Most inspections at this facility found no deficiencies, with several complaint investigations determined to be unsubstantiated. The most recent report from October 23, 2025, was clean, with no violations related to a resident fall. Earlier reports showed some deficiencies, notably a July 10, 2025 complaint investigation that substantiated over 148 missed medication administrations and failure to notify the responsible party, as well as a January 15, 2025 annual inspection citing hot water temperature issues and missed medications for one resident. No fines, enforcement actions, or license suspensions were listed in the available reports. The facility appears to have improved since the mid-2025 medication issues, with recent inspections showing compliance and no new deficiencies.
The visit was an unannounced case management inspection to follow up on an incident report received regarding a resident fall on 2025-10-03.
Findings
The Licensing Program Analyst observed that the floor where the resident fell was flat and free of hazards. Video footage showed the resident tripped on their own feet. The resident was recovering and receiving physical therapy. No health or safety concerns were observed and no citations were issued.
Complaint Details
The visit was triggered by a complaint incident report of a resident fall resulting in a knee fracture. The complaint was investigated and found no violations or hazards contributing to the fall.
Report Facts
Incident date: Oct 3, 2025Report received date: Oct 8, 2025
Employees Mentioned
Name
Title
Context
Ashley Croslin
Facility Administrator
Met with Licensing Program Analyst during inspection and exit interview
Celine Rodriguez
Licensing Program Analyst
Conducted the unannounced case management visit
Melinda M Forney
Administrator/Director
Named as facility administrator/director in report header
The inspection was an unannounced complaint investigation visit triggered by a complaint received on May 27, 2025, alleging that staff did not give resident medication as prescribed and did not keep the resident's authorized person informed about the resident's care.
Findings
The investigation substantiated the allegations that Resident 1 missed medication administration on more than 148 instances and that the facility did not inform the responsible person when medication was not provided. Staff interviews and record reviews confirmed multiple missed medication doses and lack of notification to the responsible party.
Complaint Details
The complaint was substantiated. It was found that Resident 1 missed medication administration on more than 148 occasions and the responsible person was not properly informed about missed medications. The preponderance of evidence standard was met based on staff interviews and record reviews.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Facility did not give medication according to the physician's directions.
Type B
Facility did not inform the responsible person for medication not administered to Resident 1.
Type B
Report Facts
Missed medication instances: 148Facility capacity: 399Resident census: 44Plan of Correction due date: Jul 24, 2025
Employees Mentioned
Name
Title
Context
Fred Arias
Licensing Program Analyst
Conducted the complaint investigation and authored the report
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-03-26 alleging multiple issues including resident falls due to lack of care, failure to obtain timely medical attention, double billing, and staff discouraging incident reporting.
Findings
The investigation found all allegations to be unsubstantiated. Records and interviews indicated appropriate staffing, timely medical care, no evidence of double billing, and that staff were reporting incidents as required.
Complaint Details
The complaint involved allegations that residents sustained multiple falls due to lack of care and supervision, failure to obtain timely medical attention for residents in distress, double billing of residents, and staff discouraging reporting of incidents. All allegations were found unsubstantiated based on record reviews and interviews.
Report Facts
Total licensed capacity: 399
Employees Mentioned
Name
Title
Context
Cassandra Mikkelson
Licensing Program Analyst
Conducted the complaint investigation and delivered final findings
Laura Munoz
Licensing Program Manager
Named as Licensing Program Manager on the report
Melinda Forney
Administrator
Facility Administrator met during the investigation
An informal conference was conducted to discuss concerns regarding the facility policy and procedures.
Findings
The meeting resulted in agreements for the facility to provide updated policies on calling 911 by June 6, 2025, and an updated Plan of Operation by July 1, 2025. An exit interview was conducted and a copy of the report was provided.
Employees Mentioned
Name
Title
Context
Melinda Forney
Executive Director
Met with during the inspection and involved in the informal conference.
Sheila Santos
Licensing Program Manager
Present during the meeting and named as Licensing Program Manager.
Marina Stanic
Regional Manager
Present during the informal conference.
Brandon Lopez
Licensing Program Analyst
Present during the informal conference.
Ashley Croslin
Director of Wellness Programs
Present during the informal conference.
Melissa Goldman
Nurse Supervisor Residential Living
Present during the informal conference.
Sheila Weathers
Nurse Supervisor Assisted Living and Memory Support
Licensing Program Analysts conducted an unannounced required annual inspection of the Regents Point facility to assess compliance with regulations.
Findings
The facility was generally compliant with regulatory requirements, including safety equipment and food supply standards. However, deficiencies were cited related to hot water temperature exceeding the allowed maximum in seven of eight resident bathrooms and a resident missing six out of thirty-three prescribed medications.
Severity Breakdown
Type A: 1Type B: 1
Deficiencies (2)
Description
Severity
Hot water temperature in seven out of eight resident bathrooms exceeded the maximum allowed temperature of 120 degrees Fahrenheit, posing a potential safety risk.
Type B
Resident one (R1) was missing six out of thirty-three prescribed medications, posing an immediate health, safety, and personal rights risk.
Type A
Report Facts
Hot water temperature measurements: 7Prescribed medications missing: 6Total prescribed medications for R1: 33Census: 318Total capacity: 399
Employees Mentioned
Name
Title
Context
Melinda Forney
Executive Director
Met with Licensing Program Analysts during inspection and named in report
The visit was an unannounced complaint investigation triggered by a complaint received on 2020-12-01 regarding allegations that a resident developed pressure injuries due to neglect and sustained an injury due to an unwitnessed fall.
Findings
The investigation found that based on medical records and staff interviews, the allegations were unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred. No deficiencies were cited.
Complaint Details
The complaint involved allegations that a resident developed pressure injuries due to neglect and sustained an injury due to an unwitnessed fall. The investigation was unsubstantiated, meaning there was insufficient evidence to prove the allegations.
Report Facts
Capacity: 399Census: 296
Employees Mentioned
Name
Title
Context
Andrea Mendivil
Licensing Program Analyst
Conducted the complaint investigation and unannounced visit
Sheila Weathers
Nurse Manager
Met with Licensing Program Analyst during the investigation
Licensing Program Analyst Claudia Gutierrez made an unannounced visit to conduct a Required/Annual Inspection of the Regents Point facility.
Findings
The inspection found the facility to be in compliance with all applicable regulations, with no deficiencies cited. Observations included operable delayed egress, proper furnishings, safe water temperatures, secured medication rooms, and adequate emergency preparedness.
Report Facts
Residents in memory care: 7Residents in assisted living: 36Residents in independent living: 258Water temperature range (F): 107.6-120.7Fire extinguisher service date: Aug 3, 2023Resident files reviewed: 15Staff interviewed: 5Residents interviewed: 7
Employees Mentioned
Name
Title
Context
Melinda Forney
Executive Director
Met with Licensing Program Analyst during inspection
Ashely Croslin
Director of Wellness
Met with Licensing Program Analyst during inspection
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2023-04-06 regarding staffing levels, laundry misplacement, facility cleanliness, medical device sanitation, and infection control compliance.
Findings
The investigation found that the allegations of lack of staffing, facility cleanliness, medical device sanitation, and infection control noncompliance were unsubstantiated or unfounded based on interviews, observations, and document reviews. The allegation regarding misplacement of resident laundry was deemed unsubstantiated due to insufficient evidence to prove or refute the claim.
Complaint Details
The complaint investigation was unannounced and involved 11 interviews with residents and staff. The allegations included lack of staffing, misplacement of laundry, inadequate cleaning and disinfecting, unclean medical devices, and failure to follow infection control requirements. All allegations except laundry misplacement were found to be unsubstantiated or unfounded. The laundry misplacement allegation was unsubstantiated due to lack of sufficient evidence.
Report Facts
Number of interviews conducted: 11Facility capacity: 399Facility census: 256
Employees Mentioned
Name
Title
Context
Celine De Perio
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Ashley Croslin
Health and Wellness Director
Met with Licensing Program Analyst during the investigation and exit interview
An unannounced complaint investigation visit was conducted following a complaint alleging that a resident sustained an unwitnessed fall due to lack of supervision while in care.
Findings
After conducting interviews, reviewing records, and touring the facility, the complaint was found to be unfounded as the allegation was false or without reasonable basis. No citations were issued during the visit.
Complaint Details
The complaint alleged that a resident sustained an unwitnessed fall due to lack of supervision. The investigation included interviews with staff and residents, review of incident reports and medical documents, and observation. All evidence and interviews did not corroborate the allegation, and the complaint was determined to be unfounded.
Report Facts
Residents on hospice: 5Interviews conducted: 8
Employees Mentioned
Name
Title
Context
Celine De Perio
Licensing Program Analyst
Conducted the complaint investigation visit
Ashley Croslin
Health and Wellness Director / Facility Administrator
Unannounced case management visit to follow up on a report of a resident claiming her jewelry was stolen.
Findings
No deficiencies were noted during the visit and no citations were issued. The resident declined to file a police report after initially claiming jewelry was stolen.
Report Facts
Residents on hospice: 1
Employees Mentioned
Name
Title
Context
Melissa Goldman
Licensed Vocational Nurse/Nurse Manager
Interviewed during the visit and provided information about the resident's jewelry incident
Ashley Croslin
Director of Wellness
Reported the incident of the resident claiming jewelry was stolen
An unannounced case management visit was conducted to follow up on an incident report for resident #1 that occurred on 2022-09-29.
Findings
No deficiencies were noted during the visit and no citations were issued. The facility was toured and resident #1's file and room were reviewed, including an interview with the resident.
Employees Mentioned
Name
Title
Context
Ashley Croslin
Director of Wellness
Met with during the visit and participated in exit interview.
Melissa Goldman
Nurse Manager
Accompanied the Licensing Program Analyst on the facility tour and participated in exit interview.
Melinda Forney
Executive Director
Met with during the visit and participated in exit interview.
The visit was an unannounced Required 1 Year inspection to evaluate the facility's compliance with licensing regulations.
Findings
No deficiencies were noted during the visit. The facility appeared clean, sanitary, and well maintained with all required elements in place. Residents appeared happy and well cared for, and COVID-19 mitigation plans were in place and approved.
Report Facts
Residents in memory care unit: 7Residents in assisted living: 37Residents in independent living: 243Non-ambulatory residents: 60Residents on hospice care: 4Hospice waiver capacity: 12
Employees Mentioned
Name
Title
Context
Melinda Forney
Executive Director
Met during inspection and holds administrator certificate expiring 07/22/2023
Ashley Croslin
Director of Wellness
Present during inspection and met with Licensing Program Analyst
Unannounced case management visit to follow up on multiple incident reports received by Community Care Licensing (CCL).
Findings
Multiple incidents involving residents were reviewed, including medical emergencies and financial abuse concerns. The Licensing Program Analyst toured the facility and observed visitation areas. No deficiencies were noted during the visit.
Report Facts
Incident report dates: 5
Employees Mentioned
Name
Title
Context
Melinda Forney
Administrator / Executive Director
Met with Licensing Program Analyst during visit
Ashley Croslin
Director of Wellness Programs
Met with Licensing Program Analyst during visit
Melissa Diaz
Nurse Manager
Present during visit
Cindy Fuentes
Nurse Manager
Present during visit
Kimberly Lyman
Licensing Program Analyst
Conducted the unannounced case management visit
Alisa Ortiz
Licensing Program Manager
Named in report
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