Astoria Park Senior Living

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement was not met as evidenced by: Staff#2 (S2) did not follow the facility's procedures of having the required two (2) staff for proper use of Hoyer lift when transferring Resident#1 (R1) which cause bruises on leg and knee.This poses an immediate health and safety risk to residents in care.

Personnel - Operations. In each facility:When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. This requirement was not met evidenced by: Based on interviews and record review, it was revealed that in October 2025, 2 Memory Care Unit (MCU) staff were suspended, of which 1 was terminated, but both were listed in the MCU weekly staff schedule and administration staff did not ensure adequate staff coverage. This posed a potential health, safety, and personal rights risks to persons in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.This deficiency was evidenced by the following: Based on interview and record review, staff do not dispense all of R1's medications and R1’s medication Gabapentin 300 mg capsule was marked administered, but the medications were still on the bubble pack and the PRN pain medication was not given as prescribed which poses an immediate health and safety risk to residents in care.

(h) The following requirements shall apply to medications which are centrally stored:..(6)The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained.This requirement is not met as evidenced by: Per medication review, R5 TK has control Rx Pregabalin 150 mg adminsitered twice on 3/14/26 but did not administer on 3/18/26. R6 AT has discontinued Rx-Midodrine HCL 2.5 MG still given to R6 on 3/26/26. R7 SS, has discontinued Rx-Furosemide 40 mg no longer administered but still listed on MAR. Licensee did not have an explanation about Rx discrepancy/ record.Based on observation and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Managed Incontinence.... the licensee shall be responsible for the following:Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met evidenced by: Based on interviews and observation during the 10/30/25 physical plant inspection, the findings indicate R1 requires incontinence care at least every 2 hours and feces were observed on the floor, bedding, and mattress of a Memory Care Unit resident room. This posed a potential health and safety risk to the resident in care.

Personal assistance and care as needed by the resident .. such as … bathing…This requirement was not met as evidenced by: Per staff and residents’ interviews, staff were not bathing residents and missed at least once last week for providing their bathing needs.This poses a potential health and safety risk to residents in care.

Personal assistance and care as needed by the resident .. such as … bathing…This requirement was not met as evidenced by: Per staff and residents interviews, staff were not bathing residents and missed at least once last week for providing their bathing needs.This poses a potential health and safety risk to residents in care.

(a) (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 was not met as evidenced by: Per interviews of residents and call button test, it showed that staff would take 15 min or did not respond to residents at all due to the call button was not working. This poses a potential health and safety risk to residents in care

The facility shall be clean, safe, sanitary and in good repair at all times.This requirement was not met as evidenced by: Per call button tests, mulitple of call buttons were not working properly at the facility.This poses a potential health and safety risk to residents in care

Criminal Record Clearance. (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement is not met as evidenced by:Based on record review, S1 had been working at the facility from February of 2025 - 10/16/2025 while not being associated to the facility, which posed an immediate health and safety risk to residents in care.

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (6) Toilet, handwashing and bathing facilities shall be maintained in operating condition. Additional equipment shall be provided in facilities accommodating physically handicapped and/or nonambulatory residents, based on the residents' needs. This requirement was not met as evidence by: During facility tour LPA observed Room #116's toilet to be completely off and in the shower. It was explained to LPA by facility's Maintenance Director that there is a plumber arriving to repair toilet today 12/12/25 as the toilet is clogged. LPA toured room once again prior to concluding visit (around 3:20pm) and toilet was still not repaired and taken apart.

87415(a)(2) - Night Supervision(a) The following persons providing night supervision from l0:00 p.m. to 6:00 a.m....shall be available... to assist in caring for residents.(2) In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake....This requirement was not met as evidenced by: LPA's interviews with staff, residents and review of facility alarm event report for 11/07/2025 showed that staff did not respond in timely manner and that resulted in R1 spending 9 minutes 11 seconds or 24 minutes 17 seconds on the floor. Both times are unreasonable call light respond times or for any resident to spend on the floor. This poses a potential health and safety risk to residents in care

87468.1(a)(16) Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services.This requirement is not met evidenced by: R1 was not provided timely medical care for pressure injuries.

87411(a) Personnel requirements general. Personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by: After R1 was admitted to the hospital and was diagnosed with dehydration. Medical documents showed the resident was lacking fluid intake. Medical records show the resident was suffering from diarrhea at facility and interviews with staff indicated that resident was refusing liquids.

(a) Persons who require health services for or have a health condition...shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries.This requirement is not met as evidenced by: Record review shows that R1 developed stage 3 and 4 pressure injuries while at the facility and was retained by facility.

87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff Based on interviews conducted with other agencies licensee did not ensure staff were following complete and correct record log for medication infection which poses a potential risk to the persons safety, health, or personal rights of the persons in care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. Based on observations and interviews licensee did not ensure, R1 received the medication prescribed due to R1 not being in the facility also R1 was given discontinued medication by staff which poses an immediate risk to the health, safety, and personal rights of the persons in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.This standard was not met as evidence by: Based review of R1's MAR on 5/18/25 R1 missed a dose of thier routine Riboflavin medication, when LPA interviewed staff 3 staff confirmed that their was a glitch in the MAR during that time where the medication was listed as discontinued and was reordered the following day.

Based on observation, the licensee did not comply with the section cited above in that the majority of the 26 rooms inspected that were primarily shared rooms did not have mattress pads on resident beds, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above staff (S3, S5, S7, S8) do not have 1st Aid/CPR training on file and/or it is expired which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section above; R1's Acidolphilus Tablet, Calcium 600-Vit D3 500, Clobetasol .05%, Aquaphor 41% ointment medications have not been filled, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above; rooms 130 and 133 had oxygen tanks but no "No Smoking-Oxygen in Use" sign, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above; room 148 had a soiled incontinence pad on the room entrance, Memory care unit (MCU) public bathroom had feces on toilet, blood on bed/sheets in room 141, and MCU shower room floor had feces on the floor, MCU rooms were not clean, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above; MCU patio door is inoperable, room 152's bathtub faucet had a leak, MCU public bathroom door is in disrepair, room 132-bathroom wall drywall is in disrepair/ window is missing blinds, room 133 is missing a medicine cabinet mirror; which poses a potential health, safety or personal rights risk to persons in care.

87464 Basic Services: (f) Basic services shall at a minimum include:v(6) Arrangements to meet health needs, including arranging transportation...This requirement is not met as evidence by: Based on medication review, and document review licensee did not ensure that R2 had routine and as needed medication which poses an immediate risk to the health, safety, and personal rights of the persons in care.

87465 Incidental Medical and Dental Care:(a) A plan for incidental medical and dental care shall be developed by each facility... by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidence by: Based on observations and review licensee did not ensure that routine medications were available for R1-R3 which poses a potential risk to the health, safety, and personal rights of the persons in care.

87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... staff shall... ensure provision of personal assistance and care...This requirement is not met as evidence by: Based on observations and interviews licensee did not ensure, R1 received the correct medication provided by S1 which poses an immediate risk to the health, safety, and personal rights of the persons in care.

87470 Infection Control Requirements: (b) In addition... the following shall apply: (2) All staff and volunteers providing direct care to a resident who has a contagious disease shall wear appropriate Personal Protective Equipment (PPE),,,This requirement is not met as evidence by: Based on observation and interviews licensee failed to ensure staff are wearing PPE supplies when providing care to symptomatic residents and proper use of PPE which poses an immediate risk to the health, safety, or personal rights to the persons in care.

87470 Infection Control Requirements: (a) A licensee shall ensure that infection control practices are maintained as follows:(1) All staff and volunteers shall perform hand hygiene.This requirement is not met as evidence by: Based on interviews conducted with other agencies licensee did not ensure staff were following infection procedures to prevent the spread of the infectious disease which poses a potential risk to the persons safety, health, or personal rights of the persons in care.

87468.2 Additional Personal Rights of Residents...:(a) ... facilities for the elderly shall have ... personal rights: (4) To care, supervision, ... meet their individual needs ... by staff that are sufficient in...qualifications, and competency to meet their needs.This requirement is not met as evidence by: Based on interviews and documents reviewed licensee did not ensure R1 was provided with timely medical care during the incident by delaying the care by an hour which poses an immediate personal right, health, or safety risk to the persons in care.

87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... additional staff whenever... the needs of the particular residents...This requirement is not met as evidence by: Based on documents reviewed and interviews conducted the licensee did not ensure R1 did not elopped from the facility which poses an immediate risk to the health, safety, and personal rights of the persons in care.

Based on observation and interviews, the licensee did not comply with the section cited above in R3's prescribed medication was observed with labels which poses/posed a potential health, safety or personal rights risk to persons in care.

87211 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: (2) Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate.This requirement is not met as evidence by: Based on documents reviewed licensee did not report the epidemic outbreak to licensing within the 24 hour reporting requirement, as multiple residents tested positive for Covid-19 (5) days prior to reporting to licensing, which poses a potential risk to the health, safety, or personal rights of the persons in care.

Based on observation, the licensee did not comply with the section cited above in a cleaning solution was observed under bathroom's sink in room #150 which is located in the memory care unit which poses an immediate health, safety or personal rights risk to persons in care.

Additional Personal Rights of Residents ...(a)... shall have all of the following personal rights:(8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement is not met as evidence by: Based on interviews and documents reviewed licensee did not ensure S1 treated R1 and R2 with dignity and respect which poses an immediate risk to the health, safety, or personal rights of the persons in care.

87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... additional staff whenever... the needs of the particular residents...This requirement is not met as evidence by: Based on documents reviewed and interviews conducted the licensee did not ensure R1 did not prevent R1 from eloping the facility after first incident which poses an immediate risk to the health, safety, and personal rights of the persons in care.

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement is not met as evidence by: Based on observation licensee did not ensure that all passageways were free of obstruction which poses a potential risk to the health, safety, or personal rights of the persons in care.

Eviction Procedures. The licensee may, upon thirty (30) days written notice to the resident, evict the resident for nonpayment of the rate for basic services, failure to comply with state or local law, failure to comply with the general policies of the facility, development of a need not previously identified, and/or a change of use of the facility. This requirement was not met as evidenced by: Interviews with Administrator and Staff #1 indicate that resident #1 was not given 30 days written eviction notice as required.

87303 Maintenance and Operation: (a) The facility shall be..., safe,... and in good repair at all times... maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidence by: Based on observation licensee did not ensure that exit door by room #129 egress system was working at all times which poses a potential risk to the health, safety, or personal rights of the persons in care.

87705 Care of Persons with Dementia; (c) Licensees who accept and retain residents with dementia shall...: (5) Each resident with dementia shall have an annual medical assessment... and a reappraisal done at least annually.This requirement is not met as evidence by:

87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports...: (1)A written report shall be submitted...within seven days of the occurrence of any of the events specified in (A) through (D) below...This requirement is not met as evidence by: Based on document review licensee did not ensure incident occured on 3/24/23 with R1 was reported to the department within 7 days which poses a potential risk to the health, safety, or personal rights of the persons in care.

87705 Care of Persons with Dementia:(k) The following... requirements must be met ...(5) Residents who continue to indicate a desire to leave the facility following redirection shall be permitted to do so with staff supervision.This requirement is not met as evidence by: Based on observation, interviews, and documents reviewed licensee did not ensure there is a plan, staff, or assessments for residents in the memory care unit that continued to exit the memory care unit which poses an immediate risk to the health, safety, or personal rights of the persons in care.

Based on observation, the licensee did not comply with the section cited above in passageways located in the first floor, to the right of the dementia courtyard and outside room #119 have a bench and chairs obstructing which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 5 out of 5 staff files review did not have a current CPR on file, Brianna Goodlett CPR/first aid expired on 3/23 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in toilet in room #149 was clogged and overflowed which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 5 staff do not have a health screening on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 5 files review, R3 does not have an updated physician's report, last report 3/15/22 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in disinfectant sprays were observed in kitchenette's cabinet without a lock in the dementia unit which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in listed administrator Brianna Goodlett does not have a current administrator certificate per administrator Erin Manohey is assuming the role and the department was not notify of this change which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in LIC 610E(10/03) was reviewed which does not meet the updated emergency disaster plan LIC 610E(12/21) which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in dementia bathroom's faucet sink accessible to the resident in dining room was not working, activity's room refrigerator was observed dirty, and ceiling by the family lounge was observed with water damage and crack, screen door was observed in the dementia courtyard on the floor which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in S4 does not have a TB clearance on file which poses/posed a potential health, safety or personal rights risk to persons in care.