Inspection Reports for Quail Park at Shannon Ranch

3440 W Flagstaff Ave, Visalia, CA 93291, United States, CA, 93291

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Inspection Report Summary

Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The facility had isolated issues primarily related to medication management, including two instances where medications were not administered as ordered, one of which posed an immediate health and safety risk and resulted in a civil penalty. These medication-related deficiencies occurred in early 2024, but the most recent report from March 28, 2025, showed no deficiencies and a clean facility environment. Other minor issues, such as resident access to potentially hazardous items, were noted but did not lead to serious enforcement actions. Overall, the facility’s record shows improvement over time, with the latest inspection confirming compliance and no current concerns.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

80% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2023
2024
2025

Census

Latest occupancy rate 70% occupied

Based on a March 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

60 90 120 150 180 Mar 2022 Oct 2022 Mar 2023 Feb 2024 Apr 2024 Mar 2025

Inspection Report

Annual Inspection
Census: 105 Capacity: 150 Deficiencies: 0 Date: Mar 28, 2025

Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analyst L. Xiong to evaluate the facility's compliance with licensing requirements.

Findings
The facility appeared clean with no obstructions or fire clearance issues. All common areas and resident bedrooms met required accommodations. Safety equipment such as smoke detectors, carbon monoxide detectors, and fire extinguishers were operational and up to date. Water temperature was within acceptable limits. No deficiencies were observed during the inspection.

Report Facts
Water temperature: 115 Fire extinguisher service date: 2024 Inspection start time: 1028 Inspection end time: 144

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection
Les XiongLicensing Program AnalystConducted the annual inspection
Melinda HoffmannLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Capacity: 150 Deficiencies: 0 Date: Mar 7, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-07-18 alleging rough handling and inappropriate speech by facility staff towards a resident.

Complaint Details
The complaint alleged that facility staff handled a resident in a rough manner and spoke inappropriately to a resident in care. The allegations were investigated and found to be unsubstantiated.
Findings
The investigation found the allegations to be unsubstantiated due to lack of preponderance of evidence proving the alleged violations occurred.

Report Facts
Facility capacity: 150

Employees mentioned
NameTitleContext
Les XiongLicensing Program AnalystConducted the complaint investigation visit
Jeff MoyerAdministratorFacility administrator met during investigation
Peggy SilvieraOffice Manager met during investigation

Inspection Report

Capacity: 150 Deficiencies: 0 Date: Jun 4, 2024

Visit Reason
The visit was an unannounced case management follow-up to obtain information regarding an incident report and death report submitted by the facility.

Findings
No violations were identified during the investigation and no citations were issued.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the visit.
Katie BrownLicensing Program AnalystConducted the case management follow-up visit.
Sergiy PidgirnyLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Follow-Up
Census: 100 Capacity: 150 Deficiencies: 1 Date: Apr 2, 2024

Visit Reason
The visit was an unannounced case management follow-up on an incident report regarding a resident not receiving as needed (PRN) medication as ordered, and failure to update the medication administration record (MAR) accordingly.

Complaint Details
The visit was triggered by an incident report alleging failure to administer PRN medication as ordered and failure to update the MAR accordingly. A civil penalty was assessed for a repeat violation.
Findings
The facility failed to ensure that Resident 1 received medications as ordered by the physician, and did not update the MAR to reflect hospice agency changes. A deficiency was issued for this repeat violation, posing an immediate health and safety risk.

Deficiencies (1)
Licensee did not ensure that Resident 1’s medications were received as ordered by the physician. New orders were provided but not inputted to the MAR, resulting in Resident 1 not receiving medications as ordered, posing an immediate health and safety risk.
Report Facts
Census: 100 Total Capacity: 150

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the visit and involved in plan of correction
Karen SutherlandHealth Service DirectorMet with Licensing Program Analyst during the visit
Katie BrownLicensing Program AnalystConducted the case management visit and authored the report
Sergiy PidgirnyLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 101 Capacity: 150 Deficiencies: 0 Date: Mar 21, 2024

Visit Reason
The inspection was an unannounced annual inspection conducted by Licensing Program Analysts to assess compliance with regulatory requirements.

Findings
The facility was found to be clean, odor free, and well maintained with no deficiencies issued. Safety equipment and emergency preparedness were verified, and required documentation was requested for submission.

Report Facts
Hot water temperature range: 108 Hot water temperature range: 110.9 Fire extinguisher last serviced: May 23, 2023 Last fire drill conducted: Jan 4, 2024 Non-perishable food supply: 7 Perishable food supply: 2

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analysts during inspection and received report
Alexandria WaltonLicensing Program AnalystConducted inspection and signed report
Melinda HoffmannLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 102 Capacity: 150 Deficiencies: 1 Date: Feb 12, 2024

Visit Reason
The visit was conducted as a follow-up on incident reports submitted to the Fresno Community Care Licensing office, specifically regarding medication administration outside physician parameters and bruising incidents.

Complaint Details
The visit was complaint-related, following up on incidents including medication administration outside physician parameters and bruising to a resident's arms. A deficiency was substantiated related to medication administration.
Findings
A deficiency was issued for failure to comply with regulations when facility staff administered medication to a resident outside the parameters set by the resident's physician, posing an immediate health and safety risk. The visit included review and development of a plan of correction with the administrator.

Deficiencies (1)
Facility staff administered medication to resident R1 outside of the parameters set by R1’s physician, violating section 87465 Incidental Medical and Dental Care.
Report Facts
Capacity: 150 Census: 102 Deficiency count: 1 Plan of Correction Due Date: Due date is 02/13/2024 (date only, no numeric value extracted)

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and involved in plan of correction
Alexandria WaltonLicensing Program AnalystConducted the inspection and signed the report
Melinda HoffmannLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection

Inspection Report

Census: 103 Capacity: 150 Deficiencies: 0 Date: Feb 6, 2024

Visit Reason
The inspection visit was an unannounced Case Management - Health and Safety inspection conducted to review a Special Incident Report involving a resident's unwitnessed fall and subsequent death.

Findings
During the visit, the Licensing Program Analyst toured the facility, reviewed the resident's file, and found no citations or deficiencies.

Report Facts
Capacity: 150 Census: 103

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection
Katie BrownLicensing Program AnalystConducted the Case Management - Health and Safety inspection
Sergiy PidgirnyLicensing Program ManagerNamed in report header

Inspection Report

Census: 102 Capacity: 150 Deficiencies: 0 Date: Mar 29, 2023

Visit Reason
The inspection was an unannounced case management - other inspection conducted by Licensing Program Analyst Malia Thao to review the facility's compliance and amend a previous report.

Findings
No deficiencies were cited during this inspection. The Licensing Program Analyst amended a previous report (LIC809) issued on 2/21/23.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and acknowledged receipt of the report.
Malia ThaoLicensing Program AnalystConducted the inspection and amended previous report.
Melinda HoffmannLicensing Program ManagerNamed in the report header.

Inspection Report

Annual Inspection
Census: 96 Capacity: 150 Deficiencies: 1 Date: Feb 21, 2023

Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.

Findings
No deficiencies were cited during the inspection. Observations included residents having access to disinfectants, cleaning solutions, and a knife set, but no deficiency was issued due to resident capability to manage medications and hygiene items. The facility was advised to review resident-specific physician reports to ensure safety.

Deficiencies (1)
Residents had disinfectants and cleaning solutions accessible in their apartments and one resident had a knife set on the kitchenette counter, which could pose a danger if not properly managed.
Report Facts
Residents sampled with disinfectants/cleaning solutions accessible: 10 Residents sampled with disinfectants/cleaning solutions accessible: 9

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and named in report
Malia ThaoLicensing Program AnalystConducted the inspection and signed the report
Melinda HoffmannLicensing Program ManagerSupervisor named in the report

Inspection Report

Complaint Investigation
Census: 89 Capacity: 150 Deficiencies: 0 Date: Oct 5, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2022-06-06 regarding resident injuries, medication administration, staff qualifications, and care practices.

Complaint Details
The complaint investigation addressed allegations including resident sustaining multiple injuries, improper use of a hoyer lift, medication not dispensed on time, staff not following doctor's orders, unqualified staff providing care, and residents being made to get up early. All allegations were found unsubstantiated or unfounded after review.
Findings
The investigation found that the allegations were either unsubstantiated or unfounded based on record reviews and interviews. The facility followed proper procedures for resident care, medication administration times were being adjusted with physician approval, staff were appropriately trained, and residents were not made to get up early.

Report Facts
Capacity: 150 Census: 89

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during complaint investigation
Shawna DoucetteLicensing Program AnalystConducted the complaint investigation visit
Sergiy PidgirnyLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 79 Capacity: 150 Deficiencies: 0 Date: Jun 11, 2022

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility air conditioner was in disrepair.

Complaint Details
The complaint alleging the facility air conditioner was in disrepair was investigated and found to be unfounded.
Findings
The investigation found that although there was an issue with the air conditioner, the facility had fixed the problem and provided cooling units for the rooms. The complaint was determined to be unfounded and was dismissed.

Report Facts
Capacity: 150 Census: 79

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorFacility administrator contacted during the investigation
Miguel LopezExecutive ChefMet with Licensing Program Analyst and assisted with the visit
Shawna DoucetteLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 81 Capacity: 150 Deficiencies: 0 Date: Mar 14, 2022

Visit Reason
The visit was an unannounced Case Management visit regarding an elopement incident that occurred on 08/04/2021.

Complaint Details
The visit was triggered by a complaint related to an elopement incident. The complaint was investigated and no deficiencies were found.
Findings
The resident exited the facility triggering an alarm, but staff quickly located and returned the resident safely. No deficiencies were observed during the visit.

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during the visit and involved in the incident discussion.
Marissa StanleyHealth DirectorMet with Licensing Program Analyst during the visit and involved in the incident discussion.

Inspection Report

Annual Inspection
Census: 81 Capacity: 150 Deficiencies: 0 Date: Mar 14, 2022

Visit Reason
Licensing Program Analyst Shawna Doucette conducted an Annual Inspection as a required 1-year unannounced visit to evaluate compliance with licensing regulations.

Findings
No deficiencies were observed during the inspection. The facility maintained proper infection control measures, adequate food supplies, and updated resident emergency contact information.

Report Facts
Capacity: 150 Census: 81

Employees mentioned
NameTitleContext
Jeff MoyerAdministratorMet with Licensing Program Analyst during inspection and discussed purpose of visit
Marissa StanleyHealth DirectorAssisted with the inspection visit and responded to Licensing Program Analyst
Shawna DoucetteLicensing Program AnalystConducted the annual inspection

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