Santa Anita Assisted Living sits in a calm Arcadia neighborhood, west of the Santa Fe Dam Recreation Area, and even though some people say it is also in Temple City, you'll find a friendly group of residents here who like to keep busy with activities like solving puzzles, playing bingo near the fireplace, or chatting at the Bestrew Cafe, which is right inside the building alongside other spaces like a library, movie room, and garden. Residents choose from studio or one-bedroom apartments, some with kitchenettes, cable TV, high-speed Wi-Fi, and private or communal dining areas, and everybody gets three homemade meals each day with juices, soups, salads always nearby, plus room service and guest meals whenever family wants to visit.
The staff, who have received ethics training and go through driving record checks, help with bathing, dressing, medication reminders, and health services, and a nurse and 24-hour care staff are ready to assist around the clock, and there's even an emergency call system for extra safety. The community's pet-friendly, with inside and outside walking paths, a backyard courtyard with benches for sunset watching, a gardening area, guest parking, and a gym entrance where you might find Tai Chi or other fitness and wellness programs happening.
Santa Anita Assisted Living offers transportation for errands, shopping, and outings like trips to casinos, museums, and forest parks, and residents can join field trips, arts and crafts, literary or music activities, plus there's sing-along events with local schoolchildren and on-site religious services for those who want them. Financially, the community accepts Medicaid, credit cards, offers financial aid and help with home sales, and charges a $500 entry fee. VA Aid and Assistance is available for veterans too.
Housekeeping, laundry, and linen service come standard, and maintenance staff keep everything in shape so residents don't have to worry about chores or repairs. Language help is available, including staff who speak Spanish, and the community's known for its memorial honoring fallen heroes and a therapy room many say is the nicest they've seen. Whether someone needs short-term stays or ongoing assisted living and memory care, each resident gets services tailored to their needs, always with a focus on comfort, community, and safety, all under California license number 198603535.
People often ask...
Santa Anita Assisted Living offers assisted living and skilled nursing.
There are 45 photos of Santa Anita Assisted Living on Mirador.
The full address for this community is 5600 Gracewood Ave, Arcadia, CA, 91780.
Yes, Santa Anita Assisted Living offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
115
Inspections
28
Type A Citations
23
Type B Citations
5
Years of reports
28 Jul 2025
28 Jul 2025
Identified civil penalties for failing to correct by the due date for several deficiencies. Documentation showed corrections were completed as of today.
§ 9058
18 Jul 2025
18 Jul 2025
Found retaliation by staff against a resident for filing complaints, and that a resident’s medication was missed because refills were not obtained by the family. Spitting in food and unsanitary handling of food were not supported by evidence.
§ 87465(a)(4)
17 Jul 2025
17 Jul 2025
Identified several safety and medication administration deficiencies, including a broken grab bar in a shower, cockroaches in the kitchen, a missing hot water warning sign, broken lids on dry food containers, and staff not wearing hair nets during food preparation, along with medications not administered as scheduled. Ten staff and ten resident records were reviewed, revealing timing errors in medication administration and a missing dose.
§ 87303(e)(3)
§ 87465(a)(4)
§ 9058
§ 87555(b)(29)
§ 87555(b)(27)
§ 87303(e)(4)
13 Jun 2025
13 Jun 2025
Found insufficient evidence to prove or disprove the allegation that a staff member struck a resident on the shoulder in the dining area two months ago. Interviews with staff and residents did not corroborate the incident, with most describing courteous and respectful interactions.
11 Jun 2025
11 Jun 2025
Investigated allegations that residents with fish allergies were served fish, that all foods were fried in the same oil as fish, that not enough food was prepared, and that staff ate residents’ meals. Found not enough evidence to prove or disprove these claims.
29 May 2025
29 May 2025
Found that an incident report for a resident who fell on 04/25/2025 and sustained an injury was not submitted. Administrator acknowledged the omission.
§ 87211(a)(1)
§ 9058
22 May 2025
22 May 2025
Investigated the allegation that medications were not administered as prescribed; five staff denied the claim, and records plus resident reports showed most residents received their meds as ordered, with some self-administering. Based on these findings, there was not a preponderance of evidence to prove the allegation.
07 May 2025
07 May 2025
Investigated multiple complaints including failure to notify residents of a rate increase, concerns about how medications were dispensed and managed, and issues about residents' dignity, safety of personal belongings, and access to requested records. Interviews with residents and staff largely did not corroborate these concerns, and available records showed that notice, medication administration, and safeguarding practices were generally followed.
14 Apr 2025
14 Apr 2025
Found a resident who overdosed, was treated at a hospital, and later transferred to skilled nursing; no deficiencies observed.
§ 9058
07 Apr 2025
07 Apr 2025
Investigated six specific allegations, including rate increase notification to residents, medication administration as prescribed and timely ordering, residents' dignity and respect, safekeeping of personal belongings, and timely provision of requested records. Based on interviews and records, there was not enough evidence to prove or disprove these claims.
04 Apr 2025
04 Apr 2025
Investigated the allegation that a caregiver punched a resident resulting in a bruise; interviews with staff and residents largely did not corroborate the incident, and no injury linked to staff was observed.
04 Apr 2025
04 Apr 2025
Found no evidence to prove the allegation that a staff member punched a resident during diaper changes and caused a bruise. Interviews with staff and residents largely did not corroborate the incident, and the resident did not recall sustaining an injury.
20 Dec 2024
20 Dec 2024
Clarified the findings for the substantiated allegation in the amended filing after a follow-up visit.
06 Dec 2024
06 Dec 2024
Investigated the allegations that staff mismanaged residents' medication and that residents were overdosed. Found evidence supporting a medication mismanagement incident, while the overdosing allegation and other related claims were not supported by the evidence.
§ 87465(c)(2)
05 Dec 2024
05 Dec 2024
Found, based on interviews and records, the specific allegations included staff hitting a resident; failing to safeguard residents' personal items; allowing inappropriate touching; speaking to residents disrespectfully; not ensuring medications were properly managed; and not providing residents with a sufficient amount of food. There was not enough evidence to prove these claims.
03 Dec 2024
03 Dec 2024
Found that the allegation that staff did not take appropriate steps to prevent the spread of a communicable disease was not supported by the evidence; affected residents were isolated and PPE was used, and only one resident was diagnosed with scabies.
14 Nov 2024
14 Nov 2024
Found insufficient evidence to prove the allegation that staff mishandled a resident's medication, including untimely distribution by med-techs and disposal of six pills by a new nurse. Interviews with staff and residents, plus document review, indicated most residents received their medications daily and that administration procedures were followed, with medications logged when refused.
21 Oct 2024
21 Oct 2024
Investigated the allegation that a resident sustained an unexplained injury while in care; no evidence of abuse or neglect was found, and interviews with residents and staff plus sheriff documents did not corroborate the claim, leaving the allegation unsubstantial.
11 Oct 2024
11 Oct 2024
Investigated allegations about resident care and medications; reviewed MARs, narcotics logs, and various program records, and spoke with staff and residents. Found no evidence to support overdosing, medication mismanagement, or administering unprescribed medications, and noted no health or safety concerns during the visit.
29 Aug 2024
29 Aug 2024
Investigated two allegations and identified no preponderance of evidence proving infection control guideline violations or failure to monitor changes in residents’ health conditions; observed PPE use, no reported COVID-19 cases, regular health monitoring for those with serious issues, and communication logs supporting ongoing information sharing, with no reported serious incidents.
01 Aug 2024
01 Aug 2024
Identified that the prorated refund was not issued within 15 days after a resident's belongings were moved and the resident died, based on email correspondence and reviewed records.
§ 87507(5)(c)
01 Aug 2024
01 Aug 2024
Substantiated finding of failure to refund prorated funds to responsible party within required timeframe after resident's passing.
§ 87507(5)(c)
30 Jul 2024
30 Jul 2024
Reviewed complaint regarding issues with a resident's refund process, but insufficient evidence to determine whether a violation occurred.
30 Jul 2024
30 Jul 2024
Found that the responsible party notified on 04/13/24 that a resident’s belongings would be moved to a rehab center after hospital discharge, and that the resident died on 04/16/24. Found that prorated refunds were processed through the corporate office and mailed on 07/26/24, with seven residents and five staff unaware of the refund process, and there was not enough evidence to prove whether this refund handling met policy.
25 Jul 2024
25 Jul 2024
Determined that a resident was effectively evicted after hospital discharge when re-entry was denied for lack of beds, despite available capacity. Found no 30-day notice was provided and the resident’s belongings were collected by family for safekeeping, with unclear protocols.
§ 87224(a)
06 Jul 2024
06 Jul 2024
Found insufficient evidence to prove two specific allegations: that staff did not assist a resident with grooming and that staff did not answer the phone. Interviews and records showed grooming occurred on days the resident was present and calls were answered.
06 Jul 2024
06 Jul 2024
Investigated allegations of staff not meeting resident grooming needs and staff not answering facility phone calls were found unsubstantiated.
14 Jun 2024
14 Jun 2024
Found that staff pressured a resident to sign an agreement restricting leaving the building and threatened discharge if not followed, violating the resident's right to leave freely. The resident left the premises on 6/7/24 and had not returned by 6/14/24 after being advised they could come back with transportation.
§ 87468(a)(3)
14 Jun 2024
14 Jun 2024
Found grooming assistance for a resident occurred on some days, staff denied the allegation, there was not enough evidence to prove or disprove whether grooming needs were consistently met, and no deficiencies were cited. Found staff answered the phone during observed calls, and there was not enough evidence to prove or disprove the related allegation.
14 Jun 2024
14 Jun 2024
Found that the allegation of inadequate supervision resulting in a fall was not supported by the evidence; staff reported providing supervision and assessing residents after falls, and most residents confirmed adequate supervision. Found that the allegation of staff physically abusing the resident was not supported by interviews or resident reports; no one reported abuse.
14 Jun 2024
14 Jun 2024
Investigated allegations of staff not meeting grooming needs and not answering facility phones; found insufficient evidence to support either claim.
21 May 2024
21 May 2024
Found no deficiencies identified. Infection control, resident care, medication management, staffing, and disaster preparedness were maintained and aligned with requirements.
21 May 2024
21 May 2024
Confirmed no deficiencies were identified during the inspection of the facility.
14 May 2024
14 May 2024
Investigated the allegation that staff sell illegal drugs to residents; found no evidence to support this claim. Investigated the allegations that staff allow residents to use illegal drugs in the facility, that the facility is not clean, and that residents are not provided transportation to medical appointments; found no evidence to support these claims.
14 May 2024
14 May 2024
Investigated allegations of staff selling and allowing illegal drug use, failing to maintain cleanliness, and not providing transportation to medical appointments; determined no evidence to support the claims.
29 Jan 2024
29 Jan 2024
Confirmed that there was no evidence to support the allegation of inadequate food service for a resident.
29 Jan 2024
29 Jan 2024
Found that the majority of residents and all staff interviewed denied that a resident was denied breakfast after returning from a medical appointment; residents stated snacks were provided and a meal was held or freshly prepared on return, and two residents could not corroborate because they do not attend regular appointments. Found insufficient evidence to prove the allegation.
12 Dec 2023
12 Dec 2023
Found no evidence that staff allowed a scabies outbreak; staff denied the allegation and all residents interviewed said there had been no outbreak. A resident with a rash was later diagnosed with shingles.
12 Dec 2023
12 Dec 2023
Found that an incident occurred in the lobby where one resident pushed another; staff intervened and injuries were assessed, and all residents interviewed said staff try to prevent altercations. Found that staff claimed to notify residents' authorized representatives about incidents and COVID-19 outbreaks, with at least one contact made in a case, but residents could not corroborate these notifications; not enough evidence to prove the allegations.
12 Dec 2023
12 Dec 2023
Investigated allegations that staff failed to prevent a resident altercation, did not notify authorized representatives of an incident, and did not inform about a COVID outbreak; found insufficient evidence to confirm these claims.
20 Nov 2023
20 Nov 2023
Investigated two specific allegations: that staff mismanaged residents' medications and that staff did not ensure the facility was free from bed bugs. Found insufficient evidence to prove these violations occurred, leaving the allegations unsubstantiated.
20 Nov 2023
20 Nov 2023
Determined there was insufficient evidence to support allegations of staff mismanaging medications and failing to ensure rooms were free from bed bugs, with most residents and staff expressing confidence in proper medication management and room cleanliness.
14 Nov 2023
14 Nov 2023
Identified three specific allegations: litter and cigarette buds on outdoor grounds; a resident was given an incorrect medication; and the emergency call button in a resident’s room was in disrepair. Concluded insufficient evidence to prove these allegations.
14 Nov 2023
14 Nov 2023
Investigated allegations regarding trash and cigarette butts on facility grounds, incorrect medication administered to a resident, and a malfunctioning emergency call button, with each found unsubstantiated due to lack of preponderant evidence.
26 Oct 2023
26 Oct 2023
Investigated illegal eviction and retaliation allegations; found insufficient evidence to prove either violation. Noted that a 30-day eviction notice was issued to a resident and later rescinded, with limited interviews conducted.
26 Oct 2023
26 Oct 2023
Investigated allegations of illegal eviction and retaliation against a resident; illegal eviction claim lacked evidence, while retaliation claim found resident's relocation was due to room conditions, not punitive actions. Allegations deemed unsubstantiated.
17 Oct 2023
17 Oct 2023
Investigated allegations that a staff member hit a resident, that a staff member stole a resident's wallet and jewelry, and that a resident's medical records were not up to date. Found no clear evidence to prove or disprove the claims; one resident refused to be interviewed, a wallet was found and returned to the resident, and medical records showed no injuries in the last two weeks.
17 Oct 2023
17 Oct 2023
Investigated cigarette buds found on the outside main entry walkway; staff were observed cleaning the grounds and removing buds, with no trash observed. Denied giving an incorrect medication to the resident; MAR and medical records showed no discrepancies, and emergency call buttons were tested—one initially misfired but reset and then functioned, with other buttons working.
17 Oct 2023
17 Oct 2023
Determined that the illegal eviction allegation against a resident was supported by evidence. Found that the harassment by staff and the bed bug allegations were not proven by a preponderance of evidence.
§ 87224(d)
17 Oct 2023
17 Oct 2023
Investigated allegations of staff misconduct, including hitting a resident, failing to safeguard personal belongings, and not ensuring medical records were accurate; all allegations were unsubstantiated due to a lack of evidence.
09 Oct 2023
09 Oct 2023
Investigated allegations that staff administered a medication not prescribed by a physician, did not refill medications in a timely manner, a toilet was in disrepair, and staff failed to prevent inappropriate interactions between residents; found no conclusive evidence to prove the violations occurred.
09 Oct 2023
09 Oct 2023
Investigated allegations of improper medication administration, delayed prescription refills, disrepair of toilets, and failure to prevent inappropriate resident interactions; determined insufficient evidence to prove violations occurred.
28 Sept 2023
28 Sept 2023
Investigated allegations of mistreatment and theft at the facility were unsubstantiated.
28 Sept 2023
28 Sept 2023
Investigated the allegation that a staff member hit a resident; interviews denied the incident, and there was no evidence of injury to support it.
Investigated the allegations that a wallet and jewelry were stolen and that the resident's records were inaccurate; the wallet was found and returned, there was no proof of theft, and records appeared current.
28 Sept 2023
28 Sept 2023
Identified deficiencies in medical record documentation: blood sugar checks ordered for one resident from 6/16 to 6/25 were not documented (only 6/26 showed a check). Found no seven-day blood pressure monitoring log for another resident, nor documentation that a medication was held when blood pressure was under 100.
§ 87506(b)(13)
22 Sept 2023
22 Sept 2023
Determined there was not enough evidence to confirm that residents were not fed adequately or not adequately hydrated. Found that staff did not seek timely medical attention for a resident.
§ 87468.1(a)(16)
22 Sept 2023
22 Sept 2023
Investigated allegations of inadequate feeding and hydration, with one allegation of failure to seek timely medical attention substantiated.
§ 87468.1(a)(16)
25 Aug 2023
25 Aug 2023
Investigated allegations that residents were not given keys, meals were served late, food quality was poor, residents were harassed, staff allowed illegal drugs or alcohol, and medications were not ordered on time; found insufficient evidence to prove the alleged violations.
25 Aug 2023
25 Aug 2023
Investigated complaints of staff hitting a resident, not safeguarding personal belongings, and inaccuracies in a resident's records; allegations lacked sufficient evidence and were deemed unsubstantiated.
25 Aug 2023
25 Aug 2023
Investigated three allegations at the care center; did not find sufficient evidence to prove the resident was hit, belongings were stolen, or records were inaccurate. One resident refused to be interviewed, and a wallet was found and returned to the resident.
22 Aug 2023
22 Aug 2023
Identified several deficiencies at the home, including one resident accommodation with a heavily stained carpet, a dirty bathroom with hairs and grime around the tub, and grime on the floor near the toilet, with the carpet in disrepair since May 2023. Noted prior maintenance issues related to cleanliness and safety, including door locks in disrepair that prevented some residents from receiving keys, and issued civil penalties starting at $250 for repeat violations, followed by $100 per day per ongoing violation.
§ 87303(a)
22 Aug 2023
22 Aug 2023
Identified deficiencies in resident accommodations and maintenance operations led to civil penalties being issued.
§ 87303(a)
28 Jul 2023
28 Jul 2023
Identified a scabies outbreak in 2022 with several residents developing rashes and being treated; one resident was hospitalized with an advanced case and reportedly did not receive proper treatment at admission, while others received treatment or preventive care. No immediate health or safety concerns remained at the time.
§ 87468.2(a)(8)
28 Jul 2023
28 Jul 2023
Confirmed the presence of a scabies outbreak at the facility and identified treatment deficiencies for affected residents.
§ 87468.2(a)(8)
21 Jul 2023
21 Jul 2023
Found multiple allegations to be unsubstantiated, including claims of staff failing to prevent resident altercations, properly addressing incontinence and shower assistance needs, addressing facility disrepair and malodor, preventing indoor smoking, and safeguarding residents' personal belongings.
21 Jul 2023
21 Jul 2023
Identified concerns about a resident-on-resident altercation, incontinence care, shower assistance, disrepair, odor, indoor smoking, and safeguarding belongings; however, not enough evidence to prove any of the allegations occurred.
17 Jul 2023
17 Jul 2023
Identified deficiencies included not documenting three daily blood sugar checks for one resident as ordered (6/16–6/25/23) and not maintaining seven days of blood pressure logs for another resident, including missing documentation of holding a prescribed medication when blood pressure was under 100.
§ 87465(a)(1)
17 Jul 2023
17 Jul 2023
Identified that several residents did not have keys to lock their room doors, with locks in disrepair or keys not working and some residents never receiving keys. Found insufficient evidence to prove that medications were not refilled on time or that residents' personal belongings were not safeguarded.
§ 87303(a)
17 Jul 2023
17 Jul 2023
Confirmed inadequate security measures and missing personal items at the facility, while medication refill procedures were found to be appropriate.
§ 87303(a)
07 Jul 2023
07 Jul 2023
Conducted residents interviews and requested liability insurance. No deficiencies found during the visit.
07 Jul 2023
07 Jul 2023
Conducted an unannounced annual continuation visit; eight residents interviewed.
Requested proof of liability insurance to be emailed by 7/14/23; no deficiencies cited; exit interview held.
13 Jun 2023
13 Jun 2023
Reviewed staff and resident files, conducted interviews, and obtained insurance documentation during the visit. No deficiencies were found during the review.
13 Jun 2023
13 Jun 2023
Verified an unannounced annual continuation visit on 06/13/2023 at 1:22pm with the administrator present; reviewed nine staff files, nine resident files, and nine staff interviews; found no deficiencies in the file review; obtained facility liability insurance.
12 Jun 2023
12 Jun 2023
Conducted an unannounced annual inspection of the facility, which was found to be in compliance with all regulations and no deficiencies were cited.
12 Jun 2023
12 Jun 2023
Found a clean, well-maintained site with a properly stocked kitchen and functioning equipment, and adequate supply levels. Noted bathroom water temperature of 109.7°F, emergency call cords tested with prompt responses, and no deficiencies identified.
22 May 2023
22 May 2023
Found evidence supporting the allegations that staff neglect led to a resident's hospitalization and that medical attention was not sought promptly; the resident was found unconscious, hospitalized, and died about two weeks later.
§ 87468.2(a)(8)
22 May 2023
22 May 2023
Substantiated neglect resulted in the hospitalization and subsequent passing of a resident.
§ 87468.2(a)(8)
21 Mar 2023
21 Mar 2023
Confirmed allegations of a door sliding issue, but no evidence to support claims of smoking policy violations.
21 Mar 2023
21 Mar 2023
Investigated two concerns: the sliding door in a resident's bedroom was not in disrepair but hard to slide, and adjustments were made. Smoking is allowed only in designated areas, with staff and residents reporting no smoking in non-designated spaces.
17 Mar 2023
17 Mar 2023
Found that the allegations that staff neglect resulted in hospitalization for a resident and that staff did not seek medical attention in a timely manner were supported by reviewed records and interviews.
§ 87468.2(a)(8)
§ 87465(a)(2)
§ 87466
17 Mar 2023
17 Mar 2023
Confirmed neglect of a resident resulting in hospitalization and subsequent passing, with a civil penalty issued.
§ 87468.2(a)(8)
§ 87465(a)(2)
§ 87466
13 Mar 2023
13 Mar 2023
Confirmed: Neglect by staff led to resident being hospitalized, resulting in a substantiated allegation.
§ 87466
13 Mar 2023
13 Mar 2023
Found evidence that staff neglect resulted in a resident being hospitalized and that medical attention was not sought promptly.
§ 87466
22 Feb 2023
22 Feb 2023
Found insufficient evidence to prove the allegation that staff did not safeguard a resident's personal items; missing items were reported on several dates, some were recovered from a trash bag, and several residents could not corroborate the claim.
22 Feb 2023
22 Feb 2023
Investigated an allegation about staff not safeguarding a resident's personal items, specifically watches, earrings, sunglasses, and a water bottle, but found insufficient evidence to confirm or deny the claim.
07 Feb 2023
07 Feb 2023
Investigated the allegation that a resident sustained pressure injuries while in care. Interviews and chart reviews indicated the wound was long-standing and not clearly caused by care, so a definitive determination could not be made.
07 Feb 2023
07 Feb 2023
Investigated allegations of pressure injuries on a resident. No evidence found to verify the claims.
18 Nov 2022
18 Nov 2022
Confirmed presence of scabies infection in residents, but found no evidence of staff neglect in meeting hygiene needs.
§ 87466
18 Nov 2022
18 Nov 2022
Investigated the allegation of a severe scabies case among residents and found that a scabies infection occurred two to three months ago, was treated properly, and has since cleared. Found no evidence that staff did not meet residents' hygiene needs; residents were clean, well dressed, and assisted with showers as needed.
§ 87466
14 Nov 2022
14 Nov 2022
Found that a resident was unlawfully evicted after a hospital stay when staff refused readmission despite readiness to return with hospice care. Eviction notice was not issued to the licensing agency within the required five days after the resident's condition changed.
§ 87224(a)(4)
14 Nov 2022
14 Nov 2022
Confirmed unlawful eviction of a resident based on a higher level of care needed, not following proper eviction procedures.
§ 87224(a)(4)
24 Aug 2022
24 Aug 2022
Investigated two allegations—unauthorized medication administration and restricting a resident's personal calls—and determined both unsubstantiated.
24 Aug 2022
24 Aug 2022
Investigated the allegation that staff did not inform the resident's family about a fall. Also reviewed the allegation of neglect for not seeking timely medical attention, with insufficient evidence to determine whether it occurred.
§ 87211(a)(1)
24 Aug 2022
24 Aug 2022
Confirmed reporting failure but not negligence for a resident who sustained a fall and was hospitalized.
§ 87211(a)(1)
21 Jul 2022
21 Jul 2022
Investigated allegations that staff were not properly supervising residents, that resident bedrooms were malodorous due to waste baskets not being emptied, and that meals were of poor quality or insufficient. Found insufficient evidence to support these claims, with interviews indicating adequate staffing, daily emptying of waste baskets and clean rooms with no persistent odors, and meals that varied by day with substitutes available and a dietician-approved menu and adequate food supplies.
21 Jul 2022
21 Jul 2022
Investigated allegations of staff supervision, waste basket emptying, and meal quality/quantity at the facility were found to be unsubstantiated. Interviews and observations did not provide enough evidence to support the claims.
23 Jun 2022
23 Jun 2022
Confirmed a recent pre-licensing review prompted by ownership change, with the license becoming effective on 06/02/2022, and discontinued the annual check after discussions with the site administrator.
23 Jun 2022
23 Jun 2022
Identified recent pre-licensing inspection due to ownership change.
25 May 2022
25 May 2022
Identified several safety deficiencies during an initial visit, including a broken faucet, cracks in a tub and grab bars, missing skid mats in several rooms, a broken call light, and water temperatures outside the allowed range. A follow-up visit cleared these issues, and there was a change in administration with an exit interview.
25 May 2022
25 May 2022
Identified deficiencies, including broken fixtures and missing safety equipment, were observed during a visit. During a follow-up visit, the deficiencies were cleared.
05 May 2022
05 May 2022
Identified two allegations: that a resident was not provided a copy of the admission agreement, and that a resident was not allowed to leave for an extended period. Found that the extended-leave allegation was supported by interviews and records, while the admission agreement copy issue lacked sufficient evidence.
§ 87468.1(a)(6)
05 May 2022
05 May 2022
Confirmed that residents were allowed to leave the facility for extended periods of time as long as they notified staff, based on physician orders.
§ 87468.1(a)(6)
22 Apr 2022
22 Apr 2022
Investigated an incident where a staff member allegedly rough-handled a resident, rolled them toward a wall, and struck their forehead, with no injuries or marks observed. Suspended on April 15, 2022, and terminated on April 21, 2022.
§ 87468.1
22 Apr 2022
22 Apr 2022
Found deficiency in the handling of a resident and subsequent termination of staff member.
§ 87468.1
21 Apr 2022
21 Apr 2022
Identified overall cleanliness and safety measures at the site as acceptable, with functioning smoke/CO detectors and proper food storage. Found issues needing attention, including a non-working call light in one room, a broken faucet, cracks in a tub and grab bars, missing non-slip mats in several bathrooms, and hot water temperatures outside acceptable ranges.
21 Apr 2022
21 Apr 2022
Confirmed deficiencies in room furnishings, safety equipment, and medication administration during a regulatory visit to the facility.
24 Mar 2022
24 Mar 2022
Confirmed successful completion of COMP II with the applicant/administrator.
24 Mar 2022
24 Mar 2022
Completed Component II by telephone for an RCFE with capacity 150 and census 55, confirming understanding of Title 22, and advised the administrator to transmit a signed LIC 809.
30 Jun 2021
30 Jun 2021
Found no deficiencies after an unannounced annual inspection. Met with the administrator to review infection control, toured the site, and reviewed food supply, staff files, and resident medications; bedrooms contained required furniture and clean linen; passageways and exits were clear; front and backyard were well maintained; bathrooms were clean with grab bars in the shower and near the toilet and non-skid surfaces; hot water was 105.8 degrees; temperatures and lighting were adequate; smoke detectors were hard wired and tested.
30 Jun 2021
30 Jun 2021
Inspection found no deficiencies in the facility regarding safety and cleanliness.
11 May 2021
11 May 2021
Investigated the allegation that staff could not maintain social distance in the kitchen. Found that around 5/3/21, SNF kitchen staff worked in the RCFE kitchen for about a week, bringing in roughly 15 extra staff and preventing social distancing, and that this incident was not reported to licensing as required.
§ 1569.50(a)(3)
§ 87211(a)(1)
11 May 2021
11 May 2021
Found that two staff members were not associated with the site. Their files were reportedly located at another location, and although fingerprint clearance was claimed, there was no documentation of transfer to this site, leading to a citation and penalties.
§ 1569.17(b)
11 May 2021
11 May 2021
Identified that two staff members were not officially documented to work at the location despite being fingerprint cleared, leading to citations and civil penalties.
§ 1569.17(b)
27 Aug 2020
27 Aug 2020
Investigated allegations regarding mail delivery and visitation, confirming no substantial evidence found to support claims of staff withholding mail or restricting visits, particularly during COVID-19 limitations.
27 Aug 2020
27 Aug 2020
Found insufficient evidence to support two allegations: that mail was not delivered to the resident and that staff prevented visits from family or friends. Interviews and observations showed mail delivery and that residents could connect with loved ones by phone or video calls, with in-person visits limited by COVID-19 precautions.
