Santa Anita Assisted Living

    5600 Gracewood Ave, Arcadia , CA 91780
    • Assisted Living
    • Skilled Nursing

    Happy resident, attentive staff, amenities

    I'm very happy living here - the staff are kind, attentive and professional, the facility is clean and home-like, and meals are hot and well-prepared. Activities like Bingo, arts & crafts, outings and exercise classes keep us busy, and convenient amenities (library, game room, courtyard) plus helpful management and transportation make life comfortable. I feel well cared for and supported.

    Current/former resident
    Aug 2026

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    Amenities

    Healthcare services

    • 24-hour nursing
    • Accept incoming residents on hospice
    • Activities of daily living assistance
    • Administer insulin injections
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Diabetes care
    • Hospice waiver
    • Medication management
    • Mental wellness program
    • Physical therapy
    • Preventative health screenings
    • Rehabilitation program
    • Respite program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision
    • Same day assessments

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • 1 bedrooms
    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Internet
    • Kitchenettes
    • Private bathrooms
    • Studios
    • Telephone
    • Wifi

    Memory care community services

    • Care with behavioral issues
    • Dementia waiver
    • Mild cognitive impairment
    • Parkinson's care
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Located close to restaurants
    • Located close to shopping centers
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Cafe
    • Computer center
    • Dining room
    • Family private dining rooms
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Pet friendly
    • Religious/meditation center
    • Small library
    • Wellness center

    Community services

    • Family education and support services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Continuing learning programs
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.22·(88)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.0
    • Meals

      3.5
    • Amenities

      3.5
    • Value

      3.3

    Pros

    • Exceptionally clean, well-maintained facility
    • Warm, home-like atmosphere
    • Compassionate and attentive staff
    • Engaging activities program (arts, bingo, outings, exercise)
    • On-site dining with multiple meal choices
    • Private rooms with en-suite bathrooms
    • Library, media room, and game room
    • Outdoor patios and courtyard access
    • Daily housekeeping and laundry services
    • All-inclusive, competitive pricing
    • Convenient location near park and recreation
    • Transportation services for outings and appointments
    • Responsive front-desk and administrative support

    Cons

    • Inconsistent staffing levels and high turnover
    • Delays in responding to call bells and night-shift supervision gaps
    • Variable clinical-care quality and inconsistent nursing practices
    • Medication-management controls
    • Inconsistent meal quality and limited vegetable/healthy options
    • Odor concerns and room-level sanitation inconsistencies
    • Limited personal-item security and inventory controls
    • Mixed-acuity placement and roommate-compatibility challenges
    • Language and communication barriers with some staff or interpreters
    • Management and communication inconsistencies across leadership
    • Capacity strain or crowding in certain units
    • Rehabilitation/therapy program inconsistently implemented

    Summary of reviews

    Overall impression: Santa Anita Assisted Living is described primarily as a clean, home-like community with an active social program and a number of operational strengths. Reviewers frequently praise the facility’s appearance, communal spaces (dining rooms, library, media and game rooms), nearby park access, and the presence of private rooms with en-suite baths. Housekeeping, laundry, and on-site transportation are often cited as reliable conveniences, and several families noted that pricing is competitive and frequently all-inclusive.

    Care and staff: The facility earns repeated commendations for warm, compassionate caregivers and front-desk personnel who provide support and reassurance to families. Multiple reviewers named individual staff who went above and beyond, and many described strong day-shift relationships between staff and residents. At the same time, reviews indicate variability in clinical execution. Themes include uneven nursing practices, delays in responding to call bells (especially at night), and high staff turnover that reviewers link to declines in consistency of care. There are also recurring concerns about medication-management controls and inconsistent implementation of therapy/rehabilitation plans. Prospective families should inquire about current staffing ratios, night coverage, medication safeguards, and how therapy schedules are monitored.

    Dining and activities: Activity programming is a clear strength — the community offers daily and special-event programming (BINGO, arts and crafts, exercise classes, outings to casinos and museums, holiday events) and an active activities director. Volunteers and family engagement are also highlighted. Dining is generally described as adequate to very good; reviewers praise hot meals, multiple choices, and dietary accommodations. However, opinions on food quality are mixed: some residents find meals excellent, while others describe inconsistent preparation or an overly rich/high-calorie menu and desire more vegetable or lighter options. Families should request current menus and observe a mealtime when touring.

    Facilities and environment: The building’s maintenance and cleanliness receive strong positive mentions — interiors, dining rooms, and outdoor patios are frequently described as welcoming. At the same time, reviewers note occasional room-level sanitation or odor concerns and smaller private-room footprints. Some reviewers report that outdoor space is limited or that smoking-policy enforcement can affect shared patio areas. Capacity issues and a feeling of crowding in particular units are also raised; ask about occupancy levels and unit layouts during a visit.

    Management and patterns to monitor: Leadership impressions are mixed. Several reviewers praised responsive front-office managers and a professional administrative team, whereas others described communication issues, a change in management linked to perceived declines in care quality (notably during the 2020 pandemic period), and examples of inconsistent responsiveness to family complaints. Language barriers with interpreters and occasional maintenance or scheduling lapses are additional operational patterns to consider. Because many strengths coexist with recurring operational weaknesses, a targeted tour and direct questions about staffing stability, incident-response protocols, roommate matching, and item-security practices will help families assess current performance.

    Bottom line: Santa Anita Assisted Living presents as a well-maintained, activity-rich community with many examples of caring staff and family satisfaction. However, the community also shows recurring operational vulnerabilities — chiefly inconsistent staffing, variable clinical/therapy follow-through, and intermittent communication and management issues. Prospective residents and families should verify current staffing levels, night supervision practices, medication and therapy oversight, and meal-scheduling/menus during an in-person visit to determine whether the facility’s strengths align with their priorities.

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    Location

    Map showing location of Santa Anita Assisted Living

    Santa Anita Assisted Living is located at 5600 Gracewood Ave, Arcadia , CA, 91780.

    About Santa Anita Assisted Living

    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 46 photos of Santa Anita Assisted Living on Mirador.

    The full address for this community is 5600 Gracewood Ave, Arcadia , CA 91780.

    No, Santa Anita Assisted Living does not offer 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.

    Safety & Compliance

    In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.

    License number198603535
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity150 residents
    LicenseeSANTA ANITA ASSISTED LIVING
    EffectiveJune 2nd, 2022
    View the official license record

    Inspection Reports

    135

    Reports

    32

    Type A Citations

    43

    Type B Citations

    108

    Complaints

    6

    Years

    18 Jun 2026Complaint
    Investigated the complaint and found the allegation unsubstantiated due to insufficient evidence.
    18 Jun 2026Complaint
    Investigated and found the allegations unsubstantiated.
    21 May 2026Complaint
    Investigated the allegations regarding a resident's injury, call-button response, and outbreak reporting. Found no deficiencies.
    21 May 2026Complaint
    Investigated the allegation that staff did not safeguard residents' belongings; interviews indicated items were not missing and any mis-sorted laundry was promptly found and returned.
    14 May 2026Complaint
    Identified that morning medications were not dispensed on time due to missing staff, resulting in delayed administration.
    • Type A87465(a)(4)(a)
    07 May 2026Complaint
    Investigated an allegation that staff did not prevent a resident from engaging in inappropriate behavior. Determined there was not a preponderance of evidence to prove whether the incident occurred.
    05 May 2026Complaint
    Identified that morning medications were not administered within the prescribed window on 4/26/26 because scheduled med techs were absent, leading to late administration.
    • Type A87465(a)(4)
    30 Apr 2026Complaint
    Investigated a complaint that staff did not provide timely first aid for residents after injuries and that a safe environment was not maintained.
    • Type B87465(j)
    21 Apr 2026Complaint
    Investigated allegations about bed repairs, bathing needs, and odor/cleanliness; interviews and observations showed beds in good repair, regular bathing assistance provided, and no malodors or unclean conditions.
    20 Apr 2026Complaint
    Investigated specific complaints about complaint posting, care plan adherence, call signal responses, respectful communication, and food sanitation; found posters accessible, care plans followed, calls answered promptly, staff interactions respectful, and proper food handling.
    13 Apr 2026Complaint
    Investigated a complaint about supervision, medical care, notification to a resident's representative, emergency medical information, personal funds, incontinence care, and feeding. The investigation found no evidence to prove the alleged violations.
    03 Apr 2026Complaint
    Investigated a complaint alleging posting issues, care plan noncompliance, call signal delays, disrespectful communication, and food sanitation problems; found complaint information posted, care plans followed, calls answered promptly, and staff respectful, with no evidence of contaminated food. Allegations unsubstantiated.
    30 Mar 2026Complaint
    Investigated the allegation of short-staffing and found that PM shifts on weekends sometimes had only two caregivers, causing delays in wellness checks and resident care.
    • Type B87208(a)(5)
    24 Mar 2026Inspection
    Observed live cockroaches in the dishwashing area of the kitchen, indicating a sanitation issue in food service.
    • Type B87555(b)(27)
    10 Mar 2026Complaint
    Investigated the allegation that staff interfered with the resident council by attending meetings to take notes. Interviews showed staff attended only at the residents' request with majority approval, and there was no preponderance of evidence.
    19 Feb 2026Complaint
    Investigated allegations that rent was withdrawn without the resident's authorization and that the resident was not notified about the payments.
    • Type B87507(g)(3)(G)
    05 Feb 2026Complaint
    Investigated the allegation that staff yelled at residents. Interviews with staff and residents and review of staff records found no witness accounts of yelling by staff and no disciplinary actions for such conduct, with insufficient evidence to prove the allegation.
    03 Feb 2026Inspection
    Identified missing floor tiles/panels in two dining areas with lifted edges and grime, creating a trip hazard.
    • Type B87303(a)(1)
    03 Feb 2026Complaint
    Investigated an allegation that staff changed a resident's care plan without consent; interviews and records did not confirm that changes were made.
    30 Jan 2026Inspection
    Identified two safety-related deficiencies: no warning sign for water at 125°F near the kitchen dishwashing sink, and broken dry food containers with exposed contents.
    • Type B87303(e)(3)
    • Type B87555(b)(29)
    30 Jan 2026Complaint
    Identified concerns that dining areas were not kept clean after meals and that staff did not follow residents' care plans.
    • Type B87303(a)
    • Type B87208(a)
    28 Jan 2026Complaint
    Investigated allegations about a resident dying from choking, rough handling, wheelchair accessibility, call button response, and room temperature. Found no evidence to support choking death or rough handling; confirmed doorway and wheelchair fit, timely call button responses, and room temperatures within a compliant range.
    02 Jan 2026Complaint
    Investigated complaints about incontinence care, meals, and shower assistance. Found delays in changing incontinent supplies on 12/12/2025 due to limited staff, and observed a strong urine odor in one room, while meals and showers had mixed reports.
    • Type B87625(b)(3)
    18 Dec 2025Inspection
    Identified incidents where a staff member raised their voice and made an inappropriate comment to a resident, and another staff member was heard yelling at a resident.
    • Type B87468.1(a)(3)
    18 Dec 2025Complaint
    Investigated allegation that staff were not responsive to resident communication; interviews with staff and residents showed responsiveness.
    09 Dec 2025Complaint
    Investigated the allegation that staff did not dispense medications in a timely manner. Evidence did not establish that the delay occurred.
    05 Dec 2025Complaint
    Investigated two allegations: staff not safeguarding residents' personal property and staff threatening a resident with an unlawful eviction. Found issues with safeguarding belongings, missing items, no theft and loss log, and incomplete personal property inventories.
    • Type B87468.2(a)(25)(a)
    • Type B1569.152
    • Type B1569.153
    • Type B1569.154
    • Type B1569.153(c)(d)
    04 Dec 2025Complaint
    Investigated an allegation that residents were denied access to the dining rooms and that residents were isolated; interviews indicated the dining rooms remained open and residents were not isolated.
    02 Dec 2025Complaint
    Investigated the allegation that staff did not conduct emergency drills, that dining areas were not clean, and that food service sanitation practices were not followed. Findings showed monthly drills conducted with staff participation, dining areas cleaned between meals, and kitchen staff wearing hair nets or caps; observations indicated proper sanitation during service.
    18 Nov 2025Complaint
    Investigated an allegation that staff did not maintain complete and accurate resident records, did not adhere to residents' Admissions Agreement, and did not meet residents' needs, and the allegations were unsubstantiated.
    13 Nov 2025Complaint
    Investigated the allegation that staff spoke to a resident in an inappropriate manner; found no evidence to support it after interviews and document review.
    08 Nov 2025Complaint
    Investigated allegations that staff retaliated against a resident for filing a complaint and that transportation to a medical appointment was denied; findings showed insufficient evidence to support the allegations.
    30 Oct 2025Complaint
    Investigated allegations that a resident was overcharged for rent and did not receive a notice about a rent increase. Interviews and record reviews did not establish that any violations occurred.
    30 Oct 2025Complaint
    Investigated allegations that staff did not maintain an adequate food supply and denied residents food. Interviews and a kitchen tour showed an adequate food supply and no denial of meals.
    30 Oct 2025Complaint
    Investigated the allegation that staff did not respond to call buttons in a timely manner and did not follow residents' care plans.
    28 Oct 2025Complaint
    Investigated a complaint that staff did not safeguard residents' personal belongings. Interviews with staff and residents and record reviews indicated residents received their designated incontinence supplies and did not report misuse.
    24 Oct 2025Complaint
    Investigated the allegations that staff did not seek timely medical attention for a resident and that staff did not timely provide a resident's medical results.
    21 Oct 2025Complaint
    Investigated allegations that residents' personal property was not safeguarded and that a resident was threatened with unlawful eviction. Evidence showed belongings were not protected for several residents, while the eviction allegation had insufficient supporting evidence.
    • Type A87468.2(a)(25)(a)
    20 Oct 2025Complaint
    Investigated allegations that staff did not properly dress a resident and did not meet a resident's diapering needs. Findings showed no corroborating evidence.
    14 Oct 2025Complaint
    Investigated the allegation that staff falsified a resident's signatures on forms and that surveillance cameras were not functioning; also reviewed whether night staff adhered to their duties.
    • Type B87207
    • Type B87303(a)
    14 Oct 2025Complaint
    Investigated allegations that staff failed to provide adequate meals, failed to follow food handling practices, and provided residents with insufficient food.
    09 Oct 2025Inspection
    Identified a medication dosing error in which oxycodone was administered three times within six hours, exceeding the prescribed interval. Staff monitored vitals and notified the physician about the incident.
    • Type A87468.2(a)(4)
    09 Oct 2025Complaint
    Investigated two allegations about resident safety and possible financial abuse; found no preponderance of evidence to prove either allegation.
    07 Oct 2025Complaint
    Investigated the allegation that a resident was harmed by another resident and staff failed to prevent it. Interviews and records did not provide evidence to corroborate the incident.
    07 Oct 2025Complaint
    Investigated two allegations about medical care timing and staff communication; interviews and records were reviewed.
    06 Oct 2025Complaint
    Investigated allegations that staff spoke to a resident in an inappropriate manner and threatened to withhold medication.
    23 Sept 2025Complaint
    Investigated three allegations about safety and care, including a smoke-related fire risk, call button response, and food quality. Found insufficient evidence to substantiate these concerns.
    19 Sept 2025Complaint
    Investigated allegations that staff had inappropriate interactions with a resident and did not treat residents with respect; interviews indicated insufficient evidence to support the allegations.
    18 Sept 2025Complaint
    Investigated an allegation that staff did not seek medical assistance for a resident promptly; findings indicated staff acted quickly and called 911 when needed.
    11 Sept 2025Complaint
    Investigated a complaint alleging multiple staff-related concerns. Found that call buttons in two resident rooms were inoperable and other allegations were not supported by the evidence.
    • Type A87303(i)(1)(A)(B)(C)
    08 Sept 2025Complaint
    Investigated allegations that privacy was not respected, staff yelled, medications were not timely, and dietary needs were not being met. Interviews and records did not corroborate the allegations.
    28 Aug 2025Complaint
    Identified mismanagement of resident medications with incomplete documentation for PRN oxycodone doses on May 2, 4, and 5, 2025.
    • Type A87465(b)(3)
    • Type B87465(c)(3)
    18 Aug 2025Complaint
    Identified that several call buttons in resident rooms were inoperable and did not alert staff; testing and interviews indicated maintenance wiring issues.
    • Type B87303(i)(A)
    18 Aug 2025Inspection
    Investigated a special incident involving a resident found disoriented on the floor and suspected of an accidental overdose after mismanaging medications, with the resident transported to a hospital for evaluation and later released to a skilled nursing facility.
    18 Aug 2025Complaint
    Investigated the allegation that medications were left unattended and accessible in the dining area and that proper food handling procedures were not followed. Interviews and observations did not corroborate these concerns.
    15 Aug 2025Complaint
    Investigated allegations that staff mismanaged medications and that special diet plans weren't followed. Found issues with a PRN medication being lost at one point and mixed reports on med timing, while dietary practices included sugar-free options and adherence to residents' needs.
    • Type A87411(a)
    12 Aug 2025Complaint
    Investigated complaints about towels, medication handling, incontinence care, and smoking. Interviews and observations showed towels available, med-tech training in place, incontinence care generally timely, and no smoking observed.
    11 Aug 2025Complaint
    Investigated a report that staff mismanaged a resident's medications; found missing MAR entries for several oxycodone doses and incomplete QuickMAR documentation.
    • Type B87465(b)(3)
    11 Aug 2025Complaint
    Investigated the allegation that a resident's door lock was not in good repair. Interviews and inspections found the locks could lock and unlock properly.
    28 Jul 2025Inspection
    Identified civil penalties for failure to correct deficiencies by the due date.
    • Type B87555(b)(27)
    • Type B87555(b)(29)
    • Type B87303(e)(3)
    • Type B87303(e)(4)
    • Type B87465(a)(4)
    28 Jul 2025Complaint
    Investigated an incident in which a caregiver gave a medication not prescribed to a resident, and another staff member assisted by passing a separate medication to the resident's roommate; interviews and records supported the events.
    • Type A87411(d)(4)
    18 Jul 2025Complaint
    Investigated a missed medication due to a delayed refill and reviewed staff interactions and food handling with residents. One weekly medication was not available because the refill had not been obtained, while interviews did not support retaliation or unsanitary food handling.
    • Type A87465(a)(4)
    17 Jul 2025Inspection
    Identified multiple health and safety deficiencies, including a broken grab bar, a missing warning sign for 125°F water, kitchen pests, exposed dry food containers, staff not wearing hair nets, and medication administration errors.
    • Type A87303(e)(3)
    • Type A87303(e)(4)
    • Type A87555(b)(27)
    • Type A87555(b)(29)
    • Type A87465(a)(4)
    17 Jul 2025Inspection
    Identified several health and safety deficiencies, including missing hot-water warning signs, a broken grab bar, cockroaches in the kitchen, damaged food containers, and medication administration errors.
    • Type A87303(e)(3)
    • Type A87303(e)(4)
    • Type A87555(b)(27)
    • Type A87555(b)(29)
    • Type A87465(a)(4)
    17 Jun 2025Complaint
    Investigated the allegation that staff mismanaged a resident's medications. Found that two prescribed medications ran out because there was no current physician order and they weren't refilled or delivered on time, and staff didn't inform the doctor or the pharmacy promptly.
    • Type A87465(e)
    13 Jun 2025Complaint
    Investigated the allegation that a staff member hit a resident; interviews with staff and residents found no corroborating evidence of the incident.
    11 Jun 2025Complaint
    Investigated a complaint that residents' dietary needs and fish allergies were not addressed. Findings showed proper meal handling, allergy accommodations, and adequate portions.
    29 May 2025Inspection
    Identified that an incident report for a resident's fall on 04/25/2025 was not submitted.
    • Type B87211(a)(1)(D)
    • Type B87211(a)(1)
    22 May 2025Complaint
    Investigated an allegation that staff did not administer medications as prescribed and did not ensure residents received medications as ordered. Interviews and records review were conducted to assess the allegation.
    07 May 2025Complaint
    Investigated multiple allegations regarding rate increase notices, medication management, resident interactions, personal belongings, and record requests. Interviews and records did not provide clear evidence of the alleged issues.
    14 Apr 2025Inspection
    Identified a resident overdose; staff found the resident unresponsive with a syringe, EMS responded and transported the resident to a hospital, and the resident was later placed in a skilled nursing facility. No deficiencies were observed during the visit.
    07 Apr 2025Complaint
    Investigated a complaint about rate notices, medications management, resident treatment, belongings, and records; evidence did not conclusively prove the allegations.
    04 Apr 2025Complaint
    Investigated an allegation that a staff member punched a resident, causing a bruise during diaper changes. Investigators found no evidence to support the claim.
    04 Apr 2025Complaint
    Investigated an allegation that a staff member physically abused a resident causing a bruise; evidence did not establish the allegation.
    20 Dec 2024Inspection
    Identified findings regarding a complaint alleging care and supervision concerns at the site.
    06 Dec 2024Complaint
    Investigated a medication administration incident where a staff member gave a resident an afternoon medication in the morning; internal actions were taken. Other listed allegations about medication handling, call buttons, showering, food supply, appointments, and air conditioning were reviewed, with evidence not establishing those concerns.
    • Type A87465(c)(2)
    05 Dec 2024Complaint
    Investigated an allegation set including staff hitting a resident, safeguarding personal items, inappropriate touching, respectful communication, medication management, and adequate food, and found insufficient evidence to support these allegations.
    03 Dec 2024Complaint
    Investigated the allegation that staff did not prevent spread of a communicable disease. Findings showed isolation precautions and PPE were used for affected residents, and staff followed procedures to limit transmission.
    14 Nov 2024Complaint
    Investigated a complaint that staff did not distribute a resident’s medications on time and that pills were disposed; investigators reviewed records, interviewed staff and residents, and examined medication administration practices.
    21 Oct 2024Complaint
    Investigated the allegation of an unexplained injury and found no evidence to support abuse or neglect. Interviews and police records did not corroborate the claim.
    11 Oct 2024Complaint
    Investigated allegations about medication management, call button response, bathing, food supply, medical appointments, and air conditioning; interviews and record reviews showed no evidence supporting the claims.
    29 Aug 2024Complaint
    Investigated infection control adherence and monitoring of residents' health changes. Found there was not a preponderance of evidence to prove the infection control allegation or the health monitoring allegation.
    01 Aug 2024Complaint
    Investigated allegation that the licensee did not refund prorated fees to the responsible party within 15 days after the resident’s personal belongings were removed and the resident died.
    • Type B87507(5)(c)
    30 Jul 2024Complaint
    Investigated allegation that a prorated refund to the responsible party was not provided. Documentation showed the refund was processed and mailed.
    25 Jul 2024Complaint
    Investigated eviction procedures where a resident ready for discharge was denied return because a bed was given to another resident, and no 30-day notice was provided.
    • Type A87224(a)
    06 Jul 2024Complaint
    Investigated two allegations regarding grooming assistance and phone response; evidence did not establish either allegation.
    14 Jun 2024Inspection
    Identified a rights violation where a resident was pressured to sign an agreement restricting leaving the premises and retaliating against exercising rights. The resident left and had not returned as of the visit date.
    • Type B87468(a)(3)
    • Type B87468.2(a)
    14 Jun 2024Complaint
    Found that there was not a preponderance of evidence to prove the grooming assistance allegation or the phone-answering allegation.
    14 Jun 2024Complaint
    Investigated two allegations: inadequate supervision resulting in a fall, and staff physically abusing a resident. The findings did not establish violations by a preponderance of the evidence.
    21 May 2024Inspection
    Observed infection control, staffing, and safety measures in place with no deficiencies.
    14 May 2024Complaint
    Investigated four allegations and found them unsubstantiated. No deficiencies were observed.
    29 Jan 2024Complaint
    Investigated an allegation that staff did not provide adequate food service for a resident. Interviews with residents and staff did not establish a preponderance of evidence regarding the allegation.
    12 Dec 2023Complaint
    Investigated a complaint that staff did not prevent the spread of scabies; residents reported no outbreak and could not corroborate the allegation.
    12 Dec 2023Complaint
    Investigated allegations that staff did not prevent a resident from attacking another, did not notify authorized representatives of an incident, and did not notify authorized representatives of a COVID outbreak. The investigation found insufficient evidence to support these allegations.
    20 Nov 2023Complaint
    Investigated two allegations: medication management and bed bugs, and evidence did not prove or disprove them.
    14 Nov 2023Complaint
    Investigated three allegations: cigarette buds littering the outdoor grounds, incorrect medication given to a resident, and an emergency call button in a resident room in disrepair; cigarette buds were observed and cleaned, staff and residents denied the medication error, and the call button functioned after reset.
    26 Oct 2023Complaint
    Investigated the allegations of illegal eviction and retaliation; found insufficient evidence to prove the alleged violations.
    17 Oct 2023Complaint
    Investigated an eviction-related issue and identified problems with the eviction notice; also reviewed harassment and bed bug allegations with no supporting evidence found.
    • Type B87224(d)(d)
    17 Oct 2023Complaint
    Investigated complaints about grounds cleanliness, medication administration, and emergency call button functionality; no violations were found.
    17 Oct 2023Complaint
    Investigated the allegations that staff hit a resident, mishandled a resident's personal belongings, and failed to keep the resident's records accurate; evidence did not establish these events.
    09 Oct 2023Complaint
    Investigated the allegations regarding medication administration, timely refills, toilet disrepair, and inappropriate interactions. Found no preponderance of evidence to prove the allegations.
    28 Sept 2023Inspection
    Identified deficiencies related to incomplete medical monitoring and documentation for residents. There were gaps in blood sugar checks and blood pressure logging as ordered by physicians.
    • Type B87506(b)(13)
    28 Sept 2023Complaint
    Investigated three allegations regarding staff conduct and recordkeeping; there was not a preponderance of evidence to prove them.
    22 Sept 2023Complaint
    Investigated allegations that a resident did not receive timely medical attention and that residents were not adequately fed or hydrated. The investigation identified concerns with timely medical care and with feeding and hydration practices.
    • Type A87468.1(a)(16)
    25 Aug 2023Complaint
    Investigated allegations that a staff member hit a resident, that personal belongings were not safeguarded, and that a resident's records were not kept accurately. Evidence did not establish the claims.
    25 Aug 2023Complaint
    Identified allegations about residents' door keys, meal timing, harassment between residents, use of illegal drugs and alcohol, and medication ordering; information gathered did not establish clear evidence of violations.
    22 Aug 2023Inspection
    Observed dirty and poorly maintained conditions, including heavily stained carpet and dirty bathroom in room 129, and disrepair of resident room door locks noted previously.
    • Type B87303(a)
    28 Jul 2023Complaint
    Investigated a resident's severe scabies infection and found that timely medical treatment was not provided, allowing the condition to worsen.
    • Type B87468.2(a)(8)
    • Type B87468.2
    21 Jul 2023Complaint
    Investigated a complaint about resident safety, incontinence care, shower assistance, and overall living conditions; interviews and tours did not establish the allegations.
    17 Jul 2023Inspection
    Identified gaps in documenting prescribed blood sugar monitoring and blood pressure tracking, with missing or incomplete logs for multiple residents.
    • Type A87465(a)(1)
    17 Jul 2023Complaint
    Identified that residents did not have keys to lock their room doors; seven residents interviewed lacked keys, with some new arrivals not receiving keys within 60 days. The investigation also looked at medication refill timing and safeguarding personal belongings and found no clear evidence of problems.
    • Type B87303(a)
    07 Jul 2023Inspection
    Found no deficiencies cited during the annual continuation visit.
    13 Jun 2023Inspection
    Conducted an unannounced case management annual continuation visit, reviewed nine staff files and nine resident files, and found no deficiencies cited; resident interviews were to be completed on a subsequent visit due to time constraints.
    12 Jun 2023Inspection
    Observed clean rooms and common areas, proper food service, and functioning safety equipment; no deficiencies cited.
    22 May 2023Complaint
    Investigated allegations that staff neglect led to a resident's hospitalization and that medical attention was not sought promptly. The investigation reviewed medical records and interviewed staff as part of the review.
    • Type A87468.2(a)(8)(a)
    21 Mar 2023Complaint
    Investigated two allegations: a bedroom sliding door in disrepair and residents not being prohibited from smoking. Found the door was hard to slide but in good repair after adjustments, and smoking occurred only in designated areas per policy.
    17 Mar 2023Complaint
    Investigated allegations that staff neglected a resident and did not seek timely medical care. The resident became critically ill, was hospitalized, and subsequently died.
    • Type A87466
    • Type A87468.2(a)(8)
    • Type A87465(a)(2)
    13 Mar 2023Complaint
    Investigated allegations that staff neglect resulted in a resident being hospitalized and that medical attention was not sought promptly.
    • Type A87466
    22 Feb 2023Complaint
    Investigated the allegation that staff did not safeguard a resident's personal items. Accounts varied and several items were reported missing, with no conclusive proof of what happened.
    07 Feb 2023Complaint
    Investigated a complaint alleging a resident sustained pressure injuries while in care. Found insufficient evidence to prove or disprove the allegation.
    18 Nov 2022Complaint
    Identified a past scabies infection among residents and an allegation that staff did not meet residents' hygiene needs.
    • Type B87466
    14 Nov 2022Complaint
    Investigated allegation that a resident was unlawfully evicted. Found that the required 30-day eviction notice was not issued after a reappraisal showed higher care needs.
    • Type B87224(a)(4)
    24 Aug 2022Complaint
    Investigated a complaint that a resident's fall was not reported to the family and that timely medical care was not pursued. The findings indicated deficiencies in how reporting and medical notification were handled.
    • Type B87211(a)(1)
    24 Aug 2022Complaint
    Investigated two claims: staff administered unauthorized medication to a resident and the resident was not allowed to receive personal calls. The investigation did not find conclusive evidence to prove either claim.
    21 Jul 2022Complaint
    Investigated allegations that staff did not properly supervise residents, that resident room waste baskets were not emptied frequently, that some rooms were malodorous, and that meals were not of adequate quality or quantity.
    23 Jun 2022Inspection
    Identified an unannounced site visit aimed at an annual licensing review, which was discontinued after learning of a recent pre-licensing review due to ownership change and a new license dated 06/02/2022.
    25 May 2022Inspection
    Observed several deficiencies during a pre-licensing evaluation, including a broken faucet in room 143, cracks in a tub and grab bars in room 136, missing skid mats in multiple rooms, a broken call light in room 135, and water temperatures outside the 105-125 degrees F range in several rooms.
    05 May 2022Complaint
    Investigated two complaints: one about not providing a resident with a copy of the admissions agreement, and another about not allowing a resident to leave for an extended period.
    • Type B87468.1(a)(6)
    22 Apr 2022Inspection
    Identified an incident in which a staff member reportedly handled a resident roughly, leaving the resident feeling threatened. An internal investigation followed.
    • Type B87468.1(a)(3)
    21 Apr 2022Inspection
    Identified multiple safety and maintenance concerns, including a non-working call light in room 135 and a broken faucet in room 143. Cracks in a tub and grab bars in room 136 and missing non-skid mats were noted in several rooms; hot water temperatures were measured in multiple rooms.
    24 Mar 2022Inspection
    Verified Component II was completed and that the Title 22 requirements were understood; the administrator was advised to transmit a signed LIC 809 to CAB.
    30 Jun 2021Inspection
    Found no deficiencies during an unannounced visit; safety, cleanliness, and infection control practices were maintained.
    11 May 2021Complaint
    Found that staff were unable to maintain social distance in the kitchen because about 15 additional workers from a neighboring facility worked there for about a week. The incident was not reported to Licensing as required.
    • Type A1569.50(a)(3)(a)
    • Type B87211(a)(1)(D)
    11 May 2021Inspection
    Identified that two staff members were not associated to the license because their criminal record clearance transfers were not documented.
    • Type A1569.17(b)
    • Type A87355(c)
    27 Aug 2020Complaint
    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.

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