Inspection Reports for
The Oaks at Nipomo

The complaint alleged that staff failed to report 4-5 falls in June and that the facility was understaffed, with managers covering 24-hour shifts. The investigation included multiple interviews and record reviews. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegations. Some falls with minor or no injuries were not reported to licensing, but all serious incidents were reported. Staffing levels met required ratios with agency and current staff covering shifts, and residents generally reported adequate staffing.

The complaint investigation was unsubstantiated. Allegations included unsafe facility doors and failure to follow admission agreements regarding housekeeping. Interviews, observations, and record reviews found no systemic or intentional violations.

The investigation found no evidence that the facility willfully failed to uphold admission agreements despite a brief staffing shortage affecting housekeeping services, and no confirmation that the facility doors caused injury or were out of compliance with regulations. Both allegations were deemed unsubstantiated.

The inspection included a tour of the kitchen area and review of food service practices. The facility was found to handle and prepare food safely, maintain proper food storage and temperature logs, and keep the kitchen clean and free from pests. The visit was unannounced and ongoing, with a return planned to complete the annual visit.

The complaint investigation was unsubstantiated. Allegations included inadequate supply of hygiene items and denial of appropriate activities. Interviews, observations, and document reviews did not support the allegations.

The investigation found no preponderance of evidence to prove the alleged violations occurred. All but one restroom had toilet paper accessible, and the facility had procedures to manage supplies. Regarding activities, the resident in question was able to participate with family escort or if family provided accompaniment, and the facility had made accommodations to encourage participation. Both allegations were unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical care, failure to meet resident's needs, inadequate supervision, failure to observe change of condition, and failure to conduct reappraisal. Multiple interviews, record reviews, and documentation were conducted and reviewed. Despite some incidents such as falls and injuries, the facility followed protocols and no violations were proven.

The investigation found insufficient evidence to substantiate any of the allegations. The facility was aware of R1's fall risk and provided appropriate care and interventions, including therapy and updated assessments. Medical records and staff interviews did not support claims of neglect or inadequate supervision. The allegations were determined to be unsubstantiated.

The facility was inspected for physical plant and environment safety, resident rights information, and operational requirements. The facility was found to be clean, safe, and sanitary with all required postings and plans on file. The facility is operating in compliance with fire clearance and approved capacity.

The complaint alleged that staff did not provide a proper eviction notice to a resident. The investigation reviewed eviction letters, admission agreements, house rules, and interviewed staff and residents. The allegation was found to be unsubstantiated.

The investigation found that the eviction was lawful and the allegation was unsubstantiated. The resident in question had been repeatedly counseled for harassing staff and other residents, and the eviction followed proper procedures and documentation.

The complaint investigation was unsubstantiated. Allegations included rough handling of a resident, failure to assist with medication as prescribed, and failure to address a resident's change in medical condition. The reporting party's claims were disputed by staff and facility representatives, and evidence reviewed did not support the allegations.

The investigation included interviews with staff, residents, and review of relevant documents. All allegations were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred. Multiple staff and residents denied observing rough handling, medication was administered as prescribed, and the resident's change in medical condition was appropriately addressed.

The complaint alleged that the facility refused to provide transportation back from a scheduled medical appointment. The investigation found that the facility agreed to provide transportation to the appointment but not for the return trip due to the last-minute nature of the request. The resident was offered alternative transportation options but declined to pay for them. The complaint was unsubstantiated.

The allegation was deemed unsubstantiated. The facility provided documentation and interviews showing that transportation requests must be pre-scheduled, and alternative transportation options were offered when the facility could not provide transportation. The resident scheduled transportation on the same day as the appointment, limiting options to Uber and Lyft. The facility was advised to update their transportation notice to clarify scheduling requirements.

The inspection included review of staffing, personnel records, resident records, incident reports, and disaster preparedness. Staff files were complete, and resident records were partially reviewed with final review to be completed later. The facility conducts quarterly disaster drills and submits incident reports as required.

The complaint alleged inadequate provision of toilet paper to residents. Interviews with 11 staff and 11 residents revealed all stated residents purchase their own toiletries including toilet paper. Staff confirmed the facility provides toilet paper free of charge when residents run out. No residents were billed for toilet paper in 2022-2023. The allegation was unsubstantiated.

The investigation found that the facility provides housekeeping once a week and housekeepers replenish toilet paper if needed. Residents or their families typically purchase their own toilet paper, but the facility does provide toilet paper at no charge when residents run out. There was no evidence to support the allegation, and it was deemed unsubstantiated.

The facility was found to have proper medication storage and administration records, adequate staffing with required training mostly met, and confidential resident records with required documentation. Some staff did not meet exact training hours or subject requirements, and pre-admission appraisals were missing in reviewed files.

The Licensing Program Analyst toured the facility including the kitchen/dining area and resident rooms, reviewed staff and guardian rosters, interviewed residents, and observed required postings. The visit was not completed and will be continued at a later date.

The facility was found to have generally clean, safe, and sanitary conditions with a current infection control plan and operational requirements met. Some cleaning issues were noted in the memory care kitchen, and the emergency disaster form was outdated but being updated during the visit. Staff and resident records will be reviewed at a later date.

The complaint investigation was unsubstantiated. Allegations included the facility kitchen not being kept clean or sanitary, improper food handling, and serving contaminated food. The investigation found no evidence to support these claims.

The investigation found all allegations to be unsubstantiated based on interviews, observations, and document reviews. The kitchen was clean and sanitary, food was handled and stored properly, and no contaminated food was served.

No deficiencies were observed during the visit. All infection control protocols were implemented and followed, including screening, masking, social distancing, PPE use, cleaning, and staff training.