Inspection Reports for The Gardens of Modesto

CA, 95355

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Deficiencies per Year

4 3 2 1 0
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

0 20 40 60 80 Sep '22 Jun '23 Oct '23 Sep '24 Aug '25
Census Capacity
Inspection Report Annual Inspection Census: 41 Capacity: 73 Deficiencies: 4 Aug 28, 2025
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and regulations.
Findings
The inspection found several deficiencies including unlocked exit gates posing immediate safety risks, missing medication orders on the Electronic Medication Administration Record, medications transferred between containers, and lack of updated resident reappraisals. The facility was otherwise in compliance with fire safety and food storage requirements.
Severity Breakdown
Type A: 2 Type B: 2
Deficiencies (4)
DescriptionSeverity
Exit gates were locked with a padlock, prohibiting exit access and posing an immediate health, safety, or personal rights risk.Type A
R1's medication was not reflected on the Electronic Medication Administration Record, posing an immediate health, safety, or personal rights risk.Type A
Medications were transferred between containers; medication for noon pass was pre-poured prior to administration, posing potential health, safety, and personal rights risks.Type B
Five out of five residents did not have updated pre-admission reappraisals, posing potential health, safety, and personal rights risks.Type B
Report Facts
Residents on hospice: 11 Resident files reviewed: 5 Staff files reviewed: 5 Residents without updated Needs and Services Plan: 5 Staff without First Aid/CPR on file: 1 Staff without mandated reporter statement signed: 1 Staff without application on file: 1
Employees Mentioned
NameTitleContext
Rajvir SandhuFacility Designated AdministratorMet during inspection and involved in plan of correction discussions
Arielle PascuaLicensing Program AnalystConducted inspection and signed report
Lisa RiosLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Annual Inspection Census: 37 Capacity: 73 Deficiencies: 1 Sep 26, 2024
Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements and facility operations.
Findings
The facility was found to be generally in compliance with licensing regulations, including fire safety, food storage, medication management, and building maintenance. A technical violation related to Section 87312 was discussed but no citations were issued during this visit.
Deficiencies (1)
Description
Technical violation for Section 87312 discussed with Facility Designated Administrator
Report Facts
Residents on hospice: 6 Residents bedridden: 0 Residents receiving home health services: 3 Resident files reviewed: 8 Staff files reviewed: 5 Washers: 3 Dryers: 3
Employees Mentioned
NameTitleContext
Stephenie RaduFacility Designated AdministratorMet with Licensing Program Analyst during inspection and discussed findings
Arielle PascuaLicensing Program AnalystConducted the annual inspection visit
Lisa RiosLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Census: 31 Capacity: 73 Deficiencies: 0 Nov 20, 2023
Visit Reason
The visit was an unannounced case management inspection conducted in relation to an incident report received about an unwitnessed fall of a resident resulting in a spinal fracture.
Findings
No deficiencies were cited during this visit. The facility was previously cited during the annual inspection for a malfunctioning signal system and had requested an extension for plan correction. Technical assistance was provided regarding signal systems, plan of operations, and special diets.
Report Facts
Facility capacity: 73 Resident census: 31 Plan correction extension date: Dec 13, 2023
Employees Mentioned
NameTitleContext
Theresa PettapieceExecutive DirectorMet with Licensing Program Analyst during the visit and interviewed regarding the incident
Maja JensenLicensing Program AnalystConducted the case management visit and reviewed records
Inspection Report Plan of Correction Census: 31 Capacity: 73 Deficiencies: 0 Oct 17, 2023
Visit Reason
The visit was an unannounced Plan of Correction (POC) visit to review the deficiencies cited on a prior annual visit on 2023-09-14.
Findings
The Licensing Program Analyst toured the facility and confirmed that all previously cited deficiencies under Title 22 Regulations had been corrected and brought into compliance. No deficiencies were observed or cited during this visit.
Report Facts
Census: 31 Total Capacity: 73
Employees Mentioned
NameTitleContext
Theresa PettapieceFacility Designated AdministratorMet with Licensing Program Analyst during the Plan of Correction visit
Arielle PascuaLicensing Program AnalystConducted the Plan of Correction visit
Stephenie DoubLicensing Program ManagerNamed in the report header
Inspection Report Annual Inspection Census: 36 Capacity: 73 Deficiencies: 1 Sep 14, 2023
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements and regulations.
Findings
The facility was generally in compliance with regulations, including fire safety and medication management. However, deficiencies were noted in the maintenance of the laundry room and non-functioning pull cords in resident bedrooms, posing potential safety risks.
Deficiencies (1)
Description
Laundry room had two large holes, water damage on baseboards and flooring was lifting; resident bedroom pull cords were not in working condition.
Report Facts
POC Due Date: Oct 13, 2023
Employees Mentioned
NameTitleContext
Theresa PettapieceFacility Designated AdministratorNamed in relation to expired administrator certificate and plan of correction
Arielle PascuaLicensing Program AnalystConducted the inspection and authored the report
Stephenie DoubLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Complaint Investigation Census: 36 Capacity: 73 Deficiencies: 0 Jun 2, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2023-04-19 alleging residents were not receiving care due to lack of care staff and that the facility was not reporting COVID-19 outbreaks or lacked PPE for COVID-19 outbreaks.
Findings
The investigation found that the facility had adequate staff coverage despite reported COVID-19 positive staff, and residents received medication and incontinence care. The allegations regarding failure to report COVID-19 outbreaks and lack of PPE were unfounded as the facility reported outbreaks timely and had adequate PPE supplies. No deficiencies were cited.
Complaint Details
The complaint alleged residents were not receiving care due to lack of staff, the facility was not reporting COVID-19 outbreaks, and lacked PPE for COVID-19 outbreaks. The allegations were unsubstantiated or unfounded based on records review and interviews.
Report Facts
Capacity: 73 Census: 36 Estimated Days of Completion: 0
Employees Mentioned
NameTitleContext
Theresa PettapieceAdministratorMet with during inspection and mentioned in findings regarding staff coverage
Albert JohnsonLicensing Program AnalystConducted the complaint investigation
Stephenie DoubLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Inspection Report Capacity: 73 Deficiencies: 0 Oct 4, 2022
Visit Reason
The purpose of this office visit was to discuss a recent suspected scabies outbreak at the facility, including topics such as past outbreaks, contact tracing, PPE use, disinfecting, staff monitoring, and visitation.
Findings
No deficiencies were cited during this visit per California Code of Regulations (CCRs) - Title 22. The facility will continue treatment and monitoring for the scabies outbreak and report new cases to Local Public Health and CCLD.
Employees Mentioned
NameTitleContext
Theresa PettapieceExecutive DirectorNamed as Executive Director to The Gardens of Modesto Senior Living and participant in the exit interview.
Resmika SharmaResident Care DirectorNamed as Resident Care Director to The Gardens of Modesto Senior Living and participant in the visit.
Stephenie DoubRegional ManagerConducted the office visit.
Arielle PascuaLicensing Program AnalystConducted the office visit.
Inspection Report Original Licensing Census: 28 Capacity: 73 Deficiencies: 0 Sep 21, 2022
Visit Reason
The visit was conducted as a pre-licensing inspection due to a change of ownership and to evaluate the facility's readiness for licensing, including the establishment of a dementia program.
Findings
The facility was toured extensively including resident areas, kitchen, medication room, and exterior grounds. All safety measures, supplies, and furnishings were found to be sufficient and in compliance. No deficiencies were observed during this pre-licensing visit.
Employees Mentioned
NameTitleContext
Theresa PettapieceAdministratorMet with Licensing Program Analyst during pre-licensing visit and discussed facility operations.
Arielle PascuaLicensing Program AnalystConducted the pre-licensing visit and facility evaluation.
Stephenie DoubLicensing Program ManagerNamed as Licensing Program Manager overseeing the evaluation.

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