Inspection Reports for
Primrose Alzheimer’s Living Inc
2080 GUERNEVILLE RD, SANTA ROSA, CA, 95403
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
78% occupied
Based on a April 2025 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 39
Capacity: 50
Deficiencies: 0
Date: Apr 29, 2025
Visit Reason
The inspection was a required unannounced 1-year annual visit to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with all licensing requirements with no deficiencies cited. The facility has appropriate infection control, emergency disaster plans, and fire safety measures in place, and resident and staff files were complete and up to date.
Report Facts
Hospice care waiver capacity: 8
Fire clearance approval: 50
Bedridden approval: 12
Resident files reviewed: 10
Staff files reviewed: 10
Hot water temperature: 113.9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John J Wotring | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection visit |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 34
Capacity: 50
Deficiencies: 1
Date: Apr 3, 2024
Visit Reason
The inspection was a required unannounced 1-year visit to evaluate compliance with licensing regulations for the dementia care facility.
Findings
The facility was generally found to be clean, orderly, and compliant with safety and infection control requirements. However, a deficiency was identified due to five resident files lacking required annual medical assessments.
Deficiencies (1)
CCR 87705(c)(5) requires each resident with dementia to have an annual medical assessment and reappraisal. Five out of ten resident files reviewed lacked the required annual medical assessments.
Report Facts
Deficiencies cited: 1
Residents lacking assessments: 5
Resident files reviewed: 10
Staff files reviewed: 9
Hospice care waiver capacity: 8
Fire clearance capacity: 50
Bedridden capacity: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John J. Wotring | Administrator | Met with Licensing Program Analyst during inspection and named in exit interview |
| Dina Alviso | Licensing Evaluator | Conducted the inspection and signed the report |
| Hope DeBenedetti | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 33
Capacity: 50
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
The inspection was a required unannounced 1-year visit to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, orderly, and well-maintained with sufficient supplies and proper safety measures. No deficiencies were cited during the inspection.
Report Facts
Hospice care waiver residents: 8
Fire extinguishers serviced: 7
Resident files reviewed: 12
Staff files reviewed: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Wotring | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the required 1-year visit and inspection |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 50
Deficiencies: 2
Date: Sep 1, 2022
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 2022-04-04 regarding failure to meet resident needs, resident hygiene not being met, facility cleanliness, and failure to report an outbreak.
Complaint Details
The complaint investigation was substantiated for failure to meet resident needs related to bowel movement monitoring and documentation. Allegations of unmet hygiene needs and facility cleanliness were unsubstantiated. The allegation of failure to report an outbreak was unfounded.
Findings
The investigation substantiated that the facility failed to meet the needs of a resident due to lack of documentation and communication regarding the resident's bowel movement changes and monitoring. Allegations of resident hygiene needs not being met and facility cleanliness were unsubstantiated. The allegation of failure to report an outbreak was found to be unfounded.
Deficiencies (2)
CCR 7468.2 Additional Personal Rights of Residents in Privately Operated Facilities was violated as the facility did not ensure observed changes of the resident were documented and shared with caregiving staff to meet resident needs.
CCR 87466 Observation of the Resident was violated as the facility failed to ensure that observed changes were documented and brought to the attention of required parties including the resident's physician.
Report Facts
Facility Capacity: 50
Resident Census: 33
Deficiencies cited: 2
Plan of Correction Due Date: Sep 2, 2022
Proof of Training Due Date: Sep 16, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Wotring | Administrator | Met with Licensing Program Analyst during inspection and named in findings |
| Dan O'Brien | Health Services Director | Met with Licensing Program Analyst during inspection and named in findings |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 35
Capacity: 50
Deficiencies: 0
Date: Mar 29, 2022
Visit Reason
The inspection was a required 1-year unannounced visit focused on infection control procedures and practices at the facility.
Findings
The facility was found to be clean, orderly, and compliant with infection control and safety regulations. No deficiencies were cited during the inspection.
Report Facts
Hospice care waiver residents: 8
Fire clearance non-ambulatory capacity: 50
Bedridden approval: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Wotring | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the required 1-year inspection |
Inspection Report
Capacity: 50
Deficiencies: 0
Date: Mar 23, 2022
Visit Reason
The inspection was a case management visit to obtain more information on a resident incident reported by the facility Administrator.
Findings
The Administrator reported the incident to all required agencies and submitted all necessary report forms. There were no deficiencies cited during this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Wotring | Administrator | Met with Licensing Program Analyst during case management inspection and discussed resident incident. |
Inspection Report
Complaint Investigation
Census: 35
Capacity: 50
Deficiencies: 0
Date: Mar 18, 2022
Visit Reason
The inspection was conducted as a complaint investigation following allegations of lack of supervision resulting in resident injury and possible death, and failure to seek timely medical attention.
Complaint Details
The complaint investigation was triggered by allegations of lack of supervision resulting in resident injury and possible death, and failure to seek timely medical attention. The allegations were found to be unsubstantiated and unfounded based on interviews, record reviews, and observations.
Findings
The investigation found insufficient evidence to substantiate the allegations. The resident was identified as a fall risk and was supervised according to care plans. Medical attention was sought promptly after the resident's fall and head injury. Both allegations were determined to be unsubstantiated or unfounded.
Report Facts
Capacity: 50
Census: 35
Staff interviewed: 5
Time to medical attention: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Wotring | Administrator | Met with Licensing Program Analyst during complaint investigation and exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 32
Capacity: 50
Deficiencies: 0
Date: Jun 2, 2021
Visit Reason
The inspection was an annual required visit focused on infection control procedures and practices at the facility.
Findings
The facility was found to be clean, orderly, and compliant with infection control and Title 22 regulations. No deficiencies were cited during the inspection.
Report Facts
Residents on hospice care: 3
Hospice care waiver approved capacity: 8
Fire clearance approval capacity: 50
Bedridden approval capacity: 12
COVID-19 staff testing rate: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Wotring | Administrator | Met with Licensing Program Analysts during the inspection and mentioned in infection control compliance. |
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