I live here and overall it's a pleasant, attractive community with spacious, clean apartments, lovely grounds and many friendly, attentive staff. Dining is generally restaurant-style with choices, though meal quality and dining staffing can be inconsistent. Activities and memory-care programming are good at times but often thin, and I've seen frequent staff/management turnover, understaffing, slow responses and some care/housekeeping lapses. If you want a nice setting and caring people when fully staffed, it's good; if you need consistently reliable, high-acuity dementia care, I'd be cautious.
The Village at Rancho Solano is a senior living community in Fairfield, California, surrounded by California wine country views, rolling green hills, and pretty landscaping with flowers, mature trees, benches, walking trails, and pergolas. The community always stays open and offers 171 apartments across three floors, with studios, one-bedroom, and two-bedroom layouts that include private bathrooms, kitchenettes or full kitchens, walk-in closets, and some have balconies or patios, and residents get individually controlled air conditioning, basic cable, and Wi-Fi. The community focuses on health, wellness, and friendly living, with both assisted living and memory care services available at all hours, and there's support for people living with Alzheimer's or dementia using individualized care plans and cognitive exercises, plus extra care for aging in place, respite stays, hospice, and rehab services.
Staff gets described as friendly and well-trained, helping with daily needs like bathing, dressing, medication reminders, meal preparation, housekeeping, laundry, and transportation, and some residents use home care aides for companionship and non-medical support. Residents can use wheel-chair accessible showers, grab bars, and private dining rooms, and find pet-friendly apartments for small pets. Meals come from a restaurant-style dining room or private rooms, and team members prepare chef-made, nutritious meals with special menus for people needing low sugar, low sodium, or gluten-free diets, and snacks and room service show up throughout the day, and there's a bistro for coffee or wine with friends.
Indoor spaces include a library, grand dining area, movie theater, game room, piano, meeting room, private event space, organized hobby groups, a resident lounge with fireplaces, and a fitness center with wellness programs, while outdoor areas such as courtyards and patios let people relax or garden. Residents enjoy a packed schedule with activities like bingo, happy hour, devotionals, yard games, outdoor events, religious services for Protestant and Catholic, visits from chaplains, and hobby group outings to places like the Western Railway Museum and Jelly Belly Candy Company, as well as community trips to Benicia State Recreation Area, Scandia Family Center, and Eagle Vines Golf Club.
The Village at Rancho Solano provides on-site physical, occupational, and speech therapies, medication management, support groups, specialized memory care, and activities for engagement, movement, and friendship, with a continued care retirement model so people don't need to move as their health needs change. PegasusSeniorLiving.com connects residents and caregivers to online resources like glossaries and planning guides. The building stands out with inviting entrances, tiered water fountains, a beauty salon, community signage, free parking, complimentary and at-cost transportation, and secure outdoor spaces, while inside, there's cable satellite TV, free high-speed Wi-Fi, furniture choices, fireplaces, a billiards lounge, movie theater, and cafe/bistro for snacks and drinks.
The Village at Rancho Solano works with Meta platforms for online conveniences, offering options like Meta Pay, Meta Store, Meta Quest, Ray-Ban Meta, and Meta AI, plus easy logins with Facebook, Messenger, Instagram, and Threads. The facility earned awards for Best of Senior Living and Best Activities in Senior Living, and is known for a welcoming, joyful environment and quality support. You can visit their website at pegassseniorliving.com/the-village-at-rancho-solano for more details or to see what daily life is like.
Pegasus Senior Living, founded in 2018 and headquartered in Grapevine, Texas, operates approximately 39 communities nationwide. Led by industry veterans with decades of experience, they provide independent living, assisted living, and specialized memory care services. Their signature "Connections" program serves residents with dementia.
People often ask...
The Village at Rancho Solano offers competitive pricing, with rates starting at a cost of $2,610 per month.
The Village at Rancho Solano offers independent living, assisted living, and memory care.
There are 33 photos of The Village at Rancho Solano on Mirador.
Yes, The Village at Rancho Solano allows residents to age in place and adjust their level of care as needed.
The full address for this community is 3350 Cherry Hills Ct, Fairfield, CA, 94534.
Yes, The Village at Rancho Solano 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
133
Inspections
67
Type A Citations
29
Type B Citations
6
Years of reports
05 Nov 2024
05 Nov 2024
Identified mold in a resident's shower, with photos showing mold that appeared to have accumulated over time. Allegation that the entrance carpet was a safety hazard was not supported by the evidence.
§ 87303(a)
18 Mar 2025
18 Mar 2025
Found that rate increase notices and the level of care methodology were provided to the resident and confirmed by the administrator. Found the status of the resident's POA could not be verified, the home was clean during unannounced visits, and the allegations are UNSUBSTANTIATED.
06 Nov 2024
06 Nov 2024
Investigated a self-reported rape claim; confirmed notifications to police, the responsible party, and the Ombudsman; requested documents and conducted interviews; no citations were issued.
01 Oct 2024
01 Oct 2024
Found no clear evidence to prove or disprove the initial concerns about the resident's care quality. Found the shower neglect allegation supported by records, with August 2023 care plan logs lacking documentation of showers from 8/16 through 8/31.
§ 87464(f)(4)
22 Aug 2023
22 Aug 2023
Investigated several concerns at the care setting; the mattress cleaning after a toilet overflow, showering, and medication storage claims were not proven. Slow call responses and safety hazards, including blocked passages, loose cords, and medications on the floor, were proven, and penalties were issued.
§ 87303(a)
§ 87303(i)(1)
§ 87307(d)(6)
05 Nov 2024
05 Nov 2024
Visited unannounced and reviewed documentation for a health and safety issue. Found it cleared.
10 Oct 2024
10 Oct 2024
Found that the resident's allegations of unmet care needs, staff not trained in Hoyer lift and body mechanics, and being charged for services not provided were not supported by a preponderance of evidence.
26 Oct 2023
26 Oct 2023
Found that staff did not seek timely medical care for a resident after an unwitnessed fall and did not follow policy for falls, resulting in serious injury and hospitalization. Determined a civil penalty of $9,500 was issued for the serious bodily injury, following an earlier $500 penalty.
24 Feb 2022
24 Feb 2022
Found that a resident fell and staff did not seek timely medical care, delaying help by about 35 minutes and not calling 911 after the fall. Found that injuries, including a pressure injury, were not documented or reported by staff, indicating lapses in supervision.
§ 1569.269(a)(6)
§ 87466
10 Dec 2024
10 Dec 2024
Found that staff responded to a resident with a possible infection; 911 was called, and the resident was transported to a medical facility and later transferred to skilled nursing. Upon the resident’s return, observation was to be provided to ensure proper healing.
13 Aug 2024
13 Aug 2024
Determined that the complainant had no direct knowledge of the infection allegation and was told by an unidentified third party, with no resident or staff involved identified. Found that no cases matching the allegation were reported in the past six months, and there was not a preponderance of evidence to prove or disprove the claim.
29 Oct 2024
29 Oct 2024
Identified a medication error on 10/14/2024 where a resident received 1 tablet of Glipizide instead of the prescribed 1/2 tablet and was given insulin no longer ordered, with the MAR showing a 1/2 tablet dispensed when 1 tablet was given. Determined that the allegations regarding improper medication administration and reporting were supported by the evidence.
§ 87465(a)(4)
29 Sept 2021
29 Sept 2021
Investigated a resident fall and an allegation that a contractor struck the resident on 9/7/21; medical findings included a UTI and delusion, and related documents and statements were reviewed, with no deficiencies found.
23 Aug 2021
23 Aug 2021
Determined that the allegations of a foul odor in the kitchen and that food served to residents was not properly prepared or not served timely were unsubstantiated. Identified roach and rodent infestations in the kitchen, dirty food storage and holding areas, and inoperable or dirty equipment, leading to substantiated findings.
§ 87555(b)(27)
§ 87555(b)(9)
16 Mar 2022
16 Mar 2022
Found that one resident briefly eloped, was reassessed, and moved to a higher level of care; another resident reported pain during services from an outside provider, with police involved, and is now receiving those services from their physician. Found that a change of administrator is underway, with updated authorization on file and leadership present; no deficiencies were cited.
06 Jun 2023
06 Jun 2023
Found that a resident not on Hospice died while the hospital was transitioning to Hospice, with the care plan updated before death and all relevant parties notified. No deficiencies were observed.
29 Apr 2025
29 Apr 2025
Found that the claim staff did not respond in writing to Resident Council concerns within 14 days lacked supporting evidence. Found that the Executive Director serves as the Resident Council liaison and that meeting notices were posted in multiple locations, countering the allegation of no liaison and the central posting claim.
18 Mar 2025
18 Mar 2025
Determined the allegation of a personal rights violation credible, with video footage and witness statements showing R2 entering R1's bed while occupied and again entering the bed when it was unoccupied after R2 removed pants.
§ 87468.1(a)(3)
18 Nov 2022
18 Nov 2022
Identified a medication error on November 9, 2022 when a nurse over-medicated a resident by not checking the MAR; deficiencies were cited. An exit interview with the administrator was conducted and appeal rights were provided.
§ 87465(a)(5)
27 Oct 2021
27 Oct 2021
Found that money was reported stolen from a drawer between 10/02 and 10/04, with an estimated amount of $1000 to $1700, and that staff did not regularly enter the resident’s apartment. Police and the Ombudsman were notified, a town hall meeting was held on 10/14/2021 to warn residents and offer lock boxes, the theft and loss policy was reviewed, and documentation including the theft and loss policy, town hall notes, and the police report was requested; no deficiencies were cited.
21 Nov 2022
21 Nov 2022
Identified that the second-floor memory care unit's fire alarm system was down and no fire clearance had been approved. Noted that residents were on that floor, documents were requested, and a fire watch plan was required by December 1, 2022, with a civil penalty assessed.
§ 87202
03 Nov 2021
03 Nov 2021
Identified several resident incidents, including a fall with hip surgery and rehab, a medication dosing error corrected after review, two falls with hospice involvement, and a suspected physical abuse incident prompting medical assessment and staff interviews.
§ 87465
18 Nov 2022
18 Nov 2022
Found the allegation that the door was in disrepair unsubstantiated.
17 Feb 2022
17 Feb 2022
Identified that R1 sustained injuries from falls and is at high risk for future falls, with falls occurring on many occasions. Staff followed fall protocols, and R1's personal physician indicated that R1 is not a candidate for a pendant call device; no witnesses to the rough handling allegation; outside professionals stated care was appropriate; there is not a preponderance of evidence to prove or disprove the rough handling allegation; no citations were issued.
29 Apr 2025
29 Apr 2025
Found the allegation that staff did not provide resident medication as needed UNSUBSTANTIATED.
15 Dec 2022
15 Dec 2022
Found the site clean and temperature-controlled with safe food storage and locked medications, but identified regulatory deficiencies such as overdue elevator inspections and a nonworking fire alarm under a fire watch, with several documents and records requested.
§ 87303(a)
15 May 2023
15 May 2023
Verified that the individual excluded under the order of immediate exclusion is not present, employed, or residing at this site, and removal is complete. Observed no deficiencies.
16 Mar 2022
16 Mar 2022
Found that staff did not call emergency services promptly after a resident sustained fractures from a fall in September 2020, delaying treatment until after hospice reported a change in condition, and a second fall in February 2021 led to hospice assessment and hospital transfer. Found that the allegation that staff failed to notify the responsible party promptly after the September 2020 fall was unfounded.
§ 97465(g)
28 Apr 2023
28 Apr 2023
Identified two choking incidents involving residents, one during lunch and another on an outing, with no deficiencies observed. Resident #2 was unavailable for interview, and LIC 602s for Residents #1 and #2 along with additional supporting documents were requested.
11 Apr 2023
11 Apr 2023
Found that the allegations concerning food service, personal rights, and no heat in rooms with a leaking kitchen sink were unsubstantiated.
23 Aug 2021
23 Aug 2021
Investigated findings showed a hot water problem existed for an extended period and was resolved after flushing air from the lines, supported by resident complaints in May and June 2021. Found the allegation about the food's taste and the meat being overcooked not supported by a preponderance of evidence.
§ 87303(e)(2)
11 Apr 2022
11 Apr 2022
Found that paperwork for a change of administrator to an interim administrator is being submitted. Found that a resident reported missing items from their apartment; many items were found in other memory care apartments, suggesting removal by other residents, and a police report was filed; no deficiencies cited.
21 Apr 2022
21 Apr 2022
Found two special incident reports: one about a resident who attempted self-harm after a family visit and required hospital care, and another about a third-party caregiver making sexual comments to a resident, resulting in the caregiver's removal.
Noted a Change of Administrator, with paperwork due by 4/29/2022, and no deficiencies found.
25 Mar 2025
25 Mar 2025
Investigated a resident expressing thoughts of self-harm and reviewed records and the care plan to ensure proper supervision; no deficiencies found.
§ 9058
06 Apr 2022
06 Apr 2022
Identified an incident where a resident was observed walking down the street and back to the community, with medical records indicating the resident could not be in the community unassisted and subsequently reassessed to a higher level of care. Noted ongoing changes to the administrator position and that the licensing agency would be informed of the changes.
§ 87411
10 Oct 2024
10 Oct 2024
Determined that R1’s Perm-Cath catheter is not a prohibited condition for residency. Determined that R1 was illegally evicted when not allowed to return after hospitalization, aligning with the allegation that R1 was refused reentry due to a prohibited condition.
§ 87224(a)
23 Sept 2021
23 Sept 2021
Identified an unwitnessed fall by a resident on 8/28/2021, with a 35-minute emergency response time and multiple delays over 30 minutes; bruising was noted afterward. The incident was not reported to licensing until 9/10/2021, and a civil penalty was issued for a repeat violation within 12 months.
§ 87208(a)(2)
§ 87211(a)(1)
20 Feb 2025
20 Feb 2025
Identified safety and compliance concerns during an unannounced visit, including some hot water temperatures exceeding 120 degrees and an unlocked cleaning chemical area in memory care, while exits were clear and food supplies appeared adequate. A deficiency was observed and further review of resident and staff records was planned for a follow-up.
§ 87303(e)(2)
§ 87705(f)(2)
17 Jan 2023
17 Jan 2023
Found that the allegation about a fall-risk resident needing bathroom assistance and status checks, who fell and was injured about 1 hour 20 minutes after a 3:30 am check, remains UNSUBSTANTIATED.
09 Aug 2022
09 Aug 2022
Found that the main entrance door to the Memory Care Unit was not functioning, causing staff and visitors to enter through the dining room entrance, and that the door had been under repair for electrical problems and nonfunctional for at least four months.
§
11 Apr 2023
11 Apr 2023
Found insufficient evidence to prove that medications were not administered as prescribed, and insufficient evidence to prove that there were not enough staff to meet residents’ needs.
27 Jun 2025
27 Jun 2025
Found that food was labeled, dated, and stored properly, and temperature logs were posted and signed daily. Found no evidence to support claims of improper food handling, expired water filters, malfunctioning equipment, forged or missing logs, or rat activity; water filters are vendor-maintained and sanitizer pH testing is not regulated by Title 22.
25 Aug 2022
25 Aug 2022
Identified a nonfunctional entrance door tied to a prior violation, with repairs ongoing. Issued a civil penalty of $200 for failure to correct.
29 May 2025
29 May 2025
Investigated a self-reported medication error where a med tech dispensed oral antibiotics instead of the prescribed topical antibiotic to a resident; the resident was monitored with no adverse reaction.
§ 9058
§ 87465(a)(4)
30 Oct 2023
30 Oct 2023
Determined that the allegation of unnamed staff speaking rudely to R1 during hygiene care could be true, but there wasn't enough evidence to prove or disprove it.
06 Sept 2024
06 Sept 2024
Found that the claim staff did not assist with oral hygiene was not supported by evidence. Found that on April 22, 2024, a high temperature and a urinary tract infection were documented and supported by care notes.
§ 87466
17 Sept 2024
17 Sept 2024
Investigated two concerns at the site: laundry conditions and dining room wait times. Found no evidence of soiled clothing in residents' closets and residents reported satisfaction with laundry service, while dining room wait times were previously long but have improved.
§ 87555(b)
16 Sept 2022
16 Sept 2022
Identified multiple deficiencies, including alarm calls not answered promptly, inadequate night shift staffing, incomplete resident files with missing or outdated care plans, and missing staff training and fingerprint clearances; $200 in civil penalties were issued.
§ 87355
§ 87412
§ 1569.625
§ 1569.618
§ 87463(c)
25 Oct 2022
25 Oct 2022
Determined that the claim of staff neglect and the claim that staff pushed the resident were not supported by a preponderance of evidence; the resident frequently refused hygiene care, meals met regulatory requirements, and masking was followed during unannounced visits. Found that the claim about notices of rent increases and a liability waiver was supported by evidence, with dirty conditions observed after the fall, missing documentation for admission agreements, and a refund offered; deficiencies were noted.
§ 87303(a)
§ 87507(f)
§ 87307(3)
02 Aug 2022
02 Aug 2022
Identified a medication dosage error on July 12, 2022 during medication passing, resulting in the wrong dosage given to a resident; responsible party and prescribing physician were notified.
§ 87465(a)(5)
02 Sept 2022
02 Sept 2022
Identified a medication error in which the wrong medication was administered to a resident; the physician and responsible party were notified, and the resident was placed on alert charting with no adverse effects. Imposed a civil penalty of $250 for a repeated violation within 12 months, and appeal rights were provided.
§ 87465(a)(5)
15 May 2025
15 May 2025
Identified the allegation that staff did not follow the resident care plan as unsubstantiated. Identified the allegation that staff did not ensure residents' personal rights as unsubstantiated.
16 Sept 2022
16 Sept 2022
Found that the two specific allegations—staff left residents unattended and staff did not respond to call bells—were unsubstantiated, as there wasn’t enough evidence to prove or disprove either claim.
29 Jul 2021
29 Jul 2021
Found that the June 10, 2021 allegations—being unable to access a bedroom due to locked stairway doors and being yelled at by staff—lacked a preponderance of evidence to prove they occurred. Found multiple disrepair conditions observed on July 07, including a freezer door in need of repair, a towel stuffed in a drain without a cover, a broken grill with old food particles, an inoperable garbage disposal, and dirty hot and cold wells.
§ 87303(a)
18 Nov 2022
18 Nov 2022
Identified a hazard from an uneven metal plate on the floor that caused a resident to fall and sustain a fracture.
§ 87303(a)
03 Nov 2020
03 Nov 2020
Found the allegation that emergency response times were delayed and alarms went unanswered, with many instances of 20 minutes or more and repeated non-responses, to be substantiated. Showers were documented as provided on the days reviewed.
§ 87208(a)(2)
06 Mar 2025
06 Mar 2025
Found that staff did not follow physician's orders in a timely manner.
§ 87465(a)(1)
03 May 2021
03 May 2021
Identified an allegation that a resident’s call for help after a fall was not answered promptly for about 20–30 minutes. Found insufficient evidence to support the allegation, though notes indicate concerns about front desk staffing.
§ 1569.269
04 Mar 2025
04 Mar 2025
Identified that notices required by regulations were not properly posted at the site, including a complaint sign that was too small and no residents’ rights sign. Found meals served timely with adequate staff, R1’s restricted diet was known and followed, and a family concern about food variety did not show noncompliance with the prescribed diet.
§ 87468(c)
19 Nov 2024
19 Nov 2024
Found that the allegation that staff did not respond to residents' calls for assistance in a timely manner was supported by call-bell logs showing delays of 15 to 31 minutes and a non-responsive pull cord observed during inspection.
§ 87411(a)
13 Jan 2025
13 Jan 2025
Found that cameras were installed in common areas, mostly at exits, recording audio along with video; the audio function was activated but turned off on January 11, 2025 after learning it wasn't allowed. Findings indicate the allegation is supported.
§ 87468.1(a)(1)
10 Jul 2025
10 Jul 2025
Found medication management errors, including insulin for one resident and the concurrent use of two anti-seizure medications for another. Found no evidence that supervision gaps caused elopements or that residents were improperly admitted; issues with catheter care, bed bugs, and infection control were not supported.
§ 87465(a)(4)
13 Feb 2023
13 Feb 2023
Identified concerns about hygiene care, call bell responsiveness, staff training, and after-hours communication after reviewing records and interviewing staff and residents. Found that evidence regarding whether staff consistently met residents’ hygiene needs was unclear, while multiple instances of delayed call responses, training gaps, and missed after-hours calls were documented.
§ 87411(a)
§ 87707(a)(1)
§ 87468.1(a)(9)
04 Aug 2021
04 Aug 2021
Found renovations on the second floor complete and ready for resident use, with eight of twenty-six rooms still needing some finish but secured from access. Verified water temperature to be within 105-120 degrees, carbon monoxide detectors in every room tested and working, furnishings available if residents do not bring their own, and the fire sprinkler system under its annual check, with delayed egress approved by the Fire Marshal and a fire clearance obtained, and a main kitchen serving the site; no citations were issued.
06 Mar 2023
06 Mar 2023
Reviewed the Plan of Correction, found it appropriate at the time; no deficiencies identified.
27 Oct 2021
27 Oct 2021
Identified a self-harm incident involving a resident who was found with a stocking tied to the neck and the bathroom grab bar; emergency services were contacted and the resident was taken to the hospital under a 5150 hold. Conducted interviews with a nurse and reviewed medical lists and care plans; no deficiencies were issued at this time.
04 Apr 2023
04 Apr 2023
Identified that a resident, medically assessed as unable to leave unassisted, eloped from the residence on March 20, 2023 without staff knowledge.
§ 87705
27 Jun 2025
27 Jun 2025
Determined that the allegations of unlawful eviction of a resident and staff retaliation against a resident were unsubstantiated.
01 Oct 2024
01 Oct 2024
Determined that the allegation about not receiving written notice of a rate increase was unfounded and dismissed. Found the incontinence-management claim lacking a clear preponderance of evidence, while noting issues related to a special diet and unitemized charges with deficiencies identified.
§ 1569.6557
§ 87555(b)(7)
§ 87211(a)(1)
29 May 2025
29 May 2025
Investigated an allegation that staff did not follow general food service requirements; found menus were posted and visible, with last-minute changes explained when deliveries were missing and substitutes offered. No evidence of a violation was identified.
27 Jun 2025
27 Jun 2025
Found insufficient evidence to prove the allegation that staff did not properly assess residents in care, and insufficient evidence to prove the allegation that food service quality declined.
06 Mar 2025
06 Mar 2025
Identified that ten resident records contained updated reappraisals, needs and care plans and medical assessments, while ten staff files were not readily available for review at the site. Allegation described a resident with dementia leaving unassisted after a door alarm was unarmed, going missing for about two hours before law enforcement located and returned them, with no injuries.
§ 87412(g)(1)
§ 87705
10 Aug 2021
10 Aug 2021
Identified no mold in the kitchen or bedrooms; urine odors not detected in Memory Care or Assisted Living areas; in June, four residents had stomach flu-like symptoms with unknown source; showers were offered regularly, though some residents refused.
Identified no current rodent or pest activity, though staff reported an ongoing rodent issue; three bed bug cases and two scabies cases were reported with proper protocols followed; one resident waited up to two hours for incontinence assistance, leaving them in soiled diapers; based on records and statements, some concerns were supported by evidence and others were not.
§ 87625(b)(3)
§ 87468.1(a)(2)
27 Jun 2025
27 Jun 2025
Found that the allegation that staff prevented residents from coming and going freely and that visits were being limited by locking doors at 5:30 PM was not supported by a preponderance of the evidence. Interviews with residents, family members, and the administrator indicated some after-hours access and no widespread complaints, and no deficiencies were cited.
19 Mar 2025
19 Mar 2025
Investigated complaints about staffing numbers and competency, medication timing, cameras and privacy, elopements, and call-bell response times, with concerns about future compliance. No deficiencies cited; the licensee expressed interest in engagement.
26 Oct 2023
26 Oct 2023
Found a self-reported incident of inappropriate sexual behavior involving three residents; families were notified and police are investigating a death of another resident not receiving hospice services. No deficiencies cited.
14 Aug 2025
14 Aug 2025
Found that an incident involving a resident being sent to the hospital and later transferred to a skilled nursing facility was reviewed; no deficiencies were cited.
§ 9058
22 Jan 2024
22 Jan 2024
Identified generally safe conditions at the site during an unannounced visit, with clean areas, functioning safety devices, and adequate meal options. However, three of five staff files lacked first aid training.
§ 87411(c)(1)
08 Aug 2024
08 Aug 2024
Identified that a nurse scheduled for the shift did not come to work, resulting in two residents missing PM injections on July 22, 2024 and one resident missing an AM injection on July 23, 2024; the issue was discovered on July 23, 2024, med techs on duty were unaware because management had not been informed when it occurred, and all required notifications were made.
§ 87465(c)(2)
14 Sept 2021
14 Sept 2021
Found a few potential hazards during a case-management follow-up on construction, with actions taken and questions from the administrator about residents addressed. No deficiencies cited.
25 Feb 2022
25 Feb 2022
Identified comprehensive infection-control measures in place, including COVID-19 and mask posters, hand-washing signs, hand sanitizer in common areas, staff masking, daily symptom screening, resident masking in common areas, twice-daily disinfection of high-touch surfaces, and ongoing infection-control training with PPE supply. Noted fire extinguishers last serviced in October 2021, with fire alarms and carbon monoxide detectors serviced this month; requests were made for an updated designation of responsibility with signature, the administrator's resume, and a missing resident file with specific documents to obtain.
§ 87506(e)
28 Apr 2023
28 Apr 2023
Found that the allegations that staff ignored residents, did not meet residents' care needs, and did not provide toilet paper were unsubstantiated.
10 Sept 2021
10 Sept 2021
Found three self-reported incidents reviewed; records gathered and statements taken from staff and administrators; no deficiencies cited.
05 Nov 2024
05 Nov 2024
Determined that the allegation that staff did not ensure the resident received sufficient nutrition is unsubstantiated.
17 Sept 2024
17 Sept 2024
Confirmed allegations of excessive wait times in the dining room, but did not find evidence to support claims of soiled clothing in resident apartments.
§ 87555(b)
06 Sept 2024
06 Sept 2024
Confirmed allegations of neglect in the care of a resident, leading to a substantiated deficiency. Other allegations regarding hygiene care were unable to be proven.
§ 87466
13 Aug 2024
13 Aug 2024
Investigated allegations of a resident contracting a contagious infection and staff subsequently being affected; found insufficient evidence to confirm or deny claims, with no reported cases matching the description in the past six months.
08 Aug 2024
08 Aug 2024
Identified deficiencies in medication management and staff training during an unannounced follow-up visit. Residents experienced missed medication doses but no apparent harm.
§ 87465(c)(2)
22 Jan 2024
22 Jan 2024
Found deficiencies in staff files and first aid training, but overall no immediate health or safety violations observed during the inspection.
§ 87411(c)(1)
30 Oct 2023
30 Oct 2023
Allegation of rude behavior by staff during hygiene care for resident was not proven or disproven.
26 Oct 2023
26 Oct 2023
Confirmed a self-reported incident of inappropriate behavior among three residents in the memory care unit, with facility measures put in place. Investigated a recent resident's death, pending a police report.
22 Aug 2023
22 Aug 2023
Identified call response time issues, outdoor passageway blocked with furniture, and hazardous conditions present in residents' rooms. Penalties issued for violations.
§ 87303(i)(1)
§ 87307(d)(6)
§ 87303(a)
06 Jun 2023
06 Jun 2023
Confirmed no deficiencies during the inspection.
15 May 2023
15 May 2023
Verified Excluded Staff Member absence at facility. No deficiencies observed during inspection.
28 Apr 2023
28 Apr 2023
Investigated allegations that staff ignored residents, failed to meet care needs, and did not provide toilet paper; found insufficient evidence to confirm or deny these claims.
11 Apr 2023
11 Apr 2023
Reviewed complaint allegations regarding food service, personal rights, and physical plant issues, but could not substantiate any of the claims due to lack of evidence.
04 Apr 2023
04 Apr 2023
Identified deficiencies related to a resident eloping from the facility were noted during the inspection.
§ 87705
06 Mar 2023
06 Mar 2023
No deficiencies were observed during the inspection.
13 Feb 2023
13 Feb 2023
Found deficiencies related to resident care, staff training, and response to calls for assistance.
§ 87707(a)(1)
§ 87411(a)
§ 87468.1(a)(9)
17 Jan 2023
17 Jan 2023
Investigated allegations of a resident falling indicated that while a fall occurred, there wasn't enough evidence to prove neglect by care staff. No citations issued.
15 Dec 2022
15 Dec 2022
Identified deficiencies with safety measures, fire alarm system, elevator inspections, and PPE training at the facility. Required documents to be submitted for review.
§ 87303(a)
21 Nov 2022
21 Nov 2022
Identified deficiencies found during the inspection included issues with the fire alarm system and fire clearance for certain units.
§ 87202
18 Nov 2022
18 Nov 2022
Investigated complaint alleging a disrepair door, determined unsubstantiated due to lack of evidence proving the door was not fixed appropriately and timely.
25 Oct 2022
25 Oct 2022
Confirmed that allegations of staff neglect and improper hygiene care lacked sufficient evidence, while claims about improper response following a resident's fall and failure to comply with rent increase notice requirements were supported by evidence.
§ 87307(3)
§ 87303(a)
§ 87507(f)
16 Sept 2022
16 Sept 2022
Reviewed allegations of staff leaving residents unattended and not responding to call bells, with insufficient evidence to prove or disprove occurrences, resulting in an unsubstantiated outcome. No deficiencies cited.
02 Sept 2022
02 Sept 2022
Confirmed a medication error incident where the wrong medication was administered to a resident, resulting in a civil penalty being issued.
§ 87465(a)(5)
25 Aug 2022
25 Aug 2022
Identified a non functional door as a violation during an unannounced visit; Civil Penalty issued for failure to correct.
09 Aug 2022
09 Aug 2022
Found during an inspection that the main entrance door to the Memory Care Unit had not been functioning for at least four months, leading staff and visitors to use an alternative entrance.
§
02 Aug 2022
02 Aug 2022
Identified a medication error during a visit to the facility.
§ 87465(a)(5)
21 Apr 2022
21 Apr 2022
Reviewed two special incident reports. Resident made two attempts at self-harm, resulting in hospitalization and new one-to-one caregiver. Another resident reported inappropriate behavior from previous caregiver, leading to their removal from the facility. New administrator identified for facility.
11 Apr 2022
11 Apr 2022
LPAs conducted an inspection where no deficiencies were cited. A self-reported incident of missing items from a resident's apartment was resolved with items found in other apartments and reimbursement offered.
06 Apr 2022
06 Apr 2022
LPAs conducted a visit regarding a resident who had eloped and was found walking in the community. The facility also underwent changes in the administrator position.
§ 87411
16 Mar 2022
16 Mar 2022
Confirmed neglect/lack of care related to failure to call emergency services when resident sustained fractures. Found no evidence of neglect/lack of care in failure to follow reporting requirements.
§ 97465(g)
25 Feb 2022
25 Feb 2022
LPAs conducted an inspection focused on infection control practices. Hand hygiene, staff screening, PPE availability, and sanitation were observed during the visit.
§ 87506(e)
24 Feb 2022
24 Feb 2022
Confirmed allegations of neglect and lack of supervision resulting in a resident sustaining multiple injuries, leading to a substantiated finding and assessment of a civil penalty.
§ 87466
§ 1569.269(a)(6)
17 Feb 2022
17 Feb 2022
Sustained injuries from falls were reported, but lack of evidence led to the allegations remaining unsubstantiated.
03 Nov 2021
03 Nov 2021
Investigated five incidents, including falls, medication error, and suspected physical abuse at the facility.
§ 87465
27 Oct 2021
27 Oct 2021
Identified a reported theft of money from a resident's room, prompting facility to hold a meeting to address theft concerns and offer lock boxes to residents.
29 Sept 2021
29 Sept 2021
Reviewed a fall incident with injury involving a resident and found no deficiencies during the inspection.
23 Sept 2021
23 Sept 2021
Confirmed delayed emergency response times and failure to report a serious injury incident.
§ 87208(a)(2)
§ 87211(a)(1)
14 Sept 2021
14 Sept 2021
No deficiencies were found during the inspection.
10 Sept 2021
10 Sept 2021
Confirmed multiple incident reports involving a death, missing money, and a fall with injury were investigated with no deficiencies found.
23 Aug 2021
23 Aug 2021
Confirmed complaints about food quality were inconclusive, but allegations of insufficient hot water were substantiated.
§ 87303(e)(2)
10 Aug 2021
10 Aug 2021
Confirmed issues with rodent infestation and insufficient care for residents with incontinence, but did not find evidence of mold, urine odors, or improper food handling. Determined the administrator was usually present and assistant was available in their absence.
§ 87625(b)(3)
§ 87468.1(a)(2)
04 Aug 2021
04 Aug 2021
Inspection findings indicated completed renovations in a section of the building previously used for assisted living, now transitioning to provide memory care support. All necessary safety measures were in place and the area was deemed suitable for resident use.
29 Jul 2021
29 Jul 2021
Confirmed deficiency in disrepair of the facility based on observations during site visit.
§ 87303(a)
03 May 2021
03 May 2021
Confirmed a deficiency in response time to a resident's call for help and cited concerns regarding staffing levels at the front desk.
§ 1569.269
03 Nov 2020
03 Nov 2020
Confirmed allegation regarding response time for emergency calls and found deficiency in meeting outlined standards for care and safety protocols.
§ 87208(a)(2)
27 Apr 2020
27 Apr 2020
Determined that complaints of neglect and lack of care due to maggot infestation were unfounded after reviewing records and interviewing staff and witnesses.
22 Apr 2020
22 Apr 2020
Determined allegations of staff not feeding a resident, overdosing medication, and handling roughly were unfounded, with evidence showing appropriate care and no misconduct.
26 Feb 2020
26 Feb 2020
Identified issues with storage of personal items and potential hazards in the memory care unit during inspection. Kitchen and resident rooms were found to be in compliance.
07 Feb 2020
07 Feb 2020
Found no deficiencies in the inspection and observed residents engaged in activities.
06 Dec 2019
06 Dec 2019
Verified individual's absence and non-employment at the facility. No deficiencies were found during the inspection.
