Deficiencies (last 6 years)
Deficiencies (over 6 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
72% occupied
Based on a March 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Census: 59
Capacity: 82
Deficiencies: 0
Date: Mar 11, 2026
Visit Reason
The inspection visit was conducted to obtain further information regarding a death report that was submitted to the Department.
Findings
The facility reported two falls involving a resident (R1) who later passed away due to complications related to a subdural hematoma. No deficiencies were cited during the visit.
Report Facts
Falls: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the inspection visit and obtained information regarding the death report |
| Vandhana Devi | Resident Care Director | Met with Licensing Program Analyst during the inspection visit |
| Laurie Spurlock | Administrator/Director | Named as facility administrator/director |
Inspection Report
Annual Inspection
Census: 56
Capacity: 82
Deficiencies: 0
Date: Feb 19, 2026
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and ensure the health and safety of residents in care.
Findings
The facility was found to be clean, well organized, and in compliance with health and safety standards. No deficiencies were cited during the inspection. Resident and staff files contained all required paperwork and training. Facility equipment and safety measures were current and adequate.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the unannounced annual inspection and reviewed resident and staff files. |
| Jessica Rossi | Regional Business Specialist | Met with the Licensing Program Analyst and toured the facility during the inspection. |
| Laurie Spurlock | Administrator/Director | Facility Administrator named in the report. |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 82
Deficiencies: 0
Date: Feb 19, 2026
Visit Reason
The inspection was a case management visit regarding an incident and death report submitted to the Department involving a resident who lost consciousness, was hospitalized, and subsequently passed away.
Complaint Details
The visit was triggered by an incident and death report involving a resident who was found on the floor after losing consciousness, hospitalized with UTI and dehydration, developed pneumonia, and passed away. The complaint was investigated and no deficiencies were cited.
Findings
The Licensing Program Analyst found no deficiencies during the visit. The resident was independent in dining, continence, and mobility per the care plan. The incident and care plan were reviewed, and no violations were cited.
Report Facts
Facility capacity: 82
Resident census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the case management visit and inspection |
| Laurie Spurlock | Administrator/Director | Facility administrator/director named in the report |
| Vandhana Devi | Resident Care Director | Met with the Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 82
Deficiencies: 0
Date: Oct 9, 2025
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that staff keep facility doors locked 24 hours a day.
Complaint Details
The complaint alleged that staff keep facility doors locked 24 hours a day. The allegation was found to be unfounded based on the evidence.
Findings
The investigation found that all doors to the outside are alarmed but residents can leave at any time. The receptionist assists visitors during the day, and after hours care staff monitor and can remotely unlock the door. The allegation was found to be unfounded.
Report Facts
Capacity: 82
Census: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Evaluator | Conducted the complaint investigation and delivered findings |
| Laurie Spurlock | Administrator | Met with the evaluator during the investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 82
Deficiencies: 0
Date: Oct 9, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff keep facility doors locked 24 hours a day.
Complaint Details
The complaint alleged that staff keep facility doors locked 24 hours a day. The allegation was found to be unfounded based on the evidence provided.
Findings
The investigation found that all doors to the outside are alarmed but residents can leave at any time. The receptionist is on duty from 7am to 7pm to assist visitors, and after hours care staff monitor and remotely unlock the door. The allegation was found to be unfounded due to insufficient evidence.
Report Facts
Facility capacity: 82
Census: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laurie Spurlock | Administrator | Met with the licensing evaluator during the complaint investigation |
| Melissa Parks | Licensing Evaluator | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-04-17 regarding staff handling residents roughly and speaking inappropriately to residents.
Complaint Details
The complaint alleged that staff handled residents in a rough manner and spoke inappropriately to residents. After interviews with staff and residents and observations, the allegations were found to be unfounded.
Findings
The investigation included interviews and facility observations which found no evidence supporting the allegations. The department concluded that the allegations were unfounded based on the preponderance of evidence.
Report Facts
Capacity: 82
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Troy Ordonez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-02-25 alleging that staff were not adequately addressing a scabies outbreak.
Complaint Details
The complaint alleged inadequate staff response to a scabies outbreak. The allegation was found to be unfounded after interviews and record reviews, with no evidence supporting the claim.
Findings
The investigation found that staff were following infection control guidelines per the facility's policy, and there were no concerns. The resident involved was on hospice and had passed away. The allegation was found to be unfounded based on the preponderance of evidence.
Report Facts
Complaint Control Number: 59-AS-20250225150318
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Troy Ordonez | Licensing Program Manager | Oversaw the complaint investigation. |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-06-27 regarding staff mismanagement of residents' medications and inappropriate communication with residents.
Complaint Details
The complaint alleged staff mismanaged residents' medications and spoke to residents in an inappropriate manner. After investigation, including interviews and record reviews, the allegations were found to be unfounded.
Findings
The investigation included interviews with staff and residents and review of medication administration records. All allegations were found to be unfounded as evidence did not support the claims of medication mismanagement or inappropriate staff behavior toward residents.
Report Facts
Estimated Days of Completion: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Troy Ordonez | Licensing Program Manager | Oversaw the complaint investigation |
| Laurie Spurlock | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-06-27 regarding staff mismanagement of residents' medications and inappropriate communication with residents.
Complaint Details
The complaint involved allegations of staff mismanaging residents' medications and speaking to residents in an inappropriate manner. The investigation concluded these allegations were unfounded, meaning they were false, could not have happened, or lacked reasonable basis.
Findings
The investigation found all allegations to be unfounded after interviews with staff and residents, and review of medication administration records and resident documentation. Residents expressed satisfaction with staff professionalism and care, and no evidence supported the allegations.
Report Facts
Estimated Days of Completion: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Laura Munoz | Licensing Program Manager | Participated in the complaint investigation visit and delivery of findings |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 04/17/2025 regarding staff handling residents roughly and speaking inappropriately to residents.
Complaint Details
The complaint alleged that staff handled residents in a rough manner and spoke inappropriately to residents. After interviews and observations, the department found no witnessed issues or inappropriate behavior. The allegations were found to be unfounded.
Findings
The investigation included interviews with staff and residents, facility observations, and record reviews. No evidence was found to support the allegations, and the complaint was determined to be unfounded.
Report Facts
Complaint Control Number: 59
Capacity: 82
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Laura Munoz | Licensing Program Manager | Arrived unannounced to complete and deliver findings of the complaint investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that staff were not adequately addressing a scabies outbreak.
Complaint Details
The complaint alleged that staff were not adequately addressing a scabies outbreak. The investigation found the allegation to be unfounded as staff followed infection control guidelines and the resident involved was on hospice care.
Findings
The investigation found that facility staff followed infection control guidelines regarding the scabies outbreak, and there were no concerns. The allegation was determined to be unfounded based on interviews and record reviews.
Report Facts
Capacity: 82
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Laura Munoz | Licensing Program Manager | Conducted the complaint investigation and delivered findings |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 1
Date: Apr 24, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-03-24 alleging staff forced a resident to shower and handled the resident in a rough manner.
Complaint Details
The complaint was substantiated based on the preponderance of evidence that staff forced a resident to shower by holding the resident by wrist and waist. No injuries occurred.
Findings
The investigation substantiated the complaint that two staff members attempted to force a resident to take a shower by holding the resident by the wrist and waist. No injuries were sustained by the resident. The incident posed a potential health and safety risk to residents in care.
Deficiencies (1)
Failure to ensure residents are accorded dignity in their personal relationships with staff, evidenced by staff attempting to force a resident to shower by holding the resident by wrist and waist.
Report Facts
Capacity: 82
Census: 56
Plan of Correction Due Date: May 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the complaint investigation visit |
| Penny Zehnder | Senior Executive Director | Met with during the inspection and exit interview |
| Laurie Spurlock | Administrator | Facility administrator named in the report |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 2
Date: Apr 24, 2025
Visit Reason
The inspection was conducted as a case management visit in response to a complaint investigation regarding alleged staff misconduct involving forcing a resident to take a shower.
Complaint Details
The complaint was substantiated involving two staff attempting to force a resident to take a shower by holding the resident by the waist and wrist. The resident did not suffer injuries. The facility did not report the incident to required authorities or notify the responsible party.
Findings
The complaint was substantiated involving two staff members forcibly leading a resident to the shower, with a third staff member intervening. The resident was not injured. The facility failed to report the incident to the Community Care Licensing Division, local law enforcement, local ombudsman, and the responsible party as required by regulations.
Deficiencies (2)
Failure to report suspected physical abuse of a resident to the local ombudsman, licensing agency, and local law enforcement within 24 hours as required.
Failure to notify the responsible party of the suspected abuse as required by personal rights regulations.
Report Facts
Deficiencies cited: 2
Plan of Correction Due Date: May 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the case management visit and signed the report |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Laurie Spurlock | Administrator | Facility Administrator named in the report |
| Penny Zehnder | Met with during the inspection |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 2
Date: Apr 24, 2025
Visit Reason
This case management visit was conducted in response to a substantiated complaint involving two staff attempting to force a resident to take a shower by holding the resident by the waist and wrist.
Complaint Details
The complaint was substantiated and involved two staff attempting to force a resident to take a shower by holding the resident by the waist and wrist while leading the resident to the shower. A third staff member intervened and the resident did not suffer any injuries.
Findings
The investigation found the facility failed to report the incident of suspected physical abuse to the Community Care Licensing Division, local law enforcement, local ombudsman, and the responsible party as required by Title 22 Regulations and Welfare and Institutions Code.
Deficiencies (2)
Failure to report suspected physical abuse of a resident to the local ombudsman, licensing agency, and local law enforcement within 24 hours as required.
Failure to notify the responsible party of the suspected abuse as required by personal rights regulations.
Report Facts
Capacity: 82
Census: 56
Plan of Correction Due Date: May 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the case management visit and investigation |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 1
Date: Apr 24, 2025
Visit Reason
This was an unannounced complaint investigation visit triggered by a complaint received on 2025-03-24 regarding staff forcing a resident to shower and handling a resident in a rough manner.
Complaint Details
The complaint was substantiated based on evidence that staff forced a resident to shower against their will. The allegation was found valid by the preponderance of evidence standard.
Findings
The investigation substantiated the complaint that two staff members attempted to force a resident into a shower by holding the resident by the wrist and waist. No injuries were sustained by the resident. The incident posed a potential health and safety risk to residents in care.
Deficiencies (1)
Failure to accord dignity to residents as two staff members attempted to force a resident to take a shower by holding the resident by wrist and waist, posing a potential health and safety risk.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: May 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the complaint investigation visit |
| Penny Zehnder | Senior Executive Director | Met with during investigation and exit interview |
| Laurie Spurlock | Administrator | Facility administrator named in report header |
| Troy Ordonez | Supervisor | Supervisor overseeing licensing evaluation |
Inspection Report
Annual Inspection
Census: 61
Capacity: 82
Deficiencies: 0
Date: Mar 20, 2025
Visit Reason
The inspection was an unannounced required 1-year annual inspection conducted by Licensing Program Analyst Graham Gunby to evaluate the facility's compliance with regulations.
Findings
The facility was found to be clean, safe, sanitary, and in good condition with all required documents present in resident and staff files. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 10
Staff files reviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the inspection and authored the report |
| Penny Zehnder | Executive Director | Met with Licensing Program Analyst during inspection |
| Laurie Spurlock | Administrator | Facility administrator named in report header |
Inspection Report
Annual Inspection
Census: 61
Capacity: 82
Deficiencies: 0
Date: Mar 20, 2025
Visit Reason
The inspection was a required 1-year annual inspection conducted unannounced to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, safe, sanitary, and in good condition. No deficiencies were cited after a tour of the facility and review of resident and staff files.
Report Facts
Resident files reviewed: 10
Staff files reviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Penny Zehnder | Executive Director | Met with Licensing Program Analyst during inspection |
| Graham Gunby | Licensing Program Analyst | Conducted the inspection |
| Troy Ordonez | Supervisor | Supervisor of Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 82
Deficiencies: 0
Date: Mar 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-01-17 regarding feeding and hydration assistance and treatment of residents with dignity and respect.
Complaint Details
The complaint alleged that staff did not ensure residents received feeding and hydration assistance and were not treated with dignity and respect. After investigation, including interviews and observations, both allegations were found to be unsubstantiated.
Findings
The investigation found both allegations to be unsubstantiated after interviews with residents, staff, and witnesses, record reviews, and facility observations. Staff were found to be providing timely feeding and hydration assistance and treating residents with dignity and respect.
Report Facts
Number of residents present: 60
Total licensed capacity: 82
Number of staff interviewed: 4
Number of witnesses interviewed: 2
Number of residents interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Penny Zehnder | Senior Executive Director | Met with Licensing Program Analyst during the investigation |
| Laura Munoz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 82
Deficiencies: 0
Date: Mar 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-01-17 alleging that staff did not ensure residents received feeding and hydration assistance and were not treated with dignity and respect.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide feeding and hydration assistance and failure to treat residents with dignity and respect. Multiple interviews and observations found no evidence to support these allegations.
Findings
The investigation included records review, facility observations, and interviews with staff, residents, and witnesses. Both allegations were found to be unsubstantiated as evidence did not support the claims. Residents reported timely assistance and respectful treatment, and no concerns were observed during the visit.
Report Facts
Capacity: 82
Census: 60
Number of staff interviewed: 4
Number of witnesses interviewed: 2
Number of residents interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Penny Zehnder | Senior Executive Director | Met with the Licensing Program Analyst during the investigation |
| Laurie Spurlock | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 0
Date: Sep 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-08-26 regarding allegations about facility transceiver disrepair, staff not assisting residents in a timely manner, and staff not providing residents meals in a timely manner.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found the allegations to be unsubstantiated. Interviews with staff, the administrator, and residents' representatives indicated that care needs were being met, radios were functional with plans to switch to iPhones, and there were no complaints about meal delivery timing.
Report Facts
Capacity: 82
Census: 56
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Laurie Spurlock | Administrator | Facility Administrator interviewed during the investigation |
| Vandhana Devi | Resident Care Director, RN | Resident Care Director interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 0
Date: Sep 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-08-26 regarding facility transceiver disrepair, untimely resident assistance, and untimely meal provision.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included facility transceiver disrepair, staff not assisting residents timely, and staff not providing meals timely. Interviews and evidence did not support these claims.
Findings
The investigation found all allegations to be unsubstantiated. Interviews with staff, administration, and resident representatives indicated that care needs were met, radios were functional or being replaced, and meals were served timely with no complaints.
Report Facts
Capacity: 82
Census: 56
Allegations: 3
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Evaluator | Conducted the complaint investigation and delivered findings |
| Laurie Spurlock | Administrator | Interviewed during investigation |
| Vandhana Devi | Resident Care Director (RCD), RN | Interviewed and met with during investigation |
| Maribeth Senty | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 82
Deficiencies: 0
Date: Jul 8, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility was restricting visitation.
Complaint Details
The complaint alleged that the facility was restricting visitation. The allegation was investigated and found to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that the resident (R1) was able to vocalize their visitation preferences and the facility honored those decisions. Based on the evidence, the allegation was found to be unfounded.
Report Facts
Facility capacity: 82
Resident census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Janelle Odishoo | Administrator | Facility administrator involved in the investigation |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 82
Deficiencies: 0
Date: Jul 8, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility was restricting visitation.
Complaint Details
The complaint alleged that the facility was restricting visitation. The allegation was found to be unfounded based on interviews and document review.
Findings
The investigation found that the resident (R1) was able to vocalize their visitation preferences and the facility honored those decisions. Based on the evidence, the allegation was determined to be unfounded.
Report Facts
Capacity: 82
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Evaluator | Conducted the complaint investigation |
| Laurie Spurlock | Facility representative met during the investigation | |
| Janelle Odishoo | Administrator | Facility administrator involved in the investigation |
Inspection Report
Annual Inspection
Census: 56
Capacity: 82
Deficiencies: 0
Date: Feb 15, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements for the facility.
Findings
The inspection found that all resident and staff files contained the required paperwork and training, the facility was compliant with fire drills, and no health or safety violations were observed in the areas toured. No deficiencies were cited.
Report Facts
Resident files reviewed: 8
Staff files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the unannounced annual inspection |
Inspection Report
Annual Inspection
Census: 56
Capacity: 82
Deficiencies: 0
Date: Feb 15, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements for the facility.
Findings
The inspection found that all resident and staff files contained the required paperwork and training, the facility complied with fire drills, and no health or safety violations were observed in the areas toured. No deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the unannounced annual inspection and evaluation. |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 82
Deficiencies: 3
Date: May 4, 2023
Visit Reason
Unannounced complaint investigation visit conducted due to allegations received on 2023-01-18 regarding inadequate supervision resulting in resident wandering away, failure to safeguard resident's personal items, and failure to provide authorized representative copies of resident's record.
Complaint Details
Complaint was substantiated based on evidence meeting the preponderance of the evidence standard. Allegations included inadequate supervision causing resident elopement on 8/28/22 and 12/2/22, missing resident paintings valued at approximately $8,000, and failure to provide requested records within the required timeframe. Two other allegations regarding medication administration without consent and overcharging were unsubstantiated.
Findings
The investigation substantiated three allegations: inadequate supervision leading to resident elopement, failure to safeguard resident's personal property (missing paintings), and failure to provide requested resident records within the required timeframe. Two other allegations related to medication administration without consent and overcharging were found unsubstantiated.
Deficiencies (3)
Failure to provide adequate supervision resulting in resident wandering away from facility.
Failure to safeguard resident's personal items, specifically missing paintings.
Failure to provide authorized representative copies of resident's records within 2 days as required.
Report Facts
Census: 52
Total Capacity: 82
Deficiencies cited: 3
Plan of Correction Due Date: May 26, 2023
Number of visits by resident's responsible person: 31
Value of missing paintings: 8000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabrina Calzada | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Maribeth Senty | Licensing Program Manager | Oversaw complaint investigation |
| Marianne Richardson | Administrator | Facility administrator involved in interviews and exit interview |
| Nicole James | Director of Sales | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 82
Deficiencies: 3
Date: May 4, 2023
Visit Reason
Unannounced complaint investigation conducted due to allegations including inadequate supervision resulting in resident wandering away, failure to safeguard resident's personal items, and failure to provide authorized representative copies of resident's records.
Complaint Details
Complaint investigation was substantiated for allegations of inadequate supervision resulting in resident wandering away, failure to safeguard resident's personal items, and failure to provide authorized representative copies of resident's record. Allegations regarding medication administration without consent and overcharging were unsubstantiated.
Findings
The investigation substantiated three allegations: inadequate supervision leading to resident elopement, failure to safeguard resident's valuable paintings, and failure to provide requested resident records within the required timeframe. Two additional allegations regarding medication administration without consent and overcharging were found unsubstantiated.
Deficiencies (3)
Failure to ensure adequate direct care staff to support resident with dementia, resulting in resident elopement on 8/28/22 and 12/2/22.
Failure to meet requirements of Theft and Loss Policy to safeguard resident's paintings reported missing in January 2023.
Failure to provide requested resident records to authorized representative within two business days as required.
Report Facts
Facility capacity: 82
Census: 52
Plan of Correction due date: May 26, 2023
Number of substantiated allegations: 3
Number of unsubstantiated allegations: 2
Number of visits by resident's responsible person: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabrina Calzada | Licensing Program Analyst | Conducted complaint investigation and delivered findings |
| Marianne Richardson | Administrator | Facility administrator involved in interviews and exit interview |
| Nicole James | Director of Sales | Participated in exit interview |
| Maribeth Senty | Supervisor | Supervisor overseeing licensing evaluation |
Inspection Report
Annual Inspection
Census: 48
Capacity: 82
Deficiencies: 0
Date: Mar 20, 2023
Visit Reason
The visit was conducted as a required unannounced annual inspection to evaluate the facility's compliance with health and safety regulations.
Findings
The Licensing Program Analyst reviewed resident and staff files, toured the facility, and observed no health or safety violations. Fire drills and required postings were also reviewed and found compliant. No deficiencies were cited during this inspection.
Report Facts
Resident files reviewed: 5
Staff files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the annual inspection and toured the facility |
| Marianne Richardson | Administrator | Met with Licensing Program Analyst and toured the facility |
Inspection Report
Annual Inspection
Census: 48
Capacity: 82
Deficiencies: 0
Date: Mar 20, 2023
Visit Reason
The visit was conducted as a required annual unannounced inspection to evaluate the facility's compliance with health and safety regulations.
Findings
The inspection found no health or safety violations. Resident and staff files contained all required paperwork and training. Fire drills and required postings were reviewed and found compliant.
Report Facts
Resident files reviewed: 5
Staff files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the annual inspection and evaluation |
| Marianne Richardson | Administrator | Facility administrator who accompanied the evaluator during the inspection |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 82
Deficiencies: 0
Date: Jan 12, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff failed to protect a resident from financial abuse.
Complaint Details
The complaint alleged that facility staff failed to protect a resident from financial abuse. The complaint was investigated and found to be unfounded.
Findings
The investigation found that the facility met Title 22 requirements and the complaint was determined to be unfounded, meaning the allegation was false or without reasonable basis. The person involved was identified as someone known to the resident but not a staff member, and local law enforcement was notified for further investigation.
Report Facts
Capacity: 82
Census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation and provided findings |
| Maribeth Senty | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 82
Deficiencies: 0
Date: Jan 12, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff failed to protect a resident from financial abuse.
Complaint Details
The complaint alleged that facility staff failed to protect a resident from financial abuse. The complaint was investigated and found to be unfounded.
Findings
The investigation found that the facility met Title 22 requirements and the complaint was determined to be unfounded, meaning the allegation was false or without reasonable basis. Video evidence indicated the fraudulent use of a resident's credit card was committed by a person known to the resident but not a staff member.
Report Facts
Capacity: 82
Census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation and provided findings |
| Rouzbeh Moradhasel | Administrator | Facility administrator named in the report |
| Maribeth Senty | Supervisor | Supervisor overseeing the investigation |
| Romeo Vantosa | Person met with during the investigation |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 82
Deficiencies: 1
Date: Sep 12, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate multiple allegations including residents' personal belongings not being safeguarded, unmet ADL needs, insufficient food, staff retaliation, resident infection, and insufficient staffing.
Complaint Details
The complaint was substantiated regarding the failure to safeguard residents' personal belongings, specifically a missing pair of eyeglasses for resident R1. Other allegations were investigated and found to be unfounded.
Findings
The investigation substantiated the allegation that residents' personal belongings were not safeguarded, citing a missing eyeglasses incident with a refund issued. All other allegations including unmet ADLs, insufficient food, staff retaliation, resident infection, and insufficient staffing were found to be unfounded.
Deficiencies (1)
Facility did not safeguard residents' personal belongings, posing a potential health, safety, and personal rights risk.
Report Facts
Refund amount: 330
Facility capacity: 82
Census: 60
Plan of Correction due date: Sep 26, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Laura Munoz | Licensing Program Manager | Oversaw the complaint investigation |
| Marianne Richardson | Executive Director | Facility representative met during investigation and exit interview |
| Rouzbeh Moradhasel | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 82
Deficiencies: 0
Date: Sep 12, 2022
Visit Reason
Unannounced complaint investigation visit conducted to investigate multiple allegations received on 2022-04-13 regarding resident care, supervision, medication administration, and other concerns at Sunrise of Rocklin facility.
Complaint Details
The complaint investigation was unannounced and involved allegations including failure to provide timely medical care, dehydration, weight loss, lack of supervision, wrong medication administration, provision of alcohol causing health issues, inadequate care per level of care agreement, inability to meet resident needs, and lack of assistance with hygiene. All allegations were either unfounded or unsubstantiated based on evidence gathered.
Findings
All allegations investigated were found to be either unfounded or unsubstantiated after extensive interviews, record reviews, and observations. No deficiencies were cited and the facility was found to be providing appropriate care and supervision to residents.
Report Facts
Capacity: 82
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Marianne Richardson | Executive Director | Facility representative met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 82
Deficiencies: 1
Date: Sep 12, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 04/05/2022 regarding the safeguarding of residents' personal belongings and other care-related concerns.
Complaint Details
The complaint was substantiated regarding the failure to safeguard a resident's personal belongings. Other allegations were investigated and found to be unfounded. The substantiated deficiency was cited under Title 22 Regulations, Division 6, Section 87217(b).
Findings
The investigation substantiated that the facility did not safeguard a resident's personal belongings, specifically missing eyeglasses, resulting in a cited deficiency. All other allegations including unmet ADLs, insufficient food, staff retaliation, infection development, and insufficient staffing were found to be unfounded.
Deficiencies (1)
Facility did not safeguard residents' cash resources, personal property, and valuables as evidenced by missing eyeglasses of a resident.
Report Facts
Refund amount: 330
Capacity: 82
Census: 60
Plan of Correction Due Date: Sep 26, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation visit |
| Marianne Richardson | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Laura Munoz | Supervisor | Supervisor overseeing the complaint investigation |
| Rouzbeh Moradhasel | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 82
Deficiencies: 0
Date: Sep 12, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address multiple allegations received on 04/13/2022 regarding resident care, supervision, medication administration, and other concerns at Sunrise of Rocklin facility.
Complaint Details
The complaint investigation addressed allegations including untimely medical care, dehydration, weight loss, lack of supervision, wrong medication administration, resident given alcohol causing health issues, inadequate care per level of care agreement, inability to meet resident needs, and lack of assistance with hygiene. All allegations were found to be either unfounded or unsubstantiated based on evidence and interviews.
Findings
The investigation found all allegations either unfounded or unsubstantiated after extensive interviews, record reviews, and observations. No deficiencies were cited, and the facility was found to be providing appropriate care, supervision, and medication administration according to resident needs and service plans.
Report Facts
Capacity: 82
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation visit |
| Marianne Richardson | Executive Director | Facility representative met during investigation and exit interview |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
| Rouzbeh Moradhasel | Administrator | Facility administrator |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 82
Deficiencies: 0
Date: Aug 2, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 03/28/2022 regarding refund issuance, initial assessment, care plan adherence, and advertising of services at the facility.
Complaint Details
The complaint included allegations that the facility failed to issue a refund, did not conduct an initial assessment for a resident, did not follow the resident's care plan, and was advertising services not provided. The investigation concluded all allegations were unsubstantiated.
Findings
The investigation found all allegations to be unsubstantiated after reviewing records, conducting interviews, and assessing facility practices. No deficiencies were cited during the visit.
Report Facts
Capacity: 82
Census: 62
Refund amount offered: 4751
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation visit |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on report |
| Marianne Richardson | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 82
Deficiencies: 0
Date: Aug 2, 2022
Visit Reason
An unannounced complaint investigation was conducted based on allegations received on 2022-03-28 regarding refund issuance, initial assessment, care plan adherence, and advertising of services at the facility.
Complaint Details
The complaint included allegations that the facility failed to issue a refund, did not conduct an initial assessment for a resident, did not follow the resident's care plan, and was advertising services not provided. All allegations were found unsubstantiated after review of records, interviews, and documentation.
Findings
The investigation found all allegations to be unsubstantiated. The facility offered a refund which was refused by the family, initial assessments and care plans were completed and followed, and the facility advertised only services within their scope of practice. No deficiencies were cited.
Report Facts
Refund amount offered: 4751
Resident stay dates: Resident R1 stayed from 2022-02-27 to 2022-03-10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation visit |
| Marianne Richardson | Executive Director | Met with Licensing Program Analyst during investigation and received report copy |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 82
Deficiencies: 1
Date: May 13, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations including staff verbally abusing residents, failure to safeguard resident belongings, insufficient dining staff, administrator not addressing resident concerns, and residents' needs not being met.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Jacob Williams. Allegations included staff verbally abusing residents, failure to safeguard belongings, insufficient dining staff, administrator not addressing concerns, and residents' needs not being met. The first four allegations were found unsubstantiated, while the last was substantiated due to evidence of understaffing and delayed care. The report includes interviews with residents and staff, document reviews, and observations.
Findings
The investigation found most allegations to be unsubstantiated except for the allegation that residents' needs were not being met, which was substantiated due to insufficient staffing leading to delays in care such as showers and laundry. Deficiencies related to personnel requirements were cited.
Deficiencies (1)
Personnel Requirements – Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by insufficient staff leading to unmet resident needs and posing immediate health, safety, and personal rights risks.
Report Facts
Capacity: 82
Census: 57
Plan of Correction Due Date: May 16, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Marianne Richardson | Executive Director | Facility representative met during the investigation and exit interview |
| Rouzbeh Moradhasel | Administrator | Facility administrator mentioned in relation to allegations |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 82
Deficiencies: 1
Date: May 13, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations including staff verbally abusing residents, failure to safeguard resident belongings, insufficient dining staff, and the administrator not addressing resident concerns.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Jacob Williams. Allegations included staff verbal abuse, failure to safeguard belongings, insufficient dining staff, and administrator not addressing concerns. Most allegations were unsubstantiated except for residents' needs not being met, which was substantiated due to staffing shortages causing delays in care.
Findings
The investigation found most allegations unsubstantiated except for the allegation that residents' needs were not being met, which was substantiated due to insufficient staffing leading to delays in care such as showers and laundry. Deficiencies were cited related to personnel requirements.
Deficiencies (1)
Personnel Requirements – Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by failure to ensure sufficient staff numbers and competence, posing immediate health, safety, and personal rights risks.
Report Facts
Capacity: 82
Census: 57
Plan of Correction Due Date: May 16, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Marianne Richardson | Executive Director | Facility representative met during investigation and exit interview |
| Rouzbeh Moradhasel | Administrator | Named as facility administrator in report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 2
Date: Mar 25, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations including failure to observe changes in resident's physical condition, denial of physical therapist access, pressure injuries, medication administration issues, lack of assistance with ADLs, incontinence care, and food options for a resident.
Complaint Details
The complaint investigation was substantiated for allegations that the facility did not observe changes in resident's physical condition and did not allow resident's physical therapist into the facility. Other allegations including pressure injuries, medication administration, assistance with ADLs, incontinence care, and food options were unsubstantiated.
Findings
The investigation substantiated that the facility failed to notify the resident's physician or responsible party about changes in condition related to weight loss and denied access to physical therapists, which posed potential health and safety risks. Other allegations such as pressure injuries, medication administration, assistance with ADLs, incontinence care, and food options were found unsubstantiated based on evidence and interviews.
Deficiencies (2)
Facility did not ensure that resident's physician and responsible person were notified of changes in weight.
Facility did not ensure that resident's physical therapist was able to provide medical services.
Report Facts
Capacity: 82
Census: 56
Deficiencies cited: 2
Plan of Correction Due Date: Apr 8, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted complaint investigation and signed report |
| Anthony Perez | Licensing Program Manager | Oversaw complaint investigation |
| Vandhana Devi | Resident Care Director | Met with investigators during complaint investigation |
| Rouzbeh Moradhasel | Executive Director | Interviewed regarding denial of physical therapist access and medication administration |
| Scott Bracken | Executive Director | Spoke with Licensing Program Analyst regarding denial of physical therapist access |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 82
Deficiencies: 2
Date: Mar 25, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations including failure to observe changes in resident's physical condition and denial of access to resident's physical therapist.
Complaint Details
The complaint investigation was triggered by allegations that the facility did not observe changes in a resident's physical condition and denied access to the resident's physical therapist. The allegations were substantiated based on interviews and record reviews. Other allegations related to pressure injuries, medication administration, assistance with ADLs, incontinence care, and food options were unsubstantiated.
Findings
The investigation substantiated that the facility failed to observe and notify changes in a resident's physical condition and denied access to the resident's physical therapist, posing potential health and safety risks. Other allegations such as resident sustaining pressure injuries, medication administration, assistance with ADLs, incontinence care, and food options were found unsubstantiated.
Deficiencies (2)
Facility did not ensure that residents are regularly observed for changes such as unusual weight gains or losses and did not notify resident's physician or responsible person of such changes.
Facility did not provide assistance in meeting necessary medical needs by denying physical therapist access to resident.
Report Facts
Capacity: 82
Census: 56
Deficiencies cited: 2
Plan of Correction Due Date: Apr 8, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Talwinder Bains | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Vandhana Devi | Resident Care Director | Facility staff member met during investigation and exit interview |
| Rouzbeh Moradhasel | Executive Director | Facility Executive Director interviewed regarding findings |
| Anthony Perez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 56
Capacity: 82
Deficiencies: 0
Date: Mar 16, 2022
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on infection control conducted by Licensing Program Analysts to ensure compliance and resident safety.
Findings
No immediate health, safety, or personal rights violations were observed during the tour of the facility, and no deficiencies were cited as a result of the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Frangieh | Executive Director | Met with Licensing Program Analysts during the inspection and toured the facility. |
| Talwinder Bains | Licensing Program Analyst | Conducted the inspection and infection control domain review. |
| Michael Hood | Licensing Program Analyst | Conducted the inspection and infection control domain review. |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 56
Capacity: 82
Deficiencies: 0
Date: Mar 16, 2022
Visit Reason
The visit was a case management follow-up on an incident report submitted by the facility on 2022-03-11 regarding a resident (R1).
Findings
During the visit, Licensing Program Analysts interviewed staff and reviewed documentation related to the incident. No deficiencies were cited, and further investigation is needed pending receipt of a death certificate for the resident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Frangieh | Executive Director | Met with Licensing Program Analysts during the visit and participated in the exit interview. |
| Talwinder Bains | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Michael Hood | Licensing Program Analyst | Conducted the inspection. |
| Laura Munoz | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 56
Capacity: 82
Deficiencies: 0
Date: Mar 16, 2022
Visit Reason
The inspection was a required unannounced 1-year annual inspection focusing on the infection control domain.
Findings
No immediate health, safety, or personal rights violations were observed during the tour of the facility, and no deficiencies were cited as a result of the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Frangieh | Executive Director | Met with Licensing Program Analysts during the inspection and toured the facility. |
Inspection Report
Follow-Up
Census: 56
Capacity: 82
Deficiencies: 0
Date: Mar 16, 2022
Visit Reason
The visit was conducted as a follow-up on an Incident Report sent by the facility on 2022-03-11 regarding a resident (R1).
Findings
During the visit, Licensing Program Analysts interviewed staff and reviewed documentation related to the incident. No deficiencies were cited, and further investigation is needed pending receipt of a death certificate for the resident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Frangieh | Executive Director | Met with Licensing Program Analysts during the visit. |
| Talwinder Bains | Licensing Program Analyst | Conducted the visit and evaluation. |
| Michael Hood | Licensing Program Analyst | Conducted the visit and evaluation. |
| Laura Munoz | Supervisor | Supervisor overseeing the evaluation. |
Inspection Report
Annual Inspection
Census: 55
Capacity: 82
Deficiencies: 0
Date: Dec 10, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on the infection control domain to ensure compliance with health and safety standards.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during the inspection.
Report Facts
Capacity: 82
Census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the inspection and cited in the report |
| Caroline Frangieh | Senior Executive Director | Met with Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 82
Deficiencies: 0
Date: Dec 10, 2021
Visit Reason
The visit was conducted as a case management follow-up on an incident report involving a physical altercation between two residents in the Memory Care Unit.
Complaint Details
The visit was triggered by a complaint incident report received by the Department regarding a physical altercation between two residents with dementia. The incident was substantiated by observations and care notes documenting similar prior incidents.
Findings
The incident involved resident R1 entering resident R2's apartment, leading to a physical altercation. Both residents have dementia and no aggressive behaviors indicated in their care plans. The facility has implemented additional safety measures and plans to discuss relocating R1 to prevent further incidents. No deficiencies were cited at this time.
Report Facts
Incident dates: Incidents occurred on 9/18/2021, 10/10/2021, 11/14/2021, and 12/5/2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the case management visit |
| Caroline Frangieh | Senior Executive Director | Met with Licensing Program Analyst during the visit and provided information about the incident and facility response |
Inspection Report
Annual Inspection
Census: 55
Capacity: 82
Deficiencies: 0
Date: Dec 10, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on the infection control domain to ensure compliance with health and safety standards.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the Required-1 Year Inspection and infection control domain evaluation. |
| Caroline Frangieh | Senior Executive Director | Met with Licensing Program Analyst during the inspection and participated in infection control domain evaluation. |
Inspection Report
Follow-Up
Census: 55
Capacity: 82
Deficiencies: 0
Date: Dec 10, 2021
Visit Reason
The visit was a case management follow-up on an incident report received by the Department involving a physical altercation between two residents in the Memory Care Unit.
Findings
The report found that both residents involved have dementia and no aggressive behaviors indicated in their care plans. The facility has implemented additional safety measures including safety watch and plans to discuss relocating one resident to prevent further altercations. No deficiencies were cited at this time.
Report Facts
Incident dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Caroline Frangieh | Senior Executive Director | Met with Licensing Program Analyst during the visit and provided information on safety measures |
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