Inspection Reports for
Summerfield Memory Care of Stockton

The facility was found to be in full compliance with no deficiencies observed. The physical plant, resident rooms, medication storage, emergency preparedness, and staff files were all reviewed and met regulatory requirements.

The investigation determined that the resident experienced an unwitnessed fall with no evidence of another resident causing the injury. No citations were issued as a result of this case management visit.

The complaint was unsubstantiated. Allegations included improper treatment for scabies, failure to seek timely medical care, and inadequate hygiene assistance. The resident was diagnosed with an adverse reaction to medication, not scabies. Documentation supported care was provided, but some actions could not be confirmed by observation.

The investigation found that the allegations were unsubstantiated. Records showed the facility contacted the resident's family and primary care physician, who prescribed topical medication and conducted follow-up appointments. The resident was diagnosed with an adverse reaction to medication, not scabies. Documentation showed hygiene assistance was provided, but the department could not confirm all actions were completed daily or weekly by observation.

No deficiencies were cited during the visit. Advisories were given regarding accessibility of hygiene items and maintenance of breathing treatment equipment.

No deficiencies were cited during the visit. Advisories were given regarding hygiene items being accessible and maintenance of breathing treatment equipment.

The inspection found that 2 out of 5 incident reports were reported late, and 2 of 14 incident reports were submitted beyond the required seven-day reporting timeframe. Advisories were given as a result of these findings.

Two out of five incident reports were reported late, and two of fourteen incident reports were submitted to the regional office beyond the required seven days. Advisories were given as a result of the visit.

The investigation found that the resident did not require a special diet, but staff took precautions by cutting up certain foods. The resident collapsed after eating, received emergency intervention, but was pronounced dead on scene. The facility was found to have provided the required duty of care and no further action was required.

The investigation found that R1 did not require a special diet but staff cut up certain foods as a precaution. On 2024-08-10, R1 choked and collapsed; staff intervened with Heimlich and CPR, but R1 was pronounced dead on scene. The facility had no requirements to cut up food but did so for safety. No negligence was found and no further action is required.

The facility was toured and inspected, including physical plant and posted signs. Residents appeared safe with no imminent health or safety concerns observed. No deficiencies were cited as a result of this inspection.

The facility was found to be maintained at a comfortable temperature with residents appearing safe and no imminent health or safety concerns observed. No deficiencies were cited as a result of this inspection.

The analyst reviewed the incident report, medical records, service plan, and food menu related to the incident. No citations were issued during this visit.

The Licensing Program Analyst reviewed the incident report, medical records, service plan, and food menu. No citations were issued during this visit.

The complaint alleged that a resident assaulted another resident resulting in questionable death. The complaint was investigated and found to be unsubstantiated.

The investigation found no evidence that staff neglect contributed to the altercation between the two residents. The incident was isolated, with no prior reports of aggression by the perpetrator, and two staff members were present at the time. The complaint was determined to be unsubstantiated.

The complaint alleged that a resident assaulted another resident resulting in questionable death. The investigation concluded the complaint was unsubstantiated due to lack of evidence of staff neglect or failure to supervise.

The investigation found no evidence that staff neglect contributed to the altercation or death. The incident was isolated with no prior reports of aggression by the perpetrator, and two staff were present during the incident. The complaint was unsubstantiated.

The visit was triggered by a special incident report dated 04/27/2024 regarding an unwitnessed fall of a resident resulting in a fractured hip. The resident's history of falls and precautions taken by the facility were noted. The resident was discharged for rehabilitation and scheduled for reassessment.

The Licensing Program Analyst reviewed the resident's file, medical records related to the fall, and the service plan. The resident had a history of falls and was discharged to a skilled facility for rehabilitation after the incident, with plans to be reassessed for return.

The visit included review of the special incident report, medical records, and service plan related to the fall. The resident was discharged to a skilled facility for rehabilitation and is expected to be reassessed for return. The facility had taken precautions to minimize falls for the resident.

The Licensing Program Analyst reviewed records and interviewed facility staff regarding incidents of falls and emergency service refusals. No deficiencies were cited during this visit.

During the visit, records were reviewed and interviews conducted regarding calls for assistance with residents. Incident reports for falls were provided, and it was noted that no incident reports were submitted for lift assists where residents were not sent out for evaluation. No deficiencies were cited during this visit.

The facility was found to be clean, odor-free, and in good repair with sufficient furniture, lighting, and food supplies. Fire safety equipment was compliant, medications and toxins were securely stored, and staff files including criminal clearances were in order. No citations were issued.

The facility was found to be clean, odor-free, and in good repair with sufficient furniture, lighting, and food supplies. Fire safety equipment was compliant, medications and toxins were securely stored, and staff files including criminal clearances were in order. No citations were issued.

The complaint involved three allegations: 1) staff not providing adequate supervision, 2) staff not providing medical attention in a timely manner, and 3) a resident being left in a soiled diaper for an extended time. The findings were unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred.

The investigation found that the allegations were unsubstantiated. Residents were accounted for and supervised, medical attention was provided timely including calling 911 when needed, and no evidence supported that residents were left in soiled diapers for extended periods.

The complaint included allegations of staff not providing adequate supervision, failure to provide timely medical attention, and residents being left in soiled diapers. The findings were unsubstantiated based on interviews and record reviews.

The investigation found all allegations to be unsubstantiated. Residents were accounted for and supervised, medical attention was provided promptly when needed, and residents were not left in soiled diapers for extended periods.

The Plan of Correction visit found that all previously cited deficiencies were corrected and cleared. POC letters were printed and an exit interview was conducted.

The Plan of Correction visit found that all previously cited deficiencies were corrected and cleared. POC letters were printed and an exit interview was conducted.

The meeting discussed administrative organization, change of ownership/management company, and a new application. The licensee submitted an abbreviated application to add the management company and will remain responsible until the change of management is approved.

The meeting discussed administrative organization, change of ownership/management company, and a new application. The licensee submitted an abbreviated application to add the management company and will consult with Northstar until the change of management is approved.

Deficiencies cited under Title 22 Regulations have been cleared. The licensee complied with the terms of the POC by the due date and was provided a POC cleared letter.

The licensing program analyst reviewed staff and resident records and found them complete. No deficiencies were identified during the post licensing visit.