Inspection Reports for
The Trousdale

The complaint investigation found that on 11/11/2024, resident #1 was not checked for vitals as requested by the responsible party, and the facility staff did not return the call to the responsible party. The deficiency was substantiated.

The facility failed to take resident #1's vitals as requested by the responsible party, posing an immediate health risk. This deficiency was cited under California Code of Regulations, Title 22, LIC 809D.

The complaint investigation was substantiated. Allegations included failure to ensure medication administration and neglect leading to resident injury from a fall. The facility was found responsible for both issues.

The investigation substantiated that facility staff did not assist residents with their medications as required and failed to ensure a non-skid shower mat was placed on the floor to prevent falls, despite requests from the resident's responsible party. These failures posed immediate health and safety risks to residents.

The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention resulting in questionable death and failure to keep the resident's authorized person informed about hospitalization. The facility was unaware of the resident's final hospital destination, and safety checks were not scheduled. Staff did not report vitals as requested.

The investigation found no preponderance of evidence to substantiate the allegations. The facility did not have scheduled safety checks and was unaware of the resident's final hospital destination. However, staff did not obtain and report the resident's vitals to the responsible party as requested.

The complaint alleged staff mismanaged resident medication, including medication found in the resident's room and improper vaccine administration. The allegations were substantiated based on interviews, record reviews, and observations.

The investigation substantiated that medication was found in a resident's room despite policies requiring central storage, and that the resident received two vaccine doses on the same day without proper consent or supervision.

The facility was generally clean and well-maintained with adequate temperatures in resident apartments. However, one staff file lacked initial training records required for medication self-administration assistance, resulting in a cited deficiency.

The complaint investigation addressed multiple allegations including failure to follow care plan regarding alcohol, neglect causing infection, unauthorized apartment transfer, and failure to safeguard resident property. The alcohol-related allegation was substantiated; the infection and transfer allegations were unsubstantiated; the property allegation was unfounded.

The investigation substantiated that the facility failed to follow a resident's physician's order prohibiting alcohol, serving the resident alcohol despite the order. Other allegations regarding neglect causing infection, unauthorized apartment transfer, and failure to safeguard resident property were unsubstantiated or unfounded.

The inspection found that the facility had unlocked chemicals, toxins, and sharps accessible to residents in the memory care unit, expired food items in the kitchen, and a malfunctioning wanderguard device for a resident. Other safety equipment such as smoke detectors and fire extinguishers were in place and functioning.

The visit was triggered by a Report of Suspected Abuse dated 5/22/2023 involving client #1 and a private companion. The private companion was removed from the facility on 5/23/2023 and later allowed to resume companionship on 5/31/2023. The complaint is related to lack of criminal record clearance and acknowledgement forms for the private companion.

The private companion to client #1 was removed and later allowed to resume companionship. The private companion did not have criminal record clearance associated with the facility and did not sign required acknowledgements. A deficiency was cited for failure to ensure criminal record clearance for persons with client contact.