Inspection Reports for
Westmont of La Mesa

The complaint investigation was substantiated for allegations that the facility did not follow the resident's admissions agreement by initiating one-on-one care without prior family consent or timely written notice, and issued an unlawful eviction notice lacking required elements. The allegation of licensee retaliation against Resident #1's family was unsubstantiated.

The investigation substantiated that the facility failed to provide timely written notice and family consent for one-on-one care and issued an invalid eviction notice lacking required elements. The allegation of licensee retaliation was unsubstantiated based on interviews, observations, and records review.

The complaint investigation was substantiated for allegations that the licensee did not follow the resident’s admissions agreement by initiating one-on-one care without prior family consent or timely written notice, and issued an unlawful eviction notice lacking required elements. The allegation of licensee retaliation was unsubstantiated.

The investigation substantiated that the facility failed to provide timely written notice and family consent before initiating one-on-one care for a resident, and issued an invalid eviction notice lacking required elements. The allegation of licensee retaliation was unsubstantiated based on interviews, observations, and records review.

The complaint investigation was substantiated for the allegation that staff did not meet Resident #1's hygiene needs, supported by outside source interviews and records review. The allegation that staff did not ensure medical attention after falls was unsubstantiated due to lack of preponderance of evidence.

The investigation substantiated that staff did not consistently meet Resident #1's hygiene needs, posing a potential health and safety risk. However, the allegation that staff did not ensure medical attention following falls was unsubstantiated based on records and interviews.

The complaint investigation was substantiated for the allegation that staff did not meet resident hygiene needs but unsubstantiated for the allegation that staff did not ensure medical attention after falls. The complaint was received on 2025-10-27 and investigated by Licensing Program Analyst Amy Rodgers.

The investigation substantiated that staff did not consistently meet Resident #1's hygiene needs, posing a potential health and safety risk. However, the allegation that staff did not ensure medical attention after falls was unsubstantiated based on records and interviews.

The complaint investigation was substantiated regarding medication mismanagement where prescribed medication (fiber powder) intended for Resident #2 was mistakenly administered to Resident #1. The incident occurred during medication preparation for a resident's temporary off-site stay. Staff conducted in-service training following the incident. Allegations of not following care plans and falsifying records were unsubstantiated.

The investigation substantiated the allegation that staff mismanaged medication by administering medication intended for one resident to another, posing a potential health risk. However, allegations that staff did not follow care plans and falsified records were unsubstantiated. A Plan of Correction was developed with the licensee.

The complaint alleged neglect that contributed to a resident's death and failure to follow reporting requirements. The neglect allegation was unsubstantiated, but the reporting requirements allegation was substantiated.

The allegation of neglect contributing to the resident's death was unsubstantiated after review of records and interviews. However, the allegation regarding failure to complete required reporting for a resident's fall, hospitalization, and death was substantiated, with the facility failing to submit required Unusual Incident/Injury and Death Reports.

The complaint alleged that facility staff failed to seek timely medical attention for Resident 1 after a fall on January 18, 2023. The resident expressed pain for five days before being transported to the hospital and diagnosed with a fractured pelvis. The allegation was substantiated based on interviews and records.

The investigation substantiated that the facility delayed medical attention for one resident who expressed pain for five days following a fall, which posed an immediate health and safety risk. The resident was eventually diagnosed with a fractured pelvis after being transported to the hospital.

The complaint was substantiated. The allegation involved staff pushing a resident causing a bruise. The investigation included interviews with staff and residents, records review, and a facility tour. Staff member S2 was found to have not applied elder abuse training and was terminated.

The investigation found that staff member S2 treated resident R1 roughly, resulting in a quarter-size bruise on R1's upper right arm. The allegation was substantiated based on interviews, records review, and observations. Staff S2 was no longer employed at the facility as of June 8, 2023.

The licensee failed to ensure that Resident 1's medication was administered as ordered by the physician from May 12 through May 18, 2024, posing a potential health risk. The correct medication was delivered and administered starting May 19, 2024, and no adverse effects were reported.

The licensee failed to ensure that Resident 1's medication was administered according to the physician's orders from May 12 through May 18, 2024, posing a potential health risk. The resident did not experience adverse effects, and the correct medication was delivered and administered starting May 19, 2024.

The complaint investigation was substantiated for neglect resulting in serious injury from a resident altercation. The allegation of illegal eviction was unsubstantiated.

The investigation substantiated the neglect allegation where lack of supervision led to a resident assault causing serious injury. The facility failed to ensure adequate supervision for Resident 1, resulting in immediate safety risks. The illegal eviction allegation was unsubstantiated based on staff and outside source interviews and records.

The complaint was substantiated based on staff interviews and personnel records. S1 denied the allegations, but three co-workers corroborated the events. S1 was placed on administrative leave and subsequently terminated on 2023-02-09.

The investigation found that staff member S1 did not accord dignity to Resident #1 and subjected the resident to verbal abuse and inappropriate physical checks, leading to S1's termination. The resident was physically unharmed but had baseline disorientation and dementia.

The visit was complaint-related, triggered by observations of staff not wearing face masks properly during a COVID-19 outbreak. The complaint was substantiated by observations during the visit.

During the complaint investigation, multiple staff were observed not wearing face masks properly or at all, posing a potential health and personal rights risk to residents. The facility had approximately 28 residents with active COVID-19 diagnoses during the period. A deficiency was cited for failure to accord safe, healthful, and comfortable accommodations to all 138 residents in care.

The complaint investigation was triggered by allegations that facility staff left Resident (R1) unsupervised resulting in an unwitnessed fall and loss of consciousness. Additional allegations included neglect of incontinence care, personal hygiene, isolation, and improper medication management. The neglect allegation was substantiated, while the others were unsubstantiated.

The investigation substantiated neglect related to inadequate supervision leading to an unwitnessed fall and subsequent decline in the resident's condition. Other allegations regarding incontinence care, personal hygiene, isolation, and medication management were found to be unsubstantiated due to lack of corroborating evidence.