Inspection Reports for Westmont of Riverside

The inspection was an unannounced complaint investigation visit triggered by allegations that staff were mismanaging residents' medications, not responding to residents' calls for assistance in a timely manner, residents lacked access to telephones, and staff did not assist residents with required blood pressure checks.

The investigation substantiated the allegation of medication mismanagement, finding multiple residents missing medications or having medication errors. The allegations regarding delayed staff response to call buttons, lack of telephone access, and failure to assist with blood pressure checks were unsubstantiated.

The complaint investigation was substantiated for the allegation that staff were mismanaging residents' medications, with evidence of missing medications and medication errors for multiple residents. The allegations that staff did not respond timely to call buttons, residents lacked telephone access, and staff did not assist with blood pressure checks were unsubstantiated.

An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements.

The facility was found to be in compliance with all applicable regulations, with no deficiencies cited. The environment, employee records, resident records, and safety measures were all satisfactory.

An unannounced complaint investigation was conducted in response to allegations that the facility does not have the ability to accommodate non-ambulatory residents with dementia in case of fire and that the facility does not conduct emergency drills as required.

The investigation found insufficient evidence to support the allegations. Interviews with the Resident Services Director, staff, and residents, as well as a facility tour and document review, indicated that the facility has multiple fire exits, conducts regular fire and safety drills, and staff are trained to assist residents during emergencies. No deficiencies were cited.

The complaint alleged that the facility lacked the ability to accommodate non-ambulatory residents with dementia in case of fire and did not conduct required emergency drills. After interviews and document review, the allegations were found to be unsubstantiated.

The visit was conducted as an unannounced complaint investigation regarding an allegation that a resident had not received treatments ordered by her doctor.

The investigation found no evidence to support the allegation that the resident did not receive ordered treatments. Record reviews and staff and resident interviews indicated no neglect or failure to provide home health services. The allegation was determined to be unsubstantiated.

The complaint alleged that Resident #1 did not receive medication infusion treatments ordered by her doctor. The investigation included interviews, record reviews, and facility tours. The allegation was found unsubstantiated due to lack of evidence.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility is not maintained in good repair, specifically concerning malfunctioning automatic push button accessible doors.

The investigation found that the automatic push button accessible doors were functioning properly at the time of the visit. Interviews with staff, residents, and facility leadership, as well as a facility tour and review of maintenance records, did not substantiate the complaint. No deficiencies were cited.

The complaint alleged that the automatic push button accessible door to the Trash/Recycle Room and the door outside the entrance/exit nearest the resident’s apartment were broken and unrepaired. The Executive Director denied the allegation. Staff and residents mostly reported the doors working properly, with some acknowledging past issues that were promptly fixed. One resident noted a former automatic door is now a regular door but can use other automatic doors safely. Maintenance records showed regular upkeep. The allegation was unsubstantiated due to insufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-12-05 regarding a resident being left in a soiled diaper and failure to safeguard a resident's property.

The investigation found insufficient evidence to substantiate the allegations. Interviews with staff, residents, and review of records indicated that residents were properly cared for and their property safeguarded. No deficiencies were cited and both allegations were deemed unsubstantiated.

The complaint included two allegations: 1) Licensee left resident in soiled diaper, and 2) Licensee did not safeguard resident's property. Both allegations were investigated through interviews and record reviews and were found to be unsubstantiated due to lack of sufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 10/08/2021 regarding staffing sufficiency, timely assistance with toileting needs, and multiple resident falls.

The investigation found insufficient evidence to substantiate any of the allegations. Staff interviews, resident interviews, and document reviews indicated sufficient staffing and timely assistance. The facility had appropriate fall policies and took steps to address falls, but specific details on one resident were unavailable due to record retention limits.

The complaint included three allegations: 1) Facility staff is insufficient to meet resident's needs; 2) Facility staff are not assisting resident with toileting needs in a timely manner; 3) Resident sustained multiple falls while in care. All allegations were found unsubstantiated due to lack of preponderance of evidence.

The visit was an unannounced complaint investigation regarding allegations that staff do not provide adequate food service to residents, specifically that residents have to wait two hours for their food which is often served cold.

Based on observations, interviews with staff and residents, and record reviews, the Licensing Program Analyst did not find sufficient evidence to support the allegation. Residents and staff denied the complaint, stating food is served hot and reheating is available if requested. No deficiencies were cited and the allegation was unsubstantiated.

The complaint alleged inadequate food service with long wait times and cold food. Interviews with the Memory Care Director, six staff members, and six residents all denied the allegation. Observations confirmed lunch was served hot and of good quality. The allegation was determined to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff inappropriately pulled on a resident and did not address a resident's change in medical condition.

The investigation included interviews with staff, residents, and witnesses, and a review of training records. The evidence did not support the allegations, and the complaint was found to be unsubstantiated.

The complaint alleged that staff inappropriately pulled on a resident's arm and that staff made fun of a resident when they requested medical attention. After investigation, including interviews and record reviews, there was insufficient evidence to substantiate these allegations.

The inspection was an unannounced complaint investigation visit triggered by complaints alleging that facility staff did not provide a safe environment for residents and were not adequately trained.

The investigation found no sufficient evidence to substantiate the allegations. Interviews with the Executive Director, residents, and staff, as well as a review of training records and a health and safety check, indicated that staff are trained and provide a safe environment for residents.

The complaint alleged that facility staff did not provide a safe environment for residents and were not adequately trained, specifically regarding handling residents' medications. The investigation found these allegations unsubstantiated based on interviews, records review, and observations.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 10/14/2021 concerning resident charges for exterminator services, rough handling by staff, inappropriate staff speech, and untimely response to call buttons.

The investigation found no preponderance of evidence to substantiate any of the allegations. Interviews, record reviews, and staff training documentation supported that residents were not charged for exterminator services, staff did not handle residents roughly or speak inappropriately, and staff responded timely to call buttons. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included residents being required to pay for exterminator services, staff handling residents roughly, staff speaking inappropriately to residents, and staff not responding timely to call buttons. Multiple interviews with residents, staff, and witnesses, as well as document reviews, found no evidence to support these allegations.

The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility neglected the care of a resident.

The investigation included observations, interviews, and record reviews. The allegation was found to be unsubstantiated as there was no preponderance of evidence to prove the alleged neglect occurred, and the resident was assessed as independent in activities of daily living.

The complaint alleged that a resident had an unwitnessed fall and was found on the floor soaked in urine. Interviews and record reviews showed the resident was independent and did not require assistance with daily living activities. The allegation was unsubstantiated.

An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements.

The facility was found to be clean, well-maintained, and compliant with safety and health regulations. Staff files and resident records were complete, emergency plans were updated, and no deficiencies were cited during the visit.

An unannounced complaint investigation was conducted following an allegation that a temporarily contracted employee denied medication administration to a resident on 07/19/2024.

The investigation included staff and resident interviews and record reviews. It was found that the resident self-administers medications and the allegation that staff denied medication administration was unsubstantiated due to insufficient evidence.

The complaint alleged that Staff One (S1), a contracted employee, denied medication administration to Resident One (R1). The investigation found conflicting statements and insufficient evidence to substantiate the allegation. The complaint was deemed unsubstantiated.

The visit was conducted to investigate a complaint alleging that the facility is increasing rent more than 10% for Resident #1.

The investigation found that the facility provided proper 60-day written notice for rent increases and the signed admission agreement allowed for such increases. The complaint was determined to be unfounded.

Complaint alleged that the facility increased rent more than 10% for Resident #1 after multiple increases in September 2023, February 2024, and a planned increase in July 2024. The allegation was investigated and found to be unfounded.

The inspection was an unannounced complaint investigation regarding an allegation that a staff member stole a resident's money.

The investigation found insufficient evidence to substantiate the allegation that a staff member stole resident's money. The resident in question had left the facility and no specific details or witnesses were provided to support the claim.

The complaint was unsubstantiated due to lack of evidence, including no identified perpetrator, date, location, or amount stolen. The resident involved had left the facility and could not be interviewed.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that the facility is not maintained in good repair and that the facility does not conduct fire drills.

The allegation that the facility is not maintained in good repair was substantiated due to an elevator being out of service for over a month, posing a potential health and safety risk. The allegation that the facility does not conduct fire drills was unsubstantiated as staff reported monthly fire drills with staff only, and records showed the last drill was conducted on 11/30/2023.

The complaint investigation was substantiated for the allegation that the facility is not maintained in good repair due to an elevator being out of service since December 2023. The allegation regarding fire drills was unsubstantiated due to insufficient evidence.

The inspection was an unannounced complaint investigation conducted due to allegations received regarding lack of care and supervision resulting in a resident injury from a fall, and failure of staff to seek timely medical attention for a resident.

The investigation found that resident #1 had an un-witnessed fall and was sent to the hospital for medical care on the same day. There was insufficient evidence to substantiate the allegations of lack of care and failure to seek timely medical attention, and the complaint was deemed unsubstantiated.

The complaint investigation was unsubstantiated based on the evidence obtained. Allegations included lack of care and supervision causing injury from a fall and failure to seek timely medical attention. The resident was sent to the hospital on the same day of the incident.

An unannounced complaint investigation was conducted due to an allegation that staff did not distribute a resident's medication as prescribed.

The investigation found that Resident One's medication was not included on the Medication Administration Record for March 2022, and the facility's documentation did not reflect the prescribed medication. However, review of other residents' medication records showed no discrepancies, and interviews confirmed residents were receiving medications as prescribed. The allegation was substantiated based on the evidence.

The complaint was substantiated, meaning the allegation was valid based on the preponderance of evidence.

An unannounced visit was conducted for a required annual inspection of the facility.

The Licensing Program Analyst toured the facility, reviewed safety and care measures, and conducted interviews. No deficiencies were observed during the visit.

An unannounced complaint investigation was conducted regarding allegations that staff attempted to change a resident's medical insurance without authorized representative's consent and that staff were not providing an itemized list of charges to the authorized representative.

The investigation found that the allegation of unauthorized insurance change was unfounded as the resident and family agreed to switch to the facility’s affiliated medical provider. The allegation regarding the itemized list of charges was unsubstantiated due to a delayed invoice caused by an incorrect email address, which was corrected.

The complaint involved two allegations: 1) staff attempted to change a resident's medical insurance without consent, which was found to be unfounded; 2) staff did not provide an itemized list of charges, which was found to be unsubstantiated.

An unannounced complaint investigation was conducted due to an allegation that the licensee did not provide enough staff to meet resident needs in the Assisted Living area on May 25, 2023.

The investigation found that although staffing had to be reshuffled due to absences, residents did not notice a lack of staff or have concerns about care. Staff interviews and observations confirmed adequate staffing levels on the day of the allegation. The complaint was determined to be unsubstantiated.

The complaint alleged insufficient staffing in Assisted Living on May 25, 2023 between 1:30pm and 3:30pm. The allegation was unsubstantiated after review of staffing records, staff and resident interviews, and observations.

The visit was an unannounced case management visit to follow up on the death of resident #1 (R1).

The Licensing Program Analyst reviewed documentation and conducted staff interviews regarding the death of R1, who was a new admit and died from a preliminary cause of a self-inflicted gunshot wound. No deficiencies were cited during this visit.

An unannounced complaint investigation was conducted in response to an allegation that a staff member sexually assaulted a resident while in care.

The investigation included interviews with residents, witnesses, and review of facility records. The staff member in question was not employed by the facility but by a third-party agency. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The allegation was that Staff One (S1) sexually assaulted resident R1 during massage services. S1 denied inappropriate touching and stated treatments were explained and consented to. Law enforcement concluded no elder abuse occurred. Four other residents reported no concerns. The allegation was unsubstantiated.

An unannounced visit was conducted to investigate a complaint alleging illegal eviction of a resident in care.

The investigation found that a 30-day eviction notice was valid due to non-payment of rent, and the resident's belongings were still in the unit. The complaint was determined to be unsubstantiated based on interviews and documentation review.

The complaint alleged illegal eviction issued to a resident. The investigation concluded the eviction was valid and compliant with Health and Safety code §1569.683, and the complaint was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 09/07/2022 regarding inadequate hygiene supplies, pressure injury care, bathing assistance, and air conditioning disrepair at Westmont Village facility.

The investigation substantiated the allegation that the facility did not provide adequate hygiene supplies such as soap and paper towels to memory care residents, issuing a Type B citation. Other allegations regarding pressure injury care, bathing assistance, and air conditioning system disrepair were found to be unsubstantiated.

The complaint investigation was substantiated for inadequate hygiene supplies but unsubstantiated for allegations related to pressure injury care, bathing assistance, and air conditioning system disrepair.

An unannounced complaint investigation visit was conducted in response to an allegation that staff do not provide proper medication assistance to a resident in care.

The investigation found that the resident had not yet received the prescribed narcotic medication due to mailing delays, but alternative pain medications and hospitalization options were offered. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged improper medication assistance to a resident. The allegation was found unsubstantiated after interviews with staff, the resident, and an outside witness confirmed the medication was ordered and alternatives were provided.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-01-05 regarding staff training on indwelling catheters and inappropriate resident restraint.

The investigation substantiated two allegations: staff were not properly trained on indwelling catheter care, and a resident was inappropriately restrained using bed sheets. One allegation regarding ineffective communication between staff and a resident was unsubstantiated. Two citations were issued related to the substantiated allegations.

The complaint investigation was substantiated for allegations that staff were not properly trained on indwelling catheter care and that a resident was inappropriately restrained. The allegation that staff could not communicate effectively with a resident was unsubstantiated.

An unannounced case management visit was conducted to follow up on a recent resident death.

No deficiencies were observed during the visit. The Licensing Program Analyst reviewed the death report submitted by the Resident Service Director and completed the death report for the Community Care Licensing division.

Subsequent case management visit conducted regarding complaint investigation 18-AS-20221026090245 to verify correction of previously cited deficiencies.

The administrator failed to correct deficiencies related to Personal Rights of Residents and Managed Incontinence cited on 11/2/2022, as proof of required training was not submitted by the due date. Two civil penalties totaling $1,000 were assessed.

Visit was related to complaint investigation 18-AS-20221026090245. Deficiencies were not corrected as required, resulting in civil penalties.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2022-10-26 regarding resident care issues including laundering needs, wet diapers, housekeeping, staff communication, staffing sufficiency, meal provision, and safety environment.

The investigation substantiated three allegations: failure to meet residents' laundering needs, residents left in wet diapers for extended periods, and failure to meet housekeeping needs. Four other allegations related to staff communication, staffing sufficiency, meal provision, and safety environment were unsubstantiated. The facility was issued three citations under Title 22.

The complaint investigation was initiated based on allegations received on 2022-10-26. The investigation was conducted unannounced on 2022-11-02. Some allegations were substantiated, including failure to meet laundering, diaper changing, and housekeeping needs. Other allegations regarding staff communication, staffing sufficiency, meal provision, and safety environment were unsubstantiated.

An unannounced annual inspection was conducted with an emphasis on infection control to assess compliance with Community Care Licensing guidelines.

The inspection found no deficiencies; however, four technical assistances were provided regarding infection control measures such as signage, hand hygiene supplies, PPE use, and COVID-19 protocols.

The visit was an unannounced case management health and safety visit conducted in conjunction with complaint 18-AS-20220907102851.

No imminent health or safety concerns were observed during the visit. The facility had sufficient staff, utilities were functioning properly, and food and medication supplies met requirements. No deficiencies were cited.

The visit was conducted in response to complaint 18-AS-20220907102851. No immediate threats to health, safety, and welfare were found, and no deficiencies were cited.

The visit was an unannounced complaint investigation initiated due to allegations including residents not having access to a telephone, facility disrepair, and non-compliance with the admissions agreement.

The investigation found that the allegations were unsubstantiated. Residents in the licensed Assisted Living area had full phone service and no issues with internet or TV service. Toilets and stoves were found to be operational. The issues reported were limited to an independent area not licensed with Community Care Licensing.

The complaint involved multiple allegations: lack of telephone access for residents, facility disrepair, and failure to abide by the admissions agreement. The investigation included interviews with 14 residents and staff, document reviews, and facility tours. All allegations were deemed unsubstantiated due to lack of evidence or because the issues affected only unlicensed areas.

An unannounced annual inspection was conducted with an emphasis on infection control to evaluate the facility's compliance with Community Care Licensing guidelines.

The inspection found no deficiencies. Observations included proper signage, sufficient hand hygiene supplies, adequate cleaning and disinfecting provisions, proper use of face coverings, and a designated infection control lead. The facility has plans in place for COVID-19 testing, isolation, cleaning, and monitoring residents.

The inspection was an unannounced complaint investigation visit triggered by allegations that a resident sustained a fall while in care and that facility staff did not notice a change in the resident's condition.

The investigation found that the resident was assessed as a fall risk and the fall incident was unwitnessed but staff followed proper care procedures. Staff also assessed and documented the resident's change in condition and obtained home health services. The allegations were deemed unsubstantiated due to insufficient evidence.

The complaint involved allegations that a resident sustained a fall while in care and that facility staff did not notice a change in the resident's condition. The allegations were found to be unsubstantiated.

The visit was conducted to address a deficiency observed during the investigation of Complaint #18-AS-20190919104522, which alleged that facility staff lacked proper training.

The investigation found a lack of proper record keeping regarding staff training documentation. The facility was unable to provide proof of training for nine of eleven staff records, and initial or annual training records were not observed on file or provided. This posed a potential health and safety risk to residents.

Complaint #18-AS-20190919104522 alleged facility staff lacked proper training; the investigation substantiated a lack of training documentation for nine of eleven staff records.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2019-09-19 regarding staffing sufficiency, food service adequacy, staff training, and provision of activities at the facility.

All allegations were investigated through staff and resident interviews, record reviews, and observations. The allegations of insufficient staffing, inadequate food service, and improper staff training were deemed unsubstantiated due to lack of sufficient evidence. The allegation that the facility does not provide activities was deemed unfounded based on observations and interviews.

The complaint included allegations that the facility had insufficient staff to meet residents' needs, failed to provide adequate food service, staff were not properly trained, and the facility did not provide activities. After investigation, the staffing, food service, and training allegations were unsubstantiated, and the activities allegation was unfounded.

The inspection was conducted as an unannounced complaint investigation regarding allegations that due to neglect, a resident was physically assaulted by another resident while in care.

The investigation found that Resident #1 was found on the floor with Resident #2 hitting Resident #1's ankle area with a cloth slipper. Both residents were assessed with no injuries found. Resident #1 was taken to a medical facility as a precaution and returned the same day with no new orders or medical findings. The allegation was deemed unsubstantiated due to insufficient evidence of neglect or assault.

The complaint was unsubstantiated. The allegation that due to neglect, a resident was physically assaulted by another resident was not supported by evidence.