Inspection Reports for Summerfield of Encinitas

An unannounced complaint investigation was conducted regarding an allegation that untrained staff administered medication to residents.

The investigation found that the staff member in question was qualified with adequate medication administration training from another state, and no medication errors occurred. The allegation was determined to be unfounded and dismissed.

The complaint alleged that an untrained staff member administered medications to a resident. The allegation was investigated through unannounced visits, record reviews, interviews, and observations. It was found that the staff member was qualified and trained, and the allegation was unfounded.

The visit was conducted in response to a self-report of an infectious disease outbreak at the facility.

The facility enacted its specific infection protocol including PPE placement, enhanced cleaning, notifications to authorities, communication with physicians and families, and accurate medication administration. No health or safety issues or deficiencies were identified during the visit.

An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.

The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and documentation were present and in order.

The visit was conducted in response to the self-reported fall of Resident 1, who suffered a fracture.

A wellness check was conducted at the facility with no health or safety issues identified. No deficiencies were cited or observed during this visit.

The visit was complaint-related due to a reported fall incident involving Resident 1. No deficiencies or violations were found.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-01-03 regarding confidentiality breaches of resident private information, insufficient staffing, and facility entryway disrepair.

The investigation substantiated that the licensee failed to ensure resident private information remained confidential, citing a violation of California Code of Regulations, Title 22. The allegations of insufficient staffing and facility entryway disrepair were unsubstantiated, with evidence showing adequate staffing levels and timely repair actions taken for the entryway.

The complaint investigation was substantiated for the allegation that the licensee did not ensure resident(s) private information remained confidential. The allegations regarding insufficient staffing and facility entryway disrepair were unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-08 regarding staff not ensuring a resident's oxygen tank was changed in a timely manner, among other complaints.

The investigation substantiated that the facility failed to maintain a complete hospice care plan and ensure continuous oxygen administration for Resident 1 due to unclear communication and responsibilities among staff, hospice agency, and an Outside Individual. Other allegations regarding unlocked resident rooms, medication administration, and supervision were unsubstantiated.

The complaint investigation was substantiated for the allegation that staff did not ensure the resident's oxygen tank was changed timely, resulting in potential health risks. Other allegations about unlocked rooms, medication administration, and supervision were unsubstantiated. The investigation included interviews, record reviews, and direct observations.

The visit was an unannounced Case Management visit to amend a report for a complaint investigation visit dated 2024-10-10.

No deficiencies were cited or observed during this visit.

The visit was conducted in response to a self-reported incident involving a staff member allegedly speaking to a resident in a raised tone.

The Licensing Program Analyst conducted interviews and collected records, completing a wellness check that identified no health or safety issues. An exit interview was held with the Resident Services Director, and the facility was provided with a copy of the report and appeal rights.

The visit was complaint-related due to a self-reported incident of staff allegedly speaking to a resident in a raised tone. No health or safety issues were identified during the investigation.

An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations at the facility.

The facility was found to be in substantial compliance with regulations, with clean and sufficient linens, proper furnishings, sanitary bathrooms, compliant hot water temperatures, and proper fire safety measures. No deficiencies were issued, but technical violations were noted.

The inspection was conducted as an unannounced complaint investigation following allegations received on 2023-08-30 regarding medication administration errors and denial of Responsible Party access to records at Summerfield of Encinitas facility.

The investigation found no evidence to substantiate the allegations that staff failed to administer medication as prescribed or that the Licensee did not maintain medication administration records. Additionally, the allegation that the Licensee denied Responsible Party access to records was found to be unfounded.

The complaint involved three main allegations: 1) Staff did not administer medication as prescribed; 2) Licensee did not maintain medication administration record; 3) Licensee did not provide Responsible Party access to records. After investigation including interviews, record reviews, and observations, all allegations were determined to be unsubstantiated or unfounded.

An unannounced complaint investigation visit was conducted in response to allegations that a resident was allowed to wander outside of their designated wing and that the facility failed to follow reporting requirements.

The investigation found that the facility is a memory care community where residents are allowed to move throughout the building safely. An incident report regarding the wandering resident was submitted to the licensing agency. Based on the evidence, the allegations were unsubstantiated.

The complaint involved allegations that a resident was allowed to wander outside their designated wing and that the facility failed to report the incident. The investigation included observation, records review, and interviews. The incident report was submitted to the licensing agency on December 14, 2021. The allegations were found unsubstantiated as the evidence did not meet the preponderance of the evidence standard.

The visit was an unannounced complaint investigation triggered by allegations received on 2023-02-13 regarding inadequate staffing, improper staff training, facility disrepair, and lack of access to personal care supplies for residents.

The investigation found that although there were staffing inconsistencies, residents' basic needs were met. Staff received proper training, the facility was not in disrepair affecting resident care, and personal care supplies were adequately provided to residents at no cost. The allegations were unsubstantiated based on interviews, observations, and records review.

The complaint investigation was unsubstantiated. Allegations included inadequate staffing, improper staff training, facility disrepair, and lack of access to personal care supplies. The investigation included three unannounced visits, interviews with staff, residents, and outside sources, and records review. No evidence was found to support the allegations.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-03-27 regarding staff not following a resident's care plan resulting in a fall, and a resident not being provided a prescribed modified diet.

The investigation found no preponderance of evidence to substantiate the allegations. Staff were trained and observed following 2-person assist protocols for transfers, and dietary restriction protocols were in place and followed. Resident interviews were unsuccessful due to cognitive state, and outside sources did not report concerns.

The complaint was unsubstantiated. Allegations included staff not following a resident's care plan resulting in a fall due to failure to perform a 2-person assist, and failure to provide a prescribed modified diet. Investigations included staff interviews, record reviews, direct observations, and outside source interviews, all supporting compliance with protocols.

An unannounced complaint investigation visit was conducted in response to allegations that staff were aggressive with residents and under the influence on facility grounds.

The investigation, including interviews with staff, residents, and records review, found no evidence to substantiate the allegations. The staff member in question was terminated for attendance issues, not for abuse or substance use. The allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated based on interviews and evidence reviewed. The preponderance of evidence standard was not met, and the allegations were found invalid.

An unannounced case management visit was conducted to cite a deficiency noted during a complaint investigation visit at another licensed facility.

The facility was cited for not allowing residents to have their visitors, including ombudspersons and advocacy representatives, visit privately during reasonable hours and without prior notice, which infringed on residents' rights. A sign posted on January 27, 2022, prohibited visitors due to COVID-19, contrary to updated visitation requirements.

The visit was triggered by a deficiency noted during a complaint investigation visit at another licensed facility. The cited deficiency involved restricting visitors contrary to updated COVID-19 visitation guidelines.

An unannounced collateral visit was conducted to the facility to perform interviews with staff, residents, and outside sources.

No deficiencies were observed during the visit. Interviews and document reviews were completed without issue.

An unannounced complaint investigation visit was conducted due to an allegation that staff failed to provide a resident's records to an authorized representative.

The investigation substantiated the allegation that the facility staff did not provide requested resident records to an authorized party for 1 out of 37 residents in care, posing a potential risk to residents. The deficiency was cited under Title 22 Regulations.

The complaint was substantiated based on interviews and record review. The allegation was that staff failed to produce Resident R1's records when requested by the authorized representative. The record request was submitted on June 5, 2020, but was never processed or provided.

An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with regulations, including infection control measures.

No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan.

The visit was an office meeting conference conducted via teleconference to discuss the facility's change of name and new management operations.

The meeting covered issues including administrative organization, change of ownership/management company, and new application submission. The licensee submitted an abbreviated application to add the management company and will not assume operational control until approval.

Licensing Program Analyst Dawn Segura conducted a Case Management visit to investigate a client death at the facility.

During the visit, the analyst toured the facility, reviewed records, and spoke with staff. No deficiencies were cited during the visit.

An unannounced case management visit was conducted to provide technical assistance and review the facility's COVID-19 mitigation plan via a virtual FaceTime visit due to COVID-19 restrictions.

During the visit, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.

An unannounced case management visit was conducted to perform a health and safety check and review COVID-19 mitigation strategies with the facility Administrator.

During the virtual visit conducted via FaceTime, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.

An unannounced case management visit was conducted to follow up on a health and safety check performed on February 23, 2021, related to new positive COVID-19 cases following facility-wide testing.

During the virtual visit conducted via FaceTime, the Licensing Program Analyst toured the facility and interviewed the administrator. No deficiencies were issued during this visit.

Licensing Program Analyst Kristina Ryan initiated a case management investigation regarding a resident death reported to the San Diego Regional Office on February 22, 2021. The visit was conducted virtually via FaceTime due to COVID-19 restrictions.

During the visit, the analyst toured the facility, conducted interviews with staff, and requested documents. Further investigation is required regarding the resident's death. No deficiencies were issued during this visit.

An unannounced case management visit was conducted to perform a health and safety check related to new positive COVID-19 cases following facility-wide testing.

During the virtual visit conducted via WhatsApp, the Licensing Program Analyst toured the facility, interviewed staff, and reviewed the Facility Mitigation Plan. No deficiencies were issued during this visit.