Follow-up·March 11, 2026

Citations

7 citations recorded^*CCLD

• 87211(a)(1)Type B

  Report specified resident events within seven days

  87211(a)(1) Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in by not reporting the fall incident with R1 to Licensing which poses a potential health, safety or personal rights risk to persons in care.

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• 87463(a)(b)Type B

  87463 Reappraisals(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition…(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident.This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in by not updating reappraisals for R1 with the frequent falls which poses a potential health, safety or personal rights risk to persons in care.

• 87465(g)Type B

  Call 9-1-1 for imminent health threats

  87465(g) Incidental Medical and Dental Care(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4).This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not comply with section above by not activating 9-1-1 if an injury or other circumstance which poses a potential health and safety risk to the persons in care.

• 87468.2(a)(19)(2)Type B

  87468.2 (a)(19) Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (19) To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days and at a cost that does not exceed the community standard for photocopies.This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in by not giving R1 and/or R1's representative copies of R1's records as requested which poses a potential health, safety or personal rights risk to persons in care.

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• 87506(d)Type B

  Records available to licensing agency for inspection

  87506(d) Resident Records(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in by not ensuring that complete and former resident records were maintained and available for review as required. Specifically, the financial records for R1 from the year 2022 were not available during the visit on 11/19/25 and 03/11/26. In which poses a potential health, safety or personal rights risk to persons in care.

• 87465(a)Type B

  Develop required incidental medical care plan

  87465(a) Incidental Medical and Dental Care ServicesA plan for incidental medical and dental care shall be developed by each facility to ensure that residents receive necessary medical and dental services.This requirement is not met as evidenced by: Based on interviews, and record review the licensee did not comply with the section cited above in by to ensure that Resident (R1) received appropriate medical evaluation or follow-up after sustaining an open wound to their hand. This failure resulted in R1 not receiving timely medical assessment following an injury. This poses a potential health and safety risk to residents in care.

• 87468.2(a)(4)Type B

  Right to sufficient care and qualified staff

  87468.2(a)(4) Additional Personal Rights Residents in all residential care facilities for the elderly shall have the following personal rights: (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on interviews and record review the licensee did not comply with the section cited above in by to ensure that Resident (R1)’s request for assistance through the call pendant system was responded to promptly. This resulted in R1 remaining on the floor after a fall and unable to get up for approximately 26 minutes until staff responded. This poses a potential health and safety risk to residents in care.

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