Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many allegations against the facility lacked evidence. The most recent report from June 13, 2025, was a complaint investigation that found the complaint unfounded, with no deficiencies cited. Earlier reports showed isolated issues such as a failure to submit a timely written death report in October 2021 and unlocked medication carts in February 2022, both of which were addressed without enforcement actions or fines. Since those findings, inspections have been clean, showing improvement in compliance and record-keeping. Overall, the facility’s record reflects mostly compliance with regulatory requirements and no serious enforcement actions.
An unannounced complaint investigation was conducted regarding an allegation that the facility failed to arrange for medical care.
Findings
The investigation found the complaint to be unfounded, meaning the allegation was false, could not have happened, and/or was without a reasonable basis. It was discovered that the resident involved does not reside at this facility but at a different facility.
Complaint Details
The complaint alleged the facility failed to arrange for medical care. The complaint was investigated and found to be unfounded.
An unannounced complaint investigation was conducted in response to allegations including unlawful eviction and reporting requirements at the facility.
Findings
The investigation found that the complaint was unfounded. The eviction notice issued met Title 22 requirements, was properly extended, and copies were provided to the resident, family, and the Department within required timelines.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, and/or were without a reasonable basis.
Report Facts
Capacity: 75Census: 59
Employees Mentioned
Name
Title
Context
Larona Farnum
Executive Director
Met with Licensing Program Analyst during the investigation
The inspection was an unannounced Required-1 Year annual inspection conducted by Licensing Program Analyst Chris Arnhold to review compliance with licensing requirements.
Findings
The review of 10 resident records and 10 staff records showed all required documents and certifications were present. No citations were issued during this visit.
Employees Mentioned
Name
Title
Context
Larona Farnum
Administrator
Met with Licensing Program Analyst during inspection
An unannounced Required-1 Year inspection was conducted to evaluate the health and safety conditions of the facility and ensure compliance with regulations.
Findings
The facility was found to be in good condition with no immediate health, safety, or personal rights violations observed. All safety equipment was operational, and the environment was clean and well-maintained. No citations were issued during the visit.
Report Facts
Hospice waiver residents: 9
Employees Mentioned
Name
Title
Context
Larona Farnum
Administrator
Met with Licensing Program Analyst during inspection
An unannounced annual required inspection of the licensed senior care facility was conducted to evaluate compliance with licensing regulations.
Findings
No deficiencies or citations were observed or issued during the inspection. The facility's resident records, staff training, emergency disaster plan, and supplies were all found to be in compliance.
Report Facts
Resident records reviewed: 6Staff records reviewed: 7Disaster drill frequency: 4Emergency supply duration: 72Facility capacity: 75Census: 58
Employees Mentioned
Name
Title
Context
Larona Farnum
Executive Director
Met with Licensing Program Analyst during inspection
An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations for this senior care facility.
Findings
The facility was found to be clean and in good repair with unobstructed walkways and exits. All required notices were posted, food storage and kitchen conditions met regulations, safety equipment such as fire extinguishers and detectors were functional, and medication was securely stored. No citations were issued during the visit.
Employees Mentioned
Name
Title
Context
Larona Farnum
Executive Director
Met with Licensing Program Analyst during inspection
The inspection was an unannounced complaint investigation triggered by allegations including questionable death and staff not ensuring a resident's restricted health care need was performed by an appropriately skilled professional.
Findings
The investigation found no evidence that facility staff inserted the resident's catheter incorrectly or at all. The allegation of questionable death due to misplacement of the catheter by non-medical staff was unsubstantiated.
Complaint Details
The complaint alleged that a resident's catheter was placed by non-medical facility staff resulting in the resident's questionable death due to sepsis. The investigation included interviews and review of home health records, concluding the allegation was unsubstantiated.
Report Facts
Facility capacity: 75
Employees Mentioned
Name
Title
Context
Christopher Arnhold
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Larona Farnum
Administrator / Executive Director
Met with Licensing Program Analyst during investigation
The inspection visit was an unannounced Required Annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst reviewed resident and staff records, noting that 3 of 10 resident records lacked pre-placement appraisals and current assessments, which were in process. Staff records contained the required documentation and training records.
Deficiencies (1)
Description
3 of 10 resident records did not contain pre-placement appraisals and current assessments
Report Facts
Resident records reviewed: 10Staff records reviewed: 10Resident records missing appraisals and assessments: 3
Employees Mentioned
Name
Title
Context
Larona Farnum
Executive Director
Met with Licensing Program Analyst during inspection
An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations for this senior care facility.
Findings
The facility was found to be clean and in good repair with unobstructed walkways and exits. All required notices were posted, food storage and kitchen conditions met regulations, safety equipment such as fire extinguishers, smoke detectors, and carbon monoxide detectors were functional, and medication was securely stored. No citations were issued during this visit.
Employees Mentioned
Name
Title
Context
Larona Farnum
Executive Director
Met with Licensing Program Analyst during the inspection.
An unannounced complaint investigation visit was conducted in response to an allegation of neglect/lack of supervision resulting in resident death.
Findings
The investigation found that resident R1 was not on special observation, did not require one-on-one care, and had access to the facility pendant system. Staff followed regulations and notified emergency personnel immediately upon discovering R1 unresponsive. The allegations were unsubstantiated due to lack of preponderance of evidence, and no citations were issued.
Complaint Details
The complaint was unsubstantiated as there was insufficient evidence to prove the alleged neglect or lack of supervision resulting in resident death.
Report Facts
Capacity: 75Census: 57
Employees Mentioned
Name
Title
Context
Christopher Arnhold
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Larona Farnum
Executive Director
Met with Licensing Program Analyst during investigation
The visit was an unannounced case management inspection conducted in response to a death report submitted by the facility on 2022-09-21.
Findings
The facility staff responded appropriately to the resident's breathing issues by contacting emergency medical personnel and ensuring timely hospital admission. The resident later passed away. The facility provided needed services and medical attention in a timely manner. No citations were issued.
Complaint Details
The visit was triggered by a death report complaint. The investigation found no deficiencies or citations related to the complaint.
Report Facts
Capacity: 75Census: 57
Employees Mentioned
Name
Title
Context
Larona Farnum
Administrator
Met with Licensing Program Analyst during the inspection
An unannounced complaint investigation was conducted in response to allegations including personal rights violations, failure to provide medical information to a resident's authorized representative, and unlawful eviction.
Findings
The investigation found no violations of residents' personal rights or unlawful eviction. The facility did not release medical information due to lack of authorization documentation. The allegations were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was unsubstantiated. There was no preponderance of evidence to prove the alleged violations occurred. No citations were issued.
The visit was an unannounced case management visit conducted in response to an incident report submitted to the Community Care Licensing on 01/07/2022 regarding a resident found unresponsive and deceased.
Findings
The Licensing Program Analyst found that resident R1 was found slumped over and unresponsive in their room, emergency personnel were called and pronounced the resident deceased. An investigation by the Humboldt County Sheriff's department is ongoing. No citations were issued during this visit.
Employees Mentioned
Name
Title
Context
Larona Farnum
Licensee
Met with Licensing Program Analyst during the case management visit
An unannounced annual required infection control inspection was conducted to evaluate the facility's infection control procedures and practices.
Findings
The facility was found to be clean and well-maintained with proper infection control measures in place, including PPE supplies and a Covid Mitigation plan. However, medication carts were observed unlocked and unattended, posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Medication carts were unlocked with no staff present, posing an immediate health, safety or personal rights risk to persons in care.
Type A
Report Facts
Medication carts unlocked: 2
Employees Mentioned
Name
Title
Context
Winifred Mereb
Administrator
Met with Licensing Program Analyst during inspection.
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff did not seek timely medical care for a resident in care.
Findings
The investigation found the complaint to be unfounded. The resident was found unresponsive on the bathroom floor, emergency personnel were contacted immediately, Hospice was notified, and the resident was pronounced deceased at the facility. The facility followed regulations and notified all responsible parties as required.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegation was false, could not have happened, or was without a reasonable basis.
The visit was conducted as a complaint investigation regarding the facility's failure to submit a written death report for a resident who died on 09/29/2021.
Findings
The Licensing Program Analyst found that the facility did not submit the required written death report for the resident's death, although telephone notification and a written incident report were completed. The facility submitted the special incident report and death report during the visit, and training was requested for staff responsible for reporting.
Complaint Details
The investigation was triggered by a complaint regarding failure to submit a written death report. The deficiency was substantiated as the facility did not submit the required report by the time of the visit.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to submit a written report for a resident's death that occurred on 09/29/2021, posing a potential health, safety, or personal rights risk to residents.
Type B
Report Facts
Plan of Correction due date: Nov 19, 2021
Employees Mentioned
Name
Title
Context
Christopher Arnhold
Licensing Program Analyst
Conducted the complaint investigation and authored the report
An unannounced complaint investigation was conducted following a complaint received on 2021-02-25 regarding multiple allegations including neglect resulting in resident's death, failure to assist with eating/drinking, hygiene needs, facility cleanliness, and medication dispensing.
Findings
Based on interviews, record reviews, and a physical tour, the facility was found to have followed regulations and care plans, maintained cleanliness, and addressed resident needs appropriately. The allegations were determined to be unsubstantiated or unfounded with no citations issued.
Complaint Details
The complaint investigation was unannounced and addressed multiple allegations including neglect, failure to assist residents with eating/drinking and hygiene, facility cleanliness, and medication administration. The investigation found the allegations unsubstantiated or unfounded, meaning there was insufficient evidence to prove violations. No citations were issued.
Report Facts
Facility capacity: 75Resident census: 50
Employees Mentioned
Name
Title
Context
Christopher Arnhold
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Larona Farnum
Executive Director
Met with Licensing Program Analyst during investigation
Erica Farnum
Administrator
Named in facility information
Bethany Moellers
Licensing Program Manager
Oversaw the complaint investigation
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