Inspection Reports for
University Retirement Community
1515 Shasta Dr, Davis, CA 95616, United States, CA, 95616
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
10% occupied
Based on a January 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 50
Capacity: 500
Deficiencies: 0
Date: Jan 12, 2026
Visit Reason
Licensing Program Analyst Jill Nakagawa conducted an unannounced annual inspection of University Retirement Community at Davis, a Continuing Care Retirement Community (CCRC) licensed for 500 residents.
Findings
The facility was toured including Assisted Living, Memory Care, common areas, kitchen, and other amenities. Apartments and common areas were found clean, well-maintained, and appropriately furnished. The kitchen was clean and sanitary with proper food storage. Fire safety systems were inspected and found compliant. Resident and staff files were complete. No deficiencies or citations were found at the time of inspection.
Report Facts
Residents in Assisted Living: 39
Residents in Memory Care: 11
Residents in Independent Living: 265
Fire extinguisher service date: Feb 27, 2025
Fire drill date: Dec 7, 2025
Fire sprinkler system inspection date: 202509
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Rodriguez-Meza | RCFE Manager | Met with Licensing Program Analyst during inspection and exit interview |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 500
Deficiencies: 1
Date: Sep 26, 2025
Visit Reason
The visit was an unannounced Case Management - Incident inspection to follow up on a self-reported incident involving a resident who left the facility unattended.
Complaint Details
The visit was complaint-related, following a self-reported incident where Resident 1 left the facility unattended on 07/13/2025. The resident was found off campus by a bystander and returned to the facility. The resident's physician initially stated the resident could not leave unattended but was later reassessed to allow leaving unattended. Staff were unaware of the restriction at the time of the incident.
Findings
The facility failed to provide adequate supervision to Resident 1, resulting in the resident leaving the facility unattended, which posed an immediate risk to the resident's health, safety, and rights. The resident's supervision status was not properly communicated to staff.
Deficiencies (1)
Facility did not provide supervision to Resident 1 resulting in an elopement, posing an immediate risk to health, safety, and rights of resident in care.
Report Facts
Deficiency count: 1
Plan of Correction due date: Sep 29, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection. |
| Jill Nakagawa | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 500
Deficiencies: 0
Date: Sep 26, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not have running water and staff were not providing residents with water.
Complaint Details
The complaint alleged lack of running water and staff not providing water to residents. After interviews, observations, and investigation, the allegations were found to be unsubstantiated with no deficiencies cited.
Findings
The investigation found that the allegations were unsubstantiated. The facility experienced a water main break affecting the Independent Living units with low water pressure, but the Assisted Living and Memory Care units had water access. Bottled water was provided to residents during repairs, and no deficiencies were cited.
Report Facts
Capacity: 500
Census: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maria Burton | Administrator | Facility administrator met with Licensing Program Analyst during investigation |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Alika Cassilla | Executive Director | Reported that bottled water was provided to residents and communicated updates |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 500
Deficiencies: 1
Date: Sep 26, 2025
Visit Reason
The visit was an unannounced Case Management - Incident Visit to follow up on a self-reported incident where a resident left the facility unattended, which was reported to Community Care Licensing.
Complaint Details
The visit was complaint-related, following a self-reported incident where Resident 1 left the facility unattended on 07/13/2025 and was found by a bystander. The resident's physician initially stated the resident could not leave unattended, but was later reassessed to allow leaving unattended. Staff were unaware of the restriction, leading to the incident.
Findings
The facility failed to provide adequate supervision to Resident 1, resulting in the resident leaving the facility unattended, which posed an immediate risk to the health, safety, and rights of the resident. The deficiency was cited under California Code of Regulations 87411(a) for insufficient and incompetent personnel to meet resident needs.
Deficiencies (1)
Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Facility did not provide supervision to Resident 1 resulting in an elopement.
Report Facts
Census: 52
Total Capacity: 500
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection and named in relation to findings |
| Jill Nakagawa | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 500
Deficiencies: 0
Date: Sep 26, 2025
Visit Reason
The visit was an unannounced complaint investigation regarding allegations that the facility did not have running water and staff were not providing residents with water.
Complaint Details
The complaint alleged lack of running water and staff not providing water to residents. After interviews, observations, and investigation, the allegations were found to be unsubstantiated.
Findings
The investigation found that the allegations were unsubstantiated. The facility experienced a water main break affecting the Independent Living portion, but the Assisted Living and Memory Care units had water. Bottled water was provided to residents during repairs, and no deficiencies were cited.
Report Facts
Capacity: 500
Census: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maria Burton | Administrator | Met with Licensing Program Analyst to discuss findings |
| Alika Cassilla | Executive Director | Reported on bottled water provision and communication to residents during water repairs |
Inspection Report
Routine
Census: 36
Deficiencies: 7
Date: Sep 19, 2025
Visit Reason
Routine inspection of University Retirement Community at Davis to assess compliance with healthcare regulations and resident care standards.
Findings
The facility had multiple deficiencies including failure to maintain resident dignity and privacy, incomplete documentation of residents' treatment decisions, inadequate management of unplanned weight loss, unsafe medication storage, improper food storage and labeling, lapses in infection prevention and control, and non-functional or inaccessible call light systems.
Deficiencies (7)
F 0550: The facility failed to ensure Resident 40's urinary catheter drainage bag was fully covered in the dining room, compromising dignity and privacy.
F 0578: Resident 2's electronic medical record did not reflect code status or physician orders, risking inappropriate emergency response.
F 0692: Resident 32's unplanned weight loss was not assessed or managed, lacking re-weigh and change of condition documentation.
F 0761: Medications were improperly stored including unlabeled medication at bedside, discontinued controlled meds in cart, and expired meds in medication room.
F 0812: Food items in refrigerator were uncovered and potentially hazardous foods had inaccurate labeling, risking foodborne illness.
F 0880: Infection prevention failures included improper storage of CPAP supplies, inconsistent transmission-based precautions, dirty linens on laundry room floor, and unreported positive Legionella test results.
F 0919: Resident 25's call light was under the bed and not within reach; Resident 23's shower call device lacked a pull string, risking inability to summon help.
Report Facts
Residents sampled: 17
Facility census: 36
Weight loss: 7.8
Expired vitamin bottles: 2
Expired medications: 1
Legionella positive samples: 2
Legionella CFU/mL: 6
Legionella CFU/mL: 5
Inspection Report
Complaint Investigation
Census: 47
Capacity: 500
Deficiencies: 0
Date: Mar 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-01-31 regarding inadequate hygiene supplies and failure to follow infection control practices at the facility.
Complaint Details
The complaint alleged that staff did not ensure residents had adequate hygiene supplies and did not follow infection control practices. After inspection and interviews, these allegations were found unsubstantiated.
Findings
The investigation found that all staff interviewed confirmed adequate hygiene supplies were available and infection control protocols were followed. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Staff interviewed: 9
Apartments inspected: 6
Apartments inspected: 3
Residents interviewed: 3
Staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Maria Burton | Administrator | Facility administrator met during inspection |
| Kimberley Mota | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Enforcement
Census: 47
Capacity: 500
Deficiencies: 1
Date: Mar 28, 2025
Visit Reason
Unannounced Case Management visit to follow up on a self-reported incident submitted on June 14, 2024, involving serious bodily injury to a resident.
Findings
The Department determined that a civil penalty is warranted due to serious bodily injury resulting from lack of supervision on June 11, 2024, when a resident was found injured outside the facility requiring hospitalization. A $10,000 civil penalty was issued.
Deficiencies (1)
Lack of supervision resulting in serious bodily injury to a resident found outside the facility with a pelvic fracture requiring hospitalization.
Report Facts
Civil penalty amount: 10000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Maria Burton | Administrator | Facility Administrator met during the visit and named in the report |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 500
Deficiencies: 0
Date: Mar 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff do not ensure residents have adequate hygiene supplies and do not follow infection control practices.
Complaint Details
The complaint alleged inadequate hygiene supplies for residents and failure to follow infection control practices. The investigation was unsubstantiated as evidence showed adequate supplies and adherence to infection control protocols.
Findings
The investigation found that all staff interviewed confirmed adequate hygiene supplies were available and infection control protocols were followed. Inspections of storage areas and resident apartments confirmed adequate supplies and proper infection control measures. Both allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Staff interviewed: 9
Apartments inspected: 6
Apartments inspected: 3
Staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Maria Burton | Administrator | Facility administrator met during inspection |
| Kimberley Mota | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 20, 2025
Visit Reason
The inspection was conducted following a complaint related to a resident fall incident involving inadequate supervision in the bathroom, which resulted in injury.
Complaint Details
The investigation was triggered by a complaint regarding Resident 1's fall on 03/04/2025 in the bathroom due to lack of supervision. The complaint was substantiated based on interviews and record reviews confirming the resident's need for constant supervision and the failure of staff to provide it.
Findings
The facility failed to provide adequate supervision for Resident 1, who was left unattended in the bathroom and subsequently fell, resulting in a right hip fracture. Multiple staff and family interviews confirmed the resident required constant supervision due to cognitive impairment and fall risk.
Deficiencies (1)
F 0689: The facility failed to ensure the nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents. Resident 1 was left unattended in the bathroom, leading to a fall and right hip fracture.
Report Facts
Resident age: 98
Date of fall: Mar 4, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 1 | Certified Nursing Assistant | Left Resident 1 unattended in bathroom, leading to fall |
| Director of Nursing | Director of Nursing | Stated CNAs should not leave confused residents alone in bathroom |
| Administrator | Administrator | Acknowledged Resident 1 was not oriented and should not have been left alone |
| Certified Nursing Assistant 2 | Certified Nursing Assistant | Stated Resident 1 needs supervision and should not be left alone on toilet |
| Licensed Nurse 1 | Licensed Nurse | Confirmed Resident 1 was unsupervised at time of fall |
| Occupational Therapist | Occupational Therapist | Stated Resident 1 needs a lot of supervision for activities of daily living |
| Social Services Coordinator | Social Services Coordinator | Stated Resident 1 is not safe to be left alone in bathroom |
| Activities Director | Activities Director | Confirmed Resident 1 needed assistance with all activities |
| Physical Therapy Rehab Director | Physical Therapy Rehab Director | Stated Resident 1 needed supervision at all times during toileting and activities |
| MDS Coordinator | MDS Coordinator | Stated Resident 1 was confused and needed supervision |
Inspection Report
Annual Inspection
Census: 48
Capacity: 500
Deficiencies: 0
Date: Dec 10, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance at University Retirement Community at Davis, a Continuing Care Retirement Community (CCRC).
Findings
The facility was found to be clean, well-maintained, and in compliance with regulations. No deficiencies or citations were issued. The facility has approved plans for dementia care and infection control, and all safety systems and drills were up to date.
Report Facts
Residents in Assisted Living: 35
Residents in Memory Care: 13
Residents in Independent Living: 260
Fire Sprinkler Inspection Date: Jun 25, 2024
Fire Extinguisher Service Date: Feb 15, 2024
Fire Drill Date: Nov 27, 2024
Elevator Inspection Date: Apr 10, 2024
Number of Resident Files Inspected: 5
Number of Staff Files Inspected: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Jill Nakagawa | Licensing Program Analyst | Conducted the annual inspection |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 48
Capacity: 500
Deficiencies: 0
Date: Dec 10, 2024
Visit Reason
Licensing Program Analyst Jill Nakagawa arrived unannounced to conduct an Annual Inspection of University Retirement Community at Davis, a CCRC licensed for 500 residents.
Findings
The facility was found to be clean, well-maintained, and compliant with no deficiencies or citations issued. Resident and staff files were complete, and safety systems such as fire extinguishers and elevators were inspected and up to date.
Report Facts
Residents in Assisted Living: 35
Residents in Memory Care: 13
Residents in Independent Living: 260
Water temperature range: 105
Water temperature range: 120
Room temperature range: 71
Room temperature range: 74
Fire extinguisher service date: Feb 15, 2024
Fire drill date: Nov 27, 2024
Elevator inspection date: Apr 10, 2024
Fire sprinkler inspection date: Jun 25, 2024
Resident files inspected: 5
Staff files inspected: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst and participated in exit interview |
| Jill Nakagawa | Licensing Program Analyst | Conducted the annual inspection |
| Kimberley Mota | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 25, 2024
Visit Reason
The inspection was conducted following a complaint related to a resident elopement incident where Resident 1 left the facility unsupervised, fell, and sustained injuries.
Complaint Details
The investigation was triggered by a complaint regarding Resident 1's elopement and fall. The complaint was substantiated as the resident was found outside the facility with injuries. Staffing shortages and failure to follow protocols were noted.
Findings
The facility failed to provide adequate supervision and a safe environment for Resident 1, who eloped from the facility, fell, and sustained a left orbital fracture and contusions. Staffing shortages and failure to properly monitor the resident's wanderguard contributed to the incident.
Deficiencies (1)
F 0689: The facility failed to ensure a safe environment and adequate supervision to prevent accidents when Resident 1 eloped, fell, and was moved before nurse assessment, resulting in actual harm.
Report Facts
Number of CNAs on night shift: 2
Resident 1 BIMS score: 3
Date of resident fall: Oct 18, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Provided multiple interviews acknowledging staffing shortages and protocol failures. |
| LN 1 | Licensed Nurse | Stated that residents should be assessed by nurse before being moved after a fall. |
| LN 2 | Licensed Nurse | Notified about Resident 1's fall and confirmed protocol for CNAs to notify nurses before moving residents. |
| LN 3 | Licensed Nurse | Assessed Resident 1 after the fall and confirmed wanderguard was removed by resident. |
| CNA 1 | Certified Nursing Assistant | Reported staffing shortages and inability to find nurse to notify after resident was found outside. |
| CNA 2 | Certified Nursing Assistant | Found Resident 1 outside, brought resident back inside, and assisted with care before nurse assessment. |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 500
Deficiencies: 0
Date: Jul 1, 2024
Visit Reason
The inspection was conducted as a case management visit regarding an incident report submitted to Community Care Licensing received on 2024-06-14.
Complaint Details
The visit was complaint-related due to an incident involving a resident found outside the building beside an overturned wheelchair. The complaint was not substantiated as no citations were issued.
Findings
The inspection found that on 2024-06-11, a resident was found outside the building beside an overturned wheelchair and was transported to the hospital. Medical records and documentation were requested for follow-up. No citations were issued at the time of inspection.
Report Facts
Incident report submission date: Jun 14, 2024
Incident date: Jun 11, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the case management inspection |
| Christie Dewar | AL/MSU Resident Care Manager | Met with during the inspection |
| Maria Burton | Administrator/Director | Facility administrator referenced for follow-up |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 500
Deficiencies: 0
Date: Jul 1, 2024
Visit Reason
The inspection was conducted as a case management visit regarding an incident report submitted to Community Care Licensing received on 2024-06-14.
Complaint Details
The visit was triggered by an incident report involving a resident found outside the building beside an overturned wheelchair. The complaint investigation is ongoing with requested follow-up on medical records and care plan documentation.
Findings
A resident was found outside the building beside an overturned wheelchair and was transported to the hospital. Medical records and care plan documentation were requested for follow-up. No citations were issued at the time of inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the case management inspection regarding the incident report. |
| Maria Burton | Administrator/Director | Facility administrator mentioned for follow-up. |
| Christie Dewar | AL/MSU Resident Care Manager | Met with during the inspection. |
| Kimberley Mota | Supervisor | Supervisor of the inspection. |
Inspection Report
Routine
Census: 36
Deficiencies: 6
Date: Jun 14, 2024
Visit Reason
Routine inspection of University Retirement Community at Davis to assess compliance with healthcare facility regulations including care planning, medication administration, pharmaceutical services, food safety, and nutrition.
Findings
The facility failed to develop and implement comprehensive care plans for residents on anticoagulants and post-fall care, failed to notify physicians of hypoglycemia episodes, had medication administration and accountability issues, and had multiple food safety and nutrition deficiencies including improper food labeling, expired foods, unclean storage areas, and failure to follow recipes and portion sizes.
Deficiencies (6)
F 0656: The facility failed to develop and implement a comprehensive care plan for two residents, including no care plan for anticoagulant use and no care plan for fall incidence, increasing risk of unmet needs.
F 0658: The facility failed to notify the attending physician of hypoglycemia episodes for one resident as ordered, risking delayed management of condition.
F 0755: The facility failed to ensure safe and accurate pharmaceutical services including medication unavailability, failure to follow bladder treatment orders, and inaccurate controlled medication accountability for four residents.
F 0761: The facility failed to ensure drugs and biologicals were properly labeled, stored, and accounted for, including unlabeled medication containers, incomplete temperature logs, expired supplies, and unlabeled opened medications.
F 0803: The facility failed to ensure recipes were followed with measured ingredients and portion sizes during meal preparation, risking altered nutritional value for residents.
F 0812: The facility failed to store and prepare foods according to professional food safety standards, including unlabeled opened foods, expired products not discarded, unclean storage bins, presence of foreign objects in food storage, badly scraped cutting boards, failure to wear beard nets, and serving juice past consume-by date.
Report Facts
Residents sampled: 13
Census: 36
Medication episodes: 2
Expired food items: 8
Cutting boards: 22
Beef Fajitas servings: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse 3 | Licensed Nurse | Named in care plan deficiency for Resident 9 bruising |
| Director of Nursing | Director of Nursing | Confirmed multiple deficiencies including care plan and medication notification failures |
| Licensed Nurse 2 | Licensed Nurse | Interviewed regarding hypoglycemia notification failure |
| Licensed Nurse 1 | Licensed Nurse | Observed medication pass and medication unavailability |
| Resident Care Manager | Resident Care Manager | Interviewed regarding medication storage and labeling issues |
| Lead Nutritional Aide | Lead Nutritional Aide | Observed food preparation and serving, noted recipe and portion size issues |
| Executive Chef | Executive Chef | Interviewed regarding recipe adherence and kitchen practices |
| Corporate Registered Dietitian | Corporate Registered Dietitian | Interviewed regarding food safety, recipe adherence, and nutrition standards |
| Licensed Nurse 4 | Licensed Nurse | Interviewed regarding controlled medication documentation |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 500
Deficiencies: 0
Date: Dec 19, 2023
Visit Reason
The inspection was an unannounced complaint investigation regarding the allegation that staff were not ensuring that facility grounds were maintained in a safe manner for residents in care.
Complaint Details
The complaint allegation was that staff were not ensuring that facility grounds were maintained safely for residents. After interviews, observations, and investigation, the allegation was found to be unfounded.
Findings
The investigation found that the allegation was unfounded; no deficiencies were identified on the Assisted Living side of the facility where the Community Care Licensing Division has jurisdiction. The Independent Living portion was outside the agency's jurisdiction.
Report Facts
Facility capacity: 500
Census: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maria Burton | Administrator | Facility administrator met during the investigation |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 500
Deficiencies: 0
Date: Dec 19, 2023
Visit Reason
The inspection was an unannounced complaint investigation regarding the allegation that staff are not ensuring that facility grounds are maintained in a safe manner for residents in care.
Complaint Details
The complaint allegation was that staff were not ensuring that facility grounds were maintained safely for residents. After interviews, observations, and investigation, the allegation was found to be unfounded, meaning it was false or without reasonable basis. No deficiencies were cited.
Findings
The investigation found that the allegation was unfounded; no deficiencies were identified on the Assisted Living side of the facility where the Community Care Licensing Division has jurisdiction. The allegation pertained to the Independent Living portion, which is outside the agency's jurisdiction.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Maria Burton | Administrator | Met with Licensing Program Analyst during the investigation. |
| Kimberley Mota | Supervisor | Named as supervisor on the report. |
Inspection Report
Annual Inspection
Census: 45
Capacity: 500
Deficiencies: 0
Date: Dec 1, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance at University Retirement Community at Davis, a continuing care retirement community licensed for 500 residents.
Findings
The facility was toured including Memory Care, Assisted Living, and common areas. All areas were found clean and well-maintained with no deficiencies or citations issued. Fire safety systems were up to date and the facility had approved dementia and infection control plans.
Report Facts
Residents in Assisted Living: 35
Residents in Memory Care: 10
Residents in Independent Living: 260
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Rodriguez | RCFE Manager | Met with Licensing Program Analyst during inspection and facility tour |
| Christie Dewar | AL/MSU Resident Care Manager | Participated in exit interview |
Inspection Report
Annual Inspection
Census: 45
Capacity: 500
Deficiencies: 0
Date: Dec 1, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance at University Retirement Community at Davis, a Continuing Care Retirement Community (CCRC) licensed for 500 residents.
Findings
The facility was toured including Memory Care, Assisted Living, and Independent Living areas. All rooms and common areas were clean and well maintained. The kitchen was sanitary with adequate food supplies. Fire safety systems were inspected and found compliant. No deficiencies or citations were issued during this inspection.
Report Facts
Residents in Assisted Living: 35
Residents in Memory Care: 10
Residents in Independent Living: 260
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Rodriguez | RCFE Manager | Met with Licensing Program Analyst during inspection |
| Christie Dewar | AL/MSU Resident Care Manager | Participated in exit interview |
| Jill Nakagawa | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Complaint Investigation
Census: 305
Capacity: 500
Deficiencies: 0
Date: Apr 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that the facility does not provide a safe environment for residents in care.
Complaint Details
The complaint alleged unsafe environment due to bed rails causing injury to a resident and unpermitted construction work. The resident's fall and injury were documented but no new injuries were found after the bed malfunction. Construction work was general maintenance by a licensed contractor with no walls moved. Automatic fire doors were operational. The allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the allegations unsubstantiated after reviewing documentation, inspecting the facility, and interviewing staff. No deficiencies or citations were issued.
Report Facts
Facility capacity: 500
Census: 305
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Maria Burton | Administrator | Facility administrator met during inspection |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 305
Capacity: 500
Deficiencies: 0
Date: Apr 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility does not provide a safe environment for residents in care.
Complaint Details
The complaint alleged unsafe environment due to bed rails causing injury to a resident and unpermitted construction work. The resident had a fall with fractures but no new injuries were found after a bed malfunction incident. Construction work was general maintenance by a licensed contractor with no walls moved. Fire doors were operational. The allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the allegation unsubstantiated after reviewing documentation, interviewing staff and outside parties, and touring the facility. No deficiencies or citations were issued.
Report Facts
Facility capacity: 500
Census: 305
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Maria Burton | Administrator | Facility administrator met during inspection |
| Kimberley Mota | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Routine
Census: 25
Deficiencies: 3
Date: Dec 9, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to pressure ulcer care, food safety, and infection control at the University Retirement Community at Davis.
Findings
The facility failed to provide adequate pressure ulcer care for one resident, failed to ensure proper food handling practices including beard nets and equipment sanitation, and failed to implement proper infection control practices related to oxygen tubing for one resident. These issues posed risks for wound deterioration, foodborne illness, and respiratory infection.
Deficiencies (3)
F 0686: The facility failed to provide appropriate pressure ulcer care for Resident 9, including not providing the ordered low air loss mattress and incomplete wound assessments.
F 0812: The facility failed to identify and prevent hazards in food handling, including staff not wearing beard nets and use of a rusted can opener.
F 0880: The facility failed to ensure proper infection control practices when oxygen tubing for Resident 15 was left uncovered and not changed as scheduled.
Report Facts
Residents affected: 25
Wound measurements: 1.47
Wound measurements: 1.26
BIMS score: 13
BIMS score: 14
Oxygen flow rate: 2
Oxygen flow rate: 4
Inspection Report
Annual Inspection
Census: 294
Capacity: 500
Deficiencies: 0
Date: Dec 1, 2022
Visit Reason
The inspection was an unannounced Annual Inspection focusing on Covid-19 Mitigation at University Retirement Community at Davis.
Findings
The facility was found to be in compliance with no deficiencies or citations issued. Covid-19 mitigation measures were in place, and the facility was clean and well-maintained with adequate signage and safety checks.
Report Facts
Residents in Assisted Living: 33
Residents in Memory Care: 11
Residents in Independent Living: 250
Fire Sprinkler System Inspection Date: Aug 12, 2022
Fire Extinguishers Check Date: Feb 25, 2022
Mitigation Plan Approval Date: Jul 16, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection |
| Jill Nakagawa | Licensing Program Analyst | Conducted the Annual Inspection |
Inspection Report
Annual Inspection
Census: 294
Capacity: 500
Deficiencies: 0
Date: Dec 1, 2022
Visit Reason
The inspection was an unannounced annual inspection focusing on Covid-19 mitigation at University Retirement Community at Davis.
Findings
The facility was found to be in compliance with no deficiencies or citations issued. The inspection included review of Covid-19 mitigation measures, fire safety checks, and facility conditions.
Report Facts
Residents in Assisted Living: 33
Residents in Memory Care: 11
Residents in Independent Living: 250
Fire Sprinkler System Inspection Date: Aug 12, 2022
Fire Extinguishers Check Date: Feb 25, 2022
Mitigation Plan Approval Date: Jul 16, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection |
| Jill Nakagawa | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Monitoring
Census: 48
Capacity: 500
Deficiencies: 0
Date: Jun 17, 2022
Visit Reason
Unannounced case management visit focused on reviewing the facility's protocols for reporting Covid-19 cases to Community Care Licensing.
Findings
The facility was found to be practicing Covid-19 protocols including screening questions, temperature checks, and mask requirements at the entrance. No deficiencies or citations were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cecilia Binamira | Director of Nursing | Spoke with Licensing Program Analyst regarding Covid-19 case reporting protocols. |
Inspection Report
Routine
Census: 48
Capacity: 500
Deficiencies: 0
Date: Jun 17, 2022
Visit Reason
The visit was an unannounced case management inspection focused on reviewing the facility's protocols for reporting COVID-19 cases to Community Care Licensing.
Findings
The facility was found to be practicing COVID-19 protocols properly, including screening questions, temperature checks, and mask requirements at the entrance. No deficiencies or citations were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the unannounced visit and reviewed COVID-19 reporting protocols. |
| Cecilia Binamira | Director of Nursing | Spoke with the Licensing Program Analyst about COVID-19 reporting and staff reminders. |
Inspection Report
Capacity: 500
Deficiencies: 0
Date: Jun 7, 2022
Visit Reason
The inspection visit was an unannounced case management inspection to follow up on an incident report submitted to Community Care Licensing regarding missing jewelry reported by a resident.
Complaint Details
The visit was complaint-related due to an incident report of missing jewelry. The investigation is ongoing with follow-up requested from the resident, police department, and Ombudsman.
Findings
The Licensing Program Analyst met with the facility administrator and reviewed the incident report. No items were recorded on the resident's signed inventory list. The administration filed the required SOC 341 form, and the Ombudsman and Adult Protective Services were notified. Information from the police report had not yet been received, and family was notified.
Report Facts
Facility capacity: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during the inspection |
| Jill Nakagawa | Licensing Program Analyst | Conducted the unannounced case management inspection |
| Kimberley Mota | Licensing Program Manager | Named in the report header |
Inspection Report
Follow-Up
Capacity: 500
Deficiencies: 0
Date: Jun 7, 2022
Visit Reason
The visit was an unannounced case management inspection to follow up on an incident report submitted to Community Care Licensing regarding missing jewelry reported by a resident.
Findings
The Licensing Program Analyst met with the facility administrator and reviewed the incident involving missing jewelry. No items were recorded on the resident's signed inventory list. The administration filed required reports and notified the Ombudsman, APS, and family. Police report information has not yet been received.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the unannounced case management inspection and met with the administrator. |
| Maria Burton | Administrator | Facility administrator met with Licensing Program Analyst during inspection. |
Inspection Report
Annual Inspection
Census: 47
Capacity: 500
Deficiencies: 0
Date: Dec 9, 2021
Visit Reason
The visit was an unannounced annual inspection focusing on Covid-19 mitigation at University Retirement Community at Davis.
Findings
The facility was found to have adequate Covid-19 signage and protocols, clean and comfortable resident rooms, and no deficiencies or citations were issued during the inspection.
Report Facts
Residents in Assisted Living: 36
Residents in Memory Care: 11
Residents in Independent Living: 256
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection and toured facility |
| Jill Nakagawa | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Annual Inspection
Census: 47
Capacity: 500
Deficiencies: 0
Date: Dec 9, 2021
Visit Reason
The inspection was an unannounced annual inspection focusing on Covid-19 mitigation at University Retirement Community at Davis.
Findings
The facility was found to have adequate Covid-19 signage and protocols, clean and comfortable resident rooms, and no deficiencies or citations were issued during the inspection.
Report Facts
Residents in Assisted Living: 36
Residents in Memory Care: 11
Residents in Independent Living: 256
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst and toured facility |
| Jill Nakagawa | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Complaint Investigation
Capacity: 500
Deficiencies: 0
Date: Dec 3, 2021
Visit Reason
The visit was an unannounced investigation regarding an incident involving the unauthorized/illegal use of a resident's credit card information.
Complaint Details
Investigation was triggered by a complaint related to unauthorized use of a resident's credit card. The incident was substantiated by the filing of police and SOC 341 reports.
Findings
The administrator filed an SOC 341 report immediately after the incident was reported. The Davis Police, Ombudsman's Office of Yolo County, and Adult Protective Services were notified. The resident filed a police report with the Davis Police Department.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Named in relation to filing SOC 341 report after incident. |
| Jill Nakagawa | Licensing Program Analyst | Conducted the unannounced investigation. |
| Kimberley Mota | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Capacity: 500
Deficiencies: 0
Date: Dec 3, 2021
Visit Reason
The visit was an unannounced investigation regarding an incident involving the unauthorized/illegal use of a resident's credit card information.
Complaint Details
Investigation was conducted due to a complaint about unauthorized/illegal use of a resident's credit card information. The complaint was substantiated by the filing of police and SOC 341 reports.
Findings
The Administrator filed an SOC 341 report as soon as the incident was reported. Davis Police, the Ombudsman's Office of Yolo County, and APS were notified. The resident filed a police report with Davis Police Department.
Report Facts
Facility capacity: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Filed SOC 341 report related to the incident |
| Jill Nakagawa | Licensing Program Analyst | Conducted the investigation |
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