Inspection Report Summary
Most inspections found no deficiencies, with the facility generally clean, well-maintained, and compliant with safety and care standards. Several complaint investigations were unsubstantiated, including allegations related to staffing, resident abuse, medication errors, and resident rights. The only deficiency noted was in the September 7, 2024 annual inspection, where medication administration records were not properly documented, but no further issues were cited. The most recent report from September 13, 2025 was perfect with no deficiencies. This pattern suggests the facility has maintained or improved its compliance over time, with isolated minor documentation issues in the past.
Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 146
Capacity: 188
Deficiencies: 0
Sep 13, 2025
Visit Reason
The inspection was an unannounced Case Management - Annual Continuation visit conducted to continue inspection from 08/28/2025 and to assess compliance with licensing requirements for the facility.
Findings
The Licensing Program Analyst reviewed resident and staff files, observed medication storage, and found all required documentation and postings in compliance. No deficiencies were cited during this visit.
Report Facts
Resident files reviewed: 5
Staff files reviewed: 5
Licensed capacity: 188
Current census: 146
Non-ambulatory capacity: 40
Hospice waiver capacity: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Lee | Licensing Program Analyst | Conducted the inspection visit |
| Nicole Lozano | Facility representative met during inspection and received report copy | |
| Jenni Gordon | Administrator | Facility administrator named in report header |
Inspection Report
Annual Inspection
Census: 146
Capacity: 188
Deficiencies: 0
Aug 28, 2025
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no deficiencies issued during the visit. Safety measures, kitchen conditions, and physical plant were all satisfactory, with no immediate risks identified.
Report Facts
Resident bedrooms: 94
Resident bathrooms: 94
Common bathrooms: 8
Beds non-ambulatory capacity: 40
Hospice waiver beds: 3
Fire extinguisher last inspection date: Jan 21, 2025
Fire/Disaster drill date: Jul 30, 2025
Fire system inspection date: Jul 4, 2025
Water temperature range: 105-120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Lee | Licensing Program Analyst | Conducted the inspection visit |
| Jenni Gordon | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 147
Capacity: 188
Deficiencies: 0
Jun 19, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-04-07 regarding insufficient staffing and failure to provide necessary assistance to a resident.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff, residents, and administrators, as well as review of policies and staffing records, indicated that the facility maintained sufficient staffing and provided appropriate assistance to residents.
Complaint Details
The complaint alleged that the facility did not have enough staff to meet residents' needs and that staff failed to assist a resident who fell. The investigation included interviews with staff, residents, and administrators, review of policies, incident reports, and staffing schedules. All parties denied the allegations, and evidence showed sufficient staffing and appropriate assistance. The allegations were unsubstantiated.
Report Facts
Facility capacity: 188
Resident census: 147
Number of staff interviewed: 8
Number of residents interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Lee | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jenni Gordon | Administrator | Facility administrator interviewed during investigation |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 139
Capacity: 188
Deficiencies: 0
May 29, 2025
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations that staff pushed and mentally abused a resident in care.
Findings
The investigation included interviews with the administrator, staff, and residents, as well as review of training records. All interviewed parties denied the allegations, and residents reported feeling safe and respected. There was insufficient evidence to support the allegations, and the complaint was unsubstantiated.
Complaint Details
The complaint alleged that staff pushed and mentally abused resident R1. The administrator and staff denied the allegations. Five residents interviewed also denied any abuse and reported feeling safe. Staff training on Resident Rights and Suspected Elder Abuse was confirmed. The allegations were unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 188
Census: 139
Residents interviewed: 5
Staff interviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Interviewed and denied allegations during complaint investigation |
| Deborah Lee | Licensing Program Analyst | Conducted the complaint investigation visit |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 148
Capacity: 188
Deficiencies: 0
May 6, 2025
Visit Reason
An unannounced 24-hour case management visit was conducted to gather additional information regarding the death of a resident reported to the Regional Office on May 5, 2025.
Findings
The investigation found that the resident was deceased due to a self-inflicted stabbing. The Licensing Program Analyst and Administrator toured the facility and reviewed relevant documents. No deficiencies were cited during the visit.
Complaint Details
The visit was complaint-related, triggered by the reported death of a resident (R1) found with a knife lodged in his abdominal cavity. The investigation by Long Beach PD concluded the stabbing appeared self-inflicted.
Report Facts
Facility capacity: 188
Resident census: 148
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Assisted with the visit and was present during the inspection |
| Deborah Lee | Licensing Program Analyst | Conducted the unannounced case management visit |
| Nicole Lozano | Admissions Director | Granted access to the facility during the visit |
| Salman Shully | Psychologist | Met with residents to inform them of the incident and offered grief counseling |
Inspection Report
Complaint Investigation
Census: 148
Capacity: 188
Deficiencies: 0
Apr 11, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that the facility did not have enough staff to meet residents' needs and that staff did not provide necessary assistance to residents.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff, residents, and administrators, as well as policy reviews and observations, confirmed that adequate staffing was maintained and that staff assist residents when it is safe to do so.
Complaint Details
The complaint alleged insufficient staffing to meet resident needs and refusal of staff to assist a resident from the ground. The investigation included interviews with the administrator, staff, assistant administrator, and residents, as well as review of relevant policies. All parties denied the allegations, and observations confirmed adequate staffing and assistance. The allegations were unsubstantiated.
Report Facts
Capacity: 188
Census: 148
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Lee | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jenni Gordon | Administrator | Facility administrator who assisted with the visit and was interviewed |
| Nicole Lozano | Admissions Director | Met with Licensing Program Analyst at the start of the visit |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 149
Capacity: 188
Deficiencies: 0
Mar 12, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not award resident privacy and did not treat residents with respect.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, as well as review of training and resident files, indicated that staff respect resident privacy and treat residents with dignity and respect. No citations were issued.
Complaint Details
The complaint alleged that staff did not award resident privacy by unlocking residents' rooms when they were not present, and that staff did not treat residents with respect due to ongoing unresolved concerns. Both allegations were unsubstantiated after investigation.
Report Facts
Residents interviewed: 10
Staff interviewed: 4
Residents denying privacy allegation: 9
Residents denying respect allegation: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Met with during the investigation and named in the report |
| Perry Scott | Licensing Program Analyst | Conducted the complaint investigation |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 150
Capacity: 188
Deficiencies: 0
Oct 17, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-11-14 regarding multiple allegations about resident care and facility conditions at Regent Villa Retirement Home.
Findings
The investigation found insufficient evidence to substantiate any of the allegations, including failure to timely empty a urinary catheter, lack of assistance with activities of daily living, presence of malodors, pest issues, and improper medication dispensing. All allegations were determined to be unsubstantiated.
Complaint Details
The complaint included allegations that staff did not timely empty a urinary catheter for a resident, did not assist residents with activities of daily living, did not keep the facility free of malodors and pests, and did not dispense medications as prescribed. Interviews with staff and residents, and review of records such as Physician’s Report, Medication Administration Records, Shower/Laundry Schedules, and Pest Control Service Reports, found no evidence to support these allegations. The complaint was therefore unsubstantiated.
Report Facts
Staff interviewed: 8
Residents interviewed: 9
Capacity: 188
Census: 150
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Facility administrator involved in the investigation and exit interview |
| Perry Scott | Licensing Program Analyst | Investigator who conducted the complaint investigation visit |
| Mario Leon | Licensing Program Analyst | Conducted initial unannounced visit related to the complaint |
| Mario Lopez | Licensing Program Analyst | Conducted initial complaint visit |
| Janae Hammond | Licensing Program Manager | Manager overseeing the licensing program |
Inspection Report
Complaint Investigation
Census: 130
Capacity: 188
Deficiencies: 0
Oct 16, 2024
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 02/09/2024 regarding questionable death, staff response to signal system, and staff training in emergency procedures.
Findings
The investigation found that the resident's death was due to cardiac arrest and hypertensive heart disease, with no evidence that staff failed to provide CPR appropriately. Staff response times to emergency signals were generally timely, and all direct care employees had current CPR training. The allegations were found to be unsubstantiated based on interviews, records review, and evidence gathered.
Complaint Details
The complaint alleged questionable death due to staff not following up on change of condition and not providing CPR, failure to respond to signal system timely, and improper staff training in emergency procedures. The investigation found no sufficient evidence to substantiate these allegations.
Report Facts
Facility capacity: 188
Census: 130
Emergency response time: 3
Emergency response time: 5
CPR duration: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Met during investigation and provided statements regarding emergency response and procedures |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Annual Inspection
Census: 130
Capacity: 188
Deficiencies: 1
Sep 7, 2024
Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations at the facility.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with operational safety equipment and adequate food supplies. However, discrepancies were found in medication administration records where MedTechs failed to document medication given or refusal for residents #2 and #5.
Deficiencies (1)
| Description |
|---|
| MedTechs not documenting medication given/refusal on MARs for residents #2 and #5. |
Report Facts
Residents' service files reviewed: 6
Staff personnel files reviewed: 6
Medication Administration Records reviewed: 6
Plan of Correction Due Date: Sep 23, 2024
Facility Capacity: 188
Current Census: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Eva M Alvarez | Licensing Program Manager | Supervisor overseeing the inspection. |
| Karina Salomon | Assistant Administrator | Facility representative met during inspection and recipient of the report. |
| Jenni Gordon | Administrator/Director | Facility Administrator named in the report. |
Inspection Report
Complaint Investigation
Census: 149
Capacity: 188
Deficiencies: 0
Aug 29, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate an allegation that staff do not allow residents to select the doctor of their choice.
Findings
The investigation found insufficient evidence to support the allegation. Interviews with staff and residents indicated that residents are given a choice to keep their current doctor or transition to in-house doctors, and no coercion was reported. The allegation was determined to be unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint alleged that the facility does not allow residents to choose their own doctor. The allegation was unsubstantiated based on interviews with 5 staff and 10 residents who denied the claim and confirmed residents have choice in selecting their doctor.
Report Facts
Staff interviewed: 5
Residents interviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Met with Licensing Program Analyst during the investigation and participated in exit interview |
| Perry Scott | Licensing Program Analyst | Conducted the complaint investigation visit |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 140
Capacity: 188
Deficiencies: 0
Apr 15, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff altered a resident's record, specifically the resident's Physician Orders for Life-Sustaining Treatment (POLST).
Findings
The investigation included interviews with residents, staff, and witnesses, as well as a review of facility documents. The allegation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violation occurred.
Complaint Details
The complaint alleged that staff altered a resident's POLST. Interviews with staff, residents, and witnesses, along with record reviews, did not substantiate the allegation. The resident had progressively refused medications over several months, and the investigation concluded the allegation was unsubstantiated.
Report Facts
Estimated Days of Completion: 90
Staff interviewed: 4
Residents interviewed: 4
Witnesses interviewed: 2
Total staff: 40
Total witnesses: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Met with Licensing Program Analyst and participated in exit interview |
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation |
| Ulysses Coronel | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 188
Deficiencies: 0
Nov 30, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 08/11/2023 alleging that facility staff did not seek medical attention in a timely manner for a resident.
Findings
The investigation included interviews with staff and residents, review of medical and training records, and examination of incident reports. The allegation was found to be unsubstantiated as the preponderance of evidence did not prove the alleged violation occurred. Staff responded to the call light within four minutes and contacted emergency services approximately eight minutes after receiving the report.
Complaint Details
The complaint alleged that facility staff did not seek medical attention in a timely manner for Resident #1 following a fall. The investigation found that staff responded promptly, emergency services were contacted in a timely manner, and the allegation was unsubstantiated.
Report Facts
Residents interviewed: 10
Staff interviewed: 7
Call light response time (minutes): 4
Time to contact emergency services (minutes): 8
CPR duration (minutes): 29
Facility capacity: 188
Facility census: 144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Met with Licensing Program Analyst and provided declarations |
| Noemi Calimquim | Med-Tech | First staff to receive call light and involved in incident response |
| Nelia Ramos | Caregiver | Responded to call light and informed other staff |
| Elizabeth Gibson | Provided declaration during investigation | |
| Mario Leon | Licensing Program Analyst | Conducted complaint investigation visit |
| Ulysses Coronel | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Annual Inspection
Census: 130
Capacity: 188
Deficiencies: 0
Sep 2, 2023
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements at Regent Villa Retirement Home.
Findings
The inspection found the facility to be clean, well-maintained, and in good repair with all required safety and health measures in place. No deficiencies or citations were observed during the visit.
Report Facts
Resident service records reviewed: 10
Resident medication records reviewed: 10
Residents interviewed: 10
Staff interviewed: 6
Resident bedrooms: 94
Resident bathrooms: 94
Common bathrooms: 8
Fire extinguishers: 20
Carbon monoxide detectors: 10
Smoke detectors: 107
First aid kits: 10
Surety bond coverage: 50000
Commercial General Liability coverage: 2000000
Commercial General Liability coverage: 5000000
PPE supply: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Calderon | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kathy Zepeda | Director | Facility director who escorted the analyst and participated in the inspection |
| Jenni Gordon | Administrator | Facility administrator with valid certification noted during inspection |
Inspection Report
Complaint Investigation
Census: 147
Capacity: 188
Deficiencies: 2
Feb 11, 2022
Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations including illegal eviction and missing resident personal items.
Findings
The investigation substantiated the allegations of illegal eviction and missing resident personal items. Other allegations such as failure to notify responsible party of resident's change in condition, staff pushing residents, staff transferring residents for medical treatment without permission, and resident threats were found unsubstantiated.
Complaint Details
The complaint investigation was substantiated for illegal eviction and missing resident personal items. Other allegations were unsubstantiated based on interviews and record reviews.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to follow eviction procedures requiring 30 days written notice except as otherwise specified. | Type B |
| Failure to ensure an adequate theft and loss program, including reimbursement for lost resident property. | Type B |
Report Facts
Staff interviewed: 6
Residents interviewed: 14
Deficiency due date: Mar 4, 2022
Deficiency due date: Mar 18, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Named in relation to investigation findings and document provision |
| Susan Campos | Licensing Program Analyst | Conducted the complaint investigation |
| Michael Cava | Licensing Program Manager | Oversaw the complaint investigation |
| Kathy Zepeda | Activity Director | Met with Licensing Program Analyst during exit interview |
Inspection Report
Complaint Investigation
Census: 132
Capacity: 188
Deficiencies: 0
Aug 16, 2021
Visit Reason
The inspection was an unannounced complaint investigation initiated due to an allegation that the facility did not safeguard a resident's cash.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred. Interviews and document reviews revealed no complaints or proof of missing money, resulting in the allegation being unsubstantiated.
Complaint Details
The complaint alleged that the facility did not safeguard resident's cash. The investigation included interviews with residents, staff, and review of records. Both residents accused each other of stealing money but neither reported to police or administration, and no evidence was found to substantiate the allegation. The complaint was determined to be unsubstantiated.
Report Facts
Facility capacity: 188
Census: 132
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenni Gordon | Administrator | Interviewed during complaint investigation and exit interview |
| Jose Calderon | Licensing Program Analyst | Conducted complaint investigation |
Inspection Report
Annual Inspection
Census: 132
Capacity: 188
Deficiencies: 0
Jul 29, 2021
Visit Reason
An unannounced annual required visit was conducted with a primary focus on infection control measures.
Findings
The facility was found to be clean, well-maintained, and compliant with infection control protocols including PPE supply, visitor and staff screening, and sanitation stations. No deficiencies were cited under California code of regulation title 22, division 6, chapter 8.
Report Facts
Number of bedrooms: 94
Number of common bathrooms: 8
Number of non-ambulatory residents: 15
Number of ambulatory residents: 117
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Calderon | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Jenni Gordon | Administrator | Facility administrator met with the Licensing Program Analyst during the inspection. |
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