I moved my mom to Lakewood Park Manor in Downey and couldn't be happier. The staff are warm, professional and attentive, the facility is clean and recently updated, and there are tons of activities, good dining and on-site services - we have real peace of mind. I highly recommend it.
Lakewood Park Manor sits in a quiet spot near local cafes, parks, and walking paths where seniors can enjoy a bit of fresh air, and hospital visits are easy with nearby Kaiser Permanente and CVS Pharmacy close at hand, which makes things easier when health needs come up. The place has served the Los Angeles community since 1983, and being family owned and operated, it keeps a friendly, familiar atmosphere where staff know the residents by name and strive to make everyone feel at home. Lakewood Park Manor's licensed for up to 160 residents under License #198602950 and offers independent living, assisted living, memory care, skilled nursing, home care, and respite stays, with levels of help matched to whether a senior needs just a bit of grooming support or round-the-clock medical attention.
Here, you'll find amenities to keep days comfortable and full, like a game room, library, fitness room, spa, and wellness areas, and meals cooked by a registered dietitian and chef, prepared with care for balanced nutrition, and there's even space for residents who like pets or need vegetarian meals. The halls welcome both men and women, with wheelchair-friendly showers and indoor and outdoor common areas where folks can socialize or relax, plus beautifully kept, maintenance-free homes inside age-qualified communities for those who want to ditch chores and enjoy retirement.
Staff provide daily living assistance such as bathing, dressing, grooming, and regular medication help, along with a 24-hour call system and 12-16 hour on-site nursing, and there's always a nurse and doctor on call, which families say brings peace of mind. For those with memory concerns like Alzheimer's or dementia, the facility's memory care units use layouts and staff training that aim to keep residents safe from wandering and confusion, offering structured routines and therapies that help ground their days. Social programs including movie nights, music, and outings-and even devotional services both onsite and offsite-ensure there's something for everyone, and speech, physical, and occupational therapy are all offered in-house for added support.
Lakewood Park Manor also helps residents get to appointments and errands with free transportation options, brings a dentist on-site for regular dental care, and offers beautician and homecare services so folks don't have to leave home for basic needs. Hospice care is available for those needing more support at the end of life. The staff is known for being friendly, fully trained, and quick to respond, and reviews from residents and families reflect a high community score of 9.2, recognizing the quality and consistency of care here. Smoking isn't allowed indoors, keeping rooms fresh for everyone.
Admission is open to men and women meeting minimum age requirements. Anyone looking for either an active, social setting with independence or more help for medical or daily living needs can find a spot at Lakewood Park Manor, which works to offer a home-like place where each person's well-being comes first.
People often ask...
Lakewood Park Manor offers competitive pricing, with rates starting at a cost of $5,534 per month.
Lakewood Park Manor offers independent living and assisted living.
There are 14 photos of Lakewood Park Manor on Mirador.
The full address for this community is 12045 Lakewood Blvd, Downey, CA, 90242.
Yes, Lakewood Park Manor offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
132
Inspections
8
Type A Citations
10
Type B Citations
6
Years of reports
31 Jul 2025
31 Jul 2025
Found no deficiencies during the unannounced visit, with checks on safety, medications, infection control, and resident files for 122 residents aged 60 and older, licensed for 160 across three floors. Exit interview conducted.
§ 9058
10 Jul 2025
10 Jul 2025
Found that the allegation that staff do not ensure residents have access or assistance to required medical appointments was addressed. Residents stated staff help with scheduling and arranging transportation when requested; there was not enough evidence to prove a violation.
05 Jun 2025
05 Jun 2025
Investigated the allegation that staff did not ensure residents had access or assistance to required medical appointments. Interviews indicated nurses assisted on request and staff scheduled appointments and arranged transportation when needed, and there was insufficient evidence to prove the allegation.
27 May 2025
27 May 2025
Found insufficient evidence to prove the allegation that staff did not return a resident’s belongings in a timely manner. The belongings were packed and given to skilled nursing staff, the wallet was not on the inventory, and other residents stated nothing was missing.
29 Mar 2025
29 Mar 2025
Found insufficient evidence to support the allegation that staff did not ensure transportation to dialysis appointments; interviews indicated transportation was provided when needed and residents reported no denial of transport.
13 Feb 2025
13 Feb 2025
Found no evidence that staff yelled at residents; nine of ten residents said staff did not yell and felt safe. Found no disrepair in inspected bedrooms, and both residents and staff said any needed repairs are addressed promptly.
30 Jan 2025
30 Jan 2025
Investigated a December power outage where the automatic generator did not start, leaving residents in darkness and without heat, with staff relying on portable lighting and inconsistent check-ins. Reviewed specific allegations—including hygiene needs not met, inadequate food service, residents left unattended, laundry services unavailable, and medication given without a physician’s order—finding limited support for these events based on the evidence.
§ 87468.1(a)(2)
21 Nov 2024
21 Nov 2024
Found insufficient evidence to corroborate that a staff member threatened a resident; staff and residents interviewed reported no threats and overall satisfaction with staff. The allegation is unsubstantiated.
08 Nov 2024
08 Nov 2024
Identified a lack of supervision when a cognitively impaired resident wandered away from the building after transfer; staff did not promptly call authorities, and the resident was later located by a passerby and taken to a hospital.
28 Oct 2024
28 Oct 2024
Found insufficient evidence to support the allegation that staff did not ensure the resident had possession of personal property. Interviews indicated no resident reported missing belongings, and items claimed missing were reportedly moved to a new residence by staff, not listed on the property records; one resident could not be interviewed due to hospitalization.
22 Oct 2024
22 Oct 2024
Found that staff denied the allegation of mishandling a resident’s money and that most residents could not corroborate it. Explained that a payee switch delayed rent payments, a repayment plan reduced the resident’s monthly personal and incidental needs allowance until the debt was paid, and the debt was paid off with the monthly allowance returning to its usual amount of $177.
08 Oct 2024
08 Oct 2024
Found insufficient evidence to confirm that staff allowed a resident to physically assault another. Found insufficient evidence regarding ongoing room-temperature concerns affecting a resident.
06 Sept 2024
06 Sept 2024
Investigated the allegation of lack of supervision resulting in a resident fracture and found insufficient evidence to prove the claim.
06 Sept 2024
06 Sept 2024
Unsubstantiated allegation of lack of supervision resulting in resident sustaining a fracture while in care due to insufficient evidence gathered from interviews and records.
15 Aug 2024
15 Aug 2024
Investigated allegations that staff mishandled resident money, blocked phone calls and mail, and prevented leaving; records and interviews showed an outstanding balance with a payment plan, calls and mail were not blocked and were delivered, and residents could leave with or without assistance, resulting in insufficient evidence to prove the violations occurred.
15 Aug 2024
15 Aug 2024
Confirmed mishandling of resident's money, but allegations of staff denying phone calls, mail, and resident's freedom were unsubstantiated.
§ 1569.2(c)
22 Jul 2024
22 Jul 2024
Found that a resident’s restricted health condition and dementia were identified only during a hospital visit, not in prior medical records, and there were no documents showing medication or care for the condition before home health began. In follow-up checks, missing documentation was noted and deficiencies were recorded.
22 Jul 2024
22 Jul 2024
Identified that staff neglect led to a resident sustaining a wound, failed to notify the authorized representative, and delayed medical care, with the resident hospitalized as a result. An immediate civil penalty was issued due to the neglect.
22 Jul 2024
22 Jul 2024
Confirmed that staff neglect led to a resident sustaining a worsening foot wound due to delays in seeking timely medical attention and failure to notify the resident's family representative, resulting in a civil penalty of $500.
13 Jun 2024
13 Jun 2024
Identified safety concerns during an unannounced visit, including cleaning supplies left accessible in laundry areas. Found evidence of ongoing compliance in medication management, staffing, disaster planning, and residents’ rights information.
§ 87309(a)
13 Jun 2024
13 Jun 2024
Confirmed deficiencies in various areas of the facility, including infection control, physical plant/environmental safety, staffing, and incident reports.
§ 87468.2(a)(4)
§ 87468.2(a)(8)
§ 87468.1(a)(8)
13 May 2024
13 May 2024
Investigated whether communications from a resident's authorized representative were not answered promptly. Found insufficient evidence to support the claim, as staff reported forwarding messages promptly and residents expressed satisfaction with communication and care.
13 May 2024
13 May 2024
Investigated an allegation that staff were not promptly responding to communications from a resident's family member about moving out, but found insufficient evidence to support the claim.
02 May 2024
02 May 2024
Found gloves worn by staff in the kitchen and during service, with observed safe food handling. Residents and staff described meals as prepared fresh and served safely, so the allegation of unsafe food handling could not be proven.
02 May 2024
02 May 2024
Investigated the allegation that staff did not practice safe food handling techniques and found no conclusive evidence to prove or disprove it, with observations and interviews indicating that gloves were worn and food was properly handled by servers.
§ 87611(b)
§ 87628(a)
20 Mar 2024
20 Mar 2024
Investigated four allegations related to a resident's death and care during a COVID-19 outbreak; the death certificate lists pneumonia, COVID-19, and acute respiratory failure. Found insufficient evidence to corroborate the allegation that the death was questionable; insufficient evidence to corroborate the allegation that staff did not provide adequate care; insufficient evidence to corroborate the allegation that the resident was left in soiled clothing; and insufficient evidence to corroborate the allegation that bathing services were not provided as needed.
20 Mar 2024
20 Mar 2024
Investigated complaint allegations of resident care at the facility, which included questionable death, care services, incontinence care, and bathing services, revealing insufficient evidence to support the claims.
07 Mar 2024
07 Mar 2024
Found that the allegation that staff refused to admit the resident was not proven, with staff saying the resident was not admitted because he refused to pay the first month’s rent and was upset, influenced by a social worker’s miscommunication. An email showed confusion about when funding would start, and interviews yielded inconsistent details, leaving insufficient evidence to determine whether the admission denial occurred.
07 Mar 2024
07 Mar 2024
Investigated the claim that staff failed to provide timely medical attention to a resident and found the allegation unsubstantiated.
07 Mar 2024
07 Mar 2024
Investigated the allegation that staff refused to accept a resident due to a rent payment dispute, and determined there was insufficient evidence to prove whether the violation occurred or not.
20 Feb 2024
20 Feb 2024
Investigated the allegation that a resident eloped due to inadequate supervision. Interviews and records did not corroborate the claim; staff described the resident as self-reliant and able to leave unassisted, and the resident remains missing.
20 Feb 2024
20 Feb 2024
Investigated allegation of resident eloping due to inadequate supervision; found insufficient evidence to confirm or refute claims, as the resident was known to leave independently and had no cognitive impairments.
07 Feb 2024
07 Feb 2024
Found insufficient evidence to confirm the following allegations: a resident sustained a fracture with delayed medical attention, staff did not seek timely medical care; residents were not properly fed; and call lights were in disrepair.
07 Feb 2024
07 Feb 2024
Found no evidence to support allegations of neglect, failure to provide timely medical attention, improper feeding, or call light disrepair during the inspection.
26 Jan 2024
26 Jan 2024
Investigated the following allegations: a resident developed wounds and was sent to the hospital; a resident was sent to the hospital without medical records; and rent was charged higher than disclosed. Found no corroboration for the first two and for the rent charge.
26 Jan 2024
26 Jan 2024
Found insufficient evidence to support allegations of resident injuries, lack of medical records, and incorrect rent charges.
26 Oct 2023
26 Oct 2023
Investigated four specific allegations: mismanagement of a resident's medication; failure to safeguard personal belongings; failure to treat residents with dignity and respect; and confiscation of a resident's wheelchair. Found insufficient evidence to prove these violations after interviews and record review.
26 Oct 2023
26 Oct 2023
Interviews and reviews were conducted to investigate allegations of medication mismanagement, mishandling of personal belongings, lack of dignity and respect, and confiscation of a wheelchair at the facility. Insufficient evidence was found to confirm the reported allegations.
16 Oct 2023
16 Oct 2023
Investigated allegation that staff stopped giving residents haircuts and told them there would be no more haircuts this week; findings showed haircuts were historically offered as a third-party service, staff could assist or escort residents to outside appointments, and residents denied that haircuts had ceased. Found insufficient evidence to prove or disprove the allegation.
16 Oct 2023
16 Oct 2023
Investigated allegation that staff were not meeting residents' needs regarding haircuts; found insufficient evidence to prove the claim, as interviews indicated residents were assisted with haircut services if needed.
12 Oct 2023
12 Oct 2023
Found that a resident sustained a fracture from an unwitnessed fall on 02/03/2022, with staff providing immediate observation and medical care, and transport to a hospital followed by a return with safety measures. Determined the allegation of neglect to be unsubstantiated after interviews with staff and residents and review of records, with residents reporting good care and no neglect.
12 Oct 2023
12 Oct 2023
Reviewed an allegation of neglect related to a resident's fracture and found insufficient evidence to determine a violation occurred; the resident and witnesses indicated satisfaction with care and prompt medical attention.
09 Oct 2023
09 Oct 2023
Investigated allegations regarding staff communication, financial management, cleanliness of rooms, and pest control. Found no evidence to support these allegations after speaking with residents and staff and reviewing records.
09 Oct 2023
09 Oct 2023
Determined allegations regarding improper staff communication, financial abuse, unclean rooms, and insect issues remained unsubstantiated due to insufficient evidence. Confirmed regular cleaning and pest control measures were in place, staff addressed resident concerns professionally, and no financial discrepancies were observed in resident accounts.
15 Sept 2023
15 Sept 2023
Found UNSUBSTANTIATED the allegations that a resident fell in care, that staff did not notify authorized representatives of incidents, that staff did not prevent inappropriate behaviors, that staff did not safeguard residents' personal belongings, and that residents were not moved back to their original rooms.
15 Sept 2023
15 Sept 2023
Determined that allegations of resident falls due to lack of supervision, failure to notify authorized representatives of incidents, inadequate prevention of inappropriate behaviors, mishandling of personal belongings, and refusal to move residents back to their original rooms lacked sufficient evidence and were unsubstantiated.
14 Sept 2023
14 Sept 2023
Found insufficient evidence to prove the claim that residents were not provided with enough planned activities or a limited variety. Observations showed posted schedules, multiple activity options, and residents and staff reporting ongoing activities and engagement.
14 Sept 2023
14 Sept 2023
Investigated the complaint that residents were not provided with enough or a variety of planned activities; found insufficient evidence to support the allegation.
07 Sept 2023
07 Sept 2023
Found no evidence to support the allegation that staff yelled at residents, failed to meet residents' hygiene or laundry needs, or failed to safeguard residents' personal belongings. The status of an expired license could not be clearly determined from records, though administrator certification and license postings were visible.
07 Sept 2023
07 Sept 2023
Investigated allegations of staff mistreatment and neglect were not substantiated based on interviews with residents and staff, as well as a review of documentation and observations made during the visit.
14 Jul 2023
14 Jul 2023
Found overall compliance with infection control, safety, and resident care standards; observed proper medication handling, clean and safe environments, adequate staffing, and active programming.
14 Jul 2023
14 Jul 2023
Conducted an inspection, the facility met all required standards for resident care, staff training, physical environment, and emergency preparedness.
01 Jun 2023
01 Jun 2023
Found no corroboration for the allegations. Residents reported they could obtain physician contact information and medication lists; staff assisted with showers, and beds were in good condition with a hospital bed provided when prescribed.
01 Jun 2023
01 Jun 2023
Allegations of staff not providing medical information, not assisting with showers, and poor bed conditions were investigated. Interviews did not confirm the allegations.
18 May 2023
18 May 2023
Found the allegations that lack of supervision caused falls, staff failed to inform authorized representatives of incidents, untimely toileting assistance, double diapering at the resident's request, and leaving a resident on the toilet for an extended period were unsubstantiated.
18 May 2023
18 May 2023
Investigated multiple allegations related to supervision, notification of incidents, timely assistance, and diapering practices, but no evidence to support the claims found.
26 Apr 2023
26 Apr 2023
Investigated multiple allegations about a resident’s unexplained death, restraint, delayed medical care, delayed pull-cord response, and delayed diaper changes; found not enough evidence to prove or disprove them, so no violations were established.
26 Apr 2023
26 Apr 2023
Investigated allegations of unexplained death, improper restraint, delayed medical assistance, slow response to emergency pull cords, and untimely changing of soiled diapers but found no preponderance of evidence to confirm any violations occurred. Conducted interviews with staff and residents, and reviewed records, but all allegations remained unsubstantiated.
02 Mar 2023
02 Mar 2023
Found neglect resulting in a resident physically assaulting another resident, linked to non-compliance with psychiatric medications. Records showed inconsistent medication administration and no updated care plan after the first incident.
02 Mar 2023
02 Mar 2023
Confirmed neglect after resident physically assaulted another resulting in significant injuries due to failure to comply with medication regimen.
06 Dec 2022
06 Dec 2022
Investigated two specific allegations: that staff did not feed the resident and that staff did not seek timely medical care. Found no evidence to support either allegation.
06 Dec 2022
06 Dec 2022
Confirmed staff did not feed the resident, but found no evidence staff did not seek timely medical care for the resident.
01 Dec 2022
01 Dec 2022
Investigated the allegation that a resident did not receive showers; found the resident did receive frequent baths, with scheduled changes and refusals logged. Identified that bed rails were removed at the resident’s request with no evidence of a broken bed or falls; missing personal items were not conclusively proven to be taken, and meals were provided or arranged for residents returning from dialysis, with the resident sometimes eating outside.
01 Dec 2022
01 Dec 2022
Reviewed allegations of resident not receiving showers, resident's bed being broken, staff not safeguarding resident's personal items, and staff not providing alternative meals. No conclusive evidence found to substantiate the allegations.
§ 87466
04 Nov 2022
04 Nov 2022
Investigated allegations of illegal eviction, administrator retaliation, and failure to safeguard a resident's personal belongings. Found insufficient evidence to prove the alleged violations.
04 Nov 2022
04 Nov 2022
Investigated allegations of illegal eviction, retaliatory actions, and failure to safeguard personal property with insufficient evidence found to support the claims or determine any violations occurred.
28 Oct 2022
28 Oct 2022
Found that staff did not provide the resident's authorized representative with the records in a timely manner.
28 Oct 2022
28 Oct 2022
Confirmed complaint about failure to provide records promptly. Substantiated deficiency cited.
25 Oct 2022
25 Oct 2022
Corrected the complaint during an unannounced case management visit, explained to the assistant administrator, and conducted an exit interview.
25 Oct 2022
25 Oct 2022
Confirmed corrections were made during an unannounced visit to amend a complaint report.
13 Oct 2022
13 Oct 2022
Found no evidence to support the allegation that staff do not treat residents with respect; eight residents said staff treat them respectfully and staff described professional conduct.
13 Oct 2022
13 Oct 2022
Interviews and observations found no evidence to support the allegation that staff mistreated residents, therefore the allegation was unsubstantiated.
29 Sept 2022
29 Sept 2022
Found that staff communicated respectfully with residents, provided snacks between meals, and dispensed medications as prescribed, with residents confirming these practices. There was not a preponderance of evidence to prove violations, so the allegations were not substantiated.
29 Sept 2022
29 Sept 2022
No evidence was found to support allegations of poor communication between staff and residents, inadequate food quantity or quality, lack of snacks between meals, or incorrect dispensing of medications during the visit.
13 Sept 2022
13 Sept 2022
Investigated Allegation 1: Eviction/Discharge—no preponderance of evidence to prove illegal eviction. Investigated Allegations 2 and 3: Admission Agreement refunds and inventory of personal property—no preponderance of evidence to prove violations.
14 Sept 2022
14 Sept 2022
Found no evidence to prove the allegation that staff did not communicate promptly with a resident about Social Security paperwork. Found no evidence to prove the allegations of financial abuse, failure to keep resident rooms clean, or a pest problem.
14 Sept 2022
14 Sept 2022
Investigated allegations of improper communication, financial abuse, unclean rooms, and insect infestation, but insufficient evidence found to confirm any violations.
13 Sept 2022
13 Sept 2022
Investigated the allegation that staff stole a resident's money and found insufficient evidence to prove the allegation; the resident moved out in 2020 and funds were reconciled with a reimbursement to the sister facility.
13 Sept 2022
13 Sept 2022
Investigated allegation of resident's money being stolen at the facility; found no evidence to support the claim.
01 Sept 2022
01 Sept 2022
Found insufficient evidence to support the allegations that staff treated residents with dignity and respect or handled a resident roughly, including the diaper-changing incident, based on interviews with staff and residents.
01 Sept 2022
01 Sept 2022
Reviewed allegations that staff failed to treat residents with dignity and respect, handled a resident roughly, and did not meet diapering needs; determined insufficient evidence to support these claims.
29 Aug 2022
29 Aug 2022
Found no deficiencies; safety measures, staffing, medication handling, and resident care met regulatory standards during an unannounced visit.
29 Aug 2022
29 Aug 2022
Confirmed no deficiencies during the visit.
18 Jun 2022
18 Jun 2022
Investigated three specific concerns—bathing assistance, access to health care services, and the presence of animals on the premises—and found there was not enough evidence to prove these concerns.
18 Jun 2022
18 Jun 2022
Investigated allegations of staff neglect regarding bathing residents, assistance with health care services, and presence of animals were found to be unsubstantiated.
14 Jun 2022
14 Jun 2022
Found that the allegation of unlawfully evicting a resident while in care could not be proven by a preponderance of the evidence. Found that the conservator agreed to arrange higher level of care for the resident and relocate to another care setting.
14 Jun 2022
14 Jun 2022
Determined that staff did not unlawfully evict a resident; although the incident may have happened, there was insufficient evidence to support the violation occurred.
13 Jun 2022
13 Jun 2022
Found insufficient evidence to prove any of the six allegations occurred. Interviews and records showed regular communication with the resident's family, medical appointments were kept or rescheduled only at the resident's or family's request, no exposed electrical wires were found, belongings were safeguarded, and there were no confirmed incidents of inappropriate touching or disrespect.
13 Jun 2022
13 Jun 2022
Investigated complaints included failure to communicate with a resident’s family, untimely medical attention, unsafe electrical wires, failure to safeguard belongings, inappropriate touching, and lack of dignity and respect. Found all allegations unsubstantiated due to insufficient evidence.
17 May 2022
17 May 2022
Found that several residents did not receive copies of their signed admission agreements when they moved in or upon request at the home. Found that medications were administered as prescribed; toilets were occasionally clogged but fixed the same day; meals were served hot; elevator buttons lit and worked.
17 May 2022
17 May 2022
Confirmed failure to provide resident with requested copy of contract. Medications being administered as prescribed. Toilet clogging promptly addressed. Food served at proper temperature. Elevator buttons working properly.
§ 87468.2(a)(19)
05 Apr 2022
05 Apr 2022
Determined that the allegation of understaffing did not have a preponderance of evidence to prove it.
Determined that the allegations that staff failed to meet residents' needs, the facility was in disrepair, or flooding occurred did not have a preponderance of evidence to prove them.
05 Apr 2022
05 Apr 2022
Interviews, observations, and records reviewed did not provide enough evidence to support claims of staff failing to meet residents' needs, facility being in disrepair, or staffing shortages at the facility.
04 Feb 2022
04 Feb 2022
Identified failure to report a resident fall within seven days of occurrence, and an incident record with an incorrect date and missing time. Found that no incident records had been faxed since November 16, 2021, and that the fax number used for transmissions was incorrect.
§
04 Feb 2022
04 Feb 2022
Found insufficient evidence to prove neglect and lack of supervision resulting in a fracture.
04 Feb 2022
04 Feb 2022
Confirmed failure to timely report resident fall incident and provided incorrect information on incident report.
15 Dec 2021
15 Dec 2021
Found the allegation that the elevator is in disrepair to be true. One elevator has been non-operable for several months with parts delayed by the pandemic, and a second elevator is currently out of service with a sign posted; residents reported delays and inconvenience, though stairs and a ramp were available as alternatives.
§ 87303(a)
15 Dec 2021
15 Dec 2021
Confirmed that one elevator in the building was not working for several months due to repair delays, causing inconvenience for residents.
08 Dec 2021
08 Dec 2021
Found that staff did not safeguard residents' personal belongings, and did not provide adequate food service or timely mail delivery. Other concerns about bathroom cleanliness, timely bed linen changes, and the 72-hour hold were not established.
08 Dec 2021
08 Dec 2021
Confirmed that staff did not provide adequate food service and withheld residents' mail.
06 Dec 2021
06 Dec 2021
Determined the allegation that staff refused to provide a resident's medical records had insufficient evidence to prove or disprove, noting one resident reported not receiving records while others had no issue and only records on file could be provided. Determined the allegations that a resident was given the wrong medication and that staff refused to provide necessary medical treatment also had insufficient evidence to prove or disprove.
06 Dec 2021
06 Dec 2021
Interviews and records reviewed found that one resident alleged not receiving medical records, one resident claimed to have been given the wrong medication, and one resident stated they did not receive proper treatment for a toe issue.
15 Nov 2021
15 Nov 2021
Investigated allegation of wrongful eviction; evidence showed the resident was not allowed to return after the 11/6/21 incident because medical staff determined a higher level of care was needed.
§ 87224
15 Nov 2021
15 Nov 2021
Confirmed that the allegation of wrongful eviction of a resident was substantiated.
§ 87507(e)
13 Oct 2021
13 Oct 2021
Found no signs of black mold anywhere on site or any hospitalizations or deaths attributed to mold. Found no evidence that a resident was injured by a ceiling in an elevator due to an earthquake, and elevator maintenance appeared regular; there isn’t enough evidence to prove or disprove these two specific allegations.
13 Oct 2021
13 Oct 2021
Investigated allegations of black mold and elevator-related injuries, but found insufficient evidence to confirm either issue.
03 Aug 2021
03 Aug 2021
Identified two specific allegations: missing paperwork to order a prescribed wheelchair and a stage-four pressure injury while in care. Found there was not a preponderance of evidence to prove these occurred, leaving the allegations unsubstantiated.
03 Aug 2021
03 Aug 2021
Investigated an allegation of failure to provide paperwork for a resident's prescribed wheelchair. Found a resident sustained a stage four pressure injury while in care, but evidence was inconclusive.
§ 87218(a)
§ 87468.1(a)(15)
§ 87468.2(a)(5)
23 Jul 2021
23 Jul 2021
Found no deficiencies after reviewing infection-control measures, with screening area, safety signage, supplies, securely stored medications, functioning detectors, and staff and resident records in order.
23 Jul 2021
23 Jul 2021
Inspection found no deficiencies, with proper infection control measures, storage of medications, staff records, and resident rooms in compliance with regulations.
02 Jul 2021
02 Jul 2021
Found no evidence of black mold at the home; tours and interviews showed no mold and most residents denied its presence. Found no signs of elevator ceiling damage or injuries; maintenance was regular, elevators were reported in good working order, and there was insufficient evidence to prove or disprove either allegation.
02 Jul 2021
02 Jul 2021
Found that the allegation of unauthorized withdrawals from a resident's bank account could not be proven or disproven and is unsubstantiated. Review of receipts, payment history, and follow-up indicated only regular rent charges, and the issue was resolved after clarifying a social security mix-up.
29 Jun 2021
29 Jun 2021
Investigated and found that the allegation that a resident's physical therapist was denied entry could not be proven; staff, residents, and the therapist stated access was allowed and essential visitors attended as scheduled.
Investigated and found that the allegation of not assisting with scheduling medical and dental appointments could not be proven; records showed staff helped residents arrange appointments and transportation.
02 Jul 2021
02 Jul 2021
Identified allegations of black mold and resident injury, but evidence did not support these claims.
07 Apr 2021
07 Apr 2021
Found no preponderance of evidence to prove the allegation that staff or residents leave used PPE and litter in the community; observations showed no litter or PPE outside, and staff indicated proper disposal inside, while a few interviews suggested trash could originate from a nearby health care center.
29 Jun 2021
29 Jun 2021
Found insufficient evidence to prove the following allegations: staff restrained a resident; residents' showering needs were not met; staff did not provide adequate food service; and staff restricted residents from socializing. Interviews with residents and staff indicated no restraints were observed or reported, showers were assisted, meals were adequate, and residents were free to socialize.
29 Jun 2021
29 Jun 2021
Investigated allegations of denying physical therapist access and not assisting with medical appointments were not proven.
18 Jun 2021
18 Jun 2021
Investigated the allegation that staff spoke inappropriately to a resident; interviews with all residents and staff showed no indication of inappropriate remarks or behavior.
18 Jun 2021
18 Jun 2021
Investigated the allegation that a resident developed multiple pressure injuries while in care; found no clear evidence those injuries occurred during the stay. Hospital records suggested the injuries may have developed after hospitalization, and staff reported not observing these injuries previously.
18 Jun 2021
18 Jun 2021
Investigated the allegation that a resident sustained a pressure injury while in care; reviewed records and interviewed staff and family, and found insufficient evidence to prove or disprove the allegation.
18 Jun 2021
18 Jun 2021
Investigated allegation of a resident developing multiple pressure injuries while receiving care. Lacked sufficient evidence to determine when or where these injuries developed, concluding the claim was inconclusive.
28 May 2021
28 May 2021
Found that records are kept for three years after a resident moves out and are available on request; one resident reported being told there were no records when requested, while others reported no issues obtaining records. Found no evidence that staff refused to provide medical records, and the allegation did not have sufficient evidence to prove or disprove.
28 May 2021
28 May 2021
Determined that there was no conclusive evidence to support the allegation of staff failing to provide medical records, as interviews and records showed no indication of refusal.
07 Apr 2021
07 Apr 2021
Found allegations of litter and PPE disposal outside the facility to be inconclusive based on interviews and observations.
16 Mar 2021
16 Mar 2021
Investigated six specific allegations, including yelling at a resident, threatening a resident, not treating a resident with respect, not providing transportation, not seeking medical attention, and not providing assistance after an emergency pull switch; findings indicated these incidents may have occurred but the evidence did not prove or disprove them, and they were deemed unsubstantiated.
16 Mar 2021
16 Mar 2021
Reviewed allegations of staff yelling at residents, threatening residents, not treating residents respectfully, not providing transportation, not seeking medical attention, and not providing assistance after emergency pull switch use. Overall, findings did not definitively prove or disprove the allegations.
26 Jan 2021
26 Jan 2021
Determined that medications were administered by nurses in residents' rooms and were not stored there, with orders verified on review. Found that cleaning and sanitation were performed daily with periodic deep cleaning, residents received showers per schedule, and interviews supported routine hygiene practices; overall, these concerns were not supported by the evidence.
26 Jan 2021
26 Jan 2021
Investigated allegations that staff were not managing residents’ medications, the facility was not clean and sanitized, and residents’ hygiene needs were not being met. Found insufficient evidence to support any of the allegations.
10 Apr 2020
10 Apr 2020
Investigated an allegation regarding insufficient financial resources for payroll and utilities; determined insufficient evidence to prove the allegation, as employees reported timely payments and fully functioning utilities.
24 Jan 2020
24 Jan 2020
Confirmed mishandling of medications for a resident, including the administration of a discharged medication and a medication not listed on the physician's order.
13 Nov 2019
13 Nov 2019
Reviewed allegations of inadequate staff clothing and training regarding a contagious infection; determined there was insufficient evidence to conclude violations occurred.
25 Oct 2019
25 Oct 2019
Investigated allegation that staff failed to properly feed a resident while in care but found insufficient evidence to prove whether the allegation occurred, resulting in an unsubstantiated conclusion.