Inspection visit

complaintJanuary 17, 2024

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

A records review of resident's 1 (R1) controlled drug administration record starting on November 12, 2023 thru December 11, 2023 indicated R1's Hydrocodone 5-325 MG medication tablet count was off, and missing one medication tablet, which was unaccounted for. However, there was not enough evidence to prove facility staff were stealing medication. Please refer to January 17, 2024 case management for incidental and medical deficiencies. Moreover, LPA Martinez reviewed resident 2's (R2) admission agreement, billing statements, and facility meal receipts. It was learned R2 was charged on $12.93 on December 04, 2022 for a meal that was not ordered by R2. Furthermore, LPA Martinez went over the incorrect charges with kitchen staff and the Administrator on December 14, 2023. At this time, it was confirmed R2 was charged incorrectly. The facility at this time is reviewing the charge, and will reimburse if needed. LPA Martinez reviewed R2's 2022 and 2023 Meal billing records and meal receipts. The meal receipts did not indicate R2 was being charged for alcoholic beverages. Therefore, there is not enough evidence to prove that R2 was being charged for alcoholic beverages. Furthermore, R2's admission agreement on page 21 states, " Alcohol is available for purchase in the bar and lounge and in the restaurant at dinner. See current pricing on the menus. Pricing may change or vary as menus change." According to R2's admission agreement R2 agreed to the alcohol services. Due to the above noted information, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, and therefore the allegation are unsubstantiated

Citations

5 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.

1569.312(e)Type A
1569.312(e) Basic services requirements: Every facility required to be licensed under this chapter shall provide at least the following basic services: Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement was not met as evidence by: Based on file review and interviews, the Licensee did not ensure R1 was monitored daily. R1 was found on the ground unable to get up from the floor for hours due to lack of monitoring/basic services. This posed an immediate health and safety risk to R1.
87211(a)(1)(D)Type B
87211(a)(1)(D)Reporting Requirements each licensee shall furnish to the licensing agency such reports...Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: based on interviews and file review the facility did not submit incident reports in regards to medication errors. This posed a potential health and safety risk to R1.
87465(6)Type B
87465(6)Incidental Medical and Dental Care The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year... This requirement was not met as evidence by: Based on interviews and file reviews, The Licensee did not ensure MARs were being maintained for R1, R2, and R3. This posed a potential health and safety risk to residents in care.
87465(a)(4)Type A
87465(a)(4) Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility...The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: Based on file review and interviews, The licensee did not ensure staff were administering R1, R2, and R3's medication as required and did not ensure staff were administering the correct medication to R2 and R3. This posed an immediate health and safety risk to R1, R2, and R3.
87465(g)Type A
87465(g) Incidental Medical and Dental Care 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...This requirement was not met as evidence by. Based on file review and interviews, The Licensee did not ensure to seek timely medical attention for R1. R1 was not monitored/check on 10/27/23 and when R1 was checked on R1 was found naked on the ground, and R1 was on the ground for an undetermined amount of hours. This posed an immediate health and safety risk to R1.

FAQ · About this visit

Common questions about this visit

What happened during the January 17, 2024 inspection of OAKMONT OF LODI?

This was a complaint inspection of OAKMONT OF LODI on January 17, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to OAKMONT OF LODI on January 17, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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·January 17, 2024