Deficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
50% occupied
Based on a December 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 218
Capacity: 435
Deficiencies: 0
Date: Dec 2, 2025
Visit Reason
To complete the annual inspection of 11/20/25, the Licensing Program Analyst reviewed resident records and Centrally Stored Medications Records.
Findings
Required resident records are maintained, and clients' medications are recorded on Centrally Stored Medications Records. No deficiencies of the California Code of Regulations, Title 22 were cited during this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martin Herter | Administrator | Met with during inspection |
| Leona Martin | Met with during inspection | |
| Audrey Jeung | Licensing Program Analyst | Reviewed resident records and medications |
| April Cowan | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 216
Capacity: 435
Deficiencies: 2
Date: Nov 20, 2025
Visit Reason
The inspection was an unannounced required 1-year annual inspection of the Peninsula Regent Continuing Care Retirement Community to evaluate compliance with licensing requirements.
Findings
The facility was toured and inspected for safety, emergency preparedness, and compliance with personnel and medication storage regulations. Deficiencies were cited related to personnel criminal record clearance and improper storage of centrally stored medications accessible to residents unable to safely store their medications.
Deficiencies (2)
Personnel requirements not met as dining server staff #1 did not have criminal record clearance, posing an immediate health, safety, or personal rights risk to clients.
Centrally stored medications, including OTC meds and supplements, were found in assisted living apartments accessible to residents unable to safely store and administer their medications, posing an immediate health and safety risk.
Report Facts
Capacity: 435
Census: 216
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martin Herter | Administrator | Certified RCFE administrator overseeing facility operations |
Inspection Report
Annual Inspection
Census: 206
Capacity: 435
Deficiencies: 4
Date: Dec 2, 2024
Visit Reason
The inspection was a required unannounced 1-year annual inspection visit to evaluate compliance with regulations at the Peninsula Regent Continuing Care Retirement Community.
Findings
The inspection found multiple deficiencies related to personnel health screenings, staff training, admission agreement documentation, and first aid training. The facility had no fire safety hazards and maintained appropriate safety measures, but failed to maintain required health screenings and training documentation for several staff members.
Deficiencies (4)
Health screenings and TB test results for staff #1 and #2 are not maintained.
No evidence that care staff have received required training on postural supports and restricted health conditions.
Admission/residency agreements for clients #1, #2, #3, #5 are printed on both sides of paper, not complying with printing requirements.
Proof of current first-aid training for staff #2 and #3 is not maintained.
Report Facts
Staff files reviewed: 6
Staff files with deficiencies: 2
Client files reviewed: 6
Client files with deficiencies: 4
Staff files with first aid training deficiencies: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martin Herter | Administrator | Facility administrator overseeing operations |
| Audrey Jeung | Licensing Program Analyst | Conducted the facility inspection and evaluation |
| April Cowan | Licensing Program Manager | Supervisor of the licensing evaluation |
Inspection Report
Annual Inspection
Census: 206
Capacity: 435
Deficiencies: 4
Date: Dec 2, 2024
Visit Reason
The inspection was an unannounced required 1-year annual inspection of the Continuing Care Retirement Community facility to evaluate compliance with licensing regulations.
Findings
The inspection found multiple deficiencies related to personnel requirements, including missing health screenings and TB test results for some staff, lack of required training on postural supports and restricted health conditions, improper printing of admission agreements, and incomplete first aid training for certain staff members. Plans of correction were requested with due dates.
Deficiencies (4)
Health screenings and TB test results for staff #1 and #2 are not maintained.
No evidence that care staff have received required training on postural supports and restricted health conditions.
Admission/residency agreements for clients #1, #2, #3, #5 are printed on both sides of paper.
Proof of current first-aid training for staff #2 and #3 is missing.
Report Facts
Staff files reviewed: 6
Staff with missing health screenings: 2
Clients with admission agreement issues: 4
Staff with missing first aid training: 2
Capacity: 435
Census: 206
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martin Herter | Administrator/Director | Facility administrator overseeing operations. |
| Audrey Jeung | Licensing Evaluator | Evaluator conducting the inspection. |
| April Cowan | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 203
Capacity: 435
Deficiencies: 2
Date: Sep 27, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations including untimely response to call button alerts, resident injury, inappropriate staff behavior, and rough handling of residents.
Complaint Details
The complaint investigation was substantiated based on evidence including emergency call logs showing delayed staff responses and documentation of a staff member causing bruises and a skin tear to a resident. The staff member was terminated. Other allegations related to bathing and toileting assistance were unsubstantiated due to lack of sufficient evidence.
Findings
The investigation substantiated allegations that staff failed to respond timely to call button alerts and that a resident sustained injuries due to rough handling by a staff member who was subsequently terminated. Other allegations regarding bathing and toileting assistance were unsubstantiated due to insufficient evidence.
Deficiencies (2)
Staff failed to respond to client's call alerts in a timely manner, posing potential health, safety, or personal rights risk.
Client sustained an injury when a staff handled client in a rough manner, violating personal rights.
Report Facts
Delayed staff responses: 16
Facility capacity: 435
Resident census: 203
Plan of Correction due date: Oct 4, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martin Herter | Administrator | Met with during investigation. |
| Audrey Jeung | Licensing Program Analyst | Conducted the complaint investigation. |
| April Cowan | Licensing Program Manager | Oversaw the complaint investigation. |
Inspection Report
Complaint Investigation
Census: 203
Capacity: 435
Deficiencies: 2
Date: Sep 27, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 05/14/2024 regarding staff response to call button alerts, resident injury, and staff conduct towards residents.
Complaint Details
The complaint investigation was substantiated based on review of emergency call logs, staff interviews, and facility records. The preponderance of evidence standard was met. One staff member was terminated due to rough handling of a resident. Some allegations related to bathing and toileting assistance were unsubstantiated due to lack of sufficient evidence.
Findings
The investigation substantiated allegations that staff failed to respond timely to call button alerts and that a resident sustained injury due to rough handling by staff, resulting in bruises and a skin tear. Other allegations regarding bathing and toileting assistance were unsubstantiated due to insufficient evidence.
Deficiencies (2)
Staff failed to respond to client's call alerts in a timely manner, posing a potential health, safety, or personal rights risk.
Client sustained injury when a staff handled the resident roughly, violating personal rights to dignity and respect.
Report Facts
Capacity: 435
Census: 203
Delayed staff response: 16
POC Due Date: Oct 4, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Audrey Jeung | Licensing Evaluator | Conducted the complaint investigation |
| Martin Herter | Administrator | Facility administrator met during investigation |
| Leona Martin | Facility representative met during investigation | |
| April Cowan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 196
Capacity: 435
Deficiencies: 0
Date: Oct 6, 2022
Visit Reason
The visit was conducted as a Case Management - Health Checks in response to a Death Report submitted on 10/4/22.
Findings
The licensing analysts met with the director of health and wellness, reviewed the admission agreement and facility monitoring information for independent residents, and obtained staff schedules and client rosters. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cara Smith | Licensing Program Manager | Named as Licensing Program Manager overseeing the visit. |
| Audrey Jeung | Licensing Program Analyst | Named as Licensing Program Analyst conducting the visit. |
Inspection Report
Census: 196
Capacity: 435
Deficiencies: 0
Date: Oct 6, 2022
Visit Reason
The visit was a Case Management - Health Checks conducted in response to a Death Report submitted on 10/4/22.
Findings
The licensing evaluators met with the director of health and wellness, reviewed the admission agreement for a client, and obtained staff schedules and client rosters. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leona Martin | Met with licensing evaluators during the visit. | |
| Marianne Nannestad | Administrator | Named as facility administrator. |
| Audrey Jeung | Licensing Evaluator | Conducted the inspection. |
| Cara Smith | Supervisor | Supervisor overseeing the licensing evaluation. |
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