Inspection Report Summary
Most inspections found no deficiencies, including the most recent complaint investigation on June 2, 2023, which found the allegations unsubstantiated. The annual inspections from 2022 through 2023 were mostly clean, with only minor issues such as maintenance problems in the laundry room and non-functioning pull cords noted in September 2023. The facility corrected these issues promptly, as confirmed during a Plan of Correction visit in October 2023. However, the latest annual inspection on August 28, 2025, identified several deficiencies related to unlocked exit gates, medication management errors, and missing resident reappraisals, some posing immediate safety risks. This represents a decline in compliance compared to prior years, with no enforcement actions or fines listed in the available reports.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
56% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Rajvir Sandhu | Facility Designated Administrator | Met during inspection and involved in plan of correction discussions |
| Arielle Pascua | Licensing Program Analyst | Conducted inspection and signed report |
| Lisa Rios | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Stephenie Radu | Facility Designated Administrator | Met with Licensing Program Analyst during inspection and discussed findings |
| Arielle Pascua | Licensing Program Analyst | Conducted the annual inspection visit |
| Lisa Rios | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Theresa Pettapiece | Executive Director | Met with Licensing Program Analyst during the visit and interviewed regarding the incident |
| Maja Jensen | Licensing Program Analyst | Conducted 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
| Name | Title | Context |
|---|---|---|
| Theresa Pettapiece | Facility Designated Administrator | Met with Licensing Program Analyst during the Plan of Correction visit |
| Arielle Pascua | Licensing Program Analyst | Conducted the Plan of Correction visit |
| Stephenie Doub | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Theresa Pettapiece | Facility Designated Administrator | Named in relation to expired administrator certificate and plan of correction |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection and authored the report |
| Stephenie Doub | Licensing Program Manager | Supervisor 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
| Name | Title | Context |
|---|---|---|
| Theresa Pettapiece | Administrator | Met with during inspection and mentioned in findings regarding staff coverage |
| Albert Johnson | Licensing Program Analyst | Conducted the complaint investigation |
| Stephenie Doub | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Theresa Pettapiece | Executive Director | Named as Executive Director to The Gardens of Modesto Senior Living and participant in the exit interview. |
| Resmika Sharma | Resident Care Director | Named as Resident Care Director to The Gardens of Modesto Senior Living and participant in the visit. |
| Stephenie Doub | Regional Manager | Conducted the office visit. |
| Arielle Pascua | Licensing Program Analyst | Conducted 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
| Name | Title | Context |
|---|---|---|
| Theresa Pettapiece | Administrator | Met with Licensing Program Analyst during pre-licensing visit and discussed facility operations. |
| Arielle Pascua | Licensing Program Analyst | Conducted the pre-licensing visit and facility evaluation. |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager overseeing the evaluation. |
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