Inspection Reports for Revere Court of Sacramento

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-15 regarding staff behavior towards residents.

The investigation found no corroborated evidence that staff spoke to or handled residents inappropriately. Observations and interviews conducted in all four cottages serving memory care residents did not reveal any inappropriate staff behavior. Both allegations were unsubstantiated.

The complaint involved allegations that staff did not ensure residents were spoken to or handled in an appropriate manner. After interviews, observations, and review of documentation, these allegations were found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-15 regarding pest presence, staff health, and equipment maintenance at the facility.

The investigation found no preponderance of evidence to substantiate the allegations. Observations and interviews confirmed the facility is kept free of pests, staff are in good health to perform assigned tasks, and equipment is maintained and in good repair. All allegations were unsubstantiated.

The complaint investigation addressed three allegations: 1) facility not kept free of pests, 2) staff not in good health to perform tasks, and 3) equipment not maintained and in good repair. All allegations were found unsubstantiated based on interviews, observations, and record reviews.

The inspection was conducted as a required 1 year annual inspection to evaluate the facility's compliance with health and safety regulations.

The facility was found to be clean, odor-free, and in good repair with all rooms properly furnished and sufficiently lit. Water temperatures, food supplies, fire safety equipment, carbon monoxide detectors, first aid kits, and medication storage were all in compliance. No deficiencies were cited during the inspection.

An unannounced case management inspection was conducted to address concerns of recent falls within the last week at the facility.

The Licensing Program Analyst reviewed recent falls and incident reports, observed residents, and met with one resident regarding a recent fall. All recently reported falls had varying circumstances and occurred at different times and locations. No deficiencies were observed during the inspection.

The visit was complaint-related due to concerns about recent falls. No deficiencies were found, and the complaint was effectively investigated.

Unannounced complaint investigation visit conducted to investigate allegations including staff not preventing resident altercations, locking a resident out of the facility, failure to follow reporting requirements, and indecent exposure incidents.

Based on interviews with staff and residents, the investigation was unable to corroborate the allegations. No evidence was found to support claims of resident pushing, indecent exposure, or locking residents out. The allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff failing to prevent resident pushing, locking a resident out, failure to report incidents, and indecent exposure. Interviews with five staff and three residents did not corroborate these claims. The department found no preponderance of evidence to prove violations occurred.

The visit was an unannounced case management incident investigation triggered by an incident report of a resident (R1) who was reported AWOL from the facility day club program on 01/10/2024.

The investigation found that the facility gate was left slightly ajar by construction staff on 01/10/2024, allowing R1 to leave the facility grounds unsupervised for less than 10 minutes. This was a violation of Title 22 regulations regarding the licensee's responsibility for resident health and safety.

The visit was complaint-related based on an incident report received on 01/15/2024 regarding resident R1 being AWOL from the facility day club program. The complaint was substantiated by findings of gate left open by construction staff.

The inspection was conducted as a required 1 year annual inspection to evaluate the facility's compliance with health and safety regulations.

The facility was found to be clean, odor-free, and in good repair with all required furniture and sufficient lighting. Water temperatures, food supplies, fire safety equipment, carbon monoxide detectors, first aid kit, and medication storage were all in compliance. No deficiencies were cited during the inspection.

The inspection was an unannounced Required - 1 Year visit conducted to evaluate the facility's compliance with regulations.

The Licensing Program Analyst toured the facility, inspected physical conditions, safety equipment, medication storage, and first aid supplies. No violations were observed during the visit.

The purpose of the office meeting was to discuss and review procedures to ensure the facility remains in substantial compliance while participating in the Mitigation of Major Hip Injury due to falls in an at-risk, Older Adult population with a wearable smart belt (Tango Belt Study).

No deficiencies were cited during this visit. The facility is requesting a waiver to participate in the Tango Belt Study. The meeting covered study involvement, purpose, participation requirements, staff training, study duration, confidentiality protocols, resident safety, and belt wear time.

The visit was an unannounced case management incident investigation to conclude an investigation that began on 02/26/2021 regarding a medication error where a resident received medication belonging to another resident.

The investigation found that staff administered incorrect medication to resident R1 that belonged to resident R2, indicating the licensee did not ensure prescribed medications were administered as prescribed, posing a potential health and safety risk.

Investigation was initiated due to a complaint about a medication error where resident R1 received medication belonging to resident R2. The preponderance of evidence standard was met confirming the deficiency.

The inspection visit was an unannounced complaint investigation triggered by an allegation that a resident sustained a major injury while in care.

The investigation found no negligence on behalf of the staff. The facility reported the incident timely and sought immediate medical attention. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.

The complaint alleged that a resident sustained a major injury while in care. The investigation included review of medical records, interviews with staff, and facility documentation. The resident fell and was sent to the hospital for a cheek laceration and fractures. Staff actions were found appropriate and timely. The allegation was unsubstantiated.

The visit was an unannounced complaint investigation regarding the allegation that the facility was not allowing a resident to leave the facility.

The investigation found that the resident left the facility several times over an eight-month period with visitors and appointments, and there was no court order restricting the resident's movement. The allegation was found to be unfounded with no violations cited.

The complaint alleged that the facility was not allowing a resident to leave. The allegation was investigated and found to be unfounded based on documentation, interviews, and observation. No violations were cited.

The inspection was a Required - 1 Year unannounced visit to evaluate the facility's compliance with regulations and ensure safety and proper operation.

No violations were observed during the visit. The facility was found to be in compliance with safety standards, medication storage, and first aid requirements. The administrator will research hot water heater temperatures to ensure compliance.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that a resident was not allowed to have visitors and was not allowed to have contact with people via phone.

The investigation found that visitation protocols were in place and followed, with residents receiving visitors and using the facility phone as needed. The allegations were found to be unfounded with no violations cited during the visit.

The complaint alleged that a resident was not allowed to have visitors and was not allowed to have contact with people via phone. The investigation concluded the allegations were unfounded based on interviews and documentation.

The visit was conducted as a case management incident investigation due to a reported medication error where one resident received medication belonging to another resident.

No violations were cited during this unannounced tele-visit as further investigation is needed. Interviews were conducted and documentation was requested related to the medication error incident.

The visit was triggered by a complaint regarding a medication error involving residents R1 and R2. The complaint remains under further investigation with no substantiation or violations cited at this time.