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Inspection visit

complaint

AUTUMN RIDGE ASSISTED LIVINGLicense 1072094921 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 06/17/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal and Licensed Vocational Nurse Diane Cramer. LPA delivered complaint findings. During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. Discontinued medications were stored in medication room unlogged and not disposed. Interview with staff confirms expired medications and medications for former residents has not been logged and disposed back dated to March 2025. Based on observations and interviews conducted, the preponderance evident has been met, therefore the above allegation is found to be SUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87465(i)Type B

    87465 (i) Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, (1) Name of the resident. (2) The prescription number and the name of the pharmacy. (3) The drug name, strength and quantity destroyed. (4) The date of destruction.This requirement is not met as evidenced by: Based on interview conducted and observations, medications for expired residents and discontinued medications were not record nor destructed backdating to March 2025, in which poses/posed a potential health and safety and personal rights risk to the resident in care.

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  • 87608(a)(5)(B)Type B

    Based on observation and records reviewed, R1 and R2 are on hospice care lying bed using a hospital bed with full rail with no doctor’s order, which poses/posed a potential health and safety and personal rights risk to the resident in care.

  • 87465(c)(2)Type A

    Based on records review and observation, R4’s medication Metformin Hcl 500 mg and R3's medication Losartan was not administered as directed by physician, which poses an immediate health and safety risk for the person in care.

  • 87465(h)(6)Type B

    Based on interview conducted, observation, and records reviewed, R3’s medication Atorvastatin 40 mg and Donepezil Hcl 5 mg were administered daily and not record in Centrally Stored Medication List (Lic 622) record, poses/posed a potential health and safety and personal rights risk to the resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 17, 2025 inspection of AUTUMN RIDGE ASSISTED LIVING?

This was a complaint inspection of AUTUMN RIDGE ASSISTED LIVING on June 17, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to AUTUMN RIDGE ASSISTED LIVING on June 17, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 (i) Prescription medications which are not taken with the resident upon termination of services, not returned to t..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.