Inspection Reports for Walnut Creek Skilled Nursing & Rehabilitation Center

The inspection was conducted as a Case Management - Annual Continuation of the Required 1 Year inspection to review compliance with licensing requirements.

The Licensing Program Analyst reviewed 5 resident and 5 staff records during an unannounced visit. No citations or deficiencies were issued during this inspection.

The inspection was an unannounced Required 1 Year inspection conducted to evaluate the facility's compliance with licensing requirements.

The inspection found the facility to be in compliance with no citations issued. The facility had adequate food supplies, locked medication storage, inaccessible cleaning supplies and dangerous objects, working smoke and carbon monoxide detectors, and properly serviced fire extinguishers. The indoor temperature and hot water temperature were within acceptable ranges. Disaster and fire drills were conducted monthly.

An unannounced complaint investigation was conducted to investigate the allegation that staff does not ensure residents' rooms are clean.

The investigation found that although there was an unexpected staff shortage and staff were moved around with additional staff brought in to ensure rooms were deep cleaned at least once a week, the data collected did not confirm the allegation. Therefore, the allegation was unsubstantiated.

The complaint alleged that staff does not ensure residents' rooms are clean. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-01-05 regarding staff not preventing a resident from sustaining a fracture, inadequate staffing, and not serving nutritious meals.

The investigation included interviews and record reviews and found that the resident who sustained a fracture was independent and the fall was the first time the resident tried to leave the facility at night. Staffing was adequate with timely response to alarms, and meals served were nutritious. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint alleged staff did not prevent a resident from sustaining a fracture, inadequate staffing, and poor nutrition. The investigation found no substantiation for these allegations.

An unannounced complaint investigation was conducted in response to an allegation that staff were not providing residents adequate food service.

The investigation included a tour of the kitchen, review of menus, and interviews with residents who expressed satisfaction with the food service. There was insufficient evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.

The inspection was an unannounced required annual inspection of the facility conducted by the Licensing Program Analyst.

The Licensing Program Analyst inspected the physical plant, verified staff training and emergency preparedness, reviewed resident and staff files, and found no citations issued during the inspection.

The visit occurred to deliver amended findings related to a complaint (15-AS-20230718113231) at the facility.

The Licensing Program Analyst delivered amended findings from previous reports dated 7/25/2023 and 7/26/2023, which were signed by the Executive Director. An exit interview was conducted and a copy of the report was provided.

The visit was related to complaint 15-AS-20230718113231. Amended findings were delivered during the unannounced visit.

The visit was an unannounced case management check to pick up documents requested during a complaint inspection on 2024-01-08 and to complete the health and safety check of the facility.

No citations were issued during the visit. The Licensing Program Analyst confirmed that the facility's fire protection systems were last inspected in April 2023.

The visit was an unannounced health and safety check conducted by the Licensing Program Analyst to assess the facility's compliance with health and safety standards.

The inspection found that the facility maintained appropriate environmental conditions including temperature and food supplies, medications were securely stored, first-aid kits were complete, and fire extinguishers were properly serviced. No citations were issued during this visit.

The inspection was conducted due to a complaint alleging that the facility license was not posted for public viewing.

The Licensing Program Analyst confirmed that the facility license was posted in the same location as during the previous visit, and the allegation was found to be unfounded.

The complaint alleged that the facility license was not posted for public viewing. The allegation was investigated and determined to be unfounded.

The visit was conducted to deliver findings from a complaint (15-AS-20230718113231) regarding resident R1 and to verify the level of care provided to the resident.

The Licensing Program Analyst confirmed through interviews that resident R1 was fully receiving the level of care as written in her Plan of Care. No citations were issued during this visit.

The visit was complaint-related, triggered by complaint 15-AS-20230718113231. The complaint was investigated and found to be unsubstantiated as the resident was receiving appropriate care.

This was an unannounced complaint investigation visit conducted in response to allegations received on 07/18/2023 regarding staff assistance, respect, and facility conditions at Atria Valley View.

The investigation found no preponderance of evidence to substantiate the allegations. Staff were observed to provide assistance and respect to residents appropriately, and the facility's toilet was fully functional.

The complaint included allegations that staff did not assist residents when needed, disturbed residents' sleep, treated residents disrespectfully, had a toilet in disrepair, and did not empty residents' trash receptacles. The investigation concluded these allegations were unsubstantiated.

The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulatory requirements.

During the inspection, files of residents and staff were reviewed, the facility was toured, and interviews were conducted with residents and staff. No citations were issued during this inspection.

An unannounced complaint investigation visit was conducted in response to allegations received on 2023-05-08 regarding inadequate resident care and facility conditions.

The investigation found no evidence to substantiate the allegations related to resident assistance with showering and dressing, food service for diabetic residents, disinfection of surfaces, air conditioning functionality, or safeguarding of residents' valuables. Therefore, all allegations were unsubstantiated.

The complaint included allegations that staff did not assist a resident with showering and dressing as needed, did not provide appropriate food service for a diabetic resident, did not disinfect visibly soiled surfaces, the resident's air conditioning was in disrepair, and staff did not safeguard the resident's valuables. The investigation concluded these allegations were unsubstantiated.

The visit was an unannounced case management incident inspection concerning a gastrointestinal outbreak at the facility and an unusual incident report regarding a resident-on-resident fight dated 02/08/2023.

The Resident Services Director reported no additional incidents involving the resident who instigated the assault and that the resident was scheduled to move out the following day. No citations were issued during the visit.

The visit was triggered by a complaint related to a resident-on-resident fight. The investigation found no further incidents and no citations were issued.

The visit was an unannounced case management health check concerning a gastrointestinal (GI) outbreak at the facility reported on 05/01/2023.

At the time of the visit, 11 residents were ill with Norovirus, including two who had been hospitalized and returned. Measures to stop the spread included masking, cessation of group dining and activities, and serving meals in residents' rooms. No new cases had been reported since noon, and no staff infections were noted. No citations were issued during the visit.

The visit was an unannounced Case Management inspection triggered by an Unusual Incident Report describing a supposed verbal threat made by one resident to another on 01/18/2023.

The Licensing Program Analyst reviewed the residents' records and actions taken by the facility to reduce further conflicts and was satisfied that appropriate measures were in place. No citations were issued.

The complaint involved a verbal threat incident reported on 01/18/2023. The alleged aggressor did not recall the event and there were no witnesses. The complaint was not substantiated as no citations were issued.

The inspection was conducted as a Case Management Inspection concerning an Unusual Incident Report about a missed prescription for a resident on 12/30/2022.

The facility reacted quickly enough that the medication arrived in time for the resident to take it on the scheduled day. No citations were issued.

The visit was complaint-related due to an Unusual Incident Report about a missed prescription. Based on staff interview, the incident was managed promptly and no citations were issued.

The inspection was an infection control annual inspection conducted as a required one-year unannounced visit.

The facility has an infection control plan in place and is following it, with the administrator designated as the infection control leader. No deficiencies were cited during this visit.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 03/20/2020 regarding residents being confined to their rooms and inadequate food service.

The investigation included interviews with residents, staff, and review of facility documents. It was found that residents were encouraged to stay in their apartments due to COVID-19 guidance, but could leave if needed, and food service was adequate with meals delivered hot and residents having microwaves to warm food. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included residents being confined to their rooms and inadequate food service. Interviews and document reviews did not support these allegations.

An unannounced complaint investigation was conducted in response to allegations that staff spoke inappropriately to a resident and that the facility did not report suspected abuse in a timely manner.

Both allegations were substantiated. Staff member S1 admitted to verbally abusing resident R1, and the facility failed to report suspected elder abuse in a timely manner, including not completing the required unusual incident report.

The complaint investigation was substantiated. Staff spoke inappropriately to a resident, and the facility failed to report suspected abuse in a timely manner.

The inspection visit was an unannounced complaint investigation triggered by allegations received on 2021-06-22 regarding resident care and involvement of the Resident Representative.

The investigation found the complaint to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis. The complaint was dismissed after interviews and review of records.

The complaint involved allegations that a resident was provided services without Resident Representative's approval, the Resident Representative was not allowed to participate in care planning, and staff did not provide a copy of the care plan to the Resident's Representative. The complaint was found to be unfounded.

Unannounced Infection Control Inspection conducted as a required 1 Year visit.

The inspection found that the facility had proper infection control measures in place including hand sanitizer, COVID-19 signage, visitor and temperature logs, and sufficient PPE. No deficiencies were cited during this inspection.