Deficiencies (last 6 years)

Deficiencies (over 6 years) 5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

25% worse than California average
California average: 4 deficiencies/year

Deficiencies per year

16 12 8 4 0
2020
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 55% occupied

Based on a February 2026 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy rate over time

30% 60% 90% 120% 150% Dec 2020 Dec 2022 Mar 2024 Oct 2024 Apr 2025 Feb 2026

Inspection Report

Plan of Correction
Census: 88 Capacity: 160 Deficiencies: 3 Date: Feb 24, 2026

Visit Reason
An unannounced facility visit was conducted to perform a Case Management review and to evaluate the facility's plan of correction for previously cited deficiencies.

Findings
The facility provided plans of correction for deficiencies related to personal rights postings, hospice care plan updates, and updated medical assessments. No new deficiencies were cited during this visit.

Deficiencies (3)
Facility received large dimensions personal rights postings to be placed in the facility in the areas residents have full access to.
Hospice care plan is updated in residents files.
Facility obtained updated medical assessment for R2.

Employees mentioned
NameTitleContext
Joy CarterFacility AdministratorMet with Licensing Program Analyst during inspection and named in plan of correction findings.
Vadim GorbanLicensing Program AnalystConducted the unannounced facility visit and inspection.

Inspection Report

Annual Inspection
Census: 87 Capacity: 160 Deficiencies: 6 Date: Jan 30, 2026

Visit Reason
Licensing Program Analysts conducted an unannounced Required Annual Inspection to evaluate compliance with licensing requirements at the facility.

Findings
The inspection found multiple deficiencies including improper hot water temperature exceeding regulatory limits, missing resident rights posters on several floors, lack of admissions agreements for residents, incomplete hospice care plans, missing medical assessments, and the facility not having a bedridden plan despite retaining a bedridden resident.

Deficiencies (6)
Hot water temperature controls did not maintain water temperature between 105°F and 120°F, posing immediate health and safety risks.
Resident rights posters were missing on the 2nd, 3rd, and 5th floors, posing potential personal rights risks.
Three residents did not have individual written admission agreements, posing potential personal rights risks.
Three residents did not have current and complete hospice care plans, posing potential health and safety risks.
One resident (R2) did not have a medical assessment signed by a licensed professional, posing potential health and safety risks.
Facility retained a bedridden resident (R5) without having a bedridden plan in the plan of operation, posing immediate health and safety risks.
Report Facts
Capacity: 160 Census: 87 Hot water temperature: 147.4 Fire extinguisher service date: Sep 15, 2025 Fire drill date: Jan 22, 2026 Deficiency count: 6

Employees mentioned
NameTitleContext
Joy CarterAdministratorFacility administrator who assisted with the inspection visit
Vadim GorbanLicensing Program AnalystLicensing Program Analyst conducting the inspection and signing the report
Shawna DoucetteLicensing Program AnalystLicensing Program Analyst conducting the inspection
Brenda ChanLicensing Program ManagerLicensing Program Manager overseeing the inspection

Inspection Report

Census: 87 Capacity: 160 Deficiencies: 0 Date: Jan 30, 2026

Visit Reason
The visit was an unannounced Case Management inspection conducted by Licensing Program Analysts to review compliance and address a Decision and Order excluding a staff member from the facility.

Findings
No deficiencies were observed or cited during the visit. The Decision and Order excluding Staff 1 from the facility was served and explained to the facility administrator.

Employees mentioned
NameTitleContext
Joy CarterAdministrator / Executive DirectorMet with Licensing Program Analysts during the inspection and was informed about the exclusion order for Staff 1.
Vadim GorbanLicensing Program AnalystConducted the inspection and served the Decision and Order excluding Staff 1.
Shawna DoucetteLicensing Program AnalystConducted the inspection alongside Vadim Gorban.
Brenda ChanLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 144 Capacity: 160 Deficiencies: 0 Date: Jan 6, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-11-25 regarding sanitation and pest control issues at the facility.

Complaint Details
The complaint included allegations that staff did not maintain food service areas in a clean and sanitary condition, did not ensure the facility was free of insects and rodents, did not provide adequate sanitary equipment and supplies for cleaning, and did not ensure dishware and utensils were cleaned and sanitized properly. All allegations were found unsubstantiated after investigation.
Findings
The investigation found no preponderance of evidence to substantiate the allegations related to unclean food service areas, pest infestation, inadequate cleaning supplies, or improper cleaning of dishware and utensils. All allegations were determined to be unsubstantiated.

Report Facts
Capacity: 160 Census: 144

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Joy CarterExecutive DirectorMet with the Licensing Program Analyst during the inspection
Brenda ChanSupervisorSupervisor overseeing the investigation
Natasha PruntyAdministratorFacility administrator named in the report

Inspection Report

Census: 144 Capacity: 160 Deficiencies: 0 Date: Jan 6, 2026

Visit Reason
The visit was an unannounced Case Management inspection conducted by Licensing Program Analyst Vadim Gorban to review compliance and personnel records, specifically regarding the exclusion of a staff member from the facility.

Findings
No deficiencies were observed or cited during the visit. A Decision and Order excluding a staff member from the facility was served and the facility was instructed to update personnel records accordingly.

Report Facts
Capacity: 160 Census: 144

Employees mentioned
NameTitleContext
Joy CarterExecutive DirectorMet with Licensing Program Analyst during the visit and informed about staff exclusion
Vadim GorbanLicensing Program AnalystConducted the unannounced Case Management visit

Inspection Report

Complaint Investigation
Census: 138 Capacity: 160 Deficiencies: 0 Date: Jun 18, 2025

Visit Reason
An unannounced complaint investigation was conducted due to allegations that, because of lack of staffing, residents were not receiving adequate laundry services and were not receiving medication on time.

Complaint Details
The complaint investigation was unsubstantiated. Allegations regarding inadequate laundry services and untimely medication administration due to staffing shortages were not supported by sufficient evidence.
Findings
The investigation included a facility tour, interviews with residents and staff, and record reviews. The allegations were found to be unsubstantiated as residents reported timely laundry service and medication administration, and there was insufficient evidence to prove the claims.

Report Facts
Capacity: 160 Census: 138

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Brenda ChanLicensing Program ManagerNamed in report signature and oversight
Joy CarterAdministratorMet with during the investigation
Sonia GarciaBusiness ManagerAllowed entry and involved in investigation

Inspection Report

Complaint Investigation
Census: 138 Capacity: 160 Deficiencies: 0 Date: Jun 18, 2025

Visit Reason
An unannounced complaint investigation was conducted due to allegations that, because of lack of staffing, residents were not receiving adequate laundry services and were not receiving medication on time.

Complaint Details
The complaint was unsubstantiated. Allegations included inadequate laundry services and delayed medication due to staffing shortages. Interviews and record reviews did not support these claims.
Findings
The investigation included a facility tour, interviews with residents and staff, and record reviews. There was insufficient evidence to substantiate the allegations; residents reported timely laundry service and medication administration. No deficiencies were issued.

Report Facts
Capacity: 160 Census: 138

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Brenda ChanSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 76 Capacity: 160 Deficiencies: 1 Date: Apr 24, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff does not ensure residents' pendants are in good repair.

Complaint Details
The complaint was substantiated based on observations, interviews, and record review. The call system was found non-operational since 04/10/2025, and no incident reports were provided to the licensing office.
Findings
The investigation found that the facility's call system was not operational since April 10, 2025, and prior to that date, the system would not receive half of the calls. The allegation was substantiated and a deficiency was issued for failure to maintain the signal system, posing a potential health and safety risk.

Deficiencies (1)
The facility failed to maintain operations of the signal systems call for whole facility residents which poses potential health and safety risk to persons in care.
Report Facts
Capacity: 160 Census: 76 Plan of Correction Due Date: Apr 29, 2025

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and delivered findings
Brenda ChanLicensing Program ManagerNamed in the report as Licensing Program Manager
Aaron WindbiglerRegional Director of OperationsMet with the Licensing Program Analyst during the investigation
Natasha PruntyAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 76 Capacity: 160 Deficiencies: 1 Date: Apr 24, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff does not ensure residents' pendants are in good repair.

Complaint Details
The complaint was substantiated based on observations, interviews, and record review. The call system was found non-operational since 4/10/2025 with no incident reports provided to the licensing office.
Findings
The investigation found that the facility's call system was not operational since April 10, 2025, and prior to that date, the system failed to receive half of the calls. The allegation was substantiated and a deficiency was issued for failure to maintain the call system, posing a potential health and safety risk.

Deficiencies (1)
The facility failed to maintain operations of the signal systems call for whole facility residents which poses potential health and safety risk to persons in care.
Report Facts
Capacity: 160 Census: 76 Plan of Correction Due Date: Apr 29, 2025

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and delivered findings
Aaron WindbiglerRegional Director of OperationsFacility representative met during the investigation
Brenda ChanSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 69 Capacity: 160 Deficiencies: 0 Date: Apr 3, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-01-13 regarding multiple allegations about facility conditions and staff performance.

Complaint Details
The complaint included allegations that staff did not keep the facility free of vermin, prevent malodorous elevators, provide lighting for residents, ensure access to water, and repair the microwave timely. Each allegation was investigated and found unsubstantiated.
Findings
All allegations including vermin control, elevator odors, lighting for residents, access to water, and microwave repair were investigated and found to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 160 Census: 69

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation visit and authored the report
Jessica SanchezInterim Executive DirectorMet with Licensing Program Analyst during the inspection
Natasha PruntyAdministratorResponded to questions regarding pest control and facility operations
Brenda ChanLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 69 Capacity: 160 Deficiencies: 3 Date: Apr 3, 2025

Visit Reason
Unannounced complaint investigation visit conducted in response to complaints received on 2025-01-13 regarding transportation to medical appointments and adherence to the provided menu for residents.

Complaint Details
Complaint investigation was conducted based on allegations received on 2025-01-13. Allegations included failure to transport residents to medical appointments, failure to follow provided menu, failure to ensure facility cleanliness, hot water delivery, and elevator operability. The first two allegations were unsubstantiated; the latter three were substantiated with cited regulatory violations.
Findings
The investigation found the allegations regarding transportation to medical appointments and menu adherence to be unsubstantiated due to lack of preponderance of evidence. However, three other allegations related to facility cleanliness, hot water delivery, and elevator operability were substantiated, citing violations of California Code of Regulations.

Deficiencies (3)
The facility failed to maintain bathroom floor clean and sanitary. Water leaks from the ceiling and wet floors created potential hazard.
One out of three elevators broke down with residents stuck in it, posing potential health and safety risk.
Facility staff failed to maintain faucet water temperature within required regulations, posing potential health and safety risk.
Report Facts
Capacity: 160 Census: 69 Deficiencies cited: 3 Plan of Correction Due Date: Apr 8, 2025

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted complaint investigation and authored report
Brenda ChanLicensing Program ManagerOversaw complaint investigation
Jessica SanchezInterim Executive DirectorFacility representative met during inspection
Natasha PruntyAdministratorFacility administrator named in report

Inspection Report

Complaint Investigation
Census: 69 Capacity: 160 Deficiencies: 0 Date: Apr 3, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-01-13 alleging multiple facility deficiencies including vermin presence, malodorous elevators, inadequate lighting, lack of water access, and untimely microwave repair.

Complaint Details
The complaint included allegations that staff did not keep the facility free of vermin, did not prevent elevators from being malodorous, did not provide lighting for residents, did not ensure residents had access to water, and did not repair the facility microwave in a timely manner. Each allegation was investigated and found unsubstantiated due to lack of sufficient evidence.
Findings
All allegations were investigated through staff interviews, observations, and record reviews. No preponderance of evidence was found to substantiate any of the allegations, and all were determined to be unsubstantiated.

Report Facts
Capacity: 160 Census: 69

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation visit
Jessica SanchezInterim Executive DirectorFacility representative met during the inspection
Brenda ChanSupervisorSupervisor overseeing the complaint investigation
Natasha PruntyAdministratorFacility administrator who provided information regarding pest control

Inspection Report

Annual Inspection
Census: 81 Capacity: 160 Deficiencies: 0 Date: Jan 8, 2025

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate the facility's compliance with regulations and licensing requirements.

Findings
The facility was found to be clean, in good repair, and compliant with safety and health regulations. No deficiencies were issued during this inspection. Residents and staff files were reviewed and found to be up to date.

Report Facts
Facility capacity: 160 Census: 81 Inspection start time: 1130 Inspection end time: 1700 Fire extinguisher service date: Oct 4, 2024 Refrigerator temperature: 39 Freezer temperature: -2 Form submission deadline: Jan 12, 2025

Employees mentioned
NameTitleContext
Natasha PruntyAdministratorMet with Licensing Program Analyst during inspection
Vadim GorbanLicensing Program AnalystConducted the inspection
Brenda ChanLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 81 Capacity: 160 Deficiencies: 1 Date: Jan 8, 2025

Visit Reason
The visit was conducted in regard to an incident report about a medication error that occurred on 2024-12-28, where a resident was given the wrong medications.

Complaint Details
Visit was complaint-related due to an incident report of a medication error on 2024-12-28. Resident was monitored and no adverse side effects were observed.
Findings
The facility failed to ensure that resident R1 received medication as prescribed, resulting in the resident taking wrong medications which posed a potential health and safety risk. No adverse side effects were observed during monitoring.

Deficiencies (1)
Facility failed to ensure R1 medication as prescribed; resident took wrong medications (dose of Mitrazapine and Risperidone instead of prescribed Ramipril) posing potential health and safety risk.
Report Facts
Capacity: 160 Census: 81 Deficiencies cited: 1 Plan of Correction Due Date: Jan 10, 2025

Employees mentioned
NameTitleContext
Anthony MontellanoAdministrator/DirectorFacility administrator notified of licensing visit
Eva ReiterResident Services DirectorMet with during inspection
Vadim GorbanLicensing Program AnalystConducted the inspection and authored the report
Brenda ChanLicensing Program Manager/SupervisorSupervisor of the inspection and named in deficiency section

Inspection Report

Complaint Investigation
Census: 81 Capacity: 160 Deficiencies: 1 Date: Jan 8, 2025

Visit Reason
The visit was conducted in response to an incident report regarding a medication error that occurred on 2024-12-28, where a resident was given the wrong medications.

Complaint Details
The visit was complaint-related due to an incident report of a medication error on 12/28/2024. The responsible party was notified and the resident was monitored. No adverse side effects were observed during the monitoring period.
Findings
The facility failed to ensure that resident R1 received medication as prescribed, resulting in the resident taking incorrect medications. The resident was monitored with no adverse side effects observed. A deficiency was cited related to this medication error.

Deficiencies (1)
Failure to ensure medication was given according to physician's directions, resulting in resident R1 taking wrong medications (dose of Mitrazapine and Risperidone instead of prescribed Ramipril), posing potential health and safety risk.
Report Facts
Deficiencies cited: 1 Plan of Correction due date: Jan 10, 2025

Employees mentioned
NameTitleContext
Eva ReiterResident Services DirectorMet during inspection and interviewed
Anthony MontellanoAdministrator/DirectorNotified of licensing visit and interviewed
Vadim GorbanLicensing EvaluatorConducted the inspection
Brenda ChanSupervisorSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 81 Capacity: 160 Deficiencies: 0 Date: Jan 8, 2025

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations for the facility.

Findings
The facility was found to be clean, in good repair, and compliant with safety and health regulations. No deficiencies were issued during this inspection, and residents and staff files were reviewed and found to be up to date.

Report Facts
Fire extinguisher service date: Oct 4, 2024 Refrigerator temperature: 39 Freezer temperature: -2 Inspection start time: 1130 Inspection end time: 1700

Employees mentioned
NameTitleContext
Natasha PruntyAdministratorMet with Licensing Program Analyst during inspection
Vadim GorbanLicensing EvaluatorConducted the inspection
Brenda ChanSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 185 Capacity: 160 Deficiencies: 3 Date: Nov 20, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-06-26 regarding failure to seek timely medical attention, failure to provide refund to resident's responsible person, and failure to follow admissions agreement.

Complaint Details
The complaint investigation was substantiated. Allegations included failure to seek timely medical attention for a resident who fell and was in visible pain, failure to provide refund to the resident's responsible party, and failure to follow the admissions agreement. The facility acknowledged owing a refund of 40% of the community fee but had not paid it. The resident was taken to the hospital late in the day after the fall, confirming delayed medical care.
Findings
The investigation substantiated all allegations: the facility failed to provide timely medical care to a resident who fell and was in visible pain, failed to refund 40% of the community fee to the resident's responsible party as required, and did not follow the admissions agreement regarding refunds. Deficiencies were cited related to incidental medical care, refund processing, and admission agreement compliance.

Deficiencies (3)
Resident 1 fell on 01/14/2024 around 05:00 a.m., despite being in visible pain was not provided medical care until 8 p.m., which poses an immediate, health, safety or personal rights risk to resident in care.
The facility has not refunded portion of 'Community fee' to Resident 1's Responsible Party more than 15 days after the passing of Resident 1, which poses a potential, health, safety, or personal rights risk to residents in care.
Resident 1's Admission Agreement reads 40 percent of 'Community Fee' should be refunded. Resident 1's Responsible Party has not received refund, which poses a potential, health, safety, or personal rights risk to residents in care.
Report Facts
Refund amount: 2400 Facility capacity: 160 Census: 185

Employees mentioned
NameTitleContext
Sarah HurtLicensing Program AnalystConducted the complaint investigation and authored the report
Aaron WindbiglerRegional Director of OperationsMet with Licensing Program Analyst during the investigation and exit interview
Brenda ChanLicensing Program ManagerNamed in relation to the licensing program management and report

Inspection Report

Complaint Investigation
Capacity: 160 Deficiencies: 3 Date: Nov 20, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-06-26 regarding failure to seek timely medical attention, failure to provide refund to resident's responsible person, and failure to follow admissions agreement.

Complaint Details
The complaint investigation was substantiated based on evidence that facility staff did not seek timely medical attention for a resident after a fall on 01/14/2024, did not provide a refund owed to the resident's responsible party, and did not follow the admissions agreement refund terms.
Findings
The investigation substantiated all allegations: the facility failed to provide timely medical care after a resident's fall, did not refund 40% of the community fee owed to the resident's responsible party, and did not comply with the admissions agreement refund terms. Deficiencies were cited related to incidental medical care, refund procedures, and admission agreement compliance.

Deficiencies (3)
Resident 1 fell on 01/14/2024 around 05:00 a.m., despite being in visible pain was not provided medical care until 8 p.m., which poses an immediate health, safety or personal rights risk to resident in care.
The facility has not refunded portion of 'Community fee' to Resident 1's Responsible Party more than 15 days after the passing of Resident 1, which poses a potential health, safety, or personal rights risk to residents in care.
Resident 1's Admission Agreement reads 40 percent of 'Community Fee' should be refunded. Resident 1's Responsible Party has not received refund, which poses a potential health, safety, or personal rights risk to residents in care.
Report Facts
Refund amount: 2400 Facility capacity: 160

Employees mentioned
NameTitleContext
Sarah HurtLicensing Program AnalystConducted the complaint investigation and delivered findings
Aaron WindbiglerRegional Director of OperationsMet with Licensing Program Analyst during investigation and exit interview
Brenda ChanSupervisorSupervisor named in the report overseeing the investigation

Inspection Report

Complaint Investigation
Census: 153 Capacity: 160 Deficiencies: 0 Date: Nov 14, 2024

Visit Reason
Unannounced complaint investigation visit conducted in response to allegations received on 08/12/2024 regarding resident care issues including being left in soiled diapers and sustaining pressure sores.

Complaint Details
The complaint involved two allegations: staff left a resident in soiled diapers resulting in a rash, and a resident sustained a pressure sore while in care. Both allegations were unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Records and interviews indicated residents were attended every couple of hours, and no deficiencies were observed during the visit.

Report Facts
Capacity: 160 Census: 153

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and authored the report
Brenda ChanLicensing Program ManagerNamed in report as Licensing Program Manager
Eva ReiterResident Services DirectorMet with Licensing Program Analyst during investigation
Anthony MontellanoAdministratorFacility administrator contacted and notified during investigation

Inspection Report

Complaint Investigation
Census: 153 Capacity: 160 Deficiencies: 1 Date: Nov 14, 2024

Visit Reason
The visit was an unannounced case management inspection triggered by an incident involving a water shut off on October 26, 2024, which was not reported to the Licensing Regional office as required.

Complaint Details
The visit was complaint-related due to an incident on October 26, 2024, involving a water shut off that was not reported by the facility as required. The deficiency was substantiated and cited.
Findings
The facility failed to submit a required written report to the licensing agency regarding the water shut off incident, posing a potential health and safety risk to residents. This deficiency was cited under reporting requirements.

Deficiencies (1)
Failure to provide a written report to Licensing office regarding water shut off for a couple of hours on October 26, 2024, posing potential health and safety risk to persons in care.
Report Facts
Deficiency due date: Nov 16, 2024

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the inspection and authored the report
Brenda ChanLicensing Program ManagerSupervisor overseeing the inspection
Natasha PruntyAdministratorFacility administrator met during the inspection

Inspection Report

Complaint Investigation
Census: 153 Capacity: 160 Deficiencies: 0 Date: Nov 14, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2024-08-12 regarding resident care issues including staff leaving a resident in soiled diapers resulting in a rash and a resident sustaining a pressure sore while in care.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff leaving a resident in soiled diapers causing a rash and a resident sustaining a pressure sore. Interviews, record reviews, and observations did not provide sufficient evidence to prove the allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Records and interviews indicated residents were attended every couple of hours and no deficiencies were observed during the visit. Both allegations were deemed unsubstantiated.

Report Facts
Capacity: 160 Census: 153

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and authored the report
Eva ReiterResident Services DirectorMet with the Licensing Program Analyst during the investigation
Anthony MontellanoAdministratorFacility administrator contacted and notified during investigation
Brenda ChanSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 153 Capacity: 160 Deficiencies: 1 Date: Nov 14, 2024

Visit Reason
The visit was an unannounced case management inspection conducted to review an incident involving a water shut off at the facility on October 26, 2024, which was not reported to the Licensing Regional office as required.

Findings
The facility failed to submit a required written report to the licensing agency within seven days of the water shut off incident, posing a potential health and safety risk to residents. A deficiency was cited for this failure with a plan of correction due.

Deficiencies (1)
The facility failed to provide a written report to Licensing office in regard to water being shut off for a couple of hours on October 26th, 2024, which poses potential health and safety risk to persons in care.
Report Facts
Deficiency Type: 1 Capacity: 160 Census: 153

Employees mentioned
NameTitleContext
Natasha PruntyAdministratorMet with Licensing Program Analyst during the inspection
Brenda ChanSupervisorSupervisor overseeing the licensing evaluation
Vadim GorbanLicensing Program AnalystConducted the case management visit and authored the report

Inspection Report

Complaint Investigation
Census: 68 Capacity: 160 Deficiencies: 1 Date: Oct 29, 2024

Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 10/25/2024 alleging the facility tested positive for black mold and asbestos.

Complaint Details
The complaint alleging the facility tested positive for black mold and asbestos was substantiated based on observations, document review, and staff interviews.
Findings
The investigation substantiated the allegation that black mold and asbestos were present in the administrative offices on the first floor. Mold remediation and asbestos abatement began in September 2024, and repairs to the affected area were completed.

Deficiencies (1)
87303 Maintenance and Operation. The facility was not clean, safe, sanitary, and in good repair due to presence of asbestos and black mold in the administrative offices posing potential health and safety risks.
Report Facts
Deficiencies cited: 1 Plan of Correction Due Date: Oct 31, 2024

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and authored the report
Brenda ChanLicensing Program ManagerNamed as Licensing Program Manager on the report
Eva ReiterResident Services DirectorMet with during the investigation and interviewed
Anthony MontellanoAdministratorFacility administrator at time of investigation
Natasha PruntyAdministratorNotified of Licensing visit and attended the visit

Inspection Report

Complaint Investigation
Census: 68 Capacity: 160 Deficiencies: 1 Date: Oct 29, 2024

Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the facility tested positive for black mold and asbestos.

Complaint Details
The complaint was substantiated. The allegation was that the facility tested positive for black mold and asbestos. Mold was observed in offices in June 2024, and remediation and abatement began in September 2024. The preponderance of evidence standard was met.
Findings
The investigation substantiated the allegation that black mold and asbestos were present in the administrative offices on the first floor. Mold remediation and asbestos abatement had begun, and the affected area was repaired. The presence of mold and asbestos posed a potential health and safety risk to persons in care.

Deficiencies (1)
87303 Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not observed as evidenced by asbestos and black mold in the administrative offices posing potential health and safety risk.
Report Facts
Deficiencies cited: 1 Capacity: 160 Census: 68

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and inspection
Eva ReiterResident Services DirectorMet with during inspection and interviewed
Anthony MontellanoAdministratorNamed as facility administrator
Natasha PruntyAdministratorNotified of Licensing visit and attended the visit
Brenda ChanSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 92 Capacity: 160 Deficiencies: 0 Date: Sep 10, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2024-07-18 regarding multiple allegations including pressure injuries, mal odors, dental care, and room temperature issues.

Complaint Details
The complaint included allegations that a resident developed multiple pressure injuries, staff did not ensure the facility was free of mal odors, dental care needs were not met, and rooms were not kept at comfortable temperatures. The complaint was found to be unsubstantiated based on observations, interviews, and record reviews.
Findings
The investigation found no evidence to support the allegations. The facility was observed to be free of odors and maintained comfortable temperatures, residents received dental care, and no pressure injuries were noted. The allegations were determined to be unsubstantiated.

Report Facts
Facility capacity: 160 Census: 92

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation and delivered findings
Donna LaoMemory Care DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 92 Capacity: 160 Deficiencies: 0 Date: Sep 10, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2024-07-18 regarding multiple allegations about resident care and facility conditions.

Complaint Details
The complaint included allegations that a resident developed multiple pressure injuries, staff did not ensure the facility was free of malodors, dental care needs were unmet, and rooms were not kept at comfortable temperatures. The investigation found these allegations unsubstantiated.
Findings
The investigation found no evidence to support the allegations. The resident under hospice care had no pressure injuries, the facility was free of malodors and maintained comfortable temperatures, and dental care needs were being met. Therefore, the allegations were unsubstantiated.

Report Facts
Capacity: 160 Census: 92

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation
Donna LaoMemory Care DirectorMet with investigator and received report

Inspection Report

Follow-Up
Census: 82 Capacity: 160 Deficiencies: 1 Date: Sep 6, 2024

Visit Reason
The inspection was conducted as a follow-up on an incident that occurred on 2024-08-12 involving a care provider sharing inappropriate videos with residents.

Findings
A deficiency was cited for violation of personal rights where a staff member shared inappropriate video content with residents, posing potential health and safety risks. The staff member was suspended and later terminated.

Deficiencies (1)
87468.1 Personal rights. Residents were exposed to inappropriate video content shared by a staff member, posing potential health and safety risks.
Report Facts
Deficiency Type: 1 Capacity: 160 Census: 82

Employees mentioned
NameTitleContext
Eva ReiterResident Services DirectorMet with Licensing Program Analyst during inspection
Anthony MontellanoAdministrator/DirectorNamed as facility administrator
Vadim GorbanLicensing Program AnalystConducted the inspection
Brenda ChanLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Follow-Up
Census: 82 Capacity: 160 Deficiencies: 1 Date: Sep 6, 2024

Visit Reason
The inspection was an unannounced case management follow-up visit conducted to investigate an incident that occurred on 2024-08-12 involving a care provider sharing inappropriate videos with residents.

Findings
The facility was found deficient for violating CCR 87468.1(a)(2) regarding residents' personal rights, as a staff member shared inappropriate video content with residents, posing potential health and safety risks. The staff member was suspended and later terminated, and the facility planned in-service training on residents' privacy and dignity.

Deficiencies (1)
Violation of CCR 87468.1(a)(2) - Residents were not accorded safe, healthful and comfortable accommodations due to staff sharing inappropriate video content with residents.
Report Facts
Capacity: 160 Census: 82 Plan of Correction Due Date: Sep 9, 2024

Employees mentioned
NameTitleContext
Eva ReiterResident Services DirectorMet with during inspection
Anthony MontellanoAdministrator/DirectorFacility administrator listed in report
Vadim GorbanLicensing Program AnalystConducted the inspection
Brenda ChanSupervisorSupervisor overseeing the inspection
Billy MitchellExecutive DirectorNo longer with the company and unavailable during inspection

Inspection Report

Complaint Investigation
Census: 184 Capacity: 160 Deficiencies: 0 Date: Aug 15, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff were retaliating due to a complaint filed against the facility.

Complaint Details
Allegation that facility staff is retaliating due to complaint filed against the facility was investigated and found unsubstantiated.
Findings
The investigation included a facility tour, safety checks, and interviews with staff, the administrator, and residents. No evidence of retaliation was found, and the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 160 Census: 184

Employees mentioned
NameTitleContext
Eva ReitlerResident Services DirectorMet with during inspection and notified of Licensing visit
Vadim GorbanLicensing Program AnalystConducted the complaint investigation visit
Anthony MontellanoAdministratorInterviewed during the investigation

Inspection Report

Complaint Investigation
Capacity: 160 Deficiencies: 0 Date: Aug 15, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff were retaliating due to a complaint filed against the facility.

Complaint Details
Allegation: Facility staff is retaliating due to complaint that was filed against facility. The allegation was unsubstantiated based on observations and interviews.
Findings
The investigation included interviews with the administrator, staff, and residents, as well as a facility tour and safety checks. No evidence of retaliation by staff was found, and the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 160

Employees mentioned
NameTitleContext
Eva ReitlerResident Services DirectorMet with during the investigation and notified of Licensing visit
Anthony MontellanoAdministratorInterviewed during the investigation
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Brenda ChanSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 91 Capacity: 160 Deficiencies: 0 Date: Jul 1, 2024

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to a complaint received on 2024-04-22 regarding staff not ensuring the roof was fixed timely.

Complaint Details
The complaint alleged that staff did not ensure the roof was fixed timely. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the allegation to be unsubstantiated based on observations and record review, determining that the licensed portion of the facility was not in need of roof repairs at the time of inspection.

Report Facts
Complaint Control Number: 24 Capacity: 160 Census: 91

Employees mentioned
NameTitleContext
David AyersLicensing Program AnalystConducted the complaint investigation
Eva ReiterResident Services DirectorMet with during the inspection
Donna LaoMemory Care DirectorMet with during the inspection

Inspection Report

Complaint Investigation
Census: 91 Capacity: 160 Deficiencies: 0 Date: Jul 1, 2024

Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2024-04-22 regarding staff not ensuring the roof was fixed timely.

Complaint Details
The complaint alleged that staff did not ensure the roof was fixed timely. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the allegation to be unsubstantiated based on observations and record review, determining that the licensed portion of the facility was not in need of roof repairs at the time of inspection.

Employees mentioned
NameTitleContext
David AyersLicensing Program AnalystConducted the unannounced complaint inspection
Eva ReiterResident Services DirectorMet with Licensing Program Analyst during inspection
Donna LaoMemory Care DirectorMet with Licensing Program Analyst during inspection
Anthony MontellanoAdministratorFacility administrator named in report header
Brenda ChanSupervisorSupervisor named in report

Inspection Report

Complaint Investigation
Census: 217 Capacity: 160 Deficiencies: 2 Date: Mar 29, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints received on 2024-02-12 regarding inadequate food, lack of hot water, unresponsiveness to resident pendants, and mismanagement of medications and records.

Complaint Details
The complaint investigation was unannounced and conducted by Evaluator Sarah Hurt. The complaint control number is 24-AS-20240212083924. The allegations included inadequate food, lack of hot water, unresponsiveness to resident pendants, mismanagement of medications, and mismanagement of records. The medication and records mismanagement allegations were substantiated, while the others were unsubstantiated.
Findings
The investigation found the allegations of inadequate food, lack of hot water, and unresponsiveness to resident pendants to be unsubstantiated due to insufficient evidence. However, the allegations of mismanagement of residents' medications and records were substantiated, with specific deficiencies noted in medication administration and documentation.

Deficiencies (2)
Resident 4 was not provided prescribed medication as facility did not provide the medication to person responsible for administering; Resident 5 has not been given prescribed weekly medication for more than 2 weeks.
Resident 4's medication was being stored by the facility with no Centrally Stored Medication Record; Resident 6's medication stored by the facility is not logged on the Centrally Stored Medication log.
Report Facts
Capacity: 160 Census: 217 Deficiency due date: Mar 30, 2024 Deficiency due date: Apr 12, 2024

Employees mentioned
NameTitleContext
Sarah HurtLicensing Program AnalystConducted the complaint investigation and delivered findings
Billy MitchellAdministratorMet with Licensing Program Analyst during investigation and exit interview
Brenda ChanLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Annual Inspection
Census: 217 Capacity: 160 Deficiencies: 0 Date: Feb 22, 2024

Visit Reason
The visit was an unannounced Required Annual Inspection conducted to evaluate the facility's compliance with licensing regulations.

Findings
The facility was found to be clean, well-maintained, and compliant with safety and care standards. No deficiencies were cited during the inspection.

Report Facts
Capacity: 160 Census: 217

Employees mentioned
NameTitleContext
Billy MitchellExecutive DirectorMet with Licensing Program Analyst during inspection

Inspection Report

Annual Inspection
Capacity: 160 Deficiencies: 0 Date: Feb 22, 2024

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate the facility's compliance with licensing regulations.

Findings
The facility was found to be in compliance with no deficiencies cited. The environment was clean and safe, medications were properly stored and administered, and required documentation was reviewed with some files requested for submission by a later date.

Report Facts
Census: 217 Capacity: 160

Employees mentioned
NameTitleContext
Billy MitchellExecutive DirectorMet with Licensing Program Analyst during inspection and exit interview
David AyersLicensing Program AnalystConducted the inspection
Brenda ChanSupervisorSupervisor of the licensing evaluation

Inspection Report

Census: 215 Capacity: 160 Deficiencies: 0 Date: Jan 18, 2024

Visit Reason
The visit was an unannounced Case Management visit to relay information about an Immediate Exclusion order for a staff member (S1).

Findings
No deficiencies were cited during this Case Management visit. The Executive Director was advised to disassociate the excluded staff member from the facility staff roster and guardian.

Report Facts
Capacity: 160 Census: 215

Employees mentioned
NameTitleContext
Billy MitchellExecutive DirectorMet with Licensing Program Analyst during the visit and discussed the exclusion order for staff member S1

Inspection Report

Capacity: 160 Deficiencies: 0 Date: Jan 18, 2024

Visit Reason
The visit was an unannounced Case Management visit to relay information about an Immediate Exclusion order for a staff member (S1).

Findings
No deficiencies were cited during this Case Management visit. The Executive Director confirmed that the excluded staff member has not worked at the facility since 03/07/2019 and was advised to disassociate the staff member from the facility staff roster and guardian.

Report Facts
Capacity: 160

Employees mentioned
NameTitleContext
Billy MitchellExecutive DirectorMet with Licensing Program Analyst during the visit and provided information about the excluded staff member

Inspection Report

Complaint Investigation
Census: 75 Capacity: 160 Deficiencies: 0 Date: May 19, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was not properly addressing scabies.

Complaint Details
The complaint was found to be unfounded and dismissed after review of medical records and interviews.
Findings
The investigation found that Resident R1 did not have scabies or a contagious skin condition, and the complaint was determined to be unfounded with no deficiencies cited.

Report Facts
Facility capacity: 160 Census: 75

Employees mentioned
NameTitleContext
Lisa SalazarLicensing Program AnalystConducted the complaint investigation and delivered findings
Beau AyersActing Executive DirectorFacility representative met during the investigation
Anthony MontellanoAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 75 Capacity: 160 Deficiencies: 0 Date: May 19, 2023

Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the facility was not properly addressing scabies.

Complaint Details
The complaint was found to be unfounded, meaning the allegation was without reasonable basis and was dismissed.
Findings
The investigation found that Resident R1 did not have scabies or a contagious skin condition, and the complaint was determined to be unfounded with no deficiencies cited.

Report Facts
Complaint Control Number: 24

Employees mentioned
NameTitleContext
Lisa SalazarLicensing Program AnalystConducted the complaint investigation and delivered findings
Anthony MontellanoAdministratorFacility administrator named in the report
Beau AyersActing Executive DirectorMet with the evaluator during the investigation
Melinda HoffmannSupervisorSupervisor named in the report

Inspection Report

Annual Inspection
Census: 72 Capacity: 160 Deficiencies: 0 Date: Feb 22, 2023

Visit Reason
The inspection was an unannounced annual required inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.

Findings
The facility was found to be in compliance with infection control practices, with no deficiencies observed during the inspection.

Report Facts
PPE supply duration: 30

Employees mentioned
NameTitleContext
Anthony MontellanoAdministratorNamed as facility administrator
Billy MitchellExecutive DirectorMet with Licensing Program Analysts during inspection
Alex HernandezMaintenance DirectorAccompanied Licensing Program Analysts on facility tour
Melinda MedinaLicensing Program AnalystConducted the inspection
D. AyersLicensing Program AnalystConducted the inspection

Inspection Report

Census: 72 Capacity: 160 Deficiencies: 0 Date: Feb 22, 2023

Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident involving resident R1 that occurred on 2023-02-19.

Findings
No deficiencies were cited during the Case Management visit. The incident involved R1 being transported to the hospital and admitted for treatment, with an expected return to the facility on or about 2023-02-25.

Report Facts
Incident date: Feb 19, 2023 Expected return date: Feb 25, 2023

Employees mentioned
NameTitleContext
Lillian Bennett-RussellMemory Care DirectorMet with Licensing Program Analysts during the Case Management visit
Melinda MedinaLicensing Program AnalystConducted the Case Management visit
D. AyersLicensing Program AnalystConducted the Case Management visit

Inspection Report

Annual Inspection
Census: 72 Capacity: 160 Deficiencies: 0 Date: Feb 22, 2023

Visit Reason
The visit was an unannounced Annual Required Inspection conducted by Licensing Program Analysts to assess compliance with licensing regulations and infection control practices.

Findings
The facility was found to be in compliance with required infection control practices, with no deficiencies observed during the inspection. Staff were observed following COVID protocols and the facility maintained adequate supplies of PPE and resident medications.

Report Facts
PPE supply duration: 30

Employees mentioned
NameTitleContext
Anthony MontellanoAdministratorNamed as facility administrator
Billy MitchellExecutive DirectorMet with Licensing Program Analysts during inspection
Alex HernandezMaintenance DirectorAccompanied Licensing Program Analysts on facility tour
Melinda MedinaLicensing EvaluatorConducted the inspection

Inspection Report

Census: 72 Capacity: 160 Deficiencies: 0 Date: Feb 22, 2023

Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident involving resident R1 that occurred on 2023-02-19.

Findings
No deficiencies were cited during the Case Management visit. The incident involved R1 being transported to the hospital and admitted for treatment, with discharge paperwork to be provided upon return.

Employees mentioned
NameTitleContext
Lillian Bennett-RussellMemory Care DirectorMet with Licensing Program Analysts during Case Management visit.

Inspection Report

Complaint Investigation
Census: 83 Capacity: 160 Deficiencies: 0 Date: Dec 2, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations that staff did not administer a resident's medications as required and did not provide adequate supervision to a resident.

Complaint Details
The complaint investigation was unannounced and initiated based on a complaint received on 11/28/2022. The allegation that staff did not administer a resident's medications as required was unsubstantiated. The allegation that staff did not provide adequate supervision to a resident was unfounded.
Findings
The investigation found that the allegation regarding medication administration was unsubstantiated as the resident self-managed medication until a new order was received and staff then administered medications as ordered. The allegation regarding inadequate supervision was found to be unfounded based on interviews and facility tour, confirming resident safety checks were conducted each shift.

Report Facts
Capacity: 160 Census: 83

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation visit
Candice MosesInterim Executive DirectorMet with Licensing Program Analyst during the investigation
Anthony MontellanoAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 83 Capacity: 160 Deficiencies: 0 Date: Dec 2, 2022

Visit Reason
An unannounced complaint investigation visit was conducted following a complaint alleging that staff did not administer a resident's medications as required and did not provide adequate supervision to a resident.

Complaint Details
The complaint investigation was unannounced and initiated based on a complaint received on 11/28/2022. The medication administration allegation was unsubstantiated, and the supervision allegation was unfounded.
Findings
The investigation found that the allegation regarding medication administration was unsubstantiated as the resident self-managed medication until a new physician's order was received and staff then administered medications as ordered. The allegation regarding inadequate supervision was found to be unfounded based on staff safety checks and resident confirmation.

Report Facts
Capacity: 160 Census: 83

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation visit
Candice MosesInterim Executive DirectorMet with Licensing Program Analyst during investigation
Anthony MontellanoAdministratorFacility administrator named in report header
Melinda HoffmannSupervisorSupervisor named in report

Inspection Report

Complaint Investigation
Census: 85 Capacity: 160 Deficiencies: 0 Date: Aug 29, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2020-05-20 alleging that staff were not administering medications per doctor's orders, not meeting basic service needs of residents, and failing to provide supervision resulting in multiple falls.

Complaint Details
The complaint was unsubstantiated after investigation, meaning there was insufficient evidence to prove the alleged violations occurred.
Findings
The investigation included interviews and document reviews, and the allegations could not be confirmed or corroborated. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 160 Census: 85

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation
Tony MontellanoAdministratorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 85 Capacity: 160 Deficiencies: 0 Date: Aug 29, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2020-04-20 alleging rough handling of residents, skin tears, forced medication, unresponsiveness to pain complaints, non-working call pendents, denial of telephone calls, and improper oxygen administration.

Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove that the alleged violations did or did not occur.
Findings
After conducting interviews and reviewing relevant documents and records, the department determined that the allegations could not be confirmed or corroborated and the complaint was unsubstantiated.

Report Facts
Complaint Control Number: 26 Complaint Control Number Suffix: 20200420143926

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation
Tony MontellanoAdministratorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 85 Capacity: 160 Deficiencies: 0 Date: Aug 29, 2022

Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on May 20, 2020, alleging medication administration errors, failure to meet basic service needs, and lack of resident supervision resulting in falls.

Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation included interviews and document reviews, and the allegations could not be confirmed or corroborated. The complaint was determined to be unsubstantiated due to insufficient evidence.

Report Facts
Complaint Control Number: 26 Complaint Receipt Date: May 20, 2020

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation
Tony MontellanoAdministratorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 85 Capacity: 160 Deficiencies: 0 Date: Aug 29, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2020-04-20 alleging rough handling of residents, skin tears, forced medication, unresponsiveness to pain complaints, malfunctioning call pendents, denial of telephone calls, and improper oxygen administration.

Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation included interviews and review of relevant documents and records. The allegations could not be confirmed or corroborated, and the complaint was determined to be unsubstantiated.

Report Facts
Complaint Control Number: 26

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation
Tony MontellanoAdministratorMet with Licensing Program Analyst during investigation

Inspection Report

Annual Inspection
Census: 85 Capacity: 160 Deficiencies: 0 Date: Jul 28, 2022

Visit Reason
An unannounced Annual Required Infection Control Inspection was conducted to assess compliance with infection control practices and visitation guidelines.

Findings
The facility was found to be in compliance with required infection control practices, including COVID screening, PPE supply, and signage. No deficiencies were observed during the inspection.

Report Facts
PPE supply duration: 30

Employees mentioned
NameTitleContext
Anthony MontellanoExecutive DirectorMet during facility tour and interview
Beau AyersRegional Vice President of OperationsMet during facility tour
Melinda MedinaLicensing Program AnalystConducted the inspection

Inspection Report

Complaint Investigation
Census: 85 Capacity: 160 Deficiencies: 0 Date: Jul 28, 2022

Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint alleging that staff did not ensure the facility was free from vermin.

Complaint Details
Complaint alleging staff did not ensure the facility was free from vermin. The complaint was found to be unfounded and dismissed.
Findings
The investigation found that although the facility had a continuing problem with vermin, it was maintaining monthly pest control services. The complaint was determined to be unfounded and was dismissed.

Report Facts
Capacity: 160 Census: 85

Employees mentioned
NameTitleContext
Anthony MontellanoAdministratorMet with during the investigation and notified of the visit purpose
Melinda MedinaLicensing Program AnalystConducted the complaint investigation

Inspection Report

Annual Inspection
Census: 85 Capacity: 160 Deficiencies: 0 Date: Jul 28, 2022

Visit Reason
An unannounced Annual Required Infection Control Inspection was conducted to assess compliance with infection control practices and COVID-19 mitigation protocols.

Findings
The facility was found to be in compliance with infection control requirements, including proper use of PPE, symptom screening, and signage. No deficiencies were observed during the inspection.

Report Facts
PPE supply duration: 30

Employees mentioned
NameTitleContext
Anthony MontellanoExecutive DirectorMet with Licensing Program Analysts during the inspection and interviewed regarding infection control practices
Beau AyersRegional Vice President of OperationsMet with Licensing Program Analysts during the inspection and toured the facility

Inspection Report

Complaint Investigation
Census: 85 Capacity: 160 Deficiencies: 0 Date: Jul 28, 2022

Visit Reason
An unannounced complaint investigation visit was conducted following a complaint alleging that staff did not ensure the facility was free from vermin.

Complaint Details
Complaint alleging staff did not ensure the facility was free from vermin was investigated and found to be unfounded.
Findings
The investigation found that although the facility has had a continuing problem with vermin, it is maintaining monthly pest control services to resolve the issue. The complaint was determined to be unfounded and dismissed.

Report Facts
Capacity: 160 Census: 85

Employees mentioned
NameTitleContext
Anthony MontellanoAdministratorMet with during the investigation and notified of the visit purpose
Melinda MedinaLicensing Program AnalystConducted the complaint investigation
V. GorbanLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 85 Capacity: 160 Deficiencies: 0 Date: Jun 15, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-06-10 regarding residents being left in soiled undergarments, staff laughing at residents, unsanitary conditions, and vermin presence.

Complaint Details
The complaint investigation was unsubstantiated for allegations of residents left in soiled undergarments and staff laughing at residents. The complaint regarding unsanitary conditions was unfounded, and the complaint about vermin was acknowledged but addressed by pest control services.
Findings
The investigation found insufficient evidence to substantiate the allegations of residents being left in soiled undergarments and staff laughing at residents, resulting in an unsubstantiated finding. The complaints about the facility being unsanitary were found to be unfounded, while the presence of vermin was acknowledged but mitigated by regular pest control services.

Report Facts
Capacity: 160 Census: 85 Housekeeping Staff: 7

Employees mentioned
NameTitleContext
Anthony MontellanoAdministratorMet with Licensing Program Analyst during the complaint investigation
Shawna DoucetteLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 85 Capacity: 160 Deficiencies: 0 Date: Jun 15, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints alleging residents were left in soiled undergarments, staff laughed at residents, the facility was unsanitary, and the facility had vermin.

Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Shawna Doucette. The allegations included residents left in soiled undergarments, staff laughing at residents, unsanitary conditions, and vermin presence. The allegations regarding soiled undergarments and staff behavior were unsubstantiated due to lack of evidence. The unsanitary condition complaint was unfounded, and the vermin complaint was addressed by pest control services. The complaint was dismissed.
Findings
The investigation found insufficient evidence to substantiate allegations that residents were left in soiled undergarments or that staff laughed at residents, resulting in those allegations being unsubstantiated. The complaint regarding the facility being unsanitary was found to be unfounded, while the facility was found to have vermin but also had a pest control service in place. Overall, the complaints were either unsubstantiated or unfounded.

Report Facts
Capacity: 160 Census: 85

Employees mentioned
NameTitleContext
Anthony MontellanoAdministratorMet with Licensing Program Analyst during complaint investigation
Shawna DoucetteLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 194 Capacity: 160 Deficiencies: 0 Date: Apr 3, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2020-11-23 alleging improper resident reassessment, unsanitary conditions, unmet resident needs, and threats of eviction.

Complaint Details
The complaint included allegations that staff did not properly reassess a resident, resident's room smelled foul and was unsanitary, staff did not meet residents' needs, and staff threatened residents with eviction. The investigation concluded these allegations were unsubstantiated due to lack of evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. No deficiencies were cited, and the complaint was determined to be unsubstantiated.

Report Facts
Estimated Days of Completion: 90

Employees mentioned
NameTitleContext
Victoria BrownLicensing Program AnalystConducted the complaint investigation and authored the report
Stephen RichardsonLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Beau A. AyersAdministratorFacility Administrator involved in the investigation
Lori TrindadeSales DirectorMet with Licensing Program Analyst during the investigation visit

Inspection Report

Complaint Investigation
Census: 194 Capacity: 160 Deficiencies: 0 Date: Apr 3, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2022-01-10 alleging the facility was unclean, failed to meet residents' hygiene needs, had insufficient staffing, and untrained staff.

Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence. Allegations included unclean facility, failure to meet hygiene needs, insufficient staffing, and untrained staff. No deficiencies were cited.
Findings
The investigation found feces in a resident's toilet and some dust on the floor but noted the resident was independent in personal care. Staffing and training allegations were not substantiated based on staff interviews. No deficiencies were cited and the complaint was found to be unsubstantiated.

Report Facts
Complaint Control Number: 26 Estimated Days of Completion: 90 Census: 194 Total Capacity: 160

Employees mentioned
NameTitleContext
Victoria BrownLicensing Program AnalystConducted the complaint investigation and authored the report
Beau A. AyersAdministratorFacility administrator contacted during investigation
Lori TrindadeSales DirectorMet with Licensing Program Analyst during investigation
Stephen RichardsonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Capacity: 160 Deficiencies: 0 Date: Apr 3, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2022-01-10 regarding facility cleanliness, resident hygiene, staffing levels, and staff training.

Complaint Details
The complaint was unsubstantiated. Allegations included facility uncleanliness, failure to meet residents' hygiene needs, insufficient staffing, and untrained staff. The investigation concluded there was insufficient evidence to prove violations occurred.
Findings
The investigation found feces in a resident's toilet and some dust but determined the resident was independent in personal care. Staffing and training allegations were found unsubstantiated based on staff interviews and lack of evidence. No deficiencies were cited.

Report Facts
Capacity: 160

Employees mentioned
NameTitleContext
Victoria BrownLicensing Program AnalystConducted the complaint investigation
Beau A. AyersAdministratorFacility administrator contacted during investigation
Lori TrindadeSales DirectorMet with Licensing Program Analyst during investigation
Stephen RichardsonSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Capacity: 160 Deficiencies: 0 Date: Apr 3, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2020-11-23 regarding improper resident reassessment, unsanitary resident rooms, unmet resident needs, and threats of eviction by staff.

Complaint Details
The complaint was unsubstantiated based on interviews and lack of evidence. Allegations included staff not properly reassessing residents, unsanitary conditions, unmet resident needs, and threats of eviction. No written eviction notices were found, and no assessment was observed for a resident to reside in the Memory Care Unit.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. No deficiencies were cited, and the complaint was determined to be unsubstantiated.

Report Facts
Capacity: 160 Census: 194 Estimated Days of Completion: 90

Employees mentioned
NameTitleContext
Victoria BrownLicensing Program AnalystEvaluator who conducted the complaint investigation
Beau A. AyersAdministratorFacility Administrator involved in the investigation
Lori TrindadeSales DirectorMet with evaluator during the investigation

Inspection Report

Census: 77 Capacity: 125 Deficiencies: 0 Date: Dec 16, 2020

Visit Reason
The visit was a Technical Assist (TA) conducted via Zoom to provide technical assistance for Infection Prevention and Control guidelines for Adult and Senior Care facilities.

Findings
The Licensing Program Analyst and Program Clinical Consultant reviewed facility policies and procedures including screening, disinfecting, staffing, training, PPE usage, and resident activities. Recommendations were made regarding posting Donning and Doffing signage, maintaining covered trash cans for contaminated PPE, and social distancing in Memory Care areas.

Employees mentioned
NameTitleContext
Beau A. AyersExecutive Director/AdministratorMet with Licensing Program Analyst during the Technical Assist visit.
Marybeth DonovanLicensing Program AnalystConducted the Technical Assist visit and reviewed facility policies.
Barbara ElentenyProgram Clinical Consultant (PCC) NurseParticipated in the Technical Assist visit reviewing infection control guidelines.
Sarah YipLicensing Program ManagerParticipated in the Technical Assist visit.

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