Inspection Reports for WellQuest of Menifee Lakes

The inspection was conducted as a complaint investigation following allegations that staff did not re-order resident's medication timely and that there was insufficient staffing at the facility.

The investigation substantiated the allegation that medication was not available when needed for some residents, posing an immediate risk to health and safety. The allegation of insufficient staffing was found to be unsubstantiated based on interviews and document reviews.

The complaint investigation was substantiated regarding medication availability issues, specifically that Resident #1 was sent to the hospital due to lack of lorazepam medication on 4/24/22, and residents R2, R3, and R4 lacked certain medications during the visit. The insufficient staffing allegation was unsubstantiated after interviews with residents and staff and review of staffing documents.

The inspection was an unannounced required 1-year visit conducted to evaluate the facility's compliance with licensing requirements.

The facility was found to be in compliance with no deficiencies observed. The inspection included a tour of the facility, review of resident and staff files, and verification of safety and operational standards.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-11-01 regarding medication mismanagement, resident falls, inadequate feeding, and cleanliness issues at the facility.

The investigation substantiated that facility staff mismanaged resident medications, including incorrect medication intervals and failure to refill medications timely. Allegations that the resident was inadequately fed and that the facility was unclean were unsubstantiated. The resident sustained multiple falls, but staff took appropriate fall risk mitigation measures and the allegation of neglect was unsubstantiated.

The complaint investigation was substantiated for medication mismanagement based on evidence that medications were given at incorrect intervals and not given due to medication running out. The allegations regarding inadequate feeding and unclean facility conditions were unsubstantiated. The allegation of multiple falls due to inadequate care was unsubstantiated as the facility implemented fall risk mitigation measures.

An unannounced visit was conducted on 06/10/2024 to perform a required annual inspection of the assisted living and memory care facility.

The Licensing Program Analyst toured the facility, conducted staff and resident interviews, and reviewed records. No issues or concerns were observed during the visit, and the facility met departmental requirements for food storage, medication security, and staff certifications.

The inspection visit was conducted as a case management visit initiated by the licensee due to a request to increase the facility's capacity from 140 to 151 residents.

No health and safety issues were observed during the visit. The physical plant was found ready for the increase in capacity, with sufficient square footage and staffing coverage verified. Final approval of the capacity increase is pending manager's final review.

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

The facility was found to be in good condition with no regulation violations observed. The physical plant was neat and orderly, safety equipment was properly maintained, and required documentation and procedures were in place.

An unannounced visit was conducted to investigate complaints alleging that facility staff did not provide activities for residents and did not post accurate information regarding complaint or emergency reporting.

The investigation found that the allegations were unsubstantiated. Evidence showed that residents had activities to participate in and that accurate complaint and emergency reporting information was posted and operational.

The complaint investigation was unsubstantiated, meaning the preponderance of evidence standard was not met for the allegations regarding lack of activities and inaccurate complaint/emergency information.

An unannounced annual inspection was conducted focusing on infection control measures at the facility.

The facility was found to have implemented adequate infection control measures including symptom screenings, hand hygiene supplies, social distancing, masking policies, isolation rooms, and sufficient PPE supply. No deficiencies were noted during the visit.

The inspection was a pre-licensing visit conducted to evaluate the facility's readiness for licensing.

The facility was inspected and found to have appropriate furnishings, fire clearance for 140 non-ambulatory residents, and required public postings. The facility was deemed ready to be licensed.

Initial licensing evaluation of the facility to verify compliance with regulatory requirements and applicant/administrator understanding of Title 22 regulations.

The applicant/administrator successfully completed the Component II telephone call confirming understanding of facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted in the report.