Inspection Reports for The Rose Garden Elderly Care

An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements at Rose Garden Elderly Care LLC.

The inspection found one deficiency related to inaccurate centrally stored medication forms for 2 residents, posing a potential health and safety risk. The facility otherwise met requirements for environment, safety equipment, and emergency preparedness.

The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-17 that staff hit residents and spoke to residents in an inappropriate manner.

The investigation found the allegations unsubstantiated after interviews with staff, residents, and family members, review of physician reports, and observations. No evidence supported that staff hit or yelled at residents, and no citations were issued.

The complaint alleged staff hit residents and spoke to residents in an inappropriate manner. Interviews with residents, staff, and the administrator, as well as review of records, found no substantiation. The facility does not have male staff, contradicting one allegation. The report concluded the allegations were unsubstantiated due to lack of preponderance of evidence.

An unannounced complaint investigation was conducted following a complaint alleging that staff left a resident soiled for an extended period of time.

The investigation included interviews with staff, residents, and witnesses, as well as a facility tour. Although some witnesses reported seeing the resident in a soiled state, the Department found insufficient evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.

The complaint alleged that staff left a resident soiled for an extended period of time. Multiple interviews and observations were conducted. Some witnesses reported seeing the resident soiled on specific dates, but staff and other witnesses denied the allegation. The resident in question no longer lives at the facility. The allegation was unsubstantiated due to lack of preponderance of evidence.

An unannounced complaint investigation was conducted due to violations discovered during the investigation process, focusing on case management deficiencies related to hospice care services notification and resident care planning.

The facility failed to notify the Department in writing within five working days of the initiation of hospice care services for a resident and did not have a completed Appraisal/Needs and Services plan for the resident, posing potential health, safety, or personal rights risks.

The visit was complaint-related, initiated by a complaint investigation. The deficiencies cited relate to failure to notify the Department about hospice care initiation and incomplete resident care planning. Substantiation status is not explicitly stated.

An unannounced complaint investigation visit was conducted to deliver findings regarding allegations received about staff behavior towards residents.

The allegation that staff yelled at a resident regarding non-payment of fees was substantiated and poses a potential health and safety risk. Another allegation that staff hit a resident was unsubstantiated due to lack of evidence.

The complaint investigation was substantiated for the allegation that staff yelled at a resident but unsubstantiated for the allegation that staff hit a resident.

An unannounced case management - deficiencies visit was conducted to amend the annual required inspection that was conducted on July 31, 2024.

No deficiency was cited during the visit based on California Code of Regulations Title 22; however, a repeat violation was amended from the prior inspection. Chemicals accessible to residents were observed in multiple areas, posing an immediate health and safety risk.

Unannounced case management visit to follow up on resident admitted after previous facility closure due to Temporary Suspension Order (TSO).

The facility was found to have over 6 bottles of alcohol accessible to residents with dementia, posing an immediate health and safety risk. Staff removed the alcohol and placed it in a locked room, and the administrator agreed to ensure alcohol remains inaccessible to residents with dementia.

An unannounced required 1 year inspection visit was conducted to evaluate compliance with regulations for the Residential Care Facility for the Elderly.

Multiple deficiencies were cited related to medication labeling and records, storage of hazardous items accessible to residents, lack of PRN medication log, incomplete disaster drill documentation, and outdated medical assessments for residents. A civil penalty of $250 was assessed for a repeat violation.

The visit was an unannounced case management visit conducted by the Licensing Program Analyst to evaluate the facility and meet with the administrator.

No deficiencies were cited during the visit. The Licensing Program Analyst met with the administrator, who provided information about his recent start date and the care plans for residents.

An unannounced complaint investigation was conducted in response to allegations that staff were not meeting residents' dietary needs, not providing adequate food service, and left a resident in a soiled diaper for an extended period of time.

The investigation found that the facility provided sufficient food supplies and accommodated residents' dietary needs, including diabetic diets. Interviews with residents and staff indicated that food service was generally adequate, though one resident expressed dissatisfaction with breakfast quality. Regarding toiletry care, staff checked residents every 2-3 hours and complied with requests for changes. There was no evidence residents were left soiled for extended periods. Overall, the allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included inadequate dietary provision and leaving a resident in a soiled diaper overnight. Interviews and observations did not support these claims.

The inspection was an unannounced annual facility inspection conducted to evaluate compliance with regulatory requirements for the Rose Garden Elderly Care LLC.

The inspection identified multiple deficiencies including unclean conditions such as full trash bins causing foul odors, improperly secured disinfectants and medications, excessively high hot water temperature, lack of CPR and first aid certification among staff, missing resident appraisal/needs and services plans, and incomplete medication storage records.

The inspection was a pre-licensing visit conducted to evaluate the facility for licensure.

The facility was toured and inspected, found to be in good repair with functioning smoke detectors and fire extinguisher. No residents or staff were present. Some conditions for licensure remain, including creation of an emergency key set, obtaining liability insurance, and adjusting water temperature to between 105°F and 120°F.

The visit was a pre-licensing inspection conducted via telephone call to evaluate the applicant's understanding of licensing requirements and facility operation.

The applicant and administrator successfully completed Component II of the licensing process, demonstrating understanding of Title 22 regulations, facility operation, staff qualifications, training, grievances, food service, medication management, and reporting processes.