Follow-up·November 5, 2025

Citations

8 citations recorded^*CCLD

• 87303(b)(1)Type B

  (b) A comfortable temperature for residents shall be maintained at all times.(1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C).This requirement is not met as evidence by: Based on observation facility temperature was 66 degrees F which posed a potential health risk to resident in care

• 87623(a)Type B

  (a) The licensee shall be permitted to accept or retain a resident who requires the use of an indwelling catheter under the following circumstances:This requirement is not met as evidence by: Based on record review, interview with W1 and Licensee, and text messages Licensee did not have the proper requirements met to retain a resident with a catheter which posed a potential health risk to resident in care

• 1569.655(a)Type B

  (a) If a licensee .. increases the rates… the licensee shall provide no less than 90 days’ prior written notice… including a description of the additional costs, except for an increase in the rate due to a change in the level of care of the resident.The following requirement was not met as evidence by: Based on interviews with Licensee, W1, and review of text messages the Licensee raised the rent without proper notice twice which poses a potential personal rights violation to resident in care.

• 87307(a)(3)(D)Type B

  (a)Living accommodations …shall apply: (3)Equipment and supplies necessary for personal care …the licensee shall assure provision of: (D)Hygiene items of general use such as soap and toilet paper.The following requirement was not met as evidence by: Based on interviews with R1, R2, and W1 the facility was not providing basic hygiene needs by not readily providing toilet paper which poses a potential personal rights violation to resident in care.

• 87411(a)Type B

  (a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…facility require such additional staff for the provision of adequate services.The following requirement was not met as evidence by: Based on interviews with S1, and record review staff were not up to date on their training or competent to provide the required care and assistance which poses a potential personal rights violation to resident in care.

• 87464(f)(4)Type B

  (f)Basic services shall at a minimum include:(4)Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports.The following requirement was not met as evidence by: Based on interviews with W1, record review, observations made during visits the facility was not following the careplans’ for R3 by not assisting them with repositioning every 2 hours, and not following R1’s careplan which poses a potential personal rights violation to resident in care.

• 87468.2(a)(8)Type A

  (a)In addition to the rights listed in Section 87468. … the elderly shall have all of the following personal rights: (8)To be free from neglect… or sexual abuse.The following requirement was not met as evidence by: Based on interviews with W1 and review of text messages R1 sustained pressure injuries due to staff neglecting to ensure proper movement which poses an immediate health and personal rights violation to resident in care.

• 87555(a)Type A

  (a)The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner.The following requirement was not met as evidence by: Based on interviews with W1, photos, text messages with home health, and observations made at the facility by LPAs the facility is not providing quality food due to having expired foods in use for residents such as potatoes, pre-cooked meals, and produce as well as not following R1’s no salt diet which led to them swelling which poses an immediate health and personal rights violation to resident in care.

FAQ · About this visit

Common questions about this visit

Next steps