Inspection Reports for
Timber Ridge at McKinleyville
1400 Nursery Way, McKinleyville, CA 95519, United States, CA, 95519
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
61% occupied
Based on a July 2025 inspection.
Occupancy over time
Inspection Report
Annual Inspection
Census: 66
Capacity: 108
Deficiencies: 0
Date: Jul 22, 2025
Visit Reason
The inspection was an unannounced Required-1 Year annual inspection to evaluate the health and safety compliance of the facility.
Findings
No deficiencies or citations were observed or issued during the inspection. The facility was found to be clean, well-maintained, and compliant with health, safety, and licensing requirements. Staff files and resident records were complete and up to date.
Report Facts
Hospice waiver residents: 11
Resident files reviewed: 10
Staff files reviewed: 7
Emergency drill frequency: 3
Food supply duration: 7
Food supply duration: 2
Emergency self-sufficiency duration: 72
Inspection start time: 800
Inspection end time: 1215
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection and authored the report |
| Valli Lunsford | Front Desk Manager | Met with Licensing Program Analyst during inspection |
| David Uballez | Administrator | Facility Administrator mentioned in report |
| Kimberley Mota | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Annual Inspection
Census: 66
Capacity: 108
Deficiencies: 0
Date: Jul 22, 2025
Visit Reason
The inspection was an unannounced Required-1 Year annual inspection to evaluate the health and safety compliance of the facility.
Findings
No deficiencies or citations were observed or issued during the inspection. The facility was found to be clean, well-maintained, and compliant with health, safety, and licensing requirements. Resident and staff files contained required documentation, and emergency preparedness measures were in place.
Report Facts
Hospice waiver residents: 11
Resident files reviewed: 10
Staff files reviewed: 7
Food supply duration: 7
Food supply duration: 2
Emergency self-sufficiency duration: 72
Correction submission timeframe: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Named as facility administrator with current certificate |
| Valli Lunsford | Front Desk Manager | Met with Licensing Program Analyst during inspection |
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 108
Deficiencies: 0
Date: May 12, 2025
Visit Reason
An unannounced complaint investigation was conducted based on allegations received on 2025-05-08 regarding staff allowing residents to be soiled, lack of privacy during showering, staff behavior posing risks, and staff stealing from residents.
Complaint Details
The complaint was unsubstantiated as no evidence was found to support the allegations of residents being left soiled, privacy violations during showering, risky staff behavior, or staff stealing from residents.
Findings
The investigation found no evidence to support the allegations after reviewing records and interviewing residents and staff. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 108
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Hall | Met with Licensing Program Analyst during investigation | |
| David Uballez | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 108
Deficiencies: 0
Date: May 12, 2025
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-04-22 regarding alleged violations of residents' personal rights at the facility.
Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violation of personal rights occurred.
Findings
The investigation found no evidence to support the allegations that residents' personal rights were violated. Staff response times to pendant calls averaged 5 minutes or less, and interviews did not support claims that staff removed or restricted access to residents' pendants. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 108
Census: 69
Staff response time: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Hall | Facility Administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 108
Deficiencies: 0
Date: May 12, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2025-05-08 regarding staff allowing residents to be soiled, lack of privacy during showering, staff behavior posing risks, and staff stealing from residents.
Complaint Details
The complaint investigation was unsubstantiated as no evidence was found to prove the alleged violations occurred.
Findings
The investigation found no evidence to support the allegations after reviewing records and interviewing residents and staff. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 108
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Hall | Administrator | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 108
Deficiencies: 0
Date: May 12, 2025
Visit Reason
An unannounced investigation was conducted in response to a complaint received on 2025-04-22 regarding alleged violations of residents' personal rights at the facility.
Complaint Details
The complaint alleged violations of personal rights. The investigation was unannounced and included record reviews and staff interviews. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found no evidence to support the allegation that residents' personal rights were violated. Staff response times to pendant calls averaged 5 minutes or less, and interviews did not support claims that staff removed or restricted access to residents' pendants. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 108
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Hall | Facility representative met during investigation | |
| David Uballez | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 108
Deficiencies: 0
Date: Apr 28, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation of sexual abuse received on 2025-04-14.
Complaint Details
The allegation of sexual abuse was investigated and found to be unsubstantiated due to lack of evidence.
Findings
The investigation found no evidence to support the allegation of sexual abuse. Interviews and record reviews, including those by the Humboldt County Sheriff's Department, did not substantiate the claim, and no injuries or indications of abuse were found.
Report Facts
Capacity: 108
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Hall | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 108
Deficiencies: 0
Date: Apr 28, 2025
Visit Reason
An unannounced investigation was conducted in response to a complaint alleging sexual abuse at the facility.
Complaint Details
The complaint alleged sexual abuse. The investigation was unsubstantiated as no evidence was found to support the allegation.
Findings
The investigation found no evidence to support the allegation of sexual abuse. Interviews and record reviews indicated the allegation was unsubstantiated, with no indication of injury or abuse found.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation. |
| Jennifer Hall | Facility representative met during investigation. | |
| David Uballez | Administrator | Named as facility administrator. |
| Kimberley Mota | Licensing Program Manager | Named in report. |
Inspection Report
Complaint Investigation
Capacity: 108
Deficiencies: 0
Date: Dec 24, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff mismanaged a resident's medications.
Complaint Details
The complaint alleged staff mismanaged resident's medications. The allegation was unsubstantiated after investigation.
Findings
The investigation found that a medication technician gave medication from the wrong resident's package but corrected the error and no medications were missing. The technician was removed from medication duties for not following facility policies. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during investigation. |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation. |
Inspection Report
Complaint Investigation
Capacity: 108
Deficiencies: 0
Date: Dec 24, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff mismanaged a resident's medications.
Complaint Details
The complaint alleged staff mismanaged resident's medications. The allegation was found to be unsubstantiated after investigation.
Findings
The investigation found that a medication technician gave medication from the wrong resident's package but corrected the error by transferring the correct medication and securing the package. The technician was removed from medication duties for not following facility policies. The allegation was unsubstantiated due to insufficient evidence.
Report Facts
Facility capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during investigation |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 108
Deficiencies: 1
Date: Oct 9, 2024
Visit Reason
An unannounced complaint investigation was conducted following an allegation that staff mismanaged a resident's medication.
Complaint Details
The complaint was substantiated based on evidence that staff mismanaged resident medication by administering more than prescribed and mishandling medication packaging.
Findings
The investigation found evidence that staff gave a resident more medication than prescribed and made errors by removing excess medication from bubble packs and attempting to reseal them with tape. No medication was misplaced or missing. The allegation was substantiated.
Deficiencies (1)
Licensee did not ensure resident received medications as ordered, posing an immediate health risk to persons in care.
Report Facts
Deficiencies cited: 1
Capacity: 108
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during investigation and was involved in review of findings |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 108
Deficiencies: 1
Date: Oct 9, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff mismanaged a resident's medication.
Complaint Details
The complaint was substantiated based on evidence that staff mismanaged resident medication by giving more than prescribed and mishandling medication bubble packs.
Findings
The investigation found evidence that staff gave a resident more medication than prescribed and made errors by removing more medication from bubble packs than needed, then attempting to reseal them with tape. No medication was misplaced or missing. The allegation was substantiated.
Deficiencies (1)
Licensee did not ensure resident received medications as ordered, posing an immediate health risk to persons in care.
Report Facts
Capacity: 108
Census: 73
Deficiencies cited: 1
Plan of Correction Due Date: Oct 10, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during investigation and discussed findings |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 108
Deficiencies: 1
Date: Aug 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations that the facility failed to meet residents' care needs and failed to seek timely medical attention.
Complaint Details
The complaint investigation was triggered by allegations that the facility failed to meet residents' care needs and failed to seek timely medical attention. The allegation regarding failure to meet care needs was substantiated, while the allegation regarding timely medical attention was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation substantiated that the facility failed to meet residents' medical needs, specifically regarding proper documentation and timely medical care for a resident with a skin tear injury. One allegation was substantiated, and another was unsubstantiated due to insufficient evidence.
Deficiencies (1)
Licensee did not ensure residents medical needs were met, posing an immediate health risk to residents in care.
Report Facts
Capacity: 108
Census: 80
Plan of Correction Due Date: Aug 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during investigation and discussed findings |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 108
Deficiencies: 1
Date: Aug 20, 2024
Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 2024-06-25 alleging the facility failed to meet residents' care needs and failed to seek timely medical attention.
Complaint Details
The complaint investigation was substantiated regarding failure to meet resident's care needs and failure to seek timely medical attention. The resident (R1) suffered a skin tear on 06/17/2024, and care documentation and physician notification were lacking. On 06/22/2024, the resident's injury worsened, requiring emergency personnel and hospital admission.
Findings
The investigation found that the facility failed to document care provided to a resident with a skin tear injury and did not ensure timely medical attention, resulting in an immediate health risk. The allegation was substantiated based on the preponderance of evidence.
Deficiencies (1)
Licensee did not ensure residents' medical needs were met, posing an immediate health risk to residents in care.
Report Facts
Capacity: 108
Census: 80
Deficiencies cited: 1
Plan of Correction Due Date: Aug 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during investigation and discussed findings |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 73
Capacity: 108
Deficiencies: 0
Date: Jul 17, 2024
Visit Reason
The inspection visit was an unannounced annual case management continuation inspection to complete the Required-1 Year inspection started on 07/02/2024.
Findings
No deficiencies were observed in the areas inspected, and no citations were issued during the visit. Resident and staff files were reviewed and found to be current and compliant.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during inspection. |
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection visit. |
| Bethany Moellers | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 73
Capacity: 108
Deficiencies: 0
Date: Jul 17, 2024
Visit Reason
The inspection was an unannounced Required-1 Year annual inspection to evaluate compliance and licensing requirements at the facility.
Findings
No deficiencies were observed during the inspection, and no citations were issued. Resident and staff files were reviewed and found to be current and compliant with required documentation and training.
Report Facts
Resident files reviewed: 10
Staff files reviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during inspection |
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection visit |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 73
Capacity: 108
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
The inspection was an unannounced Required-1 Year inspection to ensure the health and safety of residents in care at the facility.
Findings
No immediate health, safety, or personal rights violations were observed. The facility was clean, well-maintained, and compliant with requirements including proper food storage, emergency preparedness, and operational safety equipment. No citations were issued during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during inspection and noted as facility administrator. |
| Christopher Arnhold | Licensing Program Analyst | Conducted the Required-1 Year inspection. |
| Bethany Moellers | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 73
Capacity: 108
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
The visit was an unannounced Required-1 Year inspection to evaluate the health and safety conditions of the facility and ensure compliance with regulatory standards.
Findings
No immediate health, safety, or personal rights violations were observed. The facility was clean, well-maintained, and properly equipped with required safety devices and supplies. No citations were issued during the visit.
Report Facts
Capacity: 108
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during inspection |
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection visit |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 108
Deficiencies: 1
Date: Dec 19, 2023
Visit Reason
The visit was conducted due to a report of medication bubble packs being tampered with, specifically involving substitution of Oxycodone 5mg with Quetiapine in medication cards for multiple residents.
Complaint Details
The complaint involved tampering with medication bubble packs where Oxycodone 5mg was replaced with Quetiapine. The incident is under investigation by the Humboldt County Sheriff's Department.
Findings
The investigation found that medication cards for 10 residents were tampered with, with Oxycodone replaced by Quetiapine. Additionally, an unsecured medication cart was observed posing an immediate risk to residents.
Deficiencies (1)
Medication cart was unsecured with no staff supervision, posing an immediate risk to residents.
Report Facts
Residents with tampered medication cards: 10
Residents present near medication cart: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the case management visit and observed deficiencies |
| Larona Farnum | Facility staff met during the visit and reviewed the report | |
| Bethany Moellers | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 108
Deficiencies: 1
Date: Dec 19, 2023
Visit Reason
The visit was conducted due to a report of medication bubble packs being tampered with, specifically involving substitution of Oxycodone 5mg with Quetiapine in medication cards for multiple residents.
Complaint Details
The complaint involved tampering with medication bubble packs where Oxycodone 5mg was replaced with Quetiapine. The incident is under investigation by the Humboldt County Sheriff's Department.
Findings
The investigation found that medication cards for 10 residents were tampered with, with Oxycodone replaced by Quetiapine. Additionally, a medication cart was found unsecured and unattended with medication present, posing an immediate risk to residents.
Deficiencies (1)
Centrally stored medication was unsecured with no staff supervision, posing an immediate risk to residents in care.
Report Facts
Residents with tampered medication cards: 10
Residents present during observation of unsecured medication cart: 16
Plan of Correction due date: Jan 22, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Larona Farnum | Facility staff met during the visit and reviewed the report findings | |
| Bethany Moellers | Licensing Program Manager | Supervisor named in the report and responsible for oversight |
Inspection Report
Census: 81
Capacity: 108
Deficiencies: 0
Date: Oct 31, 2023
Visit Reason
The visit was an unannounced case management visit conducted in response to two unexpected resident deaths at the facility.
Findings
The facility was found to have appropriately updated care plans and conducted safety checks for residents in decline. Emergency personnel were contacted promptly in both cases, and all required notifications were made. No citations were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during the case management visit and involved in review of records related to resident deaths. |
| Christopher Arnhold | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Bethany Moellers | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Census: 81
Capacity: 108
Deficiencies: 0
Date: Oct 31, 2023
Visit Reason
The visit was an unannounced case management visit conducted in response to two unexpected deaths that occurred at the facility.
Findings
The Licensing Program Analyst reviewed records and found that the facility had updated care plans and conducted safety checks for one resident who declined and later was found unresponsive. The facility appropriately contacted emergency personnel and made all required notifications. No citations were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during the case management visit and involved in review of records related to unexpected resident deaths. |
| Christopher Arnhold | Licensing Program Analyst | Conducted the unannounced case management visit and reviewed facility records. |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Capacity: 108
Deficiencies: 1
Date: Aug 3, 2023
Visit Reason
An unannounced complaint investigation was conducted following an allegation that staff entered a resident's room and went through the resident's personal belongings without permission.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. The allegation involved staff searching a resident's personal belongings without permission.
Findings
The investigation found that a staff member did search through a resident's belongings while the responsible party was out of the room. The resident's family did not find anything missing. The facility conducted an internal investigation resulting in termination of the staff member. The allegation was substantiated based on interviews and video evidence.
Deficiencies (1)
Licensee did not ensure resident was granted privacy in their belongings, violating enumerated rights under HSC 1569.269(a)(2). This poses an immediate personal rights risk to residents in care.
Report Facts
Facility capacity: 108
Plan of Correction due date: Aug 4, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Evaluator | Conducted the complaint investigation |
| David Uballez | Administrator | Facility administrator met during investigation and named in report |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 108
Deficiencies: 1
Date: Aug 3, 2023
Visit Reason
Unannounced visit/investigation of a complaint received on 07/20/2023 regarding staff entering a resident's room and searching through personal belongings.
Complaint Details
The complaint was substantiated based on interviews and video evidence showing staff searched resident's belongings without permission. The facility conducted an internal investigation resulting in termination of the staff member.
Findings
Investigation found that a staff member searched through a resident's belongings without permission, substantiating the allegation. The resident's family did not find anything missing, and the staff member was terminated following an internal investigation.
Deficiencies (1)
Failure to ensure resident was granted privacy in their belongings, posing an immediate personal rights risk to residents in care.
Report Facts
Capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Administrator | Met with Licensing Program Analyst during investigation and discussed findings |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 78
Capacity: 108
Deficiencies: 1
Date: Jun 6, 2023
Visit Reason
An unannounced annual required inspection of the licensed senior care facility was conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility was found to be clean, well-maintained, and in good repair with proper safety measures in place. However, 6 of 7 staff records reviewed did not contain documentation of completed required training hours, posing a potential health and safety risk.
Deficiencies (1)
Licensee did not comply with training requirements in 6 of 7 staff records; records did not indicate staff received the required number of hours including dementia care and other specific trainings.
Report Facts
Staff records reviewed: 7
Staff records non-compliant: 6
Resident records reviewed: 5
Resident records compliant: 5
Capacity: 108
Census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during inspection and discussed training requirements |
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bethany Moellers | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 78
Capacity: 108
Deficiencies: 1
Date: Jun 6, 2023
Visit Reason
An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations at the senior care facility.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and food storage regulations. However, 6 of 7 staff records lacked documentation of required training hours, posing a potential health and safety risk.
Deficiencies (1)
Licensee did not comply with training requirements in 6 of 7 staff records; records did not indicate staff received the required number of training hours including dementia care and other specified training.
Report Facts
Staff records non-compliance: 6
Staff records reviewed: 7
Resident records reviewed: 5
Census: 78
Total capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during inspection and discussed training requirements |
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bethany Moellers | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 108
Deficiencies: 0
Date: Mar 21, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that facility staff were not answering phones in a timely manner and that the facility did not communicate to authorized representatives about changes in resident medical conditions.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that telephone calls after hours are managed by medication technicians, caregivers, or managers on duty, with voicemail as a backup. The facility notifies responsible parties immediately in emergencies and as needed for minor changes. There was insufficient evidence to substantiate the allegations, and no citations were issued.
Report Facts
Capacity: 108
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during investigation |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 108
Deficiencies: 0
Date: Mar 21, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that facility staff were not answering phones in a timely manner and that the facility did not communicate to authorized representatives about changes in resident medical conditions.
Complaint Details
The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that phone calls after hours are handled by medication technicians, caregivers, or managers on duty, with voicemail as a backup. Responsible parties are notified immediately in emergencies and as needed for minor changes. There was insufficient evidence to substantiate the allegations, and no citations were issued.
Report Facts
Capacity: 108
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during investigation |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 108
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was not following appropriate COVID protocols.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The Licensing Program Analyst conducted interviews and document reviews and found no evidence to support the allegation. The complaint was determined to be unsubstantiated and no citations were issued.
Report Facts
Capacity: 108
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during investigation |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 108
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was not following appropriate COVID protocols.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found no supporting evidence to substantiate the allegation. Staff were instructed to stay home if ill, and interviews with all staff present did not support the complaint. The allegation was determined to be unsubstantiated and no citations were issued.
Report Facts
Capacity: 108
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Uballez | Executive Director | Met with Licensing Program Analyst during investigation |
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Capacity: 108
Deficiencies: 0
Date: Aug 4, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-06-30 regarding inadequate staffing, personal rights violations, and medication administration issues at the facility.
Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.
Findings
The Licensing Program Analyst found no evidence to substantiate the allegations. Staffing levels and training were adequate, residents' needs were met, meals and medications were administered according to physician orders, and no incidents of medication errors were documented. The allegations were determined to be unsubstantiated and no citations were issued.
Report Facts
Facility capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| David Uballez | Facility administrator met with during the investigation | |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
| Larona Farnum | Administrator | Facility administrator listed in the report |
Inspection Report
Complaint Investigation
Capacity: 108
Deficiencies: 0
Date: Aug 4, 2022
Visit Reason
An unannounced complaint investigation was conducted following allegations received on 06/30/2022 regarding inadequate staffing, personal rights violations, and medication administration issues at the facility.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence proving the alleged violations occurred.
Findings
The investigation found no evidence to substantiate the allegations. Staffing levels and training were adequate, residents' needs were met, and medication was administered as prescribed. No citations were issued.
Report Facts
Facility capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Oversaw the complaint investigation |
| David Uballez | Facility Administrator met during investigation |
Inspection Report
Annual Inspection
Census: 72
Capacity: 108
Deficiencies: 0
Date: May 26, 2022
Visit Reason
The inspection was an unannounced annual required infection control inspection focusing on the Infection Control procedures and practices of the facility.
Findings
The facility was found to be clean, with proper infection control measures in place including PPE supplies, approved Covid Mitigation plan, and secure medication storage. No deficiencies or citations were found during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larona Farnum | Administrator | Met with Licensing Program Analyst during inspection |
| Christopher Arnhold | Licensing Program Analyst | Conducted the inspection |
| Bethany Moellers | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 108
Deficiencies: 0
Date: May 26, 2022
Visit Reason
Unannounced visit/investigation of a complaint received on 2022-04-05 regarding allegations of unexplained resident injury, failure to report injury, and rough handling by staff.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that the resident's injury was due to a witnessed fall and was properly reported with an unusual incident report. There was no evidence supporting rough handling by staff. The allegations were unsubstantiated and no citations were issued.
Report Facts
Complaint Control Number: 21
Capacity: 108
Census: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Larona Farnum | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Annual Inspection
Census: 72
Capacity: 108
Deficiencies: 0
Date: May 26, 2022
Visit Reason
Unannounced annual required infection control inspection focusing on the Infection Control procedures and practices of the facility.
Findings
The facility was found to be clean, with proper temperature and unobstructed exits. Infection control measures including PPE supplies, Covid Mitigation plan approval, and medication security were in place. No deficiencies or citations were found during the inspection.
Report Facts
Medication supply: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larona Farnum | Administrator | Met with Licensing Program Analyst during inspection. |
| Christopher Arnhold | Licensing Program Analyst | Conducted the annual infection control inspection. |
| Bethany Moellers | Licensing Program Manager | Named in report header. |
Inspection Report
Annual Inspection
Census: 64
Capacity: 108
Deficiencies: 0
Date: Jun 16, 2021
Visit Reason
An unannounced Annual Required inspection was conducted focusing on the Infection Control procedures and practices of the facility.
Findings
The facility was found to be clean, with all safety equipment operational and food storage compliant with regulations. No deficiencies or citations were found during the inspection.
Report Facts
Capacity: 108
Census: 64
Medication supply: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Beck | Director of Care Services | Met with Licensing Program Analysts during inspection |
| Shannan Hansen | Licensing Program Analyst | Conducted the inspection |
| Chris Arnhold | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 64
Capacity: 108
Deficiencies: 0
Date: Jun 16, 2021
Visit Reason
An unannounced annual required inspection was conducted focusing on the Infection Control procedures and practices of the facility.
Findings
The facility was found to be clean, with all safety equipment operational and food storage compliant. PPE supplies and COVID mitigation plans were in place. No deficiencies or citations were found during the inspection.
Report Facts
Medication supply: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Beck | Director of Care Services | Met with Licensing Program Analysts during inspection |
| Shannan Hansen | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 108
Deficiencies: 0
Date: Apr 16, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not safeguard a resident's personal property and did not prevent residents from engaging in a physical altercation.
Complaint Details
The complaint was unsubstantiated. Although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations did or did not occur.
Findings
Based on interviews and record reviews, the facility followed regulations regarding resident property and prevention of resident assaults. There was no evidence to substantiate the allegations, and no citations were issued.
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 the investigation. |
| David Uballez | Administrator | Named as facility administrator in the report. |
| Bethany Moellers | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 108
Deficiencies: 0
Date: Apr 16, 2021
Visit Reason
Unannounced complaint investigation visit conducted due to allegations that facility staff did not safeguard resident's personal property and did not prevent residents from engaging in a physical altercation.
Complaint Details
The complaint investigation was unsubstantiated. Although the allegations may have happened or are valid, there was not sufficient evidence to prove the alleged violations did or did not occur.
Findings
Based on interviews and record reviews, the facility followed regulations regarding resident property and prevention of resident assaults. There was no preponderance of evidence to substantiate the allegations, which were therefore deemed unsubstantiated. No citations were issued.
Report Facts
Capacity: 108
Census: 75
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 the investigation |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 108
Deficiencies: 0
Date: Mar 4, 2021
Visit Reason
This visit was an unannounced complaint investigation conducted due to allegations that staff were not seeking proper medical attention for residents and were mishandling residents' medications.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to seek proper medical attention and mishandling of medications, but evidence did not prove violations occurred.
Findings
The investigation found that the facility conducts assessments for residents who suffer injuries or report feeling unwell, follows emergency protocols, and staff adhere to physician orders and document correctly. The allegations were unsubstantiated due to lack of preponderance of evidence, and no citations were issued.
Report Facts
Facility capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Larona Farnum | Executive Director met with during the investigation | |
| David Uballez | Administrator | Facility administrator named in the report |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report |
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