Inspection Reports for
Silverado Sierra Vista Memory Care Community

The complaint alleged that staff do not meet incontinence care needs, forcing residents to sit in soiled diapers for over an hour, and that staff do not dispense medications as prescribed, with a capsule found on the floor and medication left in a cup. The investigation found no evidence to substantiate these allegations.

The investigation found that staff denied the allegations, stating sufficient staffing and proper medication administration practices. Resident interviews and document reviews supported that care needs were met and medications were administered as prescribed. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included uncleanliness due to pets defecating and urinating inside the facility and improper pet management. Interviews and observations did not support these claims.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff, residents, and administrators, as well as facility inspection, indicated the facility was clean, pets were managed according to policy, and no complaints or concerns were reported regarding cleanliness or pet management.

The complaint was unsubstantiated. Allegations included failure to report changes in a resident's medical condition to their physician resulting in hospitalization, and failure to follow correct reporting requirements. The investigation included file reviews and staff interviews, and found that reporting and notifications were appropriately conducted.

The investigation found that staff did report changes in the resident's medical condition to the physician and followed reporting requirements, including notifying the resident's responsible party and submitting a special incident report. However, there was insufficient evidence to substantiate the allegations, and the complaint was determined to be unsubstantiated.

The complaint involved allegations that staff were not ensuring residents received phone calls and that the facility was not ensuring adequate staffing. Interviews with staff and residents, document reviews, and observations did not corroborate the allegations. The complaint was determined to be unsubstantiated.

The investigation found that staff were ensuring residents received phone calls, with multiple phones available and staff assisting residents. Staffing was deemed adequate with a paging system in place. There was insufficient evidence to substantiate the allegations, and the complaint was unsubstantiated.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Nune Margaryan. Allegations included inadequate supervision leading to a resident fall and resident dehydration. Interviews with staff, residents, and family, as well as document reviews, did not corroborate the allegations. The findings were unsubstantiated.

The investigation found insufficient evidence to substantiate the allegations. Staff and residents denied the claims, and observations confirmed adequate supervision and hydration practices at the facility. The resident who fell sustained minor injury and was monitored without further issues.

The inspection found the facility compliant with all applicable regulations, including physical plant safety, medication storage, record reviews, activities, and postings. No deficiencies were documented.

The complaint investigation was unsubstantiated. Allegations included facility odor, unmet hygiene needs, and residents wearing ripped clothing. The administrator and staff denied all allegations, residents interviewed did not corroborate them, and no violations were observed during the facility tour.

The investigation found no evidence to substantiate the allegations. The facility was not odoriferous during the visit, staff denied the hygiene and clothing allegations, and residents interviewed could not corroborate the complaints. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint involved multiple allegations: staff stealing resident's personal belongings, stealing the resident's dog, not treating the resident with dignity, and hitting the resident. The investigation found no supporting evidence and the allegations were unsubstantiated.

The investigation included interviews with residents, staff, and review of records. All allegations including theft of personal belongings and a dog, disrespect, and physical abuse were denied by residents and staff. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.

The complaint investigation was unsubstantiated based on interviews with staff, residents, family members, review of medical and facility records, and police involvement. There was no preponderance of evidence to prove the alleged violations occurred.

The investigation found insufficient evidence to substantiate the allegations. The resident had a pre-existing wrist fracture observed upon admission, staff monitored the condition and sought appropriate medical care, and allegations of inappropriate touching were not corroborated by staff, police, or the resident.

The complaint alleged that a resident sustained unexplained bruising while in care. The investigation was unannounced and included interviews with staff and the resident, review of medical records, and facility documentation. The allegation was determined to be unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to substantiate the allegation. The resident was admitted to the emergency room for possible clavicle fracture but no fracture was found. Staff and resident interviews denied the allegation, and the resident could not recall how the bruising occurred. Therefore, the allegation was unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included unexplained resident injury, insufficient staffing, falls due to lack of supervision, overcharging, failure to provide a comfortable environment, delayed assistance, and restricted visitation. The investigation included interviews with staff, residents, and administrator, review of documents, and observations. No violations were substantiated.

The investigation found no substantiated evidence to support the allegations. Staff and administration denied the claims, and observations and interviews corroborated sufficient staffing, timely assistance, proper documentation of injuries, appropriate handling of overcharges, controlled pet presence, and flexible visitation policies.

The complaint investigation was unsubstantiated. Allegations included denial of visitation and restriction of confidential calls for Resident #1. Staff and resident interviews, file reviews, and facility observations did not corroborate these claims.

The investigation found insufficient evidence to substantiate the allegations that a resident was denied visitation or was not allowed to receive confidential calls. Interviews with staff and residents, as well as review of records, indicated residents' rights to visitation and confidential calls were respected.

The complaint investigation was unsubstantiated based on observations, interviews with staff and residents, and review of pest control records. Allegations included facility cleanliness, odor, bug infestation, and linen provision, all of which were denied or not corroborated.

The investigation found no sufficient evidence to substantiate the allegations. The facility was observed to be well maintained and clean, with no odor or bug infestation. Staff and residents denied the allegations, and pest control records did not indicate infestation. Residents were provided with clean linens frequently, and linen storage was sufficient.

The facility was toured including common areas and resident rooms. Observations included proper functioning emergency call buttons, operable smoke and carbon monoxide detectors, clean kitchen appliances, locked sharps and cleaning supplies, and adequate food supply. No deficiencies were observed during the visit.

The complaint alleged that a resident was illegally evicted. The investigation included interviews with staff and the resident's conservator, review of documentation, and found no evidence to substantiate the allegation.

The investigation found that the resident was hospitalized and did not return to the facility due to behavioral concerns and the need for one-to-one support. The resident's conservator confirmed the move was voluntary due to costs, and the 30-day move-out notice was waived. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint involved medication cards that did not match the medication labels and appeared to have been cut and taped. The Azusa Police Department was called, and two staff members were identified as persons of interest and suspended pending investigation.

The investigation found that medication cards had been tampered with, leading to a police investigation and suspension of two staff members. No deficiencies were cited during the visit.

The facility was found to be in compliance with physical plant requirements including fire clearance, safety features, cleanliness, and proper operation of equipment. No outstanding or pending items were observed requiring additional visits.