Inspection Report Summary for Revere Court of Sacramento

The California Department of Social Services Community Care Licensing conducted a series of inspections at Revere Court (facility number 342700005) over a two‑year period, focusing on medication safety, general facility conditions, and participation in a community‑based research study. The first visit on 2 26 2021 was a case‑management, unannounced tele‑visit prompted by a reported medication error in which resident R1 received medication belonging to resident R2. The licensing program analyst (LPA) Victoria Brown interviewed the executive director, staff, and requested medication records. While no violations were cited at that time, the incident prompted a follow‑up investigation.

On 12 30 2021, LPA Brown concluded the investigation and documented a deficiency under the California Code of Regulations, citing a failure to administer prescribed medication correctly, which posed a potential health and safety risk. A Plan of Corrections (POC) was issued with a due date of 12 30 2021, and the facility was notified of the possibility of civil penalties if the deficiency was not remediated. Subsequent unannounced visits on 10 20 2021 and 10 17 2022, both required annual compliance checks, found no new violations. These inspections verified that the physical plant, temperature controls, fire safety equipment, medication storage, and first‑aid supplies met regulatory standards, and the facility’s resident census remained within capacity.

In a 6 30 2022 office meeting held via Microsoft Teams, Revere Court’s representatives discussed participation in the “Tango Belt Study,” a research initiative aimed at mitigating hip injuries in older adults. The meeting confirmed that the facility would meet study protocols, staff training, and confidentiality requirements, and no deficiencies were cited. Overall, the reports illustrate a pattern of proactive compliance with facility standards, a corrective action taken for a single medication error, and ongoing engagement in a community‑based safety study.