Inspection Reports for
Park Regency Retirement Center
1750 W. LA HABRA BLVD., LA HABRA, CA, 90631
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
3.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
63% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 105
Capacity: 168
Deficiencies: 0
Date: Jan 8, 2026
Visit Reason
The inspection was an unannounced visit to investigate a complaint alleging that a resident did not receive medications timely and that the resident's illness and delayed medications were not reported to their doctor.
Complaint Details
The complaint alleged that on January 3, 2026, Resident #1 was sick and did not receive medications timely, and that the illness and delayed medications were not reported to the doctor. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found no evidence to substantiate the allegation. Medication Administration Records and interviews with staff and residents showed no missed or late medications. The resident's symptoms were monitored, medications were provided as needed, and the doctor was properly notified.
Report Facts
Facility Capacity: 168
Resident Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Alex Gutierrez | Wellness Director | Interviewed during investigation regarding medication administration |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 168
Deficiencies: 0
Date: Jan 5, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff left a resident in a soiled diaper for a long period, did not assist a resident in care, and did not respond to residents' call buttons.
Complaint Details
The complaint investigation involved allegations that staff left a resident in a soiled diaper for a long time, did not assist a resident in care after a fall, and did not respond to residents' call buttons. The investigation included interviews with the administrator, staff, residents, and review of care notes, call button logs, and resident service plans. The allegation regarding the soiled diaper was deemed unsubstantiated due to lack of evidence. The allegations regarding lack of assistance and call button response were found to be unfounded.
Findings
The investigation found the allegation of leaving a resident in a soiled diaper unsubstantiated due to insufficient evidence. The allegations that staff did not assist a resident after a fall and did not respond to call buttons were found to be unfounded after review of facility records, interviews, and observations.
Report Facts
Facility Capacity: 168
Resident Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Miles Mouradian | Administrator | Interviewed during complaint investigation |
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Armando J Lucero | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 168
Deficiencies: 1
Date: Jan 5, 2026
Visit Reason
This unannounced Case Management – Deficiencies inspection was conducted to issue citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20251230120343.
Complaint Details
Inspection was triggered by a complaint investigation under Complaint Control No. 22-AS-20251230120343. Deficiency related to failure to reappraise Resident #1 yearly was substantiated.
Findings
The facility failed to ensure Resident #1 was reappraised yearly as required, with the last appraisal over a year old. Deficiencies were cited per Title 22 Division 6 of the California Code of Regulations.
Deficiencies (1)
CCR 87463(a) requires pre-admission appraisals to be updated in writing at least once every 12 months. The licensee did not ensure Resident #1 was reappraised yearly, posing a potential safety risk to persons in care.
Report Facts
Census: 105
Total Capacity: 168
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Miles Mouradian | Administrator | Met with Licensing Program Analyst during inspection |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and issued citations |
| Armando J Lucero | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 168
Deficiencies: 1
Date: Dec 18, 2025
Visit Reason
This unannounced inspection was conducted to investigate a complaint alleging that the facility was not providing enough staff to meet the needs of residents in care.
Complaint Details
The complaint alleging insufficient staffing was substantiated based on interviews, document reviews, and observations. The facility had severe staffing issues in September 2021, with only one staff covering memory care instead of four, leading to delayed personal care for residents.
Findings
The investigation substantiated that due to staff turnover, the facility was short staffed in September 2021, resulting in residents experiencing delays in care such as being left in soiled diapers, especially in memory care. Interviews with staff and residents confirmed insufficient staffing levels negatively impacted resident care.
Deficiencies (1)
CCR 87411(a) Personnel Requirements – Facility personnel were not sufficient in numbers or competent to meet resident needs, resulting in residents being left in soiled diapers which poses an immediate personal rights risk.
Report Facts
Staff turnover: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Turgeon | Administrator | Facility administrator at the time of the investigation |
| Annaliza Yem | Staff interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 168
Deficiencies: 1
Date: Dec 8, 2025
Visit Reason
This unannounced inspection was conducted to investigate complaints alleging that facility staff do not respond to call buttons timely and that the facility does not have adequate staffing.
Complaint Details
The complaint investigation was triggered by allegations that facility staff do not respond to call buttons timely and that the facility is understaffed. The call button response allegation was substantiated, while the staffing allegation was unsubstantiated.
Findings
The investigation substantiated that staff did not respond to call buttons timely, posing a potential safety risk, and assessed a civil penalty. The allegation regarding inadequate staffing was unsubstantiated due to insufficient evidence.
Deficiencies (1)
CCR 87464(f)(1) Basic services were not met as the licensee did not ensure resident call buttons were answered timely, posing a potential safety risk to persons in care.
Report Facts
Capacity: 168
Census: 104
Call response times: 15
Call response times: 40
Call response times: 50
Call response times: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Miles Mouradian | Administrator | Named in investigation and interview regarding complaint allegations |
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Alex Gutierrez | Wellness Director | Interviewed during investigation regarding call response and staffing |
| Irene Duchene | Staff #1 | Interviewed during investigation regarding staffing allegation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 168
Deficiencies: 0
Date: Dec 1, 2025
Visit Reason
The visit was conducted to investigate a complaint alleging that residents were sleeping in common areas of the facility.
Complaint Details
The complaint alleging residents sleeping in common areas was investigated and found unsubstantiated based on interviews and observations during the visit.
Findings
The investigation found that three residents were temporarily relocated due to flooding and damage in their units caused by a weather event. No evidence was found that residents had to occupy common areas, and the allegation was determined to be unsubstantiated.
Report Facts
Facility Capacity: 168
Resident Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation visit |
| Miles Mouradian | Administrator | Met with the evaluator during the visit |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 168
Deficiencies: 2
Date: Nov 13, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not ensure proper facility maintenance, failed to keep the facility free from mold, and did not provide adequate care and supervision to residents.
Complaint Details
The complaint investigation was substantiated for allegations related to facility maintenance and mold presence but unsubstantiated for allegations of inadequate care and supervision due to insufficient evidence.
Findings
The investigation substantiated that the facility had ongoing roof leaks causing water damage and potential slipping hazards, and that the facility failed to test for mold despite water damage risks. The allegation regarding inadequate care and supervision was unsubstantiated due to conflicting evidence.
Deficiencies (2)
CCR 87303 Maintenance and Operation (a): The facility was not clean, safe, sanitary, and in good repair due to repeated roof leaks causing water damage and safety risks.
CCR 87307 Personal Accommodations and Services (d)(2): The premises were not maintained in a safe and healthful environment as the facility failed to properly address potential mold after a significant roof leak.
Report Facts
Capacity: 168
Census: 106
Deficiencies cited: 2
Plan of Correction Due Dates: Roof repair due by 12/04/2025; mold testing due by 11/20/2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Miles Mouradian | Administrator | Facility administrator interviewed during investigation |
| Alex Gutierrez | Wellness Director | Interviewed regarding staffing and care during investigation |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 168
Deficiencies: 1
Date: Sep 19, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations regarding inadequate supervision resulting in resident injury, failure to report incidents, and unmet incontinence needs.
Complaint Details
The complaint investigation was substantiated for inadequate supervision leading to resident injury. The allegation that staff did not report incidents was unsubstantiated. The allegation regarding unmet incontinence needs was unfounded.
Findings
The investigation substantiated that the facility failed to provide adequate care and supervision to Resident #1 (R1), resulting in two falls and hospitalization. The allegation that staff did not report incidents to appropriate parties was unsubstantiated. The allegation that staff did not ensure residents' incontinence needs were met was found to be unfounded.
Deficiencies (1)
CCR 87464(f)(1) Basic services shall at a minimum include care and supervision. The licensee did not provide additional care necessary to address R1’s increased fall risk and weakness, resulting in a fall and hospitalization.
Report Facts
Capacity: 168
Census: 104
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Miles Mouradian | Pending Administrator | Interviewed during investigation |
| Armando J Lucero | Supervisor | Supervised the investigation |
Inspection Report
Annual Inspection
Census: 108
Capacity: 168
Deficiencies: 3
Date: Aug 22, 2025
Visit Reason
This unannounced inspection was conducted as a Required – 1 Year Inspection to evaluate compliance with licensing requirements at the facility.
Findings
The inspection identified deficiencies including failure to ensure a staff member was background cleared prior to employment, lack of documented medication training for a medication technician, and a resident not receiving prescribed medication as ordered. Immediate civil penalties were assessed.
Deficiencies (3)
HSC 1569.17(c)(1)(A) The licensee did not ensure Staff #1 was background cleared prior to working at the facility for the last two years, posing an immediate safety risk to persons in care.
HSC 1569.69(a)(1) The licensee did not ensure Staff #2, a medication technician, had documented medication training, posing a potential health risk to persons in care.
CCR 87465(a)(1) The licensee did not ensure Resident #1 received their Quetiapine 0.5MG on August 14, 2025, as the medication was still in the bubble pack with no indication of refusal.
Report Facts
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jorge Garcia | Maintenance Director | Met with during inspection. |
| Miles Mouradian | Pending Administrator | Arrived during inspection. |
| Ashley Willett | Administrator/Director | Named as facility administrator. |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection. |
| Armando J Lucero | Licensing Program Manager | Oversaw licensing program. |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 168
Deficiencies: 0
Date: Aug 14, 2025
Visit Reason
This unannounced Case Management – Other inspection was conducted to deliver amended findings for Complaint Control No. 22-AS-20250707091934.
Complaint Details
Inspection was conducted as a follow-up to a complaint investigation under Complaint Control No. 22-AS-20250707091934. The report delivers amended findings related to that complaint.
Findings
The Licensing Program Analyst reviewed and discussed the previously delivered and amended reports with the Pending Administrator. A manual LIC421IM was created due to technical issues and signed by both parties. Copies of the reports were provided to the facility representative during the exit interview.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Miles Mouradian | Pending Administrator | Met with Licensing Program Analyst during inspection and signed amended report. |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and delivered amended findings. |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 168
Deficiencies: 1
Date: Jul 9, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff were rough with a resident.
Complaint Details
The complaint alleged that facility staff were rough with a resident. The investigation found that staff forced care on Resident #1, who resisted, resulting in injuries including skin tears and a large bruise. The allegation was substantiated based on interviews, observations, and review of medical and facility records.
Findings
The investigation substantiated that staff forced care on a resident with dementia, resulting in skin tears and a large bruise. The facility failed to ensure the resident was free from abuse, and immediate civil penalties were assessed.
Deficiencies (1)
CCR 87468.1(a)(3) Personal Rights of Residents were violated as the licensee did not ensure the resident was free from abuse when staff forced care resulting in skin tears and a large bruise. This posed an immediate personal rights risk to persons in care.
Report Facts
Capacity: 168
Census: 107
Deficiency Type Count: 1
Inspection Report
Complaint Investigation
Census: 105
Capacity: 168
Deficiencies: 1
Date: Jun 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff were not dispensing medication as prescribed.
Complaint Details
The complaint alleging that facility staff were not dispensing medication as prescribed was substantiated based on evidence gathered during the investigation.
Findings
The investigation substantiated that Resident #1 did not receive Fosfomycin as prescribed and it was incorrectly documented as given. Resident #2 also did not receive medications on May 1, 2025, due to lack of supply, and staff failed to document follow-up attempts with the doctor and pharmacy.
Deficiencies (1)
CCR 87465(a)(4) requires the licensee to assist residents with self-administered medications as needed. The licensee failed to ensure Resident #1 received one medication for multiple days and Resident #2 received all medications for one day, posing an immediate health risk.
Report Facts
Facility Capacity: 168
Resident Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Miles Mouradian | Pending Administrator | Interviewed during the investigation regarding medication dispensing issues |
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 168
Deficiencies: 0
Date: Jun 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit to examine allegations regarding improper medical care for a resident's skin condition and failure to provide hygiene supplies.
Complaint Details
Two complaints were investigated: one alleging that facility staff did not obtain proper medical care for a resident's skin condition, which was found to be unfounded; and another alleging that facility staff were not providing hygiene supplies, which was deemed unsubstantiated due to conflicting evidence.
Findings
The investigation found the allegation of improper medical care for the resident's skin condition to be unfounded, with evidence showing timely reporting and treatment by medical providers. The allegation that hygiene supplies were not provided was deemed unsubstantiated due to conflicting information and lack of sufficient evidence.
Report Facts
Facility Capacity: 168
Resident Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Miles Mouradian | Pending Administrator | Met with Licensing Program Analyst during inspection |
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Armando J Lucero | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 168
Deficiencies: 1
Date: Jun 12, 2025
Visit Reason
This unannounced Case Management – Deficiencies inspection was conducted to issue citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20250326115916.
Complaint Details
The inspection was conducted as part of an investigation into Complaint Control No. 22-AS-20250326115916. Deficiencies were substantiated and citations issued.
Findings
The facility was found to be noncompliant with licensing requirements due to the absence of a certified administrator, posing a potential safety risk to persons in care. Deficiencies were cited per Title 22 Division 6 of the California Code of Regulations.
Deficiencies (1)
CCR 87405(a) Administrator - Qualifications and Duties: The facility does not have a qualified and currently certified administrator, which poses a potential safety risk to persons in care.
Report Facts
Census: 106
Total Capacity: 168
Plan of Correction Due Date: Jul 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Miles Mouradian | Pending Administrator | Interviewed during inspection; noted as not currently certified administrator |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and issued the report |
| Armando J Lucero | Licensing Program Manager | Oversaw the licensing program related to this inspection |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 168
Deficiencies: 0
Date: Jun 12, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations of insufficient and incompetent staff leading to inadequate care and supervision, and a resident sustaining an unexplained injury while in care.
Complaint Details
The complaint alleged insufficient and incompetent staff resulting in inadequate care and supervision, and that a resident sustained an unexplained injury. The investigation included interviews, record reviews, and observations. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found no evidence to substantiate the allegations. Staffing levels and training met requirements, and no health or safety issues were observed. The resident involved was reassessed and additional care was provided for wandering and aggression. The incidents involving the resident were not conclusively linked to staff or other residents.
Report Facts
Capacity: 168
Census: 106
Memory care residents: 32
Staff assigned to memory care unit: 5
Residents interviewed: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Willett | Administrator | Interviewed regarding allegations and incidents |
| Miles Mouradian | Pending Administrator | Met with Licensing Program Analyst and provided information during investigation |
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 168
Deficiencies: 1
Date: May 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-02-18 regarding facility disrepair, mold presence, infection control, and staff training.
Complaint Details
The complaint investigation was substantiated for the allegation of facility disrepair due to water damage not repaired in one resident's bathroom. The allegations regarding mold and infection control were unsubstantiated, and the allegation of inadequate staff training was unfounded.
Findings
The investigation substantiated the allegation that the facility was in disrepair due to unrepaired water damage in one resident's bathroom. The allegations regarding mold presence and failure to prevent illness spread were unsubstantiated due to conflicting or insufficient evidence. The allegation that staff were not adequately trained was found to be unfounded.
Deficiencies (1)
CCR 87303(a) Maintenance and Operation: The facility was not clean, safe, sanitary, and in good repair as evidenced by unrepaired water damage in one resident's bathroom posing a potential health risk.
Report Facts
Resident census: 109
Total capacity: 168
Residents affected by gastrointestinal outbreak: 15
Residents interviewed: 11
Inspection Report
Complaint Investigation
Census: 103
Capacity: 168
Deficiencies: 1
Date: Oct 10, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility does not provide a safe environment for residents and staff.
Complaint Details
The complaint alleging the facility does not provide a safe environment for residents and staff was substantiated based on observations and interviews. The investigation was conducted unannounced on 2024-10-10.
Findings
The investigation found multiple physical plant issues including open ceiling areas, stains, leaks, and tarped areas in 10 resident rooms. The allegation was substantiated as these conditions posed health and safety risks to residents.
Deficiencies (1)
CCR 87468.1(a)(2): Residents are not afforded safe and healthful accommodations due to multiple physical plant issues including open ceiling areas, stains, leaks, and tarped areas in 10 resident rooms. This poses an immediate health and safety risk to residents.
Report Facts
Capacity: 168
Census: 103
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
Inspection Report
Annual Inspection
Census: 89
Capacity: 168
Deficiencies: 4
Date: Aug 14, 2024
Visit Reason
This unannounced inspection was conducted as a Required – 1 Year Inspection to evaluate compliance with licensing regulations.
Findings
The inspection found multiple deficiencies including an outdated administrator record, unpaid licensing fees, expired first aid training for staff, and a resident with dementia lacking an annual medical assessment.
Deficiencies (4)
HSC 1569.618(b) The administrator was changed in October 2023 but not all requested documents were provided and the administrator has not been updated, posing a potential safety risk.
CCR 87156(a) The licensee has not paid licensing fees for multiple years, which are now past due, posing a potential personal rights risk.
CCR 87411(c)(1) Staff S1, S2, and S3 did not have current first aid training as their certificates were expired, posing a potential health risk.
CCR 87705(c)(5) Resident R1 with dementia did not receive an annual medical assessment as required, posing a potential health risk.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 6
Residents interviewed: 6
Staff interviewed: 6
Medications inspected: 6
Inspection Report
Complaint Investigation
Census: 77
Capacity: 168
Deficiencies: 0
Date: Dec 13, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a resident developed a severe pressure injury while in care.
Complaint Details
The allegation that a resident developed a severe pressure injury was unsubstantiated after review of hospice notes, physician reports, care plans, and staff interviews. The resident was ambulatory and had no documented skin breakdown or wound care.
Findings
The investigation found no evidence to substantiate the allegation. Documentation and staff interviews confirmed the resident did not have any pressure injury during the period in question.
Report Facts
Capacity: 168
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Turgeon | Administrator | Facility administrator named in report header |
Inspection Report
Follow-Up
Census: 99
Capacity: 168
Deficiencies: 0
Date: Mar 16, 2023
Visit Reason
This unannounced case management inspection was conducted to follow up on the status of the facility’s administrator.
Findings
No deficiencies were cited during the inspection. The Licensing Program Analyst reviewed administrator qualifications and discussed renewal requirements with staff.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Justin Casem | Staff #1 | Discussed administrator status and qualifications during inspection. |
| Dennis Robeniol | Staff #2 | Reviewed active administrator certificate and qualifications. |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 168
Deficiencies: 1
Date: Jan 13, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility is in disrepair and does not provide a safe environment for residents and staff.
Complaint Details
The complaint was substantiated based on observations and interviews confirming ongoing leaking problems for over one year, creating unsafe conditions for residents and staff.
Findings
The investigation found substantiated evidence of facility disrepair including dark stains, bubbling ceilings, open ceiling areas, and tarped sections throughout multiple areas and rooms. The facility was cited for failing to maintain a clean, safe, sanitary, and well-repaired environment, posing immediate health and safety risks to residents.
Deficiencies (1)
CCR 87303(a): The facility is not clean, safe, sanitary, or in good repair due to dark stains, bubbling ceilings, open ceiling areas, and tarped sections throughout hallways, dining areas, kitchen, and multiple rooms. This condition poses an immediate health and safety risk to residents.
Report Facts
Capacity: 168
Census: 92
Deficiency Type Count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Bowen | Senior Vice President of Operations | Named in relation to facility disrepair findings and plan of correction |
| Rosie Quiroz | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 94
Capacity: 168
Deficiencies: 0
Date: Jul 25, 2022
Visit Reason
This unannounced inspection was conducted for the purpose of an Annual Inspection to evaluate compliance with regulations.
Findings
The inspection found no health and safety concerns. The facility was clean, organized, and compliant with infection control and other regulatory requirements. No deficiencies were cited.
Inspection Report
Follow-Up
Census: 94
Capacity: 168
Deficiencies: 0
Date: Jul 25, 2022
Visit Reason
This unannounced case management inspection was conducted to follow up on a self-reported death incident involving Resident #1 that occurred on 2022-06-27.
Findings
The inspection involved interviews with staff and review of Resident #1's records. Staff reported that Resident #1 was found unresponsive after being laid back in bed and that CPR was performed until paramedics arrived. The resident's passing was unexpected and further investigation may be required.
Inspection Report
Follow-Up
Census: 88
Capacity: 168
Deficiencies: 0
Date: Mar 29, 2022
Visit Reason
This unannounced case management inspection was conducted to follow up on a self-reported incident involving Resident #1, where a caregiver was alleged to have hit the resident on three occasions.
Complaint Details
The visit was triggered by a complaint reported by Resident #1's family member alleging caregiver abuse. The facility took immediate action by interviewing the resident, reporting to police, suspending and terminating the caregiver. The resident was found in good health. Further investigation may be needed.
Findings
The facility interviewed the resident, reported the incident to the police, suspended and later terminated the suspected caregiver. The resident was observed to be in good health and spirits during the inspection. Further investigation may be required.
Inspection Report
Annual Inspection
Census: 89
Capacity: 168
Deficiencies: 0
Date: Oct 18, 2021
Visit Reason
This unannounced inspection was conducted for the purpose of an Annual Inspection to evaluate compliance with regulations.
Findings
The inspection found no health and safety issues. The facility was clean, organized, and compliant with COVID-19 protocols, and no deficiencies were cited.
Report Facts
Staff present: 29
Residents in memory care unit: 30
Perishable food supply: 2
Non-perishable food supply: 7
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