Inspection visit

complaintDecember 17, 2021

RIALTO ASSISTED LIVINGLicense 3618806601 citation on this visit

1 citation recorded

Inspector’s narrative

What the inspector wrote

After evaluating R1's condition and needs in the hospital, the facility determined that they would still not be able to meet R1's needs and were concerned that R1 would end up in the same condition, requiring emergency medical care, should they readmit R1 to the facility. LPA Colvin reviewed Title 22 Regulations regarding Eviction Procedures and confirmed that the facility's Admissions Agreement was in line with Title 22 regarding under what circumstances the facility may issue an eviction notice to a resident. Additionally, the facility continued to abide by the Admissions Agreement, which was signed by R1, wherein they re-evaluated R1 in the hospital to determine if R1's needs/condition had changed, and if the facility would now be able to provide adequate care for R1. The facility determined that they would still not be able to meet R1's needs, and therefore decided not to readmit R1 as of March 6, 2020. The facility's Admissions Agreement expressly states that if a resident is in the hospital and the facility determines that they will not be able to provide sufficient care for the resident at the facility, that they will not readmit the resident back to the facility at that point. This agency has investigated the complaint alleging unlawful eviction. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted where this report was discussed. A copy of all reports and forms were provided to Marketing Director Janet Oliver during the exit interview. No further steps were made to seek medical treatment for R1 until several days later, on February 28, 2020 when R1’s POA went to the facility to check on R1 and observed the large rash on R1’s chest. With the assistance of R1’s POA, 911 was called and R1 was successfully transported to the hospital where R1 was treated for the infected rash. During the investigation it was revealed that prior to R1’s hospitalization, R1 had not been seen by a doctor nor had an updated assessment since 2015. Additionally, interviews revealed that the Administrator was aware that R1’s needs were greater than what was reflected in the facility’s written record of care, yet the facility had not taken any measures to update their assessment of the resident. Interviews also revealed that R1 was observed to have a recent decline in condition in the last two months and was refusing staff assistance with showering and toileting. Facility staff documented R1’s refusals and their attempts to contact R1’s Power of Attorney, but no further action was taken. The facility failed to provide adequate observation and care of R1, which resulted in R1 being admitted to the hospital for an infected rash. Therefore, based on interviews and record reviews, the above allegation is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. Due to observations made by LPA Colvin, the facility was cited and deficiency noted on LIC 9099 D. An exit interview was conducted where this report and appeal rights were discussed. A copy of all reports, forms, and appeal rights were provided to Marketing Director Janet Oliver during the exit interview.

Citations

7 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.

87468.1(a)(2)Type A
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: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the above regulation with at least one resident. LPA Colvin learned that R1 has hit residents & staff with their electric scooter on multiple occasions. There is no record of facility intervention. This is an immediate safety risk.
87468.2(a)(27)Type B
Additional Personal Rights of Residents in... Facilities : (a) In addition to the rights listed...residents...shall have all of the following personal rights: (27) To keep, have access to, and use their own personal possessions...and to keep and be allowed to spend their own money... This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with at least 4 residents. LPA Colvin observed 4 residents did not have access to their April 2020 P&I until 4/9/20, six days after the Licensee received the checks. This was a potential personal rights violation.
87307(d)(2)Type B
Personal Accommodations and Services: (d) The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with at least one area of the facility. LPA Colvin confirmed that Room #32 was in a state of disrepair for over 3 weeks, leaving the occupant displaced. This was a potential personal rights violation of the occupant.
87307(a)(3)(C)Type B
Personal Accommodations and Services: (a) Living accommodations...shall be related to the facility's function...The following provisions shall apply: (3)...the licensee shall assure provision of: (C)...bath towels, hand towels and wash cloths. The quantity shall be sufficient... This requirement was not met by: Based on interviews and internal audit, the Licensee did not comply with the above regulation with at least one category of item. LPA Colvin confirmed that the facility did not have a sufficient supply of towels, as there was only one spare clean towel. This was a potential health risk to all residents in care.
87466Type A
Observation of the Resident:...shall ensure that residents are regularly observed for changes...and that appropriate assistance is provided...the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This regulation was not met by: Based on interviews and record review, the Licensee did not comply with the following regulation in that Administrator observed resident to have a significant change in condition and did not re-evaluate for level of care, resulting in infected wound. This was an immediate risk to R1.
87468.2(a)(4)Type A
Additional Personal Rights of Residents in...Facilities : (a) In addition to the rights listed...residents... shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs... This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the above regulation with one resident (R2). LPA Colvin learned that R2 had a change in condition, and their facility Care Plan was not updated. Staff additionally failed to immediately provide R2 with life saving measures. This was an immediate health risk for R2.
87303(a)Type B
Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met by: The Licensee did not comply with the above regulation with at least one area of the facility. LPA Colvin observed that paper towels in the common bathroom are stored on the counter, and not in the dispenser which is on the wall. This is a potential health risk to all persons.

FAQ · About this visit

Common questions about this visit

What happened during the December 17, 2021 inspection of RIALTO ASSISTED LIVING?

This was a complaint inspection of RIALTO ASSISTED LIVING on December 17, 2021. 1 citation were issued: 1 Type A (serious).

Were any citations issued to RIALTO ASSISTED LIVING on December 17, 2021?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall h..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·December 17, 2021