Inspection Reports for
Revere Court of Sacramento

The complaint was unsubstantiated based on interviews with nine staff members, review of the resident's death certificate, hospice notes, and staff communications. The department found no evidence to support the allegations of questionable death, neglect, or lack of supervision.

The investigation found no corroboration of the allegations. Staff interviews, hospice notes, and documentation indicated the resident was declining on hospice care with a decreased appetite. The department determined the allegations were unsubstantiated and no deficiencies were cited.

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 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 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 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 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 kits, and medication storage were all compliant. No deficiencies were cited during the inspection.

The Licensing Program Analyst reviewed recent falls and incident reports, observed residents, and met with one resident regarding a recent fall. 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.

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 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.

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

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 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 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.

No violations were observed during the visit. The facility was inspected for safety hazards, temperature compliance, medication storage, and emergency equipment, all of which met regulatory requirements.

The complaint alleged that the facility was not allowing a resident to leave. The investigation included review of police involvement, medical and legal documents, visitor logs, and interviews. The allegation was found to be unfounded as evidence showed the resident left the facility multiple times with visitors.

The investigation found that the allegation was unfounded. Documentation and interviews showed that the resident left the facility several times over an eight-month period with visitors, and no violations of Title 22 regulations were cited.

The complaint was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis. No violations were cited.

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

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.

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.