Inspection Reports for Silverado The Huntington Memory Care Community

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-05-15 concerning resident care and staff conduct at Silverado Senior Living - The Huntington.

The investigation found insufficient evidence to substantiate any of the allegations, including failure to provide a walking device, unauthorized medical changes, lack of intervention in resident altercations, leaving a resident unattended, failure to report incidents properly, and failure to safeguard resident belongings. All allegations were deemed unsubstantiated.

The complaint investigation involved nine allegations related to resident care and staff actions. Interviews with staff and residents, review of records, and observations were conducted. The allegations were unsubstantiated due to lack of sufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-02-19 regarding staff not preventing a resident from inappropriately touching himself in front of other residents.

The investigation substantiated the allegation that staff did not prevent Resident #1 from inappropriate sexual behavior, including masturbating in front of other residents. The facility was aware of the behavior for several months but delayed seeking medical intervention until 2025-09-24, failing to protect residents' personal rights and privacy.

The complaint alleged staff failed to prevent a resident from inappropriate sexual behavior in front of other residents. The allegation was substantiated based on staff interviews, document review, and observation records. The facility delayed medical intervention and did not provide adequate privacy or protection for residents.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-02-11 regarding resident rights and medication administration at Silverado Senior Living - The Huntington.

The investigation found insufficient evidence to substantiate the allegations that a resident was denied the right to visit the facility prior to residence and that medication was not given as prescribed. Interviews with staff, residents, and review of records did not support the complaints, resulting in an unsubstantiated determination.

The complaint investigation was unsubstantiated. Allegations included denial of resident's right to visit the facility prior to residence and medication not given as prescribed. Interviews with the wellness director, administrator, LVN, resident, and POA, as well as medication room review, found no evidence to support the allegations.

The visit was conducted as a case management inspection to investigate two complaints regarding unsecured sharp objects in the facility.

The inspection found that three pairs of scissors were left unattended in an unlocked wellness room accessible to residents in the dementia care facility, posing an immediate risk to their health and safety. The deficiency was cited as a Type B violation.

The visit was triggered by two complaints. The citation was changed from Type A to Type B after review, indicating a potential risk rather than an immediate risk based on evidence. The scissors were accessible to 32 residents in the dementia care unit.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-03-17 regarding staff harassing residents to ingest prescribed medications, failure to update medication records, and withholding residents' mail.

The investigation found insufficient evidence to substantiate any of the allegations. Staff and residents denied the claims, observations during the visit showed no withholding of food or mail, and medication records were found to be updated appropriately.

The complaint investigation was unsubstantiated. Allegations included staff harassing residents to take medications by withholding food, failure to update medication records, and withholding resident mail. Interviews with staff and residents, record reviews, and observations did not corroborate these allegations.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-03-17 regarding staff retaining a resident against their will and failure to provide daily activities for residents.

The investigation included interviews with staff, residents, and a family member with POA authority, as well as review of facility documents and observations. Both allegations were found to be unsubstantiated due to insufficient evidence, with residents and staff denying the claims and observations confirming resident activities.

The complaint involved allegations that staff retained a resident against their will and did not provide daily activities. Interviews with five staff and six residents, as well as a family member with POA, did not corroborate the allegations. The family member confirmed agreement with the facility's care. Police had investigated but no evidence substantiated the claims. The allegations were determined to be unsubstantiated.

An unannounced complaint investigation visit was conducted regarding allegations that staff confiscated a resident's personal items, specifically reading glasses, restricting access and infringing on personal rights.

The investigation found that staff do take some residents' personal items such as reading glasses to the nursing office at night as a safety precaution for less independent, cognitively impaired residents, but return them each morning. Interviews and observations did not corroborate the allegation that staff confiscate residents' glasses improperly. The allegation was determined to be unsubstantiated due to insufficient evidence.

The complaint alleged that staff confiscated a resident's reading glasses and kept them locked in the nursing office, limiting access and infringing on personal rights. Interviews with 10 residents and 5 staff, as well as record and room inspections, found no evidence to support the allegation. Staff explained the procedure is a safety measure for cognitively impaired residents and glasses are returned daily. The allegation was unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate allegations that staff were retaliating against residents for filing complaints and that staff were not allowing residents to have packages delivered.

The investigation included interviews with staff and residents, review of facility records, and observation of staff-resident interactions. Both allegations were found to be unsubstantiated due to lack of corroborating evidence and observations of appropriate staff behavior.

The complaint alleged staff retaliation against residents for filing complaints and withholding residents' mail and packages. Interviews with five staff and six residents did not corroborate the allegations. The facility maintains a mail tracking log and residents reported receiving their mail and packages. The allegations were determined to be unsubstantiated.

The visit was conducted as a subsequent investigation of two complaints regarding the facility.

During the tour, inspectors observed three pairs of sharp scissors left unattended in an unlocked wellness room accessible to 32 residents in the dementia care unit, posing an immediate risk to their health and safety. A deficiency was cited for failure to secure dangerous items.

The visit was triggered by two complaints. The deficiency cited poses an immediate risk to the health, safety, or personal rights of the persons in care.

An unannounced complaint investigation visit was conducted to investigate allegations including staff retaliation against a resident, failure to deliver mail/packages, failure to safeguard residents' personal belongings, and lack of supervision resulting in a resident fall and injury.

After interviews with residents, staff, and the administrator, and a tour of the facility, no preponderance of evidence was found to substantiate any of the allegations. Residents reported receiving their mail and packages, belongings were observed to be safe, and staff responded appropriately to a resident injury. All allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated for all allegations including staff retaliation, withholding mail/packages, failure to safeguard belongings, and lack of supervision leading to injury.

The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff were interfering with residents' mail and packages and chemically restraining a resident.

The investigation substantiated that facility staff were opening residents' mail and packages, violating residents' personal rights. However, the allegation that staff were chemically restraining a resident was unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for the allegation that facility staff interfered with residents' mail by opening it, violating residents' rights. The allegation that staff chemically restrained a resident was unsubstantiated due to lack of evidence.

An unannounced complaint investigation was conducted to investigate allegations that facility staff were not ensuring residents' medication was administered as prescribed, did not intervene in resident physical altercations, and failed to safeguard residents' personal items.

The investigation included interviews with staff and residents and review of records. All allegations were denied by staff and not corroborated by residents. Medication was administered as prescribed with no evidence of family pressure. No evidence was found of staff failing to intervene in altercations or safeguarding residents' personal items. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included improper medication administration, failure to intervene in resident altercations, and failure to safeguard personal items. Interviews and record reviews did not support these allegations.

The inspection was an unannounced required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory standards.

The inspection found deficiencies related to hot water temperature regulation, a non-operational fire door, a call cord needing repair, and a leak in the food storage room. Civil penalties were issued for repeat violations. Other areas such as infection control, staffing, personnel records, residents' rights, planned activities, food service, and disaster preparedness were found to be in compliance.

The inspection was an unannounced complaint investigation visit triggered by a complaint alleging lack of supervision resulting in an unsafe environment for residents and a resident being denied the right to visit the facility prior to residence.

The investigation found the allegation of lack of supervision resulting in an unsafe environment to be unsubstantiated, as no resident was harmed and the incident was promptly cleaned up. However, the allegation that a resident was denied the right to visit the facility prior to residence was substantiated, as the facility failed to ensure that the resident or authorized representative toured or visited the facility prior to admission.

The complaint involved two main allegations: 1) Lack of supervision resulting in unsafe environment for residents, which was unsubstantiated. 2) Resident denied the right to visit the facility prior to residence, which was substantiated. The investigation included interviews with staff, residents, witnesses, and review of relevant documents.

The inspection visit was conducted as a complaint investigation to evaluate deficiencies related to resident care documentation.

The investigation found that Resident #1 did not have an updated physician's report (LIC602) on file, with the last one dated 10/12/2022, posing a potential health and safety hazard to the resident.

During the complaint investigation, it was substantiated that the facility failed to maintain an updated physician's report for Resident #1, posing a health and safety risk.

The inspection visit was conducted as a subsequent visit to finish the annual inspection of Silverado Senior Living - The Huntington facility.

The inspection found that the facility has sufficient staffing and appropriate dementia care training, but deficiencies were noted including 3 out of 5 residents with dementia having outdated physician's reports and 2 out of 4 staff missing health screening forms.

The inspection was conducted as a required annual unannounced visit to evaluate compliance with licensing regulations for Silverado Senior Living - The Huntington facility.

The facility generally complied with infection control, operational requirements, and medication administration. However, a deficiency was found related to hot water temperatures in resident rooms exceeding the required range, posing a health and safety risk.

The inspection was an unannounced complaint investigation visit triggered by allegations of neglect/lack of supervision resulting in a resident sustaining a fracture and staff not ensuring the resident was wearing a hip protector, as well as allegations related to pressure injuries and staff response to resident alarms.

The investigation substantiated the allegations that the facility failed to ensure a resident wore a hip protector, resulting in a hip fracture, and found negligence in supervision. Another set of allegations regarding pressure injuries and staff response to alarms was unsubstantiated due to insufficient evidence. The facility was cited for deficiencies related to personnel requirements and resident rights, and a civil penalty of $500 was issued.

The complaint investigation was substantiated for allegations of neglect and failure to ensure a resident wore a hip protector, resulting in a fracture. The investigation included interviews with staff, residents, and administrators, and review of records. Another complaint regarding pressure injuries and staff response to alarms was unsubstantiated.

An unannounced annual inspection was conducted focusing on infection control at Silverado Senior Living - The Huntington Facility.

The inspection found no deficiencies. The facility demonstrated compliance with infection control measures including visitor screening, PPE availability, proper food handling, and medication storage.

The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained an injury while in care, specifically related to toileting needs and potential neglect.

The investigation found one allegation unsubstantiated regarding a resident sustaining a severe UTI due to being left in soiled diapers. However, a second allegation that staff were not meeting toileting needs of a resident was substantiated based on staff interviews and evidence. The facility was cited for failure to assist residents who can benefit from scheduled toileting.

The complaint investigation was initiated due to an allegation that a resident sustained an injury while in care, specifically a severe UTI from being left in soiled diapers. The allegation was unsubstantiated. Another allegation that staff were not meeting toileting needs was substantiated after investigation and staff interviews.

The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff inappropriately handled a resident resulting in injury.

The investigation found no immediate health or safety concerns and determined that there was insufficient evidence to substantiate the allegation that staff squeezed the resident's hand causing bruises. Interviews with staff and caregivers denied any inappropriate physical contact with the resident.

The complaint alleged that a staff member squeezed the hand of Resident #1 resulting in bruises. The resident had attempted to leave the facility multiple times and was verbally redirected by staff. Staff denied any physical contact with the resident. The allegation was determined to be unsubstantiated due to lack of evidence.

The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2021-06-04 regarding a resident not being accorded dignity in relationships with staff.

The investigation substantiated the allegation that on 2021-06-04, a night shift staff member did not assist Resident #1 to go to the toilet despite multiple requests, which posed a potential personal rights risk. The staff member was terminated, and a plan of correction including staff training was implemented.

The complaint was substantiated based on interviews with staff and residents, and evidence showed that staff member S-1 did not assist Resident #1 to the toilet during the night shift on 2021-06-04 despite multiple requests. The staff member was terminated.

Licensing Program Analyst Cynthia Chan conducted an annual inspection with emphasis on infection control at Silverado Senior Living - The Huntington facility.

The inspection found no deficiencies. Observations included visitor screening, proper room furnishings, appropriate hot water temperatures, availability of soap and hand sanitizers, sufficient food supply, properly tested fire extinguishers, staff wearing face coverings, updated client and staff files, centrally stored medications, and adequate PPE supplies.

The inspection was conducted as a complaint investigation regarding allegations that staff were not preventing the spread of an outbreak by failing to wear masks properly.

The investigation found that most staff wore masks properly and received COVID-19 training, but one staff member was counseled for not wearing a mask while assisting a resident, substantiating the complaint. The facility was cited for not ensuring staff wore masks, posing a potential health and safety risk.

The complaint alleged that staff were not preventing the spread of an outbreak by not wearing masks. The allegation was substantiated based on interviews and observations. One staff member was counseled for mask non-compliance, and a resident's family member witnessed staff not wearing a mask.

The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident was being denied services.

The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur, and therefore the allegation was unsubstantiated. The facility was taking steps to ensure regulations and guidelines were followed prior to granting private caregivers access during a COVID-19 outbreak.

The complaint alleged that a resident was being denied services. The investigation included interviews and verification with public health officials. The allegation was found to be unsubstantiated due to insufficient evidence.