Pricing ranges from
    $9,900 – 13,050/month

    Silverado Belmont Hills Memory Care Community

    1301 Ralston Ave, Belmont, CA, 94002
    4.6 · 51 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    3.0

    Beautiful community but staffing concerns

    I picked Silverado Belmont for the park-like grounds, outdoor courtyards, pet-friendly vibe, abundant activities, great food and 24/7 nursing - the dementia-focused team is knowledgeable and often compassionate, and my mother did benefit from memory programs and freedom to roam. That said, it's very expensive, some rooms are small/outdated, and I noticed persistent urine odor in parts of the wing. Staffing turnover and occasional understaffing concerned me, and I felt they eventually gave up on helping my mother and may have overmedicated her. Overall it's a beautiful, well-programmed memory-care community worth considering - but visit more than once and check cleanliness, staffing and medication practices before you commit.

    Pricing

    $10,000+/moSemi-privateMemory Care
    $9,900+/moStudioMemory Care
    $13,050+/moSuiteMemory Care

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

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

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

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

    4.63 · 51 reviews

    Overall rating

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

      4.5
    • Staff

      4.7
    • Meals

      4.6
    • Amenities

      4.3
    • Value

      2.4

    Pros

    • Dementia- and memory-care specialization
    • Supportive, compassionate and well-trained staff
    • 24-hour licensed nurse (LVN) and on-site medical oversight
    • Coordinated nursing with doctors for medication management
    • High-quality, nutritious meals prepared by on-site chef
    • Dietician on duty and accommodations for special diets
    • Multiple dining rooms and private dining rooms for families
    • Wide variety of daily activities (art, karaoke, painting, outings)
    • Opportunities for one-on-one care and customizable care levels
    • Large, park-like 18-acre grounds with redwoods and walking spaces
    • Safe, secure outdoor spaces designed for wanderers
    • Pet-friendly environment (resident dogs, cats, chickens)
    • Resort-like exterior and welcoming, family-friendly atmosphere
    • Flexible visiting hours and private-family conveniences
    • Room furniture provided; rooms often have pleasant views
    • Pleasant dining hall atmosphere and food served at no extra charge
    • Clean, well-kept indoor and outdoor environments (commonly reported)
    • Evidence-based dementia programming and resident engagement
    • Responsive maintenance and attentive facility staff
    • Regular family communication and educational support for caregivers
    • Wide campus with multiple connected buildings and dining options
    • 24-hour snacks/treats and full-service offerings
    • Strong emphasis on dignity, quality of life and resident freedom
    • Many reviewers highly recommend the community
    • Landscape, gardens and outdoor seating encourage time outside

    Cons

    • High cost / expensive monthly rates
    • Reports of understaffing or new staff turnover in some shifts
    • Inconsistent cleanliness and occasional persistent urine odor
    • Some rooms described as outdated, institutional, or small
    • Mixed reports on secure in-room storage / locked rooms
    • Traffic and site access challenges for some visitors
    • Occasional concerns about overmedication or medication decisions
    • Some families felt behavioral issues were not fully resolved
    • Perception by a few that management prioritizes finances
    • Not the right fit for every resident; fit varies by needs/expectations
    • Limited number of very high-acuity/advanced residents observed
    • Conflicting reports about quality (some say top-notch, some say second-rate)

    Summary review

    Overall sentiment: Reviews for Silverado Belmont Hills Memory Care Community are strongly weighted toward positive experiences, especially around dementia-focused care, compassionate staff, and a beautiful, park-like campus. A large portion of reviewers emphasize the facility’s specialization in memory care, citing evidence-based programming, staff education, and an explicit focus on dignity and quality of life. Many families reported peace of mind from 24/7 licensed nursing coverage, on-site medical oversight, and formal coordination between nurses and physicians to manage medications thoughtfully rather than overmedicate.

    Care quality and staff: The dominant theme is attentive, empathetic caregiving. Numerous reviews name staff members as strengths, noting that caregivers and nurses know residents by name, provide personalized attention, and foster a family-like atmosphere. Several reviewers singled out staff ambassadors and administrators for being informative and helpful with dementia education and care planning. One-on-one care and customizable care levels are available, and reviewers frequently credit the team with responsive communication, adherence to care plans, and strong medical management. However, a minority of reviewers raised concerns about staffing levels, new staff turnover, or occasional neglect — indicating some variability in consistency across shifts.

    Medical oversight and medication practices: Positive comments repeatedly reference 24-hour LVN coverage and on-site nursing/medical resources, with specific praise for nurses who proactively coordinate medication adjustments with doctors to improve quality of life. That said, a few families voiced worries about overmedication or felt staff had “given up” on addressing severe behavioral problems — concerns that contrast with the many reports of careful, individualized medication decisions.

    Dining, food service, and nutrition: Dining emerges as a clear strength: reviewers praise fresh, high-quality meals prepared by an on-site chef, with a dietician available for special diets. Multiple dining rooms and private dining rooms accommodate family meals, and snacks/treats are available around the clock. Several reviewers described the smell and dining atmosphere positively, and many noted that meals are included without extra charge. These consistent positive comments suggest dining is a reliably strong aspect of the community experience.

    Activities, engagement, and programming: The community is described as highly active, offering roughly a dozen varied daily activities that include painting classes, karaoke nights, consignment shop projects, pet interactions, and outdoor walks. Reviewers frequently note strong engagement, resident artwork displays, and a whole-person approach that keeps residents involved and stimulated. Specialized memory-care programming and creative, evidence-based activities are repeatedly praised.

    Facilities, grounds, and environment: Silverado Belmont Hills’ 18-acre wooded campus with redwoods, gardens, courtyards, and walking spaces is a standout feature. Many reviewers highlight a resort-like, park-like setting that enables freedom to roam within safe outdoor spaces designed for wanderers. The property’s size, landscaping, and outdoor furniture are commonly cited as therapeutic and comforting. Interior impressions are mixed: while some praise updated décor and a homey, hotel-like feel, others describe certain rooms or wings as outdated, institutional, or having small rooms and old mattresses. On-site conveniences such as furnished rooms, multiple dining venues, private dining, and family-friendly policies are frequently noted as benefits.

    Safety and security: Safety measures receive mixed but generally positive feedback. The facility is often described as secure for residents who wander, with fenced courtyards and neighborhood segmentation by care level. Conversely, a few reviewers mentioned that rooms were not locked or lacked secure storage for valuables, indicating an area for potential improvement or clarification.

    Costs, fit, and value: Cost is a recurrent concern: many reviewers acknowledge that Silverado Belmont is more expensive than alternatives, yet numerous families consider it worth the price for the quality of care, grounds, and programming. Other reviewers felt it was not the right fit for their loved one or questioned value relative to cost. There are also isolated reports alleging prioritization of financial interests over individualized behavioral care.

    Variability and patterns to note: While the majority of reviews are highly positive — many going so far as to recommend Silverado Belmont as top-tier memory care in the Bay Area — there is a nontrivial minority of negative or mixed reports. These include concerns about cleanliness and lingering odors in particular wings, inconsistent room conditions (some modern and airy, others outdated), occasional staffing gaps, and differing experiences with behavioral management. This mixture suggests that most families encounter excellent care and a beautiful environment, but outcomes can vary by unit, staff shift, or individual resident needs.

    Bottom line: Silverado Belmont Hills is consistently praised for its dementia-specialized programming, compassionate and knowledgeable staff, robust medical oversight, engaging activities, excellent dining, and expansive, secure outdoor grounds. These strengths make it a compelling option for families seeking high-level memory care who prioritize environment, programming, and clinically informed care. Prospective residents and families should weigh the higher cost against those benefits and consider touring multiple wings to assess room conditions, odor/cleanliness, staffing interactions, and fit for specific behavioral or high-acuity needs. Several reviewers recommend the community strongly, but the mixed criticisms mean that an in-person visit and detailed questions about staffing, medication policies, security of belongings, and cleanliness are important before deciding.

    Location

    Map showing location of Silverado Belmont Hills Memory Care Community

    About Silverado Belmont Hills Memory Care Community

    Silverado Belmont Hills Memory Care Community sits among quiet, tree-lined grounds and is built as a single-story, free-standing building, so folks don't have to worry about stairs or elevators, which makes getting around simpler. The place specializes in memory care and is designed for people with Alzheimer's or other forms of dementia, offering both private and semi-private rooms, with studios starting at $12,450 and semi-private rooms at $9,600. The community keeps the property secured with things like coded entry and a wander alert system - even using special bracelets to help prevent residents from getting lost. All the staff, including licensed nurses, masters level social workers, and a physician as medical director, are certified in dementia care, and there's someone on-site at all hours of the day and night, ready to help with medication, diabetic care, incontinence, and behavioral concerns such as wandering or aggression.

    Silverado offers personalized care plans and adapts as needs change. Nurses help with daily tasks like bathing, dressing, and moving around-using lifts if needed-and also take care of people with diabetes, bowel or bladder issues, or mobility problems. Residents who have a risk of eloping or who show difficult behaviors can still be cared for here, and the team is trained to manage these situations, doing their best to keep everyone safe and treated with respect. Families can also find respite care here if they need a temporary break from caregiving responsibilities.

    There's a regular schedule of activities, from stretching, yoga, and gardening, to art, cooking classes, and even karaoke or trips out on the Silverado bus. Programs like Nexus support brain-healthy living, while the Silverado Sensory Program offers ways to help residents connect with their environment. Social interaction and emotional well-being are encouraged, and staff run things like pet programs because residents can even bring their dog or cat, with help caring for the pet if needed. A chef prepares meals with options for special diets, including vegetarian, and there are guest meals and private dining if families visit. The community has indoor and outdoor common areas, a fitness room, library, garden spots, beautician services, and wheelchair-friendly showers.

    Silverado Belmont Hills keeps a warm, inviting atmosphere, and the property stays clean and well-kept for all residents. The culture leans heavily on kindness and patience, and the community aims to give support to both residents and their families, offering educational resources on dementia and crisis help for caregivers. Amenities like complimentary transportation, hospice, and ADL/IADL support are included. Onsite and visiting professionals like physical, occupational, and speech therapists provide extra care as needed. The place also offers devotional services, intergenerational programs, and special activities that keep people's minds and bodies active. Silverado Belmont Hills Memory Care Community has spent more than twenty years focusing on memory care, striving to give seniors living with dementia a safe, dignified, and comfortable place to call home.

    People often ask...

    State of California Inspection Reports

    78

    Inspections

    11

    Type A Citations

    9

    Type B Citations

    6

    Years of reports

    05 Aug 2025
    Delivered an immediate exclusion letter to exclude a staff member from the premises after meeting with the administrator.
    31 Jul 2025
    Investigated allegation that a staff member pushed a resident with dementia against the wall; no injuries were noted and the staff member returned to work in a different area.
    04 Jun 2025
    Delivered an immediate exclusion letter to remove two staff members from employment at the location; the letter was given to the Director of Health Services, and the matter was reviewed and discussed with her.
    27 May 2025
    Identified an incident in which a 1:1 caregiver sat outside a resident’s door, preventing the resident from leaving. The resident has advanced dementia with a history of aggression and is on ongoing medication management with weekly psychiatry appointments. No citations were issued.
    25 Feb 2025
    Determined that the complaint alleging staff failed to seek timely medical attention after a resident’s fall was supported by evidence. Found that the complaint alleging improper notification of the responsible party was unfounded.
    03 Dec 2024
    Found the home clean and well maintained, with medications secured and resident and staff records up to date. Observed water temperatures between 105 and 115 degrees F, toxins locked away, first aid kits present and complete, fire extinguishers serviced in 10/2024, emergency drills conducted every three months, and the kitchen stocked with two days of perishables and seven days of non-perishables.
    15 Mar 2024
    Investigated and found that a resident with Alzheimer's dementia wandered outside near the parking area on two occasions; gates were closed and secure after each incident. No citations were issued.
    15 Mar 2024
    Reviewed incident where resident left the community without supervision on two occasions; no citations issued.
    16 Feb 2024
    Found neglect and lack of supervision led to a resident’s serious bodily injury after multiple falls, due to improper fall risk assessment. A civil penalty was issued.
    16 Feb 2024
    Confirmed neglect and lack of supervision resulting in serious bodily injuries.
    31 Jan 2024
    Found no citations; five resident and five staff records were complete and up to date, with medications securely stored and first aid kits complete. Found cleanliness and safety maintained—dining areas clean, toxins locked, water temperatures within range, fire extinguishers serviced, and emergency drills conducted quarterly—with medication and resident file reviews up to date.
    31 Jan 2024
    Inspection found no safety hazards, all areas clean, and staff and resident records complete and up-to-date.
    19 Dec 2023
    Investigated an allegation that one resident touched another resident’s chest area. Found that a private one-on-one caregiver was left unattended during a break because orientation/training on breaks was not provided, and noted this is the third such incident involving that resident, with prior events in November.
    19 Dec 2023
    Identified incident of inappropriate behavior between residents due to caregiver leaving one resident unattended. Training deficiencies for caregiver were noted and citations were issued for violation of state regulations.
    • § 9058
    06 Dec 2023
    Investigated two incidents in which one resident touched another; no deficiencies cited. The resident has Alzheimer's dementia, and no inappropriate or aggressive behavior was observed during the visit.
    06 Dec 2023
    Confirmed incidents of inappropriate behavior involving residents were addressed by assigning a one-on-one caregiver and adjusting medication, with ongoing monitoring in place.
    • § 9058
    29 Sept 2023
    Delivered an immediate exclusion letter to exclude an employee, with the administrator and health services leaders present at the site. Reviewed the matter with the licensee.
    29 Sept 2023
    Confirmed exclusion of an employee from the facility.
    • § 9058
    07 Sept 2023
    Investigated two allegations of staff misconduct—throwing a cup of tea at a resident and inappropriate contact with another resident; the involved staff member was suspended and later terminated, and authorities were notified, with no deficiencies cited.
    07 Sept 2023
    Confirmed incidents of staff mistreatment towards residents were reported and investigated by state authorities. No deficiencies were found during the visit.
    • § 9058
    18 Aug 2023
    Reviewed a dog bite incident involving a resident and confirmed the dog’s vaccination records were up to date; noted pet-friendly policies and a resident handbook allowing pets, and found no prior biting incidents with this dog, which was returned to the adoption center; no deficiencies cited.
    18 Aug 2023
    Reviewed incident involving a dog biting a resident's finger, facility policies and procedures on pets, and vaccination records. No deficiencies found during the visit.
    • § 87465(a)
    02 Aug 2023
    Investigated a reported incident involving a staff member and three residents, collected documentation, and did not issue any citations.
    02 Aug 2023
    Confirmed three separate incidents between staff members and residents were reported and investigated during the visit.
    03 May 2023
    Investigated allegation that one resident touched another inappropriately, with one hand on the chest and the other between the legs; found both residents have dementia, the wandering resident had a one-on-one caregiver, his/her medication dose was increased, and his/her room was moved to the Cedar building; no citations issued.
    03 May 2023
    Confirmed incident of inappropriate behavior between two residents with dementia, resulting in adjustments to resident care.
    17 Mar 2023
    Identified a deficiency related to reporting requirements, consolidating the issues into a single violation. Civil penalties could have resulted if the deficiencies were not corrected.
    17 Mar 2023
    Identified deficiencies in regulations were noted during the inspection.
    • § 87468.1(a)(2)
    03 Feb 2023
    Delivered an immediate exclusion letter to exclude an employee, given to the Assistant Director of Health Services during an unannounced visit.
    03 Feb 2023
    Confirmed exclusion of an employee following an unannounced visit.
    27 Jan 2023
    Found comprehensive infection control measures in place, including posted COVID-19 signage, entry screening, daily logs for staff, residents, and visitors, and a 30-day PPE supply with staff wearing masks. Observed medications securely stored, toxins locked, two Wellness Centers, a clean kitchen with proper perishables, and barriers separating kitchen from resident spaces; no citations issued and results reviewed with Director of Health Services.
    27 Jan 2023
    Confirmed cleanliness, infection control practices, and safety measures observed during the inspection.
    17 Oct 2022
    Identified an allegation that a resident touched a female resident’s breast, with a history of repeated aggressive and inappropriate behaviors toward others despite interventions. Noted the resident has a new doctor and medications, and was observed sleeping in bed with a one-on-one caregiver in the room; a deficiency in care standards was identified.
    17 Oct 2022
    Identified deficiencies in resident behavior management and service plans during a recent visit. Multiple incidents of inappropriate behavior noted, with recurring patterns despite interventions in place.
    10 Oct 2022
    Found that an incident involved two residents, including a person with dementia who had previously been found naked in another resident’s bed and was without a one-on-one caregiver at that time; staff later reported a new geriatric doctor, adjusted medications, around-the-clock supervision, daily updates to the responsible party, and a care team meeting. No citations were issued.
    10 Oct 2022
    Confirmed incident involving inappropriate touching between two residents; facility took steps to address resident's behavior and increase supervision.
    23 Sept 2022
    Identified multiple dementia-related incidents of aggression among residents, including conflicts between two residents and an incident involving a staff member, plus an unwitnessed incident; concerns were documented.
    23 Sept 2022
    Reviewed incidents involving residents with dementia hitting each other and throwing things, with behavior mapping and medication adjustments being conducted for affected residents. No citations were issued during the visit.
    12 Sept 2022
    Investigated an incident where a resident with Parkinson's dementia jumped over the fence near the activity area using a planter, was assisted back inside, and no injuries occurred. Notified the resident's responsible party and physician, medications were adjusted, a one-on-one caregiver was assigned, and behavior mapping continues.
    12 Sept 2022
    Visited facility following reported elopement incident, interviewed staff, and reviewed resident's file. No citations issued.
    19 Jul 2022
    Found concerns about supervision for a dementia resident after two incidents: on 5/26/22 the resident was found in another resident’s room, and on 7/15/22 the resident was observed lying beside another resident while a caregiver was present.
    • § 87464(f)(1)
    19 Jul 2022
    Confirmed incidents of unusual behavior involving residents with dementia were observed during the visit. Deficiencies in supervision were cited by the Licensing Program Analyst.
    • § 87211
    18 Jul 2022
    Identified that a resident with Alzheimer's dementia eloped by climbing over a gate, wandered off toward a nearby park, and was redirected, given medications, and returned after staff followed. Identified that the resident is a new admission with a prior elopement history; the physician adjusted medications and a one-on-one caregiver was assigned; a safety deficiency was noted.
    18 Jul 2022
    Confirmed an incident where a resident with Alzheimer's Dementia eloped from the facility, prompting adjustments in medication and additional caregiver support.
    05 Jul 2022
    Identified an incident involving a resident with dementia who may have eaten cat food; no witnesses confirmed and the resident would not say whether they ate it. Moved the resident to a higher level of care in another area, and all cat food bowls were removed from sight.
    05 Jul 2022
    Confirmed incident of resident possibly consuming cat food, leading to relocation to a higher level of care and removal of cat food bowls from the room.
    16 Jun 2022
    Identified several incidents involving a newly admitted resident with dementia: on 5/27/2022 the resident hit a caregiver, causing both to fall, and on 5/30/2022 the resident touched a caregiver during a shower and later touched another resident. Interviewed staff and reviewed resident files; noted a 5/26/2022 incident where a male resident walked into a female resident's room with no injuries, and that the other resident has dementia with no prior unusual behavior.
    16 Jun 2022
    Confirmed incidents of physical contact between residents and caregivers, prompting adjustments in medication and increased supervision.
    24 May 2022
    Identified a supervision lapse that allowed a resident with dementia to exit through an unlatched gate; headcount was conducted and gates inspected by a locksmith. Noted a prior penalty for a repeat violation within a year.
    • § 87411
    24 May 2022
    Investigated incident of a resident leaving the facility due to lack of supervision resulted in a citation for personnel requirements deficiency with a civil penalty assessed.
    05 May 2022
    Identified gaps in COVID-19 protocols, including positive residents roaming and dining with negative residents despite isolation efforts. Noted that the claim of insufficient staff to support a designated isolation unit was not supported by evidence, with shortages described as temporary during the height of the pandemic.
    05 May 2022
    Confirmed inadequate implementation of COVID protocols, including failure to isolate COVID positive residents appropriately; determined lack of staffing issue for COVID isolation unit allegation to be unsubstantiated.
    29 Apr 2022
    Determined that a privately hired caregiver was not associated to the home and that the home failed to report a suspected elder abuse incident to licensing within 24 hours and to provide a written report within seven days. Investigated the allegation that the private caregiver kicked a resident and found the caregiver acted in self-defense in response to resident aggression; also found that the claim of an unfingerprinted caregiver working with a resident had no reasonable basis.
    • § 87211(b)
    • § 87355(e)(2)
    • § 87211(a)(1)
    29 Apr 2022
    Confirmed inadequate reporting and failure to associate a private caregiver at the facility.
    24 Feb 2022
    Identified an unwitnessed altercation between two residents on January 19, 2022, with no staff present to supervise. Noted a prior November 2021 incident with lack of supervision, indicating ongoing supervision concerns.
    24 Feb 2022
    Reviewed an incident involving two residents in a verbal altercation, citing a deficiency in supervision protocols resulting in altercations between residents on two occasions.
    • § 87468.1
    15 Nov 2021
    Found that on November 15, 2021 an incident from November 10 involved two residents with dementia; one kicked the other while left alone in the dining room, described as a one-time altercation with no prior history of physical abuse. Notified the Ombudsman, licensing, physicians, and the resident's responsible party; needs and service plans showed no hands-on assistance needed; no deficiencies were issued.
    15 Nov 2021
    Confirmed an incident of physical altercation between two residents with dementia at the facility during a case management visit.
    12 Nov 2021
    Found the allegation that a resident sustained an unexplained injury at the same time as another staff member and that a fall may have occurred during rounds not substantiated.
    12 Nov 2021
    Found that the allegation that a resident’s hygiene and daily care were not adequately addressed was unsubstantiated.
    12 Nov 2021
    Found premises in compliance with safety and care standards; rooms were clean and properly furnished with safety features, medications and supplies stored securely, and no citations were issued.
    12 Nov 2021
    Found all buildings equipped with hardwired smoke detectors and a fire panel, plus an emergency generator capable of powering the site for 72 hours, with water temperatures in observed rooms ranging from 108F to 117F and each room fully furnished with lighting, push-button call systems, non-skid mats, grab bars, and carbon monoxide detectors present. Reported no issues and noted overall compliance.
    12 Nov 2021
    Inspection found the facility in compliance with regulations, with no citations issued.
    12 Nov 2021
    Inspection found facility fully compliant with regulations, with no citations issued.
    30 Apr 2021
    Identified a deficiency after interviews with the administrator and staff, review of records and a police report about the unusual incident on 03/29/2021, with the individuals providing requested documents.
    30 Apr 2021
    Reviewed an unusual incident from March 29, 2021, and identified a deficiency in compliance with California Code of Regulations, Title 22, Division 6, based on interviews and records.
    • § 87303(a)
    07 Apr 2021
    Investigated an unusual incident that occurred on 03/29/2021. Interviewed the administrator and witnesses, requested additional documents, and planned follow-up with other staff, with the incident remaining open for further investigation.
    07 Apr 2021
    Investigated an unusual incident from March 29, 2021, by interviewing staff and the administrator, and collected additional documents. Follow-up required for further investigation.
    • § 87608
    18 Dec 2020
    Identified ongoing focus on preventing elopement, pressure injuries, and falls, including identifying and meeting residents’ needs, appraisals and re-appraisals, plan of care, safety, residents’ personal rights, staff training and monitoring, and medication monitoring.
    18 Dec 2020
    Found that care and supervision for a resident were inadequate, contributing to a fall and death. The investigation noted that a 1:1 caregiver was undertrained and lacked sufficient support to manage the resident’s aggressive behavior.
    • § 87468.2(a)
    18 Dec 2020
    Identified two December 2019 incidents where residents harmed each other during times of inadequate supervision, resulting in injuries and raising concerns about residents' safety.
    18 Dec 2020
    Confirmed two incidents of inadequate supervision resulting in resident injuries.
    • § 87464(f)(1)
    25 Feb 2020
    Identified serious violations concerning personnel, medical care, reporting requirements, dementia care, personal rights, basic services, and criminal record clearance.
    • § 87468.2(a)(4)
    20 Feb 2020
    Confirmed failure to provide care and supervision resulting in serious bodily injury to a resident.
    31 Jan 2020
    Verified complaint of resident being left in sun, resulting in skin injuries. Failure to report incident promptly noted. Allegations of negligence and lack of immediate medical attention were inconclusive.
    22 Nov 2019
    Found that the allegation of bruising on a resident's thumb could not be confirmed based on interviews, observations, and record reviews.
    10 Oct 2019
    Determined allegations related to a resident's food intake, medication, and pressure injuries lacked sufficient evidence to confirm if violations occurred.
    • § 87468.1
    08 Oct 2019
    Identified deficiencies in admitting and retaining residents with restricted health conditions without submitting proper requests. Residents were not approved for exceptions as required by regulations.
    • § 87464(f)(1)

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