Deficiencies (last 6 years)
Deficiencies (over 6 years)
4.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
91% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 49
Capacity: 54
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The visit was a Case Management - Annual Continuation inspection conducted as a continuation of the Annual inspection visit that occurred on 2025-06-16.
Findings
The Licensing Program Analyst reviewed staff and resident records and confirmed compliance with required documentation. No deficiencies were cited during the visit.
Report Facts
Staff personnel records reviewed: 6
Resident records reviewed: 5
Residents with required documentation: 5
Staff members with required documentation: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tim Selleck | Executive Director | Met with Licensing Program Analyst during the inspection and named in the report |
| Kiran Jain | Licensing Program Analyst | Conducted the inspection visit |
| April Cowan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 49
Capacity: 54
Deficiencies: 0
Date: Jun 16, 2025
Visit Reason
The inspection was an unannounced Required 1-Year Annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, well-maintained, and compliant with all inspected areas including resident apartments, kitchen, fire safety equipment, medication storage, and common areas. No deficiencies were cited during the visit.
Report Facts
Levels in building: 6
Resident apartments inspected: 5
Hot water temperature range: 108.4
Hot water temperature range: 112.6
Days of fresh perishable food supply: 2
Days of nonperishable staples supply: 7
Last fire extinguisher service date: Jan 8, 2025
Last fire alarm/smoke detector service date: Apr 2, 2025
Last fire sprinkler service date: May 21, 2025
Last emergency drill date: May 14, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tim Selleck | Executive Director | Met with Licensing Program Analyst during inspection and named in exit interview. |
| Kiran Jain | Licensing Program Analyst | Conducted the inspection and signed the report. |
| April Cowan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Jan 30, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with medication storage and infection prevention policies at the nursing home.
Findings
The facility failed to ensure medications were properly stored and secured during administration for one resident, and staff did not perform hand hygiene or wear gloves during eye drop administration for another resident. Both issues were confirmed through observation, interviews, and policy review.
Deficiencies (2)
F 0761: The facility failed to ensure medications were properly stored and secured for one resident during medication administration, as medications were left unattended on a medication cart.
F 0880: The facility failed to ensure staff performed hand hygiene and wore gloves during eye drop administration for one resident, contrary to infection prevention policies.
Report Facts
Residents observed for medication administration: 6
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN #2 | Licensed Vocational Nurse | Named in both medication storage and infection control findings |
| Director of Staff Development | Provided statements on medication storage and infection control policies | |
| Director of Nursing | DON | Provided statements on medication storage and infection control expectations |
| Executive Director | Stated expectations regarding medication security and infection control |
Inspection Report
Annual Inspection
Census: 42
Capacity: 54
Deficiencies: 2
Date: Jun 19, 2024
Visit Reason
The inspection was an unannounced required 1 Year visit to evaluate compliance with licensing regulations.
Findings
Deficiencies were cited related to missing current first aid certifications for some staff and incomplete centrally stored medication records for residents. An advisory note was also issued.
Deficiencies (2)
Three out of six reviewed staff records were missing current first aid certifications, posing a potential safety risk.
Five out of five reviewed resident Centrally Stored Medication and Destruction Records (CSMDR) had prescription medications missing from the records, posing a potential health risk.
Report Facts
Staff records missing first aid certifications: 3
Resident medication records missing entries: 5
Facility capacity: 54
Facility census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kris Vu | Director of Resident Health Services | Met with the Licensing Program Analyst during the inspection |
| Sarah Yip | Licensing Program Manager | Supervisor for the inspection |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jul 20, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to promptly address a resident grievance.
Complaint Details
The complaint was substantiated. Resident 1 reported repeated complaints about staff entering her room and an incident involving an unknown person questioning her about insurance without identification. The social service director acknowledged missing the follow-up on the grievance.
Findings
The facility failed to ensure prompt efforts were made to resolve a grievance for one resident. The social service director did not acknowledge or actively work toward resolving the resident's complaint about staff entering her room and an unauthorized person questioning her about insurance.
Deficiencies (1)
F 0585: The facility failed to honor the resident's right to voice grievances without discrimination or reprisal and did not establish prompt efforts to resolve grievances. Specifically, the facility did not acknowledge or actively work toward resolving Resident 1's complaint about staff entering her room and an unknown person questioning her about insurance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Named as responsible for responding to resident concerns and grievances and involved in the failure to follow up on the grievance. |
Inspection Report
Routine
Deficiencies: 15
Date: Feb 27, 2023
Visit Reason
Routine inspection survey conducted to assess compliance with healthcare regulations and standards at Webster House nursing facility.
Findings
The facility had multiple deficiencies including failure to complete significant change assessments, inadequate hearing aid management, incomplete pressure ulcer care, fall management failures, lack of comprehensive enteral feeding policy, missing bed rail consents, medication management errors including expired and unaccounted controlled substances, unnecessary psychotropic medication use, medication administration errors, food quality and safety issues, inaccurate staffing data submission, and infection control lapses.
Deficiencies (15)
F 0637: Facility failed to complete a significant change in status Minimum Data Set (MDS) for Resident 35 who declined in multiple health areas after COVID-19 infection.
F 0684: Facility failed to ensure Resident 60 wore hearing aids while awake, impairing communication and psychosocial well-being.
F 0686: Facility failed to provide consistent pressure ulcer treatment and complete assessments for Resident 35, risking ulcer worsening.
F 0689: Facility failed to implement fall interventions for Resident 56 and did not develop new interventions after Resident 4's fall, risking further injury.
F 0693: Facility lacked a comprehensive policy for enteral feeding; RN used incorrect bolus feeding method and did not flush G-tube before feeding Resident 22.
F 0700: Facility failed to obtain informed consent and review risks and benefits of bed rails for seven residents, risking injury from unawareness of hazards.
F 0755: Facility failed to fully account for controlled substance medications and did not remove expired controlled drugs from medication cart.
F 0758: Resident 27 received unnecessary psychotropic medication (Abilify) without documented target behaviors or evidence of distress or danger.
F 0759: Facility had a medication error rate of 17.86% with errors including wrong aspirin form, missing lidocaine patch, expired insulin administration, incorrect patch placement, and inaccurate medication measurement.
F 0760: Resident 24 received six doses of expired insulin lispro, risking ineffective blood sugar control.
F 0761: Facility failed to remove expired medications and improperly stored medications not refrigerated or past expiration in medication carts and room.
F 0804: Facility failed to ensure food was palatable and prepared according to recipe; yellow squash and red peppers were bland and improperly cooked.
F 0812: Facility failed to maintain sanitary food storage and preparation conditions including expired food, uncovered and undated prepared food, wet and dry containers stored together, expired sanitizer test strips, and failure of cook to perform hand hygiene between tasks.
F 0851: Facility failed to submit complete and accurate direct care staffing information to CMS for August 2022, reporting no RN hours and no licensed nursing coverage.
F 0880: Facility failed to implement infection prevention practices including unmasked CNA during care, RN not performing hand hygiene between glove changes, and nurse failing to disinfect blood pressure equipment before and after use.
Report Facts
Medication error rate: 17.86
Weight loss: 17
Pressure ulcer treatment gap: 8
Expired insulin doses administered: 6
Blood sugar reading: 402
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN H | Registered Nurse | Observed administering bolus feeding incorrectly and failing hand hygiene between glove changes. |
| LVN B | Licensed Vocational Nurse | Administered expired insulin lispro to Resident 24 and failed to disinfect blood pressure equipment. |
| CNA G | Certified Nurse Assistant | Observed not wearing facemask while providing care to Resident 32. |
| Director of Nursing | Director of Nursing | Confirmed multiple deficiencies including hearing aid management, pressure ulcer care, fall management, medication errors, and infection control lapses. |
| Senior Lead Cook | Senior Lead Cook | Prepared yellow squash and red peppers not following recipe, resulting in bland food. |
| Director of Dining Services | Director of Dining Services | Acknowledged food quality issues and improper food handling by cook. |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 54
Deficiencies: 0
Date: Aug 3, 2022
Visit Reason
The visit was conducted as a Case Management visit in response to a Suspected Adult/Elderly Abuse form submitted by the facility alleging that staff S1 verbally abused resident R1.
Complaint Details
The complaint involved an allegation of verbal abuse by staff S1 towards resident R1. The complaint was investigated through interviews and record reviews, and the facility implemented a response plan. No deficiencies were cited.
Findings
During the visit, multiple residents and staff were interviewed, and relevant records were reviewed. The facility conducted an internal investigation and implemented a response plan to have another staff accompany S1 when assisting R1. No deficiencies were cited at this time.
Report Facts
Capacity: 54
Census: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tim Selleck | Administrator | Met with Licensing Program Analyst during the visit and involved in the investigation |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation |
Inspection Report
Annual Inspection
Census: 28
Capacity: 54
Deficiencies: 0
Date: Jul 27, 2022
Visit Reason
An unannounced Required 1 Year visit was conducted to evaluate the facility's compliance with regulations.
Findings
The Licensing Program Analyst toured the facility and observed adequate visitor screening, PPE supplies, and food supplies. No deficiencies were cited during this inspection.
Report Facts
PPE supply duration: 30
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the inspection and observed facility conditions |
| Ann Lee | Met with the Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 41
Capacity: 54
Deficiencies: 0
Date: Jun 7, 2021
Visit Reason
An unannounced COVID-19 Infection Control Required 1 Year visit was conducted to evaluate the facility's compliance with infection control regulations.
Findings
No deficiencies were cited during the inspection. The facility was observed to have adequate PPE supplies and staff were wearing masks, although bathrooms lacked trash cans with foot-operated lids.
Report Facts
Capacity: 54
Census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Linda Hibbs | Administrator | Met with Licensing Program Analyst during the inspection |
| David Marrufo | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Routine
Census: 41
Capacity: 54
Deficiencies: 0
Date: May 3, 2021
Visit Reason
The visit was a tele-visit conducted to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility.
Findings
No deficiencies were cited during the visit. Recommendations were made to continue facility COVID-19 mitigation practices.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Linda Hibbs | Administrator | Met with Licensing Program Analyst and Nurse during the tele-visit. |
| David Marrufo | Licensing Program Analyst | Conducted tele-visit and provided technical assistance. |
| Roxane Fangon | Nurse | Provided recommendations during the tele-visit. |
Inspection Report
Routine
Deficiencies: 5
Date: Nov 15, 2019
Visit Reason
Routine inspection to assess compliance with healthcare regulations including medication management, dental care, food safety, and infection control practices at Webster House nursing facility.
Findings
The facility failed to properly store and label medications, delayed replacement of a missing denture, did not follow standardized recipes for puree diets, failed to maintain sanitary food preparation and serving conditions, and did not consistently implement infection prevention and control practices.
Deficiencies (5)
F 0761: Facility failed to properly store and label drugs and biologicals, including altered pharmacy labels, expired medications, and unattended medications on the cart.
F 0790: Facility failed to ensure timely follow-up and replacement of a missing denture for a resident, causing delay in necessary dental services.
F 0804: Facility failed to ensure a cook used standardized recipes for puree food preparation, risking nutritional impairment for residents on puree diets.
F 0812: Facility failed to store, prepare, and serve food under sanitary conditions, including unlabeled flour, dirty ice machine spout, staff not wearing hairnets, and improper food holding temperature.
F 0880: Facility failed to implement infection prevention and control practices, including improper hand hygiene during wound treatment and medication administration, and improper disposal of contaminated dining ware.
Report Facts
Medication audit time: 10.03
Medication audit time: 10.16
Temperature of meat loaf: 140
Date of survey completion: Nov 15, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Vocational Nurse G (LVN G) | Participated in medication cart audit identifying altered labels and expired medications | |
| Director of Nursing (DON) | Interviewed regarding medication storage and denture replacement policies | |
| Registered Nurse H (RN H) | Confirmed expired insulin storage during medication cart audit | |
| Licensed Vocational Nurse I (LVN I) | Observed leaving medication unattended on cart | |
| Licensed Vocational Nurse E (LVN E) | Confirmed denture missing, observed crossing yellow line without hairnet, and failed hand hygiene between medication routes | |
| Lead Cook (LC) | Observed using water instead of milk in puree food preparation | |
| Dietary Manager (DM) | Interviewed about food preparation and storage practices | |
| Registered Dietitian A (RD A) | Confirmed nutritional impact of recipe changes and food temperature standards | |
| Dietary Staff J (DS J) | Measured meatloaf temperature | |
| Certified Nursing Assistant D (CNA D) | Observed disposing contaminated dining ware improperly | |
| Treatment Nurse C (TXN C) | Observed improper glove use and hand hygiene during wound treatment | |
| Director of Staff Development (DSD) | Interviewed regarding infection control breaches |
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