complaint·March 27, 2026

Citations

10 citations recorded^*CCLD

• 87224(d)Type B

  87224(d) Eviction Procedures(d) The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons.This requirement was not met as evidence by: Based on interview, R1 was not served a lawful eviction notice, which poses a potential health, safety, and/or personal rights risk.

• 87303Type A

  (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 was not met as evidenced by: 2of2 resdient rooms water tested at 77 and 76 degrees, kitchen sink water temperature tested at 125 degress. Flooring in the AL med Tech office, carpet in MC and flooring in AL rm 49 were all in need of repair. This poses an immediate threat to the health and safety of resients in care.

• 87307(a)(3)(D)Type A

  (D) Hygiene items of general use such as soap and toilet paper. This was not met as evidenced by the absense of a hand soap in resdietn rooms. This poses an immediate health and safety risk to clients in care.

• 87309(a)Type A

  (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage... This was not met as evidenced by bleach and laundry supplies asscessible in both memory care and assisted living; all doors were open and accessible to resdients in care. This poses an immediate threat to the health and safety of resients in care.

• 87463(g)Type A

  (g) The licensee shall ensure corresponding changes are made in the care and supervision provided to the resident. This poses an immediate threat to the health and safety of resients in care. This was not met as evidenced by R1 was discharged with a fracture and prn pain medication. A review of the records revealed there was no update to the care plan. This poses an immediate threat to the health and safety of resients in care.

• 87465(a)(4)Type A

  (4) The licensee shall assist residents with self-administered medications as needed. This was not met as evidenced by R1 sustained a fracture. A review of records showed no Pain mangement medication provied for over 7 days. Interview with the resdietn revealed pain when asked how they were doing today. This poses an immediate threat to the health and safety of resients in care. This poses an immediate threat to the health and safety of resients in care.

• 87468.1Type A

  (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This was not as evidenced by R1 being forcefully grabbed by R2 resulting in a fracture. This poses an immediate health and safety rsik.

• 87608(5)(B)Type B

  (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This was not met as evidenced by a resdient being observed by the LPM and Admin with full bedrails and no physicans order, exception or hospice services.

• 87618(b)Type A

  (3) Ensuring that the use of oxygen equipment meets the following requirements:...(B) "No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas...(E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. This regulation was not met as evidenced by O2 canisters were not stored poperly in a stand and oxygen signs were not posted on the bedroom doors. This poses an immediate threat to the health and safety of resients in care.

• 87309(b)Type A

  (b) Residents may have access to items specified in subsection (a) for personal use unless there is documentation, as specified in Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, that indicates the resident's or other residents’ safety would be at risk if allowed access. This was not met as evidenced by several resident rooms in memory care had personal care supplies such as soap, shampoo, body wash, toothpaste. 2 of 6 files reviewed showed the residents were not allowed access based on physician documentation. This poses an immediate threat to the health and safety of resients in care.

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