Inspection Reports for
Sunrise at Fair Oaks

The complaint investigation was substantiated for medication mismanagement. The allegation that staff mismanage medication was supported by evidence including medication counts and record reviews. The allegations that the facility has a foul odor and that staff do not ensure the facility is clean were unsubstantiated based on interviews and observations.

The investigation substantiated the allegation of medication mismanagement, finding that residents R1 and R3 did not receive medications as prescribed, posing an immediate health and safety risk. A civil penalty of $250 was assessed for a repeated violation. The allegations regarding foul odor and uncleanliness were found to be unsubstantiated based on interviews and observations.

The inspection found the facility generally compliant with regulations, including proper furnishing, sanitary conditions, and safety measures. However, one deficiency was cited related to staff annual training requirements not being met.

The complaint investigation was substantiated for the allegation that staff did not respond to residents' calls for assistance in a timely manner, based on interviews with residents and staff, review of call logs showing delays up to 419 minutes, and observation of staffing shortages. The allegation that staff were not following residents' needs and services plans was unsubstantiated.

The investigation found the allegation that staff did not respond timely to residents' call buttons to be substantiated, with response times exceeding 10 minutes and reaching as long as 419 minutes. However, a second allegation that staff were not following residents' needs and services plans was found to be unsubstantiated.

The facility failed to produce Unusual Incident Reports for a resident who sustained multiple falls, including two resulting in injury. A deficiency was cited for not reporting these falls to the licensing agency as required by California regulations.

The complaint was substantiated. The allegation was that staff mismanaged resident medication, specifically that medication delivered to the facility was not properly stored and the resident self-administered without required assistance.

The investigation found that a resident received injectable medication via mailed cold box which was not centrally stored as required. The resident self-administered the medication without proper assistance, contrary to their Physician's Report. The allegation was substantiated and deficiencies were cited related to medication administration and storage.