Inspection Reports for Roseberry Care

CA

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Inspection Report Annual Inspection Census: 14 Capacity: 15 Deficiencies: 0 Aug 13, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate the health, safety, and compliance of the Roseberry Care Facility using the CARE inspection tool.
Findings
No immediate health, safety, or personal rights violations were observed during the inspection. Resident and staff files were complete and well organized, and residents expressed satisfaction with care and staff interactions.
Employees Mentioned
NameTitleContext
Jessica QuistguardAdministratorMet with Licensing Program Analyst during the inspection and discussed several issues.
Kevin MknellyLicensing Program AnalystConducted the annual inspection using the CARE inspection tool.
Maribeth SentyLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Annual Inspection Census: 13 Capacity: 15 Deficiencies: 0 Aug 22, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to ensure compliance with health and safety regulations using the CARE inspection tool.
Findings
No immediate health, safety, or personal rights violations were observed. Resident and staff files were complete and well organized, and residents expressed satisfaction with care and staff interactions. No deficiencies were cited as a result of the inspection.
Employees Mentioned
NameTitleContext
Jessica QuistgardAdministratorMet with Licensing Program Analyst during inspection and discussed several issues.
Kevin MknellyLicensing Program AnalystConducted the annual inspection using the CARE inspection tool.
Maribeth SentyLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Census: 13 Capacity: 15 Deficiencies: 0 Sep 27, 2023
Visit Reason
Licensing Program Analysts conducted an unannounced collateral visit to the facility to evaluate compliance.
Findings
No deficiencies were observed during the visit. The analysts spoke with the Administrator and a resident about an unrelated issue.
Employees Mentioned
NameTitleContext
Jessica QuistgardAdministratorMet with Licensing Program Analysts during the visit.
Inspection Report Annual Inspection Census: 12 Capacity: 15 Deficiencies: 0 Aug 9, 2023
Visit Reason
The visit was an unannounced 1-year annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. Infection control practices, physical plant safety, food service, and resident accommodations were all observed to meet required standards.
Report Facts
Residents' files reviewed: 5 Staff files reviewed: 5 Bedrooms: 9 Bathrooms: 7 Food supply - perishables: 2 Food supply - non-perishables: 7 Hot water temperature range: 105 Hot water temperature range: 120
Employees Mentioned
NameTitleContext
Jessica QuistgardAdministratorMet with Licensing Program Analysts during inspection
Ivan AvilaLicensing Program AnalystConducted the inspection
Kevin MknellyLicensing Program AnalystConducted the inspection
Lauren CrockerLicensing Program ManagerNamed in report header
Inspection Report Annual Inspection Census: 11 Capacity: 15 Deficiencies: 0 Aug 2, 2022
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on the infection control domain to ensure compliance with health and safety standards.
Findings
The facility was found to be in substantial compliance with infection control requirements. No immediate health, safety, or personal rights violations were observed, and no deficiencies were cited.
Employees Mentioned
NameTitleContext
Jessica QuistguardAdministratorMet with Licensing Program Analyst during the inspection and is the Infection Control Leader.
Kevin MknellyLicensing Program AnalystConducted the Required-1 Year Inspection.
Maribeth SentyLicensing Program ManagerNamed in the report header.
Inspection Report Annual Inspection Census: 7 Capacity: 15 Deficiencies: 0 Aug 5, 2021
Visit Reason
The inspection was a Required-1 Year unannounced visit to conduct an annual inspection utilizing the infection control domain, including COVID-19 protocols and a facility risk assessment.
Findings
The facility was found to be in substantial compliance with infection control requirements, with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.
Report Facts
Resident bedrooms toured: 9 Bathrooms toured: 7 Inspection start time: 930 Inspection end time: 1055
Employees Mentioned
NameTitleContext
Jessica QuistgardAdministrator and Infection Control LeaderMet with Licensing Program Analyst and participated in infection control domain review
Kevin MknellyLicensing Program AnalystConducted the inspection and infection control review
Inspection Report Complaint Investigation Census: 12 Capacity: 15 Deficiencies: 1 Dec 31, 2020
Visit Reason
The visit was conducted to follow up on a substantiated allegation that the facility staff failed to seek medical attention in a timely manner for a resident, resulting in serious injury.
Findings
The investigation confirmed that staff failed to seek timely medical care for a resident who sustained a secondary hip fracture after a fall. The facility delayed calling 9-1-1 for over eighteen hours despite knowledge of the resident's recent hip surgery, resulting in a substantiated violation and civil penalties.
Complaint Details
The complaint investigation was substantiated. The facility staff failed to seek medical attention in a timely manner for a resident who fell on June 18, 2019, and medical care was delayed over eighteen hours. An immediate civil penalty of $500 was issued on October 8, 2019, and a further civil penalty of $9,500 was issued on December 30, 2020 for serious bodily injury.
Deficiencies (1)
Description
Facility staff failed to seek timely medical care for a resident after a fall, resulting in a secondary hip fracture and extreme pain.
Report Facts
Civil penalty amount: 9500 Immediate civil penalty amount: 500 Time delay in seeking medical care (hours): 18
Employees Mentioned
NameTitleContext
Jessica QuistgardAdministratorNamed in relation to failure to seek timely medical care for resident.
Jimelia SterlingAdministratorNamed in relation to failure to seek timely medical care for resident.

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