Pricing ranges from
    $4,611 – 5,533/month
    1. Home
    2. Assisted Living
    3. California
    4. Carmichael

    Walnut House

    3401 Walnut Ave, Carmichael, CA, 95608
    3.7 · 38 reviews
    • Independent living
    • Assisted living
    • Memory care
    For pricing and availability(510) 508-4507
    For the front desk(916) 713-5580
    AnonymousLoved one of resident
    3.0

    Nice facility but staffing issues

    I toured this renovated, homey place with a nice courtyard, roomy apartments, tasty meals and friendly, genuinely caring staff. My impression was mixed: staff are attentive at times, but chronic understaffing and poor administration led to delayed call bells, missed meds, inconsistent housekeeping and some serious cleanliness/safety lapses. Activities and food are generally good when available, but service and communication are uneven and openings are limited. Overall I like the facility's look and some caregivers, but I would only consider it with careful vetting of staffing, cleanliness and safety.

    Pricing

    $4,611+/moSemi-privateAssisted Living
    $5,533+/mo1 BedroomAssisted Living

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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
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    3.74 · 38 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1

    • Care

      3.6

    • Staff

      3.8

    • Meals

      3.6

    • Amenities

      3.4

    • Value

      3.6

    Location

    Map showing location of Walnut House

    About Walnut House

    Walnut House Senior Living sits in Carmichael, California, as a quiet, age-restricted community focused on helping seniors live with dignity and independence, and you find around 10 private or shared apartments spread across one floor, each with all-electric kitchens, kitchenettes, and options for personalization with your own furniture and things, and you don't need to worry because weekly housekeeping, utilities except phone, and building maintenance come included, which adds to the comfort. Staff are always around for 24-hour care, and the property manager and maintenance team stay onsite for quick help with any issues, so anything that breaks gets fixed right away. Safety matters with video surveillance and a round-the-clock call system, and staff have training to help residents with daily activities like bathing, dressing, managing medicine, and even incontinence or mobility issues. Walnut House has specialized care for those with mild cognitive problems, Parkinson's disease, diabetes, or dietary restrictions, and there's also memory care available for individuals living with Alzheimer's or other dementias. For meals, the kitchen serves pre-selected lunches, which are included, with other affordable meals and tray-service-in-room for anyone needing it or wanting to eat in their room, and the dining staff can work around allergies. Activities fill the schedule with movie nights, music, games in the game room, fitness in a small exercise space, and quiet time in the library, while outside you'll find a garden and a patio for fresh air. Residents help organize and join community events, which lets folks stay social and engaged, and the place operates with a clear focus on resident needs, privacy, and individuality due to its small size and home-like feeling. The setting is both private and friendly, allowing neighbors to connect through planned activities or casual time in shared spaces, and whether a person needs independent, assisted, or respite care, the services match what's best for them, with care staff supporting each resident at their own pace. Walnut House is part of CiminoCare, a family-run organization that emphasizes a safe, welcoming environment where seniors' health, independence, and well-being come first, and with its community score of 9.9 from Seniorly, it stands out as a solid choice for seniors seeking a place that respects their independence and life choices.

    People often ask...

    State of California Inspection Reports

    160

    Inspections

    36

    Type A Citations

    34

    Type B Citations

    6

    Years of reports

    13 Mar 2020
    Identified Covid-19 related postings on the main door noting that non-essential visitation should be postponed, and observed staff cleaning high-touch areas with a bleach solution. Observed visitor screening for travel outside the country in the last 30 days and any virus symptoms, with hand sanitizer available at entry; reported no residents with signs or symptoms of Covid-19 and no deficiencies cited.
    06 Sept 2024
    Investigated bedbug detections in the past showed they were treated and no active infestation was identified. Verified staffing supported medication assistance, found no furniture in disrepair, and confirmed housekeeping services were provided.
    07 Aug 2025
    Found no health, safety, or personal rights violations at the home; it was clean and residents reported satisfaction with care. Five resident files and five staff files were complete and well organized.
    • § 9058
    25 Jan 2024
    Found evidence that staff mishandled resident medications. Discrepancies included MARs showing more doses than pills present, with Eliquis packets missing multiple tablets and Magox, Januvia, and Plavix bottles short by several tablets.
    • § 87465(a)(4)
    23 Aug 2023
    Found that the allegation that staff did not keep it clean and sanitary was unfounded. The investigation showed housekeeping duties were covered by rotating staff due to a vacancy, and routine cleaning is provided once weekly per the admission agreement, with extra cleaning available for a fee.
    11 Jan 2024
    Identified that staff did not follow residents' care plans, with medications left in a resident's room instead of central storage. Found ongoing delays in responding to call lights and in providing assistance with showering and incontinence care.
    • § 87411(a)
    08 Sept 2020
    Found that the flooding-related odor and potential mold from the carpet lacked sufficient evidence to prove a violation.
    14 Aug 2024
    Investigated the allegation that medication was administered late; records and interviews showed the medication was prescribed as PRN and a new morning/evening schedule was issued, and the allegation was unfounded.
    29 Oct 2024
    Found all listed allegations unfounded after reviewing service plans, room observations, and interviews with staff and residents. No evidence of violations identified across dental care, safeguarding of personal belongings, room cleanliness, linens, storage, wheelchair repairs, or odors.
    11 Jan 2024
    Found the allegation that staff were not properly trained to be unfounded. Training records showed staff completed the required training hours during the specified dates.
    11 Oct 2023
    Identified an allegation of disrepair and unsanitary conditions. Found a tub leak that was not fixed, a bed frame not securely mounted, a strong urine odor, and discolored bathroom floors, with months of no housekeeping and unaddressed maintenance reports.
    • § 87303(a)
    24 May 2023
    Found discussions on staff training, compliance history, stipulations, and pending applications; licensee agreed to submit plans for resident level of care assessments, staff competency, and how concerns are collected and addressed, with a 72-hour review by the licensing agency. No deficiencies cited.
    10 Feb 2022
    Investigated allegations that residents were left in soiled bedding and not toileted at night, and that medications were left out unsecured; findings showed several incontinent residents were not toileted on multiple nights and there was insufficient evidence to prove medications were left unsecured. Found no evidence to support that residents were not lifted for breakfast or fed.
    • § 87625(b)(3)
    24 Aug 2023
    Found the allegation that staff did not treat residents with dignity and respect substantiated.
    • § 87468.1(a)(1)
    24 Feb 2023
    Investigated a call-response concern reported to the Department; interviewed staff and one resident and noted the call-log system had stopped working but was fixed. Found no deficiencies.
    01 Apr 2022
    Investigated concerns found that residents experienced long wait times for help after pressing call buttons, and that a January 2021 power outage was not properly reported to families and licensing staff, leaving residents uncomfortable. While overnight staffing and some communication issues were noted, not all allegations could be proven, and some questions remained unresolved.
    • § 87411(a)
    • § 87211(a)
    23 Aug 2023
    Found the refund allegation unfounded; records showed the resident’s belongings were not removed until August after discharge and refunds are due within 21 business days after vacating. Found the notification allegation unfounded; the resident had no listed responsible party, with “Self” recorded as the responsible person.
    04 May 2023
    Found no evidence that a resident hit another resident; interviews and records showed no witnesses and no one matching the described suspect was present, and the involved resident was confused around the time. Therefore, the allegation lacked sufficient evidence.
    20 Jul 2022
    Reviewed a stipulation that included probation with conditions such as a stayed revocation and potential early termination at the department’s discretion, and confirmed understanding and compliance from all involved. No violations were cited during the visit.
    14 Dec 2021
    Reviewed resident records R1–R12, R13, R15, and R17; no deficiencies were cited, noted a prior COVID-positive staff member with one round of negative follow-up testing, and observed daily screening and PPE use. Issued follow-up questions to the administrator.
    23 Aug 2023
    Identified two missed weekly calls tied to the Stipulation and Waiver and Order due to a vacation. Noted a recent staff needs review, a quarterly clinical audit, and End of Shift Reports and charting discussions; administrator stated no staffing concerns but would like to be overstaffed, and no deficiencies were cited.
    21 Jul 2021
    Determined that staff interfered with residents' council meetings. Accounts describe the 7/9/2021 meeting where staff attended to take notes and the election was halted, prompting a need for a new election.
    • § 1569.157(g)
    08 Apr 2025
    Investigated an allegation of an incident involving a resident; found it unfounded and dismissed due to lack of specific details, no witnesses, and no evidence to support the claim.
    05 Dec 2024
    Identified concerns raised by the ombudsman about medication procedures and the resident and family council during a remote meeting held on December 5, 2024 at 1:00 PM. Conducted an exit interview.
    28 Jul 2021
    Found no health, safety, or personal rights violations at the care site; infection control was in compliance. No deficiencies were identified.
    10 Aug 2021
    Investigated concerns about a dispute between two residents; interviewed the administrator and one resident, attempted to interview the second resident, and observed the shower room. Planned to follow up with the second resident and their representative before concluding; no deficiencies were issued.
    14 Oct 2021
    Found no deficiencies after speaking with about 15 residents in the dining room and in their rooms. COVID-19 precautions were followed and an N95 mask was worn during the visit.
    05 Nov 2021
    Identified an amended page to a prior complaint and discussed it with the administrator; found no deficiencies and confirmed COVID-19 precautions were followed.
    16 Apr 2025
    Determined the allegation of neglect causing fractures to be unfounded after reviewing records and events surrounding an unwitnessed fall; staff promptly sought medical care and performed routine post-dinner checks, with no evidence of neglect identified.
    27 Feb 2025
    Determined that the allegations regarding staff training, providing comfortable accommodations for a resident, and ensuring residents’ hygiene needs were unfounded.
    21 Jan 2025
    Investigated complaints that staff did not provide adequate food service and that residents were left in soiled clothing; could not prove or disprove these issues due to inconsistent statements. Found evidence that medications were left unlocked in a former resident’s room.
    • § 87465(h)(2)
    20 Sept 2022
    Found the allegation that staff did not provide a comfortable temperature for a resident in care to be unfounded. Interviews with residents and staff indicated most residents did not experience elevated temperatures, even during the recent heat period.
    17 Nov 2022
    Investigated complaints about showering and call bell responses; found that residents were not showered on schedule and call bells were not consistently answered, with some response times lasting an hour or more. Identified concerns about laundry timing and medication record-keeping, and noted training gaps for agency staff; other allegations were not supported.
    • § 87411(a)
    07 Aug 2025
    Found that the specific allegation that the resident was receiving services outside permitted regulations was unfounded; the resident lived in independent living as a renter and was not subject to Title 22 regulations.
    24 Aug 2022
    Found no deficiencies after an unannounced visit. Observed clean, well-maintained spaces, proper infection-control practices, locked sharps and medications, active resident activities, and adequate PPE and supplies; vaccination status discussions and a booster clinic were planned.
    19 Oct 2022
    Identified multiple medication-safety concerns, including a resident pouring cough syrup on a breakfast tray and taking it with staff watching, unsecured nasal spray, a resident handling and concealing tablets, and glucose tablets left in a room. Found inhalers and ibuprofen stored in an unlocked drawer and oxygen equipment also not secured.
    • § 87465
    13 Oct 2020
    Investigated allegations of dehydration and malnutrition tied to staff neglect; evidence supported these concerns. Found that remaining allegations of insufficient staffing, leaving a resident soiled, and not providing adequate food service were not supported by the evidence.
    • § 87466
    • § 87464(d)
    24 Aug 2022
    Found an unannounced quarterly on-site visit conducted under a stipulation; observed a well-organized compliance binder with up-to-date weekly and monthly tasks and monthly staff training, current care plans, and a posted stipulation; no citations issued.
    04 Aug 2021
    Identified safety concerns included a staff member administering medication to a resident without proper training, a resident with dementia wandering outside and being found in an unlocked, unmarked van in the back area, and alarms not sounding when doors were opened.
    • § 1569.69
    • § 87705
    • § 87705
    • §
    19 Oct 2021
    Found that four allegations — unsanitary conditions, bathing needs not met, staff supervision concerns, and leaving residents on soiled bedding — were not supported by the evidence.
    23 Aug 2023
    Identified ongoing renovation, three rooms with a strong urine odor, and two residents on hospice, with a census of 61. Medication checks were performed for two residents and MARs reviewed with photos taken, while the CARE tool could not be completed. Two end-of-wing rooms showed sink temperatures of 95.4 degrees, and an exit interview was conducted.
    08 Nov 2023
    Found an unannounced quarterly on-site visit; observed the compliance binder with the stipulation, care plan reviews last conducted on 10/12/2023, and trainings scheduled for 8/22, 9/26, and 10/18 with presentation materials. Noted no quarterly audit has been completed since the last visit, with the most recent audit on 8/17/2023; requested copies of the organizational chart and the latest audit, to be submitted by 11/15/2023, and said management would discuss whether quarterly visits with two external providers should be conducted in tandem; exit interview conducted.
    30 Dec 2020
    Found that an alternative emergency ambulance service was used instead of 911 for a resident with altered consciousness, slurred speech, and unresponsiveness; and found insufficient staffing for the number of residents, resulting in a Tylenol overdose for a resident.
    • § 87465
    • § 87411(a)
    06 Dec 2023
    Found bed bug reports involving two residents, with an extermination performed and them returning to their rooms; weekly lunch-time checks were in place. Discussed a separate incident involving two other residents, including a noted change of condition and ongoing discussions about next steps.
    01 Jul 2021
    Found one deficiency: failure to notify the resident's representative about a fall and hospital visit on 2/7/2021, with phone records showing no incoming call to the representative that date. A citation was issued.
    • § 87468.1
    23 Sept 2020
    Investigated two allegations about staff communication and assistance with care. Found no evidence that staff entered resident’s room unannounced or took drinks from personal items, and no evidence that staff failed to assist with selecting clothing or reading mail.
    15 Jun 2022
    Investigated a complaint alleging poor communication and missing details about medications, pain management, shower and laundry schedules, when to use the call button versus the front desk phone, and information-management assistance; found no evidence to support that these issues occurred.
    01 Jul 2021
    Investigated a complaint about missing clothing and other personal items belonging to a resident; found that staff failed to safeguard the resident's personal belongings. Additional concerns, including shower frequency, hair washing, and stopping a medication for a dental appointment, were explored but no definitive conclusions reported here.
    • § 87218(a)(2)
    21 Feb 2025
    Identified the allegation that cleanliness was not kept up as supported, noting disrepair in a resident’s apartment bathroom and feces found in some toilets, with a deficiency and a monetary penalty. Found the bed bug infestation allegation not supported, since no pests were observed during visits and pest-control records showed ongoing treatment.
    • § 87303(a)
    24 Aug 2023
    Found that staff did not sign MARs for several days and did not administer prescribed doses, resulting in 16 missed doses for one resident and 9 missed doses for another. Found no mold in shower areas; showers are aging and are cleaned weekly by maintenance.
    24 Aug 2023
    Found the allegation that the resident care plan was not followed unfounded. Identified the medication-related allegation as substantiated due to missing MAR signatures and unadministered doses.
    24 Aug 2023
    Found no deficiencies at the site. Noted a recently serviced fire extinguisher, 2+ days of perishable and 7+ days of nonperishable food, locked sharps and toxins, and a missing call button in a resident’s room; discussions addressed resident care plans, house rules, and a medication audit.
    17 Oct 2024
    Identified that two Shout cleaning chemicals were found in a resident's room with the door open and retrieved by staff. Administrator said this may have been left by a family member since those products are not used at this location.
    • § 87309(a)
    23 Sept 2024
    Found that the allegation that staff did not dispense medications as prescribed was unfounded; the physician updated the order to 10 mg and a whole tablet is now provided. Found that the allegation that staff did not safeguard the resident's personal items was unfounded; safeguards were in place, shortages were addressed, and new supplies have been ordered.
    23 Aug 2023
    Found the allegation of sexual interactions between residents to be unfounded.
    24 Aug 2023
    Found that staff mismanaged residents' medications, evidenced by missing MAR signatures and unadministered doses identified during a medication audit.
    • § 87465(a)(4)
    25 Feb 2025
    Found that a resident developed pressure injuries after being left on the toilet for hours, with staff not recognizing the change in condition promptly.
    • § 87466
    • § 87468.2(a)(4)
    20 Aug 2021
    Investigated concerns between two residents and discussed them with the administrator, two staff, and a resident after completing COVID-19 screenings and precautions. No deficiencies were issued, and additional follow-up was planned.
    06 Sept 2024
    Found that the allegation that staff were not ensuring the premises were free of pests was unfounded.
    13 May 2025
    Found that the allegations that staff did not assist with cleaning rooms, did not respond promptly to call buttons, did not properly assist with showers, and provided inadequate laundry services were unfounded. Found no evidence to support the allegation of medication mismanagement.
    02 Oct 2024
    Found that the allegation that staff did not intervene when residents were harassed by another resident was unfounded, based on interviews showing staff intervened to separate and de-escalate.
    26 Jan 2023
    Found that required documents and records were kept up to date, including the stipulation, the compliance binder, weekly consulting calls, monthly resident service plan reviews, monthly staffing communications, and the quarterly clinical audit; no violations identified.
    26 Apr 2022
    Found that a posted list showing which resident could be moved for meals disclosed private information and a policy requiring a wheelchair transfer to a dining chair violated residents’ personal rights. Found that five of seven residents were mailed 60-day notices for an annual increase, while one did not recall and one did not receive a notice.
    • § 87468.2(a)(2)
    • § 87468.2(a)(6)
    09 Dec 2021
    Identified the allegation that a resident left the building unassisted and that staff did not hear the front door alarm when the exit occurred.
    • §
    30 Dec 2020
    Found that medications were not safeguarded, including Tylenol brought in with gifts and not properly checked or logged. This contributed to a fatal overdose and hospitalization, with records indicating acetaminophen toxicity and gaps in care and supervision.
    • § 87468.2(a)(4)
    • § 87466
    • § 87465(a)(2)
    02 Dec 2021
    Found no deficiencies after an unannounced case management inspection; discussed staffing levels, possible resident AWOL, timely medication orders, outdoor smoking area, and technical support, and requested December staffing schedules, October/November 2021 time cards, and the current LIC-500 personnel report.
    22 Feb 2024
    Found that on February 19, 2024, R1 was upset, pushed a chair, and hit R2's hand, resulting in a minor bruise to R2. Since then, R1 has not sat at R2's table; R1 apologized, and the administrator reported no concerns about separating them, with no other concerns and no deficiencies cited.
    22 May 2024
    Found no deficiencies and confirmed ongoing compliance with the Stipulation and Waiver and Order; discussed end-of-probation terms and that a new license will be issued after probation ends.
    15 May 2024
    Identified concerns about a resident's level of care and potential placement; noted a 30-day eviction notice and related considerations.
    22 Feb 2024
    Found compliance with the stipulations and order, with no deficiencies observed. Observed ongoing staff training, care plan reviews, and quarterly audits, with the next audit underway.
    15 May 2024
    Reviewed changes implemented since the last meeting, focusing on medication management and staffing.
    24 Aug 2023
    Found the allegation that a resident was verbally abused by staff unfounded. Found the allegations that residents were not adequately fed and that raw or undercooked food was served unfounded.
    31 Jan 2024
    Identified medication management and staffing topics during a conference with the Sacramento North Regional Office, attended by licensees and officials.
    07 Mar 2024
    Identified an incident report about bedbugs, with recent treatments in common areas and resident bedrooms and one additional room detected during the visit. Found no deficiencies cited, and monitoring will continue.
    23 Aug 2023
    Investigated the allegation that staff restricted residents' personal activities. Found that a post-meal smoking schedule was enforced, and residents indicated there was no hourly restriction.
    • § 87468.2(a)(6)
    24 Apr 2024
    Identified an open allegation during an unannounced visit, with no deficiency cited. Conducted an exit interview with the administrator to discuss the open complaints.
    07 Sept 2023
    Identified deficiencies in incidental medical and dental care and residents’ personal rights; civil penalties were assessed.
    18 Apr 2023
    Investigated concerns about resident council, food and menu, staffing, resident-on-resident aggression, staff response times, and pending complaints, and requested April 2023 menu and the call log as previously requested; a referral to technical support was planned.
    24 Jul 2024
    Found the allegation that staff did not meet residents' dental care needs to be unfounded, with interviews and file reviews showing residents were independent or able to manage dental hygiene. Found the allegations that residents could not select their clothes and that staff did not treat them with dignity and respect to be unfounded, as residents reported they could choose clothing and were treated with care.
    01 Apr 2022
    Investigated allegations of neglect of basic care and a change in condition not reflected in the care plan for a resident. Found discrepancies in wound care, turning, bathing, and care plan updates after hospitalization and COVID, with conflicting documentation and reports.
    • § 87464(d)
    • § 87606(c)
    28 Sept 2023
    Confirmed the allegation that a staff member dispensed the wrong medication to a resident while in care.
    • § 87465(a)(4)
    11 May 2023
    Found no deficiencies after a joint visit, which included observing the resident council meeting, interviewing five residents, and touring the interior for health and safety; eviction procedures were reviewed with the administrator.
    14 Aug 2024
    Identified deficiencies after an unannounced annual CARE visit, including possible mildew around the shower room floor border and a dusty air vent, with a fire extinguisher last serviced January 2024; census was 63 (two on hospice), licensed for 110 non-ambulatory with hospice waiver of 8, and five staff and seven resident records were reviewed. Residents were observed eating lunch; the kitchen could not be inspected due to occupancy; four photos were taken and exit rights were explained.
    • § 87303(a)(1)
    24 Jul 2024
    Identified that the current administrator is no longer employed; the site nurse serves as interim administrator and holds an active administrator certificate. Requested that required documents be emailed by Friday, July 26, 2024 to update the administrator on file; no deficiencies cited.
    03 Jul 2024
    Determined the illegal eviction allegation unfounded; reviews and interviews showed the resident's exit-seeking behavior and that relocation followed a change in condition.
    07 Mar 2024
    Found concerns that the resident's room was not clean or sanitized, including a two-foot dark brown carpet stain by the bed, red-stained linens, and a urine-containing urinal bottle on the nightstand with nearby snacks. Found that the incontinence care allegation conflicts with the resident's care plan and physician's report showing independence in toileting and no impairment, and with the resident's statement that a urinal bottle is used for convenience.
    • § 87303(a)
    08 Apr 2025
    Investigated the death of a resident found unresponsive on 3/8/25; reviewed physician's report, services plan, and MAR, interviewed staff, and gathered additional documents with further interviews planned.
    • § 9058
    08 Apr 2025
    Identified a medication administration error in which a medication intended for one resident was given to another due to not following live-pour procedures. No adverse effects were observed in the affected resident.
    • § 9058
    • § 87465(a)(4)
    06 Sept 2024
    Found occasional bedbug detections in residents' rooms but no evidence of an active infestation; records showed pest-control activity, and no infestation was detected at the time.
    24 Apr 2024
    Found that some call-light responses were delayed, but there was no evidence of violations of applicable standards. Found that shower refusals were documented with related forms and that some personal belongings were reported missing, but there was no evidence of improper care or misconduct.
    21 Jan 2025
    Found that the allegations that staff did not dispense medications as prescribed and that staff yelled at residents were unsubstantiated.
    11 Oct 2023
    Determined the allegation that staff did not ensure medications were inaccessible to residents was supported by findings that medications were stored in a lockbox in a resident’s bathroom and that the resident cannot self-administer or store medications.
    • § 87465(h)(2)
    30 Nov 2023
    Found no health, safety, or personal rights violations and resident and staff records were complete; noted concerns about family disputes involving a resident.
    08 Nov 2021
    Found no deficiencies and observed strong infection-control measures; no residents or staff had COVID-19 symptoms, spaces were clean and in good repair, and food and everyday supplies were adequate.
    24 Aug 2022
    Identified that on 6/24/22 a family member was prevented from visiting a resident after staff followed a POA's instruction and after a temporary restraining order was issued. Found that the resident with advanced dementia could not consent to the visit, and POA documents provided later could not be verified; guidance indicates POA authority typically does not include restricting visits unless explicitly granted or court approval is obtained.
    • § 87468.1(a)(1)
    29 Nov 2022
    Found no health, safety, or personal rights violations related to infection control. Noted that ombudsman and CDSS postings were present, sharps, toxics, and medications were securely locked, and administrator certification had been renewed through 02/23/2024.
    26 Nov 2024
    Found compliance during an unannounced visit on 11/26/2024, including proper medication and toxin storage, adequate linens and food, a recently serviced fire extinguisher, quarterly emergency drills, an approved disaster plan, and active administrator certification; six resident and three staff files were reviewed with no deficiencies noted.
    26 Jul 2023
    Found an unannounced visit by the Licensing Program Analyst who met with the licensee, explained the purpose, and wore a surgical mask; toured the site, observed residents in the dining room, common areas, and private rooms, with one resident accompanied by a nurse; found no concerns and no deficiencies cited; exit interview completed.
    23 Sept 2024
    Reviewed medication dispensing practices and personal item safeguards; found the resident's medication was administered as prescribed after clarifying the physician's orders, and personal hygiene supplies were properly safeguarded with some delays in procurement.
    06 Sept 2024
    Found that the facility was not kept free of pests, with occasional bedbug detections but ongoing pest control treatments; confirmed that staff provided proper medication assistance, residents' furniture was in good condition, housekeeping services were being maintained, and residents' mattresses were clean, with no evidence of disrepair or uncleanliness.
    14 Aug 2024
    Investigated the allegation that medications were administered late and determined it to be unfounded, as timely administration was documented and staff confirmed adherence to prescribed schedules.
    24 Jul 2024
    Determined that the allegation that staff do not meet residents’ dental care needs, allow residents to select their clothing, and treat residents with dignity and respect were unfounded.
    03 Jul 2024
    Determined that the allegation of illegal eviction was unfounded, based on file review and interviews showing the resident’s discharge was due to safety concerns related to exit seeking and changes in care needs.
    22 May 2024
    Verified compliance with the Stipulation and Waiver, with documentation showing ongoing staff meetings and licensee visits, and noted that the facility was in adherence to established requirements at the time of the visit.
    15 May 2024
    Reviewed a meeting held remotely to discuss recent changes related to medication management and staffing since the last scheduled update.
    24 Apr 2024
    Investigated the allegations that staff respond too slowly to calls, do not meet residents' showering needs, and fail to safeguard personal belongings; found insufficient evidence to support these claims.
    07 Mar 2024
    Confirmed that treatments for bedbugs were recently conducted, and additional rooms were affected; discussed preventative measures and enhanced safety protocols to control the infestation.
    22 Feb 2024
    Confirmed that the facility was in compliance with requirements related to medication management, staff training, and audits, with no deficiencies noted during the visit.
    31 Jan 2024
    Reviewed a meeting where staff discussed medication management and staffing issues, and the licensee agreed to a non-compliance plan. An exit interview was conducted with facility representatives and department officials.
    25 Jan 2024
    Found that staff mishandled residents' medications, with several missing pills from both residents’ medication packets and bottles despite documentation indicating doses were administered as prescribed.
    • § 87465(a)(4)
    11 Jan 2024
    Investigated whether staff followed residents’ care plans, revealing medication was stored in residents’ rooms instead of being centrally maintained, and that help with call lights and personal care was often delayed, leading to the conclusion that the allegation was substantiated.
    • § 87411(a)
    06 Dec 2023
    Reviewed incident reports regarding bed bugs and behavioral concerns, discussed response and management actions taken, and observed no deficiencies during the visit.
    30 Nov 2023
    Confirmed the facility maintained compliance with safety, medication, and record-keeping standards during an unannounced inspection, with no deficiencies observed; also noted ongoing concerns regarding family disputes affecting one resident.
    08 Nov 2023
    Reviewed compliance documents and training records, identified upcoming audit documentation submissions, and noted that quarterly visits with certain providers appeared to be offsetting; requested additional administrative and audit documentation by a specified deadline.
    11 Oct 2023
    Investigated the allegation that staff did not ensure medications were inaccessible to residents; found that resident's medication was kept in her room in a lockbox due to her inability to self-administer and staff response times.
    • § 87465(h)(2)
    28 Sept 2023
    Identified that staff dispensed the wrong medication to a resident by administering fewer tablets than prescribed, with evidence showing one tablet was missing from the medication bottle.
    • § 87465(a)(4)
    07 Sept 2023
    Reviewed the facility’s plan of correction after deficiencies related to resident rights and medical care were cited, and assessed civil penalties due to delayed compliance.
    24 Aug 2023
    Found that staff failed to administer and properly document residents’ medications, resulting in missed doses and missing signatures on medication records.
    • § 87465(a)(4)
    23 Aug 2023
    Investigated the allegation that a resident engaged in sexual interactions with another resident, and found the claim to be unfounded, concluding that the residents involved were friends with a platonic relationship and no inappropriate behavior occurred.
    26 Jul 2023
    Confirmed that the facility was in good condition, with residents observed engaging calmly in activities and no concerns raised by the licensee during the visit.
    24 May 2023
    Confirmed that a meeting was held to discuss the facility’s compliance and application status, resulting in no deficiencies and agreements on staff training and communication improvements.
    11 May 2023
    Conducted a visit to review resident concerns, observe the environment, and discuss topics like housekeeping, food, and staffing, with no deficiencies identified. The visit included a resident council meeting, facility tour, and resident interviews.
    04 May 2023
    Investigated the allegation that a resident was hit by another resident, interviews and reviews of records indicated no witnesses or evidence to support that an incident occurred, and it was concluded that the allegation was unsubstantiated.
    18 Apr 2023
    Reviewed a meeting where concerns about resident activities, food, staffing, and resident interactions were discussed, and requested documentation to address ongoing issues.
    24 Feb 2023
    Reviewed a call response concern related to a malfunctioning call log system; observed no deficiencies during the visit and received requested documentation.
    26 Jan 2023
    Reviewed compliance with the stipulation and waiver, including documentation of required meetings, calls, and audits, with no citations issued during the visit.
    29 Nov 2022
    Confirmed compliance with infection control standards during an unannounced visit, with no health or safety violations observed.
    17 Nov 2022
    Determined that residents' call lights were not answered promptly and showers were often delayed or refused due to staffing issues, while residents' laundry and medication administration issues were inconsistent; also noted that staff training on resident equipment varied.
    • § 87411(a)
    19 Oct 2022
    Reviewed multiple instances of improper medication storage and unsecured medications, including residents pouring and handling medications without supervision, leading to identified deficiencies.
    • § 87465
    20 Sept 2022
    Investigated the allegation that staff did not provide a comfortable temperature for residents, and found that most residents did not experience high temperatures, with any issues addressed promptly and appropriately.
    24 Aug 2022
    Identified that a resident's legal representative restricted visitation without providing the resident an opportunity to accept or decline, despite generally not having authority to do so under state law.
    • § 87468.1(a)(1)
    24 Aug 2022
    Reviewed organizational and compliance documentation, including resident care plans and staff training records, and verified that COVID-19 safety protocols and signage were in place during an unannounced inspection.
    20 Jul 2022
    Reviewed a meeting where a stipulation related to license and probation terms was discussed, including compliance requirements and enforcement authority, with all parties agreeing to adhere to its conditions.
    15 Jun 2022
    Investigated the allegation of communication issues and medication management concerns raised by a resident; found the resident's concerns did not meet the evidence threshold for substantiation.
    26 Apr 2022
    Confirmed that residents' personal information was improperly shared through a posted list, violating their rights, and that mailing notices about rent increases was documented, though one resident did not receive theirs; also, found that a resident was required to transfer from a wheelchair to a dining chair, posing a safety and rights concern.
    • § 87468.2(a)(2)
    • § 87468.2(a)(6)
    01 Apr 2022
    Investigated allegations of neglect and failure to update a resident’s care plan, finding insufficient evidence to support the claims, and concluded that the resident’s needs and condition had been appropriately documented and monitored.
    • § 87464(d)
    • § 87606(c)
    10 Feb 2022
    Reviewed resident care and medication practices, finding that residents were left in soiled bedding during the night and medications were sometimes left unsecured, though there was insufficient evidence to confirm some specific incidents. The investigation also determined that residents' meal assistance and feeding arrangements generally met requirements.
    • § 87625(b)(3)
    14 Dec 2021
    Reviewed resident records and confirmed all staff followed COVID-19 safety measures; no deficiencies noted during the visit.
    09 Dec 2021
    Identified that the front door alarm system did not produce a loud enough signal to alert staff when a resident left, resulting in the allegation of insufficient monitoring being confirmed.
    • §
    02 Dec 2021
    Reviewed compliance with COVID-19 protocols, staffing, medication management, and resident safety, confirming adherence to regulations during the recent inspection without citing any deficiencies.
    08 Nov 2021
    Confirmed that the facility was clean, well-maintained, and in compliance with health and safety protocols, with no violations observed during the inspection.
    05 Nov 2021
    Reviewed an amended page related to a complaint from December 2020, after verifying COVID-19 precautions were followed during the visit. No deficiencies were identified.
    19 Oct 2021
    Investigated multiple allegations, including unsanitary conditions, unmet bathing needs, inadequate supervision, and residents left in soiled bedding, with findings indicating no evidence to support these claims.
    14 Oct 2021
    Conducted an unannounced inspection, speaking with residents and staff, and observed no deficiencies or concerns during the visit.
    20 Aug 2021
    Investigated concerns between two residents with the administrator, ensuring COVID-19 precautions were followed before conducting the follow-up case management visit. No deficiencies were issued, and further follow-up actions are planned.
    10 Aug 2021
    Reviewed recent concerns between two residents and observed the shower room; plans to follow up with one resident before closing the case.
    04 Aug 2021
    Reviewed recent incidents including unauthorized medication administration and a resident’s unaided exit, resulting in citations for safety lapses and documentation deficiencies.
    • § 1569.69
    • § 87705
    • §
    • § 87705
    28 Jul 2021
    Confirmed that a thorough inspection was completed with no health or safety violations observed, following COVID-19 protocols and a tour of all areas.
    21 Jul 2021
    Investigated the allegation that staff interfered with residents' council meetings, and found evidence that staff actions did interfere with the meetings’ proper conduct.
    • § 1569.157(g)
    01 Jul 2021
    Identified that the facility did not notify the resident's designated representative after a fall and subsequent emergency room visit, leading to the issuance of a citation for this deficiency.
    • § 87468.1
    30 Dec 2020
    Confirmed that emergency services were contacted instead of calling 911 for a resident showing severe health symptoms, and identified staffing shortages contributed to an overdose incident.
    • § 87411(a)
    • § 87465
    13 Oct 2020
    Investigated allegations of resident dehydration and malnutrition due to staff negligence, finding them supported. Also examined staffing levels, toileting, showering, and food service practices, with findings that address the adequacy of care provided.
    • § 87464(d)
    • § 87466
    23 Sept 2020
    Investigated the allegation that staff did not appropriately communicate with a resident, finding no evidence of staff taking drinks without permission; and determined that staff assisted the resident with care needs in a timely manner, with no violations identified.
    08 Sept 2020
    Investigated whether there was mold or lingering odor in a resident’s room following flooding; found that the carpet was cleaned, odors had dissipated, and no mold was present.
    02 Jun 2020
    Investigated concerns that the facility failed to properly communicate resident’s unstable vital signs prior to discharge; found insufficient evidence to support the allegation.
    13 Mar 2020
    Confirmed that the facility posted COVID-19 safety information, implemented screening measures for visitors, and practiced infection control protocols, with no deficiencies found during the inspection.
    10 Feb 2020
    Reviewed medical documentation and incident details indicating that a resident experienced a shock and tingling in fingers after touching a refrigerator, prompting hospitalization and evaluation for hypomagnesemia; determined that the resident was appropriately sent out for further medical assessment based on symptoms.
    23 Dec 2019
    Reviewed staffing records and interviews revealed that showers scheduled during evening shifts were frequently not provided due to insufficient staffing, particularly when staffing levels dropped from three to two caregivers.
    • § 87464
    12 Dec 2019
    Reviewed medication records and documentation, confirming that a resident was prescribed and administered Megace 20mg starting on September 20, 2019, after the prescription was received and signed by a physician; found the medication administration process did not comply with requirements.
    • § 87465(a)(5)
    22 Nov 2019
    Found that the facility was in good repair, clean, and well-equipped, with sufficient staffing, proper safety measures, and complete resident and staff files, and confirmed compliance with regulatory requirements during the inspection.

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