Inspection Reports for
Rio Las Palmas
877 E March Ln, Stockton, CA 95207, United States, CA, 95207
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
73% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Capacity: 80
Deficiencies: 0
Date: Sep 23, 2025
Visit Reason
The regional office conducted an informal meeting with the facility to discuss citations given, specifically regarding allegations and an appeal related to reappraisals, plan of operations, and conduct inimical.
Findings
No deficiencies were cited during this visit. The facility agreed to provide tracking for all physician's reports faxed into the facility and to fix the fax machine to stamp actual date and times. The regional office will continue to monitor the facility for compliance and ensure resident health and safety.
Report Facts
Capacity: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Guerrero | Administrator | Facility Administrator present during the meeting |
| Lisa Rios | Licensing Program Manager | Licensing Program Manager involved in the inspection |
| Albert Johnson | Licensing Program Analyst | Licensing Program Analyst involved in the inspection |
| Zachary Rothenberg | Attorney | Attorney for the facility present during the meeting |
| Tish Pickett | Attorney | Attorney for the facility present during the meeting |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 80
Deficiencies: 4
Date: Aug 12, 2025
Visit Reason
An unannounced complaint investigation was conducted based on allegations received on 2025-06-16 regarding overcharging residents, failure to ensure annual health assessments, and falsification of resident records.
Complaint Details
The complaint investigation was substantiated. Allegations included charging residents for a higher level of care than received, failure to ensure annual health assessments, and falsification of resident records. The facility used falsified physician reports and implemented unauthorized fee changes, jeopardizing resident health and safety.
Findings
The investigation substantiated that the facility implemented new levels of care and fees without licensing approval, used falsified physician reports to determine resident care levels, and falsified resident records, posing an immediate health risk to residents.
Deficiencies (4)
Facility did not operate according to the approved plan of operation; implemented new level of care descriptions and fees without prior licensing agency approval.
Facility used information from a falsified physician's report to determine the level of care needed for a resident, failing to ensure annual health assessments.
Facility falsified resident records by using questionable physician reports with questionable authenticity of signatures and information.
Facility conduct was inimical to the health, morals, welfare, or safety of residents by utilizing false information to assess and charge for services, posing an immediate health risk.
Report Facts
Capacity: 80
Census: 58
Plan of Correction Due Date: Aug 22, 2025
Plan of Correction Due Date: Aug 13, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Rios | Licensing Program Manager | Oversaw the complaint investigation |
| Lizeth Guerrero | Administrator | Facility administrator involved in the investigation |
Inspection Report
Annual Inspection
Census: 55
Capacity: 80
Deficiencies: 1
Date: Jan 23, 2025
Visit Reason
The inspection was an unannounced annual continuation visit conducted to assess compliance and address advisories at the facility.
Findings
The facility has addressed previous advisories, completed work on kitchen equipment, and completed the five-year fire sprinkler inspection. A missing Hydraulic Calc plate was noted but deemed non-critical and not impairing the fire sprinkler system.
Deficiencies (1)
Missing Hydraulic Calc plates from the risers
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the inspection and noted findings |
| Lizeth Guerrero | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 55
Capacity: 80
Deficiencies: 0
Date: Jan 7, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Albert Johnson to evaluate compliance with regulatory requirements.
Findings
The facility was found to be clean, odor-free, and compliant with safety regulations including fire safety and carbon monoxide detectors. Resident and staff files were reviewed and found to be in order, medications were properly stored and documented, and all staff were cleared and associated with the facility. The inspection will continue with follow-up on advisories and permits.
Report Facts
Client files reviewed: 10
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the annual inspection |
| Lizeth Guerrero | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 80
Deficiencies: 0
Date: Jun 17, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff were not dispensing medication as prescribed.
Complaint Details
The complaint alleged that facility staff were not dispensing medication as prescribed. The allegation was investigated and found to be unsubstantiated.
Findings
The investigation found that the facility has an established check and balance system for medications, including random inspections of medication carts and logs. No evidence was found to support the allegation, and the complaint was unsubstantiated.
Report Facts
Facility capacity: 80
Census: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Evaluator | Conducted the complaint investigation |
| Lizeth Guerrero | Administrator | Met with the evaluator during the investigation |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 80
Deficiencies: 0
Date: Jun 3, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-04-24 alleging that facility staff were not assisting a resident with bathing.
Complaint Details
The complaint alleged that facility staff were not assisting a resident with bathing. The investigation found that the resident had refused showers in the past and that residents generally received showers twice a week or as necessary. The allegation was unsubstantiated.
Findings
Based on records review, interviews with staff, residents, and the responsible party, it was determined that residents did receive their scheduled showers. The allegation that staff were not assisting a resident with bathing was unsubstantiated due to lack of evidence and the staff in question no longer working at the facility.
Report Facts
Capacity: 80
Census: 59
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Lizeth Guerrero | Administrator | Facility administrator met during the investigation |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 80
Deficiencies: 0
Date: May 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-04-12 regarding staff behavior and care practices at the facility.
Complaint Details
The complaint investigation addressed four allegations: staff speaking inappropriately to residents, forcing residents to take medications, leaving residents in soiled clothing, and not according privacy to residents. After interviews and record reviews, all allegations were deemed unsubstantiated.
Findings
The investigation included interviews with staff and residents and review of records. All allegations including inappropriate staff speech, forcing residents to take medications, leaving residents in soiled clothing, and not according privacy to residents were found to be unsubstantiated based on the evidence gathered.
Report Facts
Capacity: 80
Census: 59
Staff interviews: 5
Resident interviews: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Rios | Licensing Program Manager | Oversaw the complaint investigation |
| Lizeth Guerrero | Administrator | Facility administrator met during the investigation |
Inspection Report
Follow-Up
Census: 61
Capacity: 80
Deficiencies: 2
Date: Apr 11, 2024
Visit Reason
The visit was conducted to determine if the plan of correction for a citation given on 2024-01-31 has been completed.
Findings
The plan of correction regarding the temporary generator installation is still in progress with plans approved for express review and installation scheduled for April 17, 2024. The non-working generator has not been removed and a fire extinguisher in the area is outdated, though other extinguishers are current. The facility was advised and warned about potential civil penalties if the plan of correction is not completed or submitted by the close of business on April 11, 2024.
Deficiencies (2)
Non-working generator has not been removed.
Fire extinguisher in the area is outdated (service date 9/9/2022).
Report Facts
Capacity: 80
Census: 61
Plan of correction due date: Apr 9, 2024
Scheduled installation date: Apr 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Guerrero | Administrator | Met with Licensing Program Analyst during inspection |
| Albert Johnson | Licensing Program Analyst | Conducted the inspection visit |
| Lisa Rios | Licensing Program Manager | Named in report header |
Inspection Report
Plan of Correction
Census: 61
Capacity: 80
Deficiencies: 1
Date: Apr 2, 2024
Visit Reason
The visit was conducted to determine if the plan of correction for a citation given on 2024-01-31 had been completed.
Findings
The facility has not met the fire clearance requirement for a generator as required by the Fire Marshal. The facility is working to obtain a temporary generator within 5 business days as an extension of the original plan of correction.
Deficiencies (1)
Facility does not have a generator that meets the fire clearance requirement as required by the Fire Marshal.
Report Facts
Plan of correction extension timeframe: 5
Fire clearance permit expiration month/year: 102024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Guerrero | Administrator | Met with Licensing Program Analyst during visit |
| Albert Johnson | Licensing Program Analyst | Conducted visit and reviewed plan of correction |
| Lisa Rios | Licensing Program Manager | Named in exit interview |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 80
Deficiencies: 0
Date: Mar 28, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that facility staff did not follow the needs and services plan.
Complaint Details
The complaint alleged that facility staff did not follow the needs and services plan. The investigation included interviews and record reviews. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that although there were concerns about the facility staff not following the needs and services plan, there was insufficient evidence to substantiate the allegation. No deficiencies were observed or cited during the investigation.
Report Facts
Capacity: 80
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Guerrero | Facility Designated Administrator | Met with Licensing Program Analyst during complaint investigation |
| Arielle Pascua | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lisa Rios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 59
Capacity: 80
Deficiencies: 1
Date: Jan 31, 2024
Visit Reason
The visit was a case management inspection initiated by fire services due to violations related to fire safety, specifically concerning the emergency generator being completely down.
Findings
The facility was found out of compliance with California Code of Regulations Title 22, section 87202 Fire Clearance, due to the emergency generator being completely non-functional, posing an immediate safety risk to residents. Civil penalties were assessed.
Deficiencies (1)
Failure to maintain a fire clearance as required; emergency generator completely down, posing immediate safety risk to residents.
Report Facts
Civil penalty assessed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Lizeth Guerrero | Administrator | Facility administrator met with Licensing Program Analyst during the visit |
| Lisa Rios | Licensing Program Manager | Supervisor named in the report |
Inspection Report
Annual Inspection
Census: 59
Capacity: 80
Deficiencies: 0
Date: Jan 11, 2024
Visit Reason
The Licensing Program Analyst conducted an unannounced annual inspection to evaluate compliance with regulatory requirements and ensure the health and safety of clients in care.
Findings
The facility was found to be clean, odor-free, and compliant with fire safety and regulatory requirements including carbon monoxide detectors, fire extinguishers, and smoke detectors. Resident and staff files were reviewed with all staff cleared. Medications were centrally stored and locked, with an advisory given for documentation in the medication room. No citations were issued.
Report Facts
Hospice residents: 10
Client files reviewed: 15
Staff files reviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Lizeth Guerrero | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 80
Deficiencies: 0
Date: Nov 29, 2023
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that the licensee did not ensure the facility was free from roaches and that the facility was not in good repair.
Complaint Details
The complaint was unsubstantiated. Although the elevator was damaged and the facility was without power for approximately 2 hours on October 10, 2023, accommodations were provided and power was maintained by a backup generator. No pest activity was found. No deficiencies were cited.
Findings
The investigation found no evidence of pest or rodent activity, confirmed by pest control service records and observations. The facility experienced an elevator motor damage due to an automobile accident on October 10, 2023, but provided accommodations and maintained power with a backup generator. The complaint was unsubstantiated and no deficiencies were cited.
Report Facts
Capacity: 80
Census: 59
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Lizeth Guerrero | Executive Director | Facility administrator met during investigation |
| Lisa Rios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 58
Capacity: 80
Deficiencies: 0
Date: Mar 2, 2023
Visit Reason
The visit was an unannounced case management inspection regarding a reported death incident, specifically to review an LIC 624A form related to a death reported on 12/31/23.
Findings
The Licensing Program Analyst determined through interviews and record review that the resident actually passed away on 1/31/23 and the date on the LIC 624A was a typing error. The reporting time frames were met and there were no compliance concerns at the facility at this time.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the case management visit and interviews related to the death incident. |
| Lizeth Guerrero | Executive Director | Met with Licensing Program Analyst during the visit and involved in interviews. |
| Jennifer Almendarez | Resident Care Coordinator | Met with Licensing Program Analyst during the visit and involved in interviews. |
Inspection Report
Complaint Investigation
Census: 131
Capacity: 80
Deficiencies: 0
Date: Jan 26, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-01-18 regarding facility elevator disrepair and facility malodor.
Complaint Details
The complaint involved allegations that the facility elevator was in disrepair and that the facility was malodorous. The elevator complaint was unsubstantiated, meaning there was insufficient evidence to prove the violation. The malodor complaint was unfounded, meaning the allegation was false or without reasonable basis.
Findings
The investigation found the elevator complaint unsubstantiated with evidence of timely repair calls and no deficiencies cited. The malodor complaint was found unfounded as the facility was observed to be clean, odor-free, and in good repair with no deficiencies cited.
Report Facts
Facility capacity: 80
Census: 131
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the complaint investigation |
| Lizeth Guerrero | Executive Director | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 131
Capacity: 80
Deficiencies: 0
Date: Jan 26, 2023
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that the licensee did not provide a resident with an admissions agreement.
Complaint Details
The complaint alleged that the licensee did not provide a resident with an admissions agreement. The complaint was investigated and found to be unfounded.
Findings
The investigation found the complaint to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis. The facility provided two admissions agreements for the resident from different years and living arrangements.
Report Facts
Capacity: 80
Census: 131
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the complaint investigation |
| Lizeth Guerrero | Administrator | Facility administrator met during investigation |
| Jennifer Almendarez | Director of Resident Care | Met during investigation |
| Jennifer Cumby | Office Manager | Met during investigation |
Inspection Report
Annual Inspection
Census: 59
Capacity: 80
Deficiencies: 0
Date: Jan 9, 2023
Visit Reason
The inspection was an unannounced required 1 year annual visit focusing on the assisted living community of the facility.
Findings
The facility was found to be in substantial compliance with no deficiencies issued. The environment was sanitary, safe, and well-maintained with all required signage posted and emergency systems in compliance. Medication management and resident files reviewed were also in compliance.
Report Facts
Water temperature in resident rooms: 118
Facility temperature range: 72
Facility temperature range: 76
Refrigerator temperature: 36
Medication carts: 2
Resident files reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Guerrero | Executive Director | Met with Licensing Program Analyst and present during narcotic medication count |
| Maja Jensen | Licensing Program Analyst | Conducted the inspection and authored the report |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 80
Deficiencies: 1
Date: Jan 9, 2023
Visit Reason
The inspection visit was conducted as a case management visit related to an incident report received for a theft of resident funds.
Complaint Details
The visit was complaint-related due to a reported theft of resident funds. The investigation is ongoing and the party responsible has not yet been identified.
Findings
The facility did not adequately safeguard resident cash or provide receipts for valuables entrusted to staff, posing a potential health, safety, and personal rights risk. The facility met regulatory reporting requirements by notifying police, Community Care Licensing, the resident's family, and the Ombudsman. The investigation is ongoing and the responsible party has not been identified.
Deficiencies (1)
Failure to adequately safeguard resident cash or furnish a receipt for valuables in the Licensee's/facility's care.
Report Facts
Capacity: 80
Census: 59
Plan of Correction Due Date: Jan 16, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Guerrero | Executive Director | Met with Licensing Program Analyst during the visit and involved in investigation |
| Maja Jensen | Licensing Program Analyst | Conducted the case management visit and investigation |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager overseeing the visit |
Inspection Report
Annual Inspection
Census: 63
Capacity: 80
Deficiencies: 0
Date: Mar 1, 2022
Visit Reason
The inspection was an unannounced required 1-year annual visit to evaluate compliance with licensing and fire clearance regulations.
Findings
The facility was found to be in compliance with licensure and fire clearance. Observations included resident engagement in communal activities, safety of the physical plant, proper medication storage, and a compliant first aid kit.
Report Facts
Hospice residents: 9
Staff observed cleared: 6
Temperature inside facility: 76
Hot water temperature: 118
Administrator certificate expiration: Jun 19, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Guerrero | Administrator | Met with Licensing Program Analysts during the inspection |
| Maja Jensen | Licensing Program Analyst | Conducted the inspection and COVID-19 screening |
| Avelina Martinez | Licensing Program Analyst | Assisted in conducting the inspection |
| Liza King | Licensing Program Manager | Named in the report header |
Inspection Report
Annual Inspection
Census: 134
Capacity: 80
Deficiencies: 0
Date: Mar 1, 2022
Visit Reason
The visit was a required one-year unannounced annual inspection to evaluate compliance with licensing and safety regulations.
Findings
No deficiencies were observed or cited during the inspection. The facility was found to be in compliance with licensure, fire clearance, and COVID-19 protocols. Minor facility repairs were requested related to floor leveling.
Report Facts
Facility capacity: 80
Census: 134
Hospice residents: 10
Staff clearance: 7
Temperature range: 74
Temperature range: 78
Refrigerator temperature range: 35
Refrigerator temperature range: 41
Dishwashing temperature: 160
Kitchen fire suppression inspection date: Sep 21, 2022
Fire drill date: Feb 28, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Guerrero | Administrator | Facility administrator met during inspection and advised on facility repairs |
| Maja Jensen | Licensing Program Analyst | Conducted inspection and requested evidence of repair |
| Avelina Martinez | Licensing Program Analyst | Conducted inspection |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 80
Deficiencies: 0
Date: Oct 8, 2021
Visit Reason
The visit was an unannounced case management inspection to follow up on an incident report and abuse report involving an altercation between two residents.
Complaint Details
The visit was triggered by a complaint related to an altercation between Resident one (R1) and Resident two (R2). The complaint was investigated through record review and staff interviews. No deficiencies were substantiated.
Findings
The inspection found no deficiencies or citations. The incident involved an altercation between two residents, with one resident sustaining a minor injury and declining hospital treatment. Proactive measures were reviewed to prevent further incidents.
Report Facts
Census: 60
Total Capacity: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Guerrero | Administrator | Met with Licensing Program Analyst during inspection |
| Ashley Boothe | Licensing Program Analyst | Conducted the case management visit and inspection |
| Liza King | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 80
Deficiencies: 0
Date: Jul 7, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not meet residents' needs, did not provide a copy of the admissions agreement, did not itemize fees on the admissions agreement, were overcharging residents, and were threatening residents.
Complaint Details
The complaint investigation was initiated based on multiple allegations including unmet resident needs, failure to provide admissions agreements and itemized fees, overcharging, and staff threats. The investigation concluded the allegations were false and unfounded.
Findings
The investigation found all allegations to be unfounded based on record reviews, interviews, and on-site inspection. Admissions agreements were properly signed and provided, billing statements were accurate and explained, and residents' care needs were met according to care plans. No deficiencies were observed or cited.
Report Facts
Capacity: 80
Census: 63
Notices of Outstanding Balance: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Boothe | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lizeth Guerrero | Administrator | Facility administrator involved in interviews and investigation |
Inspection Report
Annual Inspection
Census: 63
Capacity: 80
Deficiencies: 0
Date: Jul 7, 2021
Visit Reason
The visit was an unannounced required 1-year annual inspection to evaluate compliance with licensing and safety regulations.
Findings
No deficiencies were observed or cited during the inspection. The facility was found to be in compliance with all applicable regulations including safety, medication storage, food supplies, and COVID precautions.
Report Facts
Hospice residents: 9
Staff observed cleared: 6
Fire extinguisher inspection date: Sep 11, 2020
Fire suppression system inspection date: Mar 12, 2021
Elevator inspection date: Oct 21, 2020
Disaster drill date: Jun 30, 2021
Administrator certificate expiration date: Jun 19, 2022
Facility temperature: 76
Hot water temperature: 118
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Guerrero | Administrator | Met with Licensing Program Analyst during inspection and confirmed no staff or clients experienced symptoms |
| Ashley Boothe | Licensing Program Analyst | Conducted the inspection and authored the report |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report |
Report
February 11, 2026
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January 7, 2026
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October 21, 2025
Report
January 31, 2024
Report
January 9, 2023
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