R1, who is unable to leave unassisted, from eloping. Deficiencies were cited related to care of persons with dementia and safety measures addressing wandering behaviors.

The visit was complaint-related due to an incident where Resident R1 eloped from the facility without staff knowledge. The complaint was substantiated by the findings.

An unannounced complaint investigation was conducted due to allegations that staff do not distribute residents' medications as prescribed.

The investigation substantiated that agency staff failed to distribute medications to residents on February 1 and February 3, 2023, presenting an immediate health, safety, and personal rights risk to residents. Civil penalties were assessed and a plan of correction was required.

Complaint was substantiated. The complaint alleged that staff did not distribute residents' medications as prescribed. The missed medications occurred when agency staff were on the floor.

The inspection was conducted as a Case Management-Incident visit regarding an SOC 341 that was forwarded to the Santa Rosa Regional Office.

No deficiencies were observed or cited during this Case Management-Incident Inspection.

The visit was complaint-related as a Case Management-Incident inspection regarding an SOC 341. No deficiencies were found.

The inspection was an unannounced Case Management - Incident visit conducted to review the facility's compliance related to a specific incident.

No deficiencies were observed or cited during this Case Management-Incident inspection after interviews and record reviews.

The inspection was an unannounced Required 1 Year inspection conducted to evaluate compliance with licensing regulations at Paramount House Senior Living.

The facility was found to be clean, well-maintained, and compliant with regulations including food safety, resident room conditions, medication storage, and fire safety. No deficiencies were observed or cited during the inspection.

The inspection was conducted as an unannounced Plan of Correction (POC) visit to verify compliance with previously identified issues and to discuss ongoing corrective actions.

No deficiencies were observed or cited during the Plan of Correction inspection. Discussions included retaining weekly staff schedules, staffing coverage plans, reporting requirements, and ensuring timely medication administration.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-07-12 alleging insufficient staffing to provide care and supervision to residents.

The investigation confirmed insufficient staffing throughout the facility based on interviews, review of facility documents, and an incident report documenting lack of staff to dispense medication on 2022-09-05 from 1600 to 2200 hours, presenting an immediate health, safety, and personal rights risk to residents.

The complaint was substantiated. The allegation was that the facility failed to ensure sufficient staffing necessary to provide care and supervision to residents. The investigation confirmed this through interviews, document review, and an incident report.

The inspection was an unannounced complaint investigation triggered by an allegation that facility staff did not inform a resident's authorized person of an incident.

The investigation confirmed that the facility failed to report a medication error incident to Community Care Licensing in a timely manner and did not notify the responsible parties of the residents about the incident. The incident occurred on September 5, 2022, but was reported to licensing on September 7, 2022.

The complaint alleged that facility staff did not inform the resident's authorized person of an incident. The complaint was substantiated based on interviews and document review confirming delayed reporting and notification failures.

The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2022-07-06 alleging that staff did not meet residents' dietary needs.

The investigation found the allegation unsubstantiated after interviews, observations of residents eating, and review of facility records including food menus and special diets, with no evidence proving the staff failed to meet residents' dietary needs.

The complaint alleged that staff did not meet residents' dietary needs. The allegation was found unsubstantiated due to lack of preponderance of evidence to prove or disprove the claim.

An unannounced complaint investigation was conducted in response to an allegation that unqualified staff administered medications to residents at Paramount House Senior Living.

The investigation found the allegation to be unsubstantiated, meaning there was insufficient evidence to prove or disprove that unqualified staff administered medications to residents. The Medication Assessment Record for July 2022 was reviewed, noting the receptionist's name was not documented on the MAR.

The complaint alleged that unqualified staff administered medications to residents. The allegation was found unsubstantiated after investigation, with no preponderance of evidence to confirm or deny the claim.

Unannounced case management visit conducted in response to two incidents reported by the facility, including a complaint about the Director of Dining Services yelling and a domestic dispute between two residents.

The investigation found no citations were issued. The Director of Dining Services was observed possibly raising their voice due to kitchen noise, but no direct yelling at residents was confirmed. The domestic dispute involved two residents who are responsible parties and was reported as required.

The visit was an unannounced Case Management - Other visit conducted as part of a Complaint Investigation to review facility compliance and resident care.

The Licensing Program Analyst observed that a Resident's Needs and Services Plan was not appropriately updated to match the Physician's Report on file, posing a potential health, safety, and personal risk to residents. Additionally, a resident was observed having frequent and loud vocalizations, with discussions on care provided.

The visit was complaint-related. The deficiency involved failure to update a Resident's Needs and Services Plan to match the Physician's Report. Substantiation status is not explicitly stated.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2022-06-03 regarding alleged personal rights violations at the facility.

The investigation found that the facility had a report of suspected abuse for a resident but failed to conduct an investigation or report it timely. However, based on interviews, documentation, and police reports, the allegation of personal rights violation was unsubstantiated due to lack of sufficient evidence. No deficiencies were cited during this inspection.

The complaint allegation was related to personal rights violations. The allegation was unsubstantiated as there was not a preponderance of evidence to prove the violation did or did not occur.

The visit was conducted as a case management follow-up to close a complaint investigation regarding suspected abuse and staff training deficiencies at the facility.

The facility failed to report suspected abuse in a timely manner and did not conduct an investigation as required. Additionally, staff members S1 and S2 lacked required training hours and documentation as mandated by the Health & Safety Code.

The complaint investigation was related to suspected abuse of resident R1 reported late by the facility and incomplete staff training records for staff S1 and S2. The complaint was substantiated with observed deficiencies.

Unannounced Plan of Corrections (POC) visit to review corrections made for deficiencies cited during a prior visit on 2022-07-01.

The administrator provided the plan of corrections to Licensing Program Analysts, and the deficiency cited previously was cleared during this visit. No deficiencies were cited during this inspection.

Unannounced complaint investigation visit conducted due to an allegation that the facility was not providing medication as prescribed.

The investigation substantiated that the facility did not provide medication as prescribed for three days, failing to administer a medication two times per day as ordered. The facility contacted the physician for an updated order and began administering the medication as directed.

The complaint was substantiated. The allegation that the facility was not providing medication as prescribed was found valid based on the preponderance of evidence.

Licensing Program Analysts conducted an unannounced Annual Required inspection focused on Infection Control procedures and practices at the facility.

The facility demonstrated compliance with infection control practices including visitor screening, staff vaccination, and PPE availability. No deficiencies were cited during this inspection.

The visit was a case management follow-up on a self-reported incident involving neglect of a resident with incontinence care.

The investigation confirmed that staff neglected to assist a resident with incontinence care, violating the resident's personal rights. A deficiency was cited under Personal Rights (LIC 809-D).

The visit was triggered by a self-reported incident on 07/01/2021 involving neglect by staff (S1). The incident was substantiated, and the responsible staff member was terminated the same day.

The inspection visit occurred to deliver findings on a complaint and to investigate the complaint regarding facility practices.

During the complaint investigation, it was observed that a medication cart was left unlocked with keys on top in the memory care unit, posing an immediate health and safety concern for residents with dementia.

The visit was complaint-related. The complaint was substantiated by the observation of the unlocked medication cart posing an immediate health and safety concern.

The visit was an unannounced complaint investigation triggered by an allegation received on 2021-06-28 that staff are not adequately trained, specifically that medication technicians do not have proper training to distribute medication.

The investigation found that the facility was unable to provide verification that all required training had been completed for 5 out of 5 staff reviewed, substantiating the allegation that staff are not adequately trained. This poses an immediate health, safety, or personal rights risk to persons in care.

The complaint was substantiated based on interviews and review of staff records. The allegation that staff are not adequately trained, specifically medication technicians lacking proper training, was found valid by preponderance of evidence.

The inspection was an unannounced complaint investigation conducted due to a complaint alleging that staff did not provide assistance in meeting a resident's need for a medical appointment with a physician.

The investigation found that the facility did not have any record of the resident's scheduled medical appointment or documentation of rescheduling the missed appointment. The allegation that staff failed to assist the resident with the medical appointment was substantiated based on interviews and record reviews.

The complaint alleged that staff did not provide assistance in meeting a resident's need for a medical appointment with a physician. The allegation was substantiated after investigation, including interviews with the resident's healthcare provider and facility staff, confirming a 'no show' by facility staff for the scheduled video appointment.

The visit was an unannounced complaint investigation triggered by allegations received on 2021-01-21 regarding staff mismanaging resident's medication, not meeting resident's needs, and not following emergency protocols.

The investigation found all allegations to be unsubstantiated after reviewing medication counts, interviewing staff, residents, and outside parties, and touring the facility. Conflicting information was received, and no corroborating evidence was found to prove the allegations.

The complaint included allegations that staff mismanaged resident medication, failed to meet resident needs, and did not follow emergency protocols during a January 2021 emergency incident. All allegations were found to be unsubstantiated due to conflicting information and lack of corroborating evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-02-19 regarding staff not following physician's orders and resident dignity concerns.

The investigation substantiated that staff did not follow physician's orders by administering a laxative medication against a discontinuation order and that a resident was left in soiled continence care products for several hours, violating dignity standards. Another allegation regarding timely reporting of changes in resident condition to a physician was unsubstantiated.

The complaint investigation was substantiated for allegations that staff did not follow physician's orders regarding medication administration and that a resident was not accorded dignity due to delayed changing of continence care products. The allegation that staff did not ensure timely reporting of changes in resident condition to a physician was unsubstantiated.

The inspection was an unannounced complaint investigation triggered by allegations of staff mismanaging residents' medications and other related complaints.

The complaint investigation found that staff S1 was responsible for a missing narcotic medication for resident R1 during a medication audit. Two additional medication errors were noted for other staff, but the facility lacked documentation of corrective actions. Other allegations including residents being given another resident's medication, staff speaking inappropriately, staff hitting residents, and residents not being changed timely were found to be unsubstantiated due to conflicting information and lack of corroborating evidence.

The complaint investigation was substantiated for staff mismanaging medications, specifically a missing narcotic medication by staff S1. Other allegations regarding medication errors, inappropriate staff behavior, and resident care were found unsubstantiated.

The inspection was an unannounced complaint investigation conducted in response to multiple allegations received on 2020-04-29 regarding medication handling, incident report submission, staff qualifications, resident file management, and staff conduct.

The investigation substantiated that staff had access to discontinued medication stored unsecured and that incident reports were not submitted in a timely manner. Other allegations including questionable death, staff handling destroyed medications, rough treatment of residents, and inappropriate comments were found to be unsubstantiated.

The complaint investigation was substantiated for allegations that staff had access to discontinued medication and that incident reports were not submitted timely. Other allegations including questionable death, staff handling destroyed medications, roughness with residents, and inappropriate comments were unsubstantiated.

The inspection was an unannounced complaint investigation triggered by a complaint received on 2020-10-19 alleging that the facility was short staffed and not providing adequate services to residents.

The investigation substantiated the allegation that the facility was short staffed on multiple dates between 2020-10-11 and 2020-10-24, posing an immediate health and safety risk. The allegation that the facility was not providing adequate services to residents was found to be unsubstantiated due to conflicting information.

Complaint control number 21-AS-20201019132325. The complaint was substantiated regarding insufficient staffing but unsubstantiated regarding inadequate services to residents.