Inspection Reports for Park Terrace

An unannounced visit was conducted to investigate complaints alleging that facility staff refused to give medication to a resident and were not following doctors' orders.

The investigation found that medication changes were documented and administered as prescribed, with no discrepancies in medication administration records. The allegation that staff refused medication or did not follow doctors' orders was deemed unsubstantiated due to lack of sufficient evidence.

The complaint involved allegations that facility staff refused to give medication (specifically Seroquel and Ativan) to a resident and did not follow doctors' orders. The investigation included interviews, record reviews, and a facility tour. It was found that the resident never had a physician's order for Ativan, and medication changes were properly documented and administered. The allegation was unsubstantiated.

The visit was an unannounced annual required inspection conducted by Licensing Program Analyst Ruth Martinez to evaluate compliance with licensing requirements for the Park Terrace facility.

The inspection found no deficiencies in the areas inspected, including resident care, physical plant, medication storage, safety systems, and documentation. All safety equipment was up to date and functioning properly, and resident and staff files contained required documentation.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-04-10 alleging medication errors, lack of resident involvement in care planning, and improper assessment with change in condition.

The investigation substantiated that staff gave a resident another resident's medication on 2025-04-05 without adverse reaction and that the resident was not involved in the care plan as required. Another allegation regarding improper assessment with change in condition was found unsubstantiated due to insufficient evidence.

The complaint was substantiated for allegations that staff gave a resident another resident's medication and that the resident was not involved in the care plan. The allegation that staff did not do a proper assessment with change in condition was unsubstantiated due to lack of sufficient evidence.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility physically abused a resident.

The investigation included a review of the resident's file, a physical plant tour, and interviews with staff and residents. The allegation was deemed unsubstantiated due to insufficient evidence to prove or refute the claim.

The complaint alleged that Resident 1 had unexplained bruising and had experienced a fall. Staff and resident interviews indicated the resident fell but did not report it at the time. The investigation was unable to ascertain if the alleged physical abuse occurred, resulting in an unsubstantiated finding.

This unannounced case management visit was conducted to follow up on an incident reported to Community Care Licensing regarding a resident's fall on January 22, 2025.

The facility acted appropriately and in a timely manner to address the incident and injuries. No immediate or safety risks were observed, and no deficiencies were noted during the visit.

The visit was triggered by a complaint related to a resident who fell and subsequently required hospital care and relocation to another facility. The complaint was self-reported by the facility and found to be appropriately handled.

The visit was an unannounced annual required inspection conducted by Licensing Program Analyst Ruth Martinez to evaluate compliance with regulations for the facility.

The inspection found no deficiencies in the areas inspected. The facility was observed to be well maintained with proper storage of medications and chemicals, adequate resident accommodations, functional safety systems, and complete resident and staff documentation.

The visit was an unannounced complaint investigation conducted in response to an allegation that residents need a higher level of care.

The investigation found no evidence to substantiate the allegation. Interviews with staff and residents, as well as care plan reviews, indicated that residents were receiving appropriate care and did not require a higher level of care.

The complaint alleged that residents need a higher level of care. The investigation was unsubstantiated due to lack of preponderance of evidence to prove or refute the allegation.

The visit was an unannounced complaint investigation conducted in response to allegations that staff were limiting residents' activities and delaying residents from accessing timely medical care.

The investigation found that the facility was following COVID-19 protocols as per Department PINs and allowed residents to leave for appointments with testing and isolation procedures in place. There was insufficient evidence to prove or refute the allegations, so the complaint was deemed unsubstantiated.

The complaint alleged staff were limiting residents' activities and delaying access to timely medical care. The investigation was unsubstantiated due to lack of preponderance of evidence.

The visit was an unannounced complaint investigation triggered by an allegation that staff did not adequately supervise a resident in the memory care unit.

The investigation included a virtual tour, file review, and interviews. The allegation was found to be unsubstantiated due to lack of corroborating evidence and witnesses, and the facility's security measures were described as adequate.

The complaint alleged inadequate supervision of a resident in the memory care unit. The allegation was deemed unsubstantiated as there was insufficient evidence to prove or refute the claim.

An unannounced required annual inspection was conducted focusing primarily on Infection Control and compliance with regulatory requirements.

The facility appeared clean and sanitary with operational safety equipment and adequate supplies. Minor maintenance issues were noted such as broken light bulbs in three bathrooms and a grab bar in the elevator needing repair. No deficiencies were cited related to COVID-19 mitigation, but an advisory note was issued for follow-up corrections.

Licensing Program Analyst Ruth Martinez conducted an unannounced required inspection visit to evaluate the facility's compliance with regulations.

The facility appeared clean, sanitary, and well-maintained with all required elements in place. No deficiencies were noted during the inspection per Title 22 Division 6 of the California Code of Regulations.