Inspection Reports for The Commons at Elk Grove

The visit was an unannounced case management inspection to review compliance with licensing requirements, specifically focusing on deficiencies related to administrator staffing and notification.

The facility was cited for failing to have a properly associated administrator on the facility roster for more than five days and for not providing written notification of the hiring of a new administrator within 30 days, resulting in an immediate civil penalty.

The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Vincent Moleski to evaluate compliance with licensing requirements.

The inspection found no deficiencies. The facility met all required standards including environmental conditions, safety equipment, food supply, and medication storage.

The visit was an unannounced case management visit conducted to review an incident report regarding a resident elopement and to interview facility staff involved.

No deficiencies were cited during this visit. Additional staff interviews will be conducted at a later time as some staff members involved were not present during this visit.

An unannounced case management visit was conducted to review multiple incident reports that were submitted late, as required by 22 CCR Section 87211.

The facility was cited for failing to submit written incident reports within seven days of the occurrence, posing a potential health, safety, and personal rights risk to residents.

The inspection was an unannounced complaint investigation triggered by an allegation that staff pressured a resident to accept emergency transport to the hospital.

Based on interviews and record review, the allegation that staff pressured the resident to accept emergency transport was unsubstantiated. No deficiencies were cited regarding this allegation.

The complaint alleged that staff pressured a resident to accept emergency transport to the hospital. Interviews with the resident, staff, and family members, as well as review of incident reports and facility policies, found no evidence of staff forcing or pressuring the resident. The resident reported a strong suggestion but confirmed they could refuse transport. The allegation was determined to be unsubstantiated.

The inspection was an unannounced complaint investigation triggered by an allegation that the facility was not delivering hot water for residents in care.

The investigation found that intermittent water heater issues occurred from July 14 to July 18, 2024, but residents had access to hot water from the kitchen during this time. Notifications were sent to residents and responsible parties, and repairs were completed by July 18. Water temperature tests showed appropriate hot water levels. The allegation was determined to be unsubstantiated and no deficiencies were cited.

The complaint alleged that the facility was not delivering hot water for residents. The allegation was unsubstantiated based on interviews, observations, and record reviews.

An unannounced annual inspection was conducted by Licensing Program Analyst Vincent Moleski to evaluate compliance with regulatory requirements.

The facility was found to be in compliance with no deficiencies cited. The inspection included review of resident and staff files, facility tour, and interviews with staff and residents. Safety equipment and environmental conditions met required standards.

The visit was an unannounced case management visit conducted to review a resident's death report and assess the facility's compliance related to the incident.

No deficiencies were cited during this visit after reviewing the death report, interviewing staff, and examining resident records.

The visit was an unannounced case management follow-up to review two incident reports describing resident falls.

No deficiencies were cited during the visit after reviewing resident and facility records and interviewing staff and the administrator.

The visit was an unannounced complaint investigation triggered by allegations that staff do not ensure medications are properly managed and medication records are maintained for residents in care.

Based on interviews, record review, and observation, the allegations were found to be unsubstantiated. No deficiencies were cited during the visit, and no irregularities were observed in medication administration or narcotic counts.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

The inspection was an unannounced complaint investigation triggered by allegations that a resident sustained unexplained bruising while in care and that facility staff were not preventing a resident from physically assaulting another resident.

Based on interviews, record review, and observation, the allegations were found to be unsubstantiated with no evidence of physical altercations or unexplained bruising. No deficiencies were cited during the visit.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

The visit was an unannounced case management follow-up on an incident report involving an unwitnessed resident fall on August 31, 2023.

No deficiencies were cited during this visit. The Licensing Program Analyst interviewed staff and reviewed the resident's file but the resident was not available for interview.

The visit was an unannounced case management follow-up to an incident report describing a physical altercation between two residents.

No deficiencies were cited during this visit after interviews and file reviews were conducted. An exit interview was held and a copy of the report was left with the facility administrator.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements, including review of resident and staff files, facility conditions, and safety measures.

The facility was found to have sufficient furnishings, appropriate environmental conditions, and proper safety equipment. However, two residents with dementia did not have updated annual medical assessments as required, resulting in a citation.

Unannounced 1 Year Required Annual Inspection Visit conducted to evaluate the facility's compliance with licensing requirements.

The facility was toured including common areas, resident bedrooms, restrooms, kitchen, medication room, and exterior grounds. No deficiencies were observed or cited during the annual visit.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 12/17/2021 regarding Covid-19 precautions, PPE supplies, staff training, reporting of falls, pest control, medication expiration, financial abuse, care plan updates, and an incident on the grounds.

The investigation found no substantiated violations. The facility had a Covid-19 mitigation plan, adequate PPE supplies, ongoing staff training, and proper reporting of falls. No evidence of cockroaches was found, expired medications were properly managed, financial abuse allegations were not person-specific, care plans were updated regularly, and the reported attack involved staff and did not involve residents. No deficiencies were cited.

The complaint investigation was unsubstantiated based on lack of evidence to prove the alleged violations occurred. Allegations included failure to follow Covid-19 precautions, lack of PPE, incomplete staff training, failure to report falls, cockroach infestation, expired medication, financial abuse, outdated care plans, and an attack on the grounds. None were substantiated.

The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2022-02-02 regarding inadequate food service at the facility.

The Licensing Program Analyst observed residents eating lunch with full plates and adequate food supplies on premises. Based on observations and lack of evidence, the allegation of inadequate food service was found to be unsubstantiated with no deficiencies cited.

The complaint was unsubstantiated as there was not a preponderance of evidence to prove the alleged violation of inadequate food service occurred.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations including unexpected weight loss of a resident, licensee yelling at residents and family, and unlawful threats to raise rent.

The allegations of unexpected weight loss were unsubstantiated as the weight loss was due to physician-ordered diet changes. The allegations that the licensee yelled at residents and families and unlawfully threatened to raise rent were found to be unfounded based on interviews and records review. No deficiencies were cited during the visit.

The complaint investigation was triggered by allegations of unexpected weight loss, licensee yelling at residents and family, and unlawful threats to raise rent. The weight loss allegation was unsubstantiated, and the other two allegations were unfounded.

Unannounced annual visit conducted to evaluate compliance with licensing requirements and facility conditions.

The facility was toured including common areas, resident bedrooms, restrooms, kitchen, laundry, medication room, memory care unit, and exterior grounds. All observed areas and equipment were found to be in good repair and compliance. No deficiencies were cited during this annual inspection.

The visit was an unannounced complaint investigation conducted due to an allegation that food containing foreign material was served to a resident.

The investigation included interviews, observations of the kitchen and food items, and review of documentation. The allegation was found to be unfounded as saran wrap was not delivered with the meal and was not observed lodged in the food. No violations were observed during the visit.

The complaint alleged that food containing foreign material was served to a resident. The investigation did not substantiate the allegation, deeming it unfounded.

The visit was an unannounced complaint investigation triggered by an allegation that staff did not safeguard a resident's property.

The investigation found that the allegation was unsubstantiated as the resident placed the missing decorative item outside their room in a common hallway and the facility was not negligent in safeguarding the property. No deficiencies were cited.

The complaint alleged that staff did not safeguard a resident's property. The allegation was found unsubstantiated due to lack of evidence of facility negligence. The resident took responsibility for the item placed outside their room, and no personal property log was filled out at move-in.

The visit was a Case Management - Incident Visit conducted by telephone due to COVID-19 precautions, following two incident reports submitted regarding medication errors involving two residents.

The report detailed two medication incidents: one resident missed a dose of Pregabalin, and another received an extra dose of morphine. The facility notified relevant parties and reviewed medication policies with staff. No deficiencies were cited at this time.