Routine inspection·December 16, 2025

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit. LPA was met by Christina Matsumoto, Executive Director and explained the purpose of the visit. The facility is licensed to serve for a capacity of (120) non ambulatory residents, age range 60 and over, of which (10) may be bedridden. Rooms 129-145 and all 1st floor rooms approved for bedridden except for room 101, 103, 105, 107, 109, and 111. Exterior gates approved for delayed egress. Hospice waiver for (20) has been approved. The facility has a new management, Walnut Silver Town effective 10/15/2025. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. Bathrooms have hygiene items such as paper towel, hand soap and toilet paper. Staff are adhering to infection control requirements. Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Infection Control Plan. The facility has a dementia care plan to accept or retain residents with dementia. Facility maintains the required liability insurance which expires on 12/22/2025. Facility does not handle residents cash resources. Physical Plant/Environment Safety: The facility is a 2 story building with resident rooms on both floors. The main floor consists of the main lobby, administrative offices, activity room, dining room, kitchen, resident rooms, laundry room and the memory care unit. The 2nd floor consists mainly of resident rooms, medication room, office, laundry room and activity rooms. LPA selected random rooms in the 1st and 2nd floors to inspect. They are clean and have the required furnishings. There are no items obstructing the walkways. The fireplace is adequately screened. There are multiple carbon monoxide detectors in each hallway and fire sprinklers throughout the facility. There are shaded areas with outdoor furniture in the Memory Care unit and Assisted Living unit provided to the residents. There are no pools or large bodies of water. Facility has sufficient space to accommodate indoor and outdoor activities. There are planned activities daily. There are sufficient food supplies of 2-day perishable and a week of non-perishable items as well as water supply. The foods are properly stored in the refrigerator. There are no security bars or weapons on the premises. The facility has central air and heating accommodations. The hot water temperature was tested throughout the facility and measured within Title 22 Regulation guidelines. Storage areas for cleaning solutions, toxic, knives, and hazardous items were inaccessible to residents. The fire extinguishers were observed to be fully charged. *****CONTINUED ON LIC809-C***** Staffing: A total of 62 staff members including the Administrator provide care and supervision to the residents. There is sufficient staffing for each shift. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and associated to the facility. Personnel Records-Training: The Administrator's certificate expires on 07/25/2027. Staff have criminal background clearance and training. (7) staff files were reviewed. There is at least one staff with CPR & First Aid training on each shift. Proof of staff training, health clearance and 1st Aid/CPR training are current. Resident Rights-Information: A total of (10) resident files were reviewed. They contained admission agreements, Physician's Reports, Appraisal, Individual Needs/Service Plans, TB clearance, Functional Capability Assessment, Physician's Orders, medical consent, and medication records, RCFE complaint poster and Personal rights were observed posted in the lobby. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. An activity calendar is posted in the lobby and the elevator. The facility has a Resident Council. Food Service: Sufficient food supply is stored in the kitchen and pantry areas consisting of: 2-day perishables, 7-day non-perishables, and emergency food supplies. Sanitation practices and kitchen cleanliness was observed. Incidental Medical and Dental: Residents medications were reviewed containing 30-day supply of medications to confirm medication is given as prescribed and is documented properly. The facility uses the Quick Medication Administration Record (MAR) log to document medications given. Medications are centrally stored and locked in the medication room. Facility uses medical carts . Medications are administered as prescribed. Medical and dental transportation is provided. First aid is available and stored in each medical cart. Resident Records-Incident Reports: Resident files are kept in a secured location and have the following documents in their files: Pre-admission appraisal/Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information and current Physician's Report. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers. Facility conducts fire drill at least quarterly for each shift. Last fire drill was conducted on 09/29/2025. Residents with Special Health Needs: (2) residents who are utilizing oxygen tanks have signs posted at the front door. There are (10) residents receiving hospice care in the facility. Staff provide support care and supervision appropriate to meet the need of the residents receiving care from a Hospice agency. No deficiencies cited. An exit interview was conducted, and a copy of this report was provided to Christina Matsumoto, Executive Director.