Inspection Reports for
Sierra Ridge Memory Care
3265 Blue Oaks Dr, Auburn, CA 95602, CA, 95602
Back to Facility ProfileCitations (last 4 years)
Citations (over 4 years)
1.3 citations/year
Citations are regulatory findings recorded during state inspections.
68% better than California average
California average: 4 citations/yearCitations per year
4
3
2
1
0
Occupancy
Latest occupancy rate
63% occupied
Based on a February 2026 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 41
Capacity: 65
Citations: 0
Date: Feb 12, 2026
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations including inadequate staffing, emergency pull cords not functioning, medications not given as directed, not reporting incidents, staff not following activities calendar, inadequate hygiene supplies, showers not being given, and volunteers not fingerprint cleared.
Complaint Details
The complaint investigation was unannounced and addressed multiple allegations including inadequate staffing and emergency pull cords not functioning. After investigation, all allegations were found to be unsubstantiated or unfounded, meaning there was insufficient evidence to prove violations occurred.
Findings
All allegations were found to be unsubstantiated or unfounded based on interviews, observations, and records reviewed. Staffing was deemed adequate, emergency pull cords were functioning after maintenance, medications were given as directed, incidents were properly reported, activities were appropriately conducted, hygiene supplies were sufficient, showers were provided as scheduled, and no volunteers were present requiring fingerprint clearance.
Report Facts
Capacity: 65
Census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Mikkelson | Licensed Program Analyst | Conducted the complaint investigation |
| Alyssa Sellers | Executive Director | Met with evaluator during investigation |
| Alexis Thacker | Administrator | Facility administrator present during exit interview |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 65
Citations: 1
Date: Oct 22, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including a resident not being allowed to attend a doctor appointment and medication not given as prescribed.
Complaint Details
The complaint was substantiated regarding the resident missing a doctor appointment due to facility staff contacting the incorrect power of attorney. The medication allegation was unsubstantiated. Immediate civil penalties of $250 were issued for the repeat violation related to resident rights, accruing $100 per day until corrected.
Findings
The investigation substantiated that the facility caused an unnecessary delay resulting in a resident missing their doctor appointment due to staff contacting the incorrect power of attorney. The allegation regarding medication not given as prescribed was found unsubstantiated after review of records and interviews.
Citations (1)
CCR 87468.1(a)(6): Residents must have the right to leave the facility at any time and not be locked in. A resident was not able to leave without staff confirming with the power of attorney, posing a potential threat to care and supervision.
Report Facts
Capacity: 65
Census: 47
Civil penalty: 250
Daily penalty: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the complaint investigation |
| Alexis Thacker | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 65
Citations: 0
Date: Oct 15, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-10-06 regarding the facility's handling of responsible party resident records, refunds, and itemized billing.
Complaint Details
The complaint included allegations that staff did not provide responsible party resident's records, did not provide a refund in a timely manner, and did not provide an itemized bill. All allegations were found to be unsubstantiated or unfounded based on interviews, documentation review, and observations.
Findings
The investigation found the allegations unsubstantiated or unfounded. Staff did provide requested resident records prior to discharge. The refund due to the responsible party was delayed due to lack of response from the responsible party, and itemized bills were sent monthly as required.
Report Facts
Facility Capacity: 65
Resident Census: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Mikkelson | Licensing Evaluator | Conducted the complaint investigation and authored the report |
| Alexis Thacker | Administrator | Facility administrator interviewed during investigation |
| Tony Sellers | Facility representative met during investigation | |
| Kerry Hiratsuka | Licensed Program Analyst | Assisted in conducting the complaint investigation |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 65
Citations: 0
Date: Oct 8, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not following a resident's care plan and did not notify the resident's responsible party when the resident left the facility.
Complaint Details
The complaint involved two allegations: staff not following a resident's care plan and staff failing to notify the resident's responsible party when the resident left the facility. Both allegations were found to be unfounded based on record reviews and interviews.
Findings
The investigation found that staff were following the resident's care plan and had properly notified the responsible party based on updated power of attorney paperwork. Therefore, both allegations were determined to be unfounded.
Report Facts
Capacity: 65
Census: 47
Estimated Days of Completion: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Mikkelson | Licensed Program Analyst | Conducted the complaint investigation and delivered findings |
| Alexis Thacker | Administrator | Facility administrator involved in the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 65
Citations: 0
Date: Aug 27, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-08-07 regarding resident injuries, lack of drinking cups, and hygiene neglect.
Complaint Details
The complaint alleged that a resident sustained multiple injuries due to staff neglect, staff did not provide drinking cups, and staff were not maintaining residents' hygiene. The investigation found these allegations to be unfounded.
Findings
The investigation found all allegations to be unfounded. Resident injuries were not due to staff neglect, drinking cups were provided, and staff assisted residents with hygiene as required.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Mikkelson | Licensed Program Analyst | Conducted the complaint investigation and delivered findings. |
| Tony Sellers | Administrator | Met with the evaluator during the investigation and exit interview. |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 65
Citations: 2
Date: Aug 19, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2025-05-20 regarding alleged violations of resident rights at Sierra Ridge Senior Living Facility.
Complaint Details
The complaint alleged that staff were not permitting a resident to leave the facility, have visitors, receive phone calls, and were mismanaging medication. The allegations regarding restriction of leaving and visitors were substantiated. The allegations about phone calls and medication mismanagement were unsubstantiated.
Findings
The investigation substantiated that staff did not permit a resident to leave the facility or have visitors, violating personal rights. Two other allegations regarding denial of phone calls and medication mismanagement were unsubstantiated.
Citations (2)
CCR 87468.1(a)(6): Residents must be allowed to leave the facility at any time and not be locked in. On at least one occasion, resident R1 was denied the right to leave with a family member.
CCR 87468(a)(11): Residents must be permitted to have visitors privately during reasonable hours. Family members of resident R1 were denied entrance to visit.
Report Facts
Capacity: 65
Census: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tryon | Licensing Evaluator | Conducted the complaint investigation |
| Tony Sellers | Interim Executive Director | Met with Licensing Evaluator during investigation |
| Alexis Thacker | Administrator | Facility administrator named in report |
Inspection Report
Census: 47
Capacity: 65
Citations: 0
Date: Aug 6, 2025
Visit Reason
The visit was a case management inspection conducted regarding an incident report received on July 28, 2025.
Findings
The Licensing Program Analyst conducted a tour, collected documents, and interviewed staff. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| McKenna Evans | Business Office Director | Met with during the case management visit and exit interview. |
| Cassandra Mikkelson | Licensing Program Analyst | Conducted the case management visit. |
| Alexis Thacker | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 65
Citations: 0
Date: Aug 6, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-04-14 regarding medication dispensing, medication prescription refills, and residents' showering needs at Sierra Ridge Senior Living Facility.
Complaint Details
The complaint involved three allegations: staff not dispensing medication as prescribed, staff not refilling medication prescriptions timely, and staff not ensuring residents' showering needs were met. All allegations were either unsubstantiated or unfounded after investigation.
Findings
The investigation found the allegations that staff did not dispense medication as prescribed and did not refill medication prescriptions timely to be unsubstantiated due to conflicting staff opinions and insufficient evidence. The allegation that staff did not ensure residents' showering needs were met was found to be unfounded as one staff member was able to regularly get the resident to shower.
Report Facts
Capacity: 65
Census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tryon | Licensing Evaluator | Conducted the complaint investigation |
| Troy Ordonez | Supervisor | Supervised the complaint investigation |
| Alexis Thacker | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 65
Citations: 0
Date: Jul 10, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the licensee overcharged a resident for services and that staff did not provide the resident’s DNR directives to medical personnel.
Complaint Details
The complaint investigation was conducted following allegations that the licensee overcharged a resident and failed to provide the resident’s DNR directives to medical personnel. Both allegations were found to be unfounded based on records review and interviews.
Findings
The investigation found both allegations to be unfounded. The facility did not overcharge the resident as the pre-admission fee was honored from a previous facility. The facility also provided the resident's POLST/DNR form to the hospital, ensuring medical personnel were aware of the resident’s DNR wishes.
Report Facts
Pre-admission fee amount: 3000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Mikkelson | Licensed Program Analyst | Conducted the complaint investigation and delivered findings. |
| Cheya Lovelace | Resident Care Director | Met with evaluator during investigation and exit interview. |
| Alexis Thacker | Administrator | Facility administrator named in report header. |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 65
Citations: 0
Date: May 1, 2025
Visit Reason
The visit was conducted to investigate a complaint alleging that staff were not providing care and supervision to a resident.
Complaint Details
The complaint alleged that staff were not providing care and supervision to a resident. The allegation was found to be unsubstantiated after investigation.
Findings
The investigation found that resident R1 had fallen several times due to a recurring medical condition causing sudden running behavior. Staff attempted various interventions and hospice services were involved, but it was concluded that additional staff or supervision would likely not have prevented the falls. The allegation was unsubstantiated.
Report Facts
Staff interviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tryon | Licensing Evaluator | Conducted the complaint investigation |
| Alexis Thacker | Executive Director | Met with the evaluator during the investigation |
| Jennifer Fuston | Administrator | Facility administrator named in the report |
| Troy Ordonez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 65
Citations: 1
Date: Apr 9, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that a resident developed Stage 4 pressure injuries while in care.
Complaint Details
The complaint investigation was substantiated regarding neglect leading to a serious bodily injury (stage four pressure injury) for Resident 1. Other allegations about social interactions and hygiene needs were unsubstantiated.
Findings
The investigation substantiated neglect due to inadequate care and supervision resulting in a resident's pressure injury worsening from stage two to stage four within seven days, requiring hospice intervention. Other allegations regarding social interaction and hygiene needs were found unsubstantiated.
Citations (1)
CCR 87466: The licensee failed to ensure residents were regularly observed for changes in physical, mental, emotional, and social functioning, and that such changes were documented and reported. Resident R1 had a stage four pressure injury that was not reported as worsening to home health, posing an immediate health and safety risk.
Report Facts
Civil penalty amount: 500
Capacity: 65
Census: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tryon | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Alexis Thacker | Executive Director | Met with Licensing Program Analyst during investigation. |
Inspection Report
Annual Inspection
Census: 42
Capacity: 65
Citations: 0
Date: Feb 20, 2025
Visit Reason
The inspection was an unannounced annual review visit conducted to assess compliance with regulations at the Sierra Ridge Senior Living Facility.
Findings
The facility was found to be clean, well-maintained, and in substantial compliance with regulations. No deficiencies were cited during the inspection.
Inspection Report
Census: 49
Capacity: 65
Citations: 0
Date: Sep 27, 2024
Visit Reason
The visit was a Wellness Check related to a report received by the Department on 09/26/2024.
Findings
The facility appeared clean and free of hazards. Food supplies and medication storage met requirements, and residents appeared safe and comfortable during the visit.
Inspection Report
Complaint Investigation
Census: 49
Capacity: 65
Citations: 0
Date: Sep 25, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-07-08 regarding insufficient staff to assist residents with toileting needs and inadequate laundry services.
Complaint Details
The complaint involved allegations that staff did not ensure sufficient assistance with toileting, did not provide adequate laundry services, and left a resident in urine-soaked clothing for an extended period. The investigation found the first two allegations unfounded and the last allegation unsubstantiated due to insufficient evidence.
Findings
The investigation found the allegations to be unfounded or unsubstantiated. Staff shortages were acknowledged but residents' basic needs were met. Laundry services were maintained despite staffing challenges. One allegation about residents left in urine-soaked clothing was unsubstantiated due to lack of evidence.
Report Facts
Capacity: 65
Census: 49
Staffing: 4
Staffing: 2
Staffing: 2
Staffing: 1
Housekeepers: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Fuston | Executive Director | Met with licensing evaluators during complaint investigation |
| Todd Tryon | Licensing Evaluator | Conducted the complaint investigation |
| Troy Ordonez | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 65
Citations: 0
Date: May 29, 2024
Visit Reason
The visit was conducted to interview staff and work on a complaint filed on 2024-04-19 against the prior license for the facility.
Complaint Details
Complaint filed on 2024-04-19 against the prior license. The complaint is unrelated to the current license issued on 2024-04-25. Further investigation is needed.
Findings
The complaint was unrelated to the current license issued on 2024-04-25. Further investigation is needed at this time.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kaitlyn Sutherland | Director of Health and Wellness | Met and interviewed during the complaint investigation visit. |
Inspection Report
Follow-Up
Census: 47
Capacity: 65
Citations: 1
Date: May 29, 2024
Visit Reason
The visit was conducted to follow up on an incident reported by the facility regarding a medication administration concern for a resident.
Complaint Details
The visit was triggered by a complaint from a resident's POA alleging medication was not given as prescribed. The complaint was substantiated based on the investigation findings.
Findings
The investigation found that staff had signed that medication was given to a resident when it had not been administered, posing a potential serious health risk. The staff involved was terminated, and corrective actions including medication re-start and staff training were completed.
Citations (1)
CCR 87465(a)(4): The licensee failed to assist a resident with self-administered medication as staff signed the medication was given when it had not been administered, causing potential health and safety risk.
Report Facts
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Fuston | Administrator/Director | Met during inspection and involved in investigation |
| Kaitlyn Sutherland | Director of Health and Wellness | Met during inspection and involved in investigation |
| Todd Tryon | Licensing Evaluator | Conducted the inspection |
| Troy Ordonez | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 65
Citations: 0
Date: May 20, 2024
Visit Reason
The visit was conducted to perform interviews and work on a complaint filed on 2024-04-19 against the prior license for the facility.
Complaint Details
The complaint was filed on 2024-04-19 against the prior license and is unrelated to the new license issued on 2024-04-25.
Findings
The licensing evaluator met with the Resident Care Director and staff to explain the purpose of the visit and conducted an exit interview. No specific findings or deficiencies were detailed in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julie Ellison | Resident Care Director | Met with licensing evaluator during complaint investigation. |
Inspection Report
Original Licensing
Census: 46
Capacity: 65
Citations: 0
Date: Apr 12, 2024
Visit Reason
The visit was an unannounced pre-licensing inspection related to a new application for Change of Ownership.
Findings
The facility was toured and found to be clean, newly redecorated, and in substantial compliance with regulations. Appropriate resident and staff files were maintained, and the facility had proper postings and materials for activities.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Fuston | Executive Director | Met with Licensing Program Analyst during the inspection and discussed facility compliance. |
Inspection Report
Original Licensing
Census: 38
Capacity: 65
Citations: 0
Date: Dec 15, 2023
Visit Reason
The visit was conducted as part of the original licensing process (CHOW application) for Sierra Ridge Senior Living Facility to verify applicant and administrator understanding of licensing laws and readiness for operation.
Findings
The applicant and administrator demonstrated understanding of community care facility licensing laws, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints reporting, and pre-licensing readiness. Identification was verified and required documentation was obtained.
Inspection Report
Census: 37
Capacity: 65
Citations: 0
Date: Oct 30, 2023
Visit Reason
The visit was a case management incident to investigate recent cases of residents with a possible skin condition.
Findings
The facility has followed through appropriately with individual physicians regarding the skin conditions. No further issues were noted at the time of the visit.
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