I placed my brother here and overall I'm pleased: friendly, knowledgeable staff, a homey, very clean facility with nice, hotel-like rooms, an enclosed yard, and good all-inclusive value close to family. He's eating better, gaining weight, sleeping well, made friends and enjoys activities, though food variety could improve. Major caution: staffing is thin (sometimes only one person on the floor), I've seen caregiver incompetence and inconsistent management-some staff and the director are excellent, others rude or disorganized, and gate access felt unmonitored. I'd recommend this community but only with close oversight and clear expectations.
Sonora Senior Living in Jamestown, California, is a family-owned community that's been run since 1989, focused on providing care and comfort for seniors in a setting that people say feels safe and kind, with staff who are friendly and helpful, and who really pay attention to each resident's needs whether they're living independently, need a little help with things like dressing or bathing, or need more care because of memory problems. The property sits among landscaped grounds with lots of walking paths, secure buildings, and fenced courtyards where residents can get outside without worry, and they allow small pets like cats and dogs in some areas, which you don't always see at places like this, and they also have partnerships with therapy dogs that help keep the mood cheerful. There are different living options, including furnished or unfurnished private rooms and semi-private ones, each with their own heat and air, closets, restrooms, and some with sitting and TV areas that you can use for visits, playing the piano, or small gatherings, and there are even memory care apartments in a secure section for folks with dementia or Alzheimer's disease, designed to prevent wandering and promote calm.
Residents have access to a wide range of care, such as assisted living, memory care, home care, and skilled nursing services, and if someone's needs change, they can usually stay right there, since the staff can handle light to complex care, including diabetes management, medication reminders, help with transfers or high-acuity nursing support, and they're known for managing difficult behaviors or exit-seeking in a calm, professional way, with monitoring systems and secured doors, so the whole campus feels safe, which families always seem to appreciate. Meals get a lot of attention, with three home-style, cooked meals every day, using healthy ingredients, plus private or room service options, guest meals, and special menus for needing gluten-free, low sugar or low sodium diets, all served in clean, comfortable dining rooms, and you'll find snacks around, too, which matters when people have unpredictable appetites.
If you want to keep busy, there's always something going on, whether it's outings into town, stretching and yoga classes, arts and crafts, movie nights, online activities and games, or pet-focused events, with a full-time activity director planning things to suit all interests, and you're just as likely to find people in the TV lounge, the beauty salon, the game room, or outside at a table visiting with friends or family. Onsite devotional services plus scheduled outings are common, and the community tries to meet the needs of all faiths, with a visiting chaplain and transportation for offsite activities or appointments.
There are rules to keep everyone safe and things organized, so sometimes, staff may not answer phones or gate access right away, especially if they're focusing on care or activities, but most reviews say the staff are responsive and kind. Sonora Senior Living offers both short-term respite care and long-term stays, and when people need hospice services, they can remain there with the support of outside professionals if needed. The whole place is wheelchair accessible, with adapted showers and entries, and if needed, there are lifts and special equipment for transfers. Housekeeping, laundry, and transportation are part of the routine, and residents can have their cars if they want. All care options, as well as activities, house pets, and social areas, are built to help people keep their independence as long as they can, with as much support as needed, and always with staff nearby, so it's a safe, engaging environment for just about any senior who wants to be part of a community.
People often ask...
Sonora Senior Living offers competitive pricing, with rates starting at a cost of $5,494 per month.
Sonora Senior Living offers assisted living and memory care.
There are 16 photos of Sonora Senior Living on Mirador.
The full address for this community is 18760 Chabroullian Rd, Jamestown, CA, 95327.
Yes, Sonora Senior Living 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
200
Inspections
71
Type A Citations
38
Type B Citations
6
Years of reports
25 Jul 2023
25 Jul 2023
Confirmed deficiency in safeguarding resident belongings leading to a loss of items valued at over $1,000.
§ 87218
19 Jul 2023
19 Jul 2023
Confirmed staff were not observed doing drugs in residents' rooms, there was limited evidence of falsified records, and insufficient evidence of a hostile environment created by management.
03 Jul 2023
03 Jul 2023
Confirmed physical abuse incidents involving residents were not reported as required by the facility. An allegation of physical abuse was substantiated, but another allegation could not be proven.
§ 87211(a)(1)
13 Jun 2023
13 Jun 2023
Confirmed findings of unsanitary conditions, inadequate resident checks, and improper disposal of medical waste at the facility.
§ 87465(a)(2)
§ 87465(a)(9)
§ 87303(a)
13 Apr 2023
13 Apr 2023
Confirmed no deficiencies observed during the inspection.
12 Apr 2023
12 Apr 2023
Reviewed the facility, toured with key personnel, and met with stakeholders to discuss a temporary suspension order. No immediate health or safety risks were found during the inspection.
06 Apr 2023
06 Apr 2023
Confirmed no deficiencies observed during the visit, food supply sufficient, auditory devices in place.
03 Apr 2023
03 Apr 2023
Confirmed health and safety concerns identified during inspection. Activities and staffing deficiencies noted.
§ 87470
§ 87219
02 Apr 2023
02 Apr 2023
Confirmed health and safety violations at the facility and issued civil penalties accordingly.
§ 87705
28 Mar 2023
28 Mar 2023
Confirmed observations of staffing levels and meal supplies met regulations, while noting deficiencies in resident counts and incident reporting. Daily civil penalties continue to be assessed for unresolved violations.
23 Mar 2023
23 Mar 2023
Confirmed observations of health and safety concerns at the facility, including issues with cleanliness, food supply, staff training, and compliance with safety protocols.
§ 87555
§ 87555
§ 87303
§ 87468.1
§ 87411
21 Mar 2023
21 Mar 2023
Investigated reports of a resident's wandering behavior and their subsequent injury; determined insufficient evidence to confirm whether the facility followed the physician's orders inadequately.
16 Mar 2023
16 Mar 2023
Found issues with fire safety compliance and lack of fire drill records during an unannounced complaint investigation, resulting in cited deficiencies.
§ 87203
06 Mar 2023
06 Mar 2023
Conducted a visit to ensure stipulation orders were followed, reminded staff of obligations, and requested necessary documents be provided. Residents may be relocated before end of stay period.
02 Mar 2023
02 Mar 2023
Confirmed incident of bruising on a resident, possible rough handling by staff, and inadequate supervision due to staff shortages and faulty medical equipment.
§ 87705
§ 87303
17 Feb 2023
17 Feb 2023
Identified a failure to reimburse a family for a damaged bed frame, potentially resulting in civil penalties.
§ 87218(2)
16 Feb 2023
16 Feb 2023
Confirmed that residents were to be notified of an upcoming sale of the property and given a 60-day notice to relocate if necessary.
08 Feb 2023
08 Feb 2023
Identified deficiencies related to an assault incident between two individuals.
§ 87468.1
25 Jan 2023
25 Jan 2023
Found deficiencies in the facility, including unsanitary kitchen practices, insufficient staffing levels, and lack of monitoring for resident call lights.
§ 87705
§ 87555
19 Jan 2023
19 Jan 2023
Confirmed inadequate financial planning and potential inability to maintain necessary financial reserves, with issues in timely vendor payments according to the audit findings.
06 Jan 2023
06 Jan 2023
Confirmed deficiency relating to care of persons with dementia cleared through installation of required auditory devices on all exit doors.
20 Dec 2022
20 Dec 2022
Conducted an unannounced visit, confirmed issues with incomplete documentation and reviewed an incident involving a resident who fell from a wheelchair, resulting in injuries.
§ 87705
12 Dec 2022
12 Dec 2022
Found staff negligence in conducting rounds which led to a resident sustaining injuries requiring emergency medical attention.
§ 87208(a)(5)
29 Nov 2022
29 Nov 2022
Confirmed no deficiencies during the visit.
22 Nov 2022
22 Nov 2022
No deficiencies were cited during the visit to the facility. Residents were observed engaging in various activities and staff were providing assistance as needed.
14 Nov 2022
14 Nov 2022
Found seven staff had separated themselves from the program by 11/09/22, leaving the operation short staffed with overtime approved going forward. Interviewed residents, staff, and an outside agency; administrator spoke by phone; requested resident and program files for review; observed Christmas decor and meals served with mixed opinions on taste; no deficiencies cited.
14 Nov 2022
14 Nov 2022
Observed no deficiencies during visit, residents had mixed reviews on meal taste.
10 Nov 2022
10 Nov 2022
Identified concerns were discussed and plans were made to address them during the meeting with regional office representatives and facility administrators.
09 Nov 2022
09 Nov 2022
Identified an allegation that a new administrator started on 11/07/2022 without proper documentation or fingerprint clearance, leaving the home without an administrator. Noted that no administrator was observed at the home as of today.
09 Nov 2022
09 Nov 2022
Found that an unannounced visit occurred; observed a potential kitchen staffing shortage with new hires starting this week and some residents' rooms colder while others were warmer, with a thermostat set to 73 degrees and no system to monitor individual room temperatures. Interviews with staff and residents, along with records from a prior incident, were reviewed and technical guidance provided to improve resident comfort; no deficiencies were cited.
09 Nov 2022
09 Nov 2022
Confirmed compliance with regulations during the visit, observed temperature issue in resident rooms, technical assistance provided.
02 Nov 2022
02 Nov 2022
Identified a repeat violation for allowing staff to work without approved fingerprint clearance; one of seven on shift lacked active clearance and six were cleared. A civil penalty of $1,000 was assessed.
02 Nov 2022
02 Nov 2022
Identified no administrator on site during the visit, and noted a prior issue related to administrator qualifications.
02 Nov 2022
02 Nov 2022
Confirmed the absence of a qualified Administrator during the unannounced visit.
27 Oct 2022
27 Oct 2022
Found no deficiencies after a health and safety visit; observed two kitchen staff preparing lunch, residents in common areas and television rooms, dusty vents, and dark hallways. Requested death reports and LIC 602s, and an exit interview was held.
27 Oct 2022
27 Oct 2022
Identified an ongoing allegation that administrator qualifications were not met, with no administrator present as of today; the issue originated on June 15, 2022.
27 Oct 2022
27 Oct 2022
Identified that one resident received an eviction notice while another resident was advised to relocate, rather than being served with one. No deficiencies were cited regarding these eviction concerns, and an exit interview was conducted.
27 Oct 2022
27 Oct 2022
Confirmed reports of potential eviction concerns were investigated and addressed during a routine visit by state licensing officials.
21 Oct 2022
21 Oct 2022
Identified immediate health and safety risks, including discolored spots on the wall near the kitchen sink used for washing dishes and a switchblade knife on a window ledge outside a bedroom. Found a prior fingerprint clearance violation by a staff member, with a civil penalty assessed and the staff member removed.
21 Oct 2022
21 Oct 2022
Identified absence of an Administrator today and noted a prior Administrator Qualifications issue from June 15, 2022, with civil penalties a possibility. An exit interview was conducted with the HR manager.
21 Oct 2022
21 Oct 2022
Identified health and safety risks in the facility, including discolored spots near kitchen sinks and a sharp object outside a resident's window. Staff member found working without valid clearance, resulting in a civil penalty.
13 Oct 2022
13 Oct 2022
Found no deficiencies and observed sufficient perishable and non-perishable food supplies, staff assisting residents, meals prepared and served, and hot water and electricity available. Conducted an exit interview with the Resident Care Coordinator.
13 Oct 2022
13 Oct 2022
Identified no administrator present at the site; the person in training has completed required hours and is awaiting a testing date to become certified, and an earlier citation regarding administrator qualifications was issued in June 2022.
13 Oct 2022
13 Oct 2022
Identified lack of required qualifications for Administrator during unannounced visit. Resident Care Coordinator awaiting certification.
§ 87355
05 Oct 2022
05 Oct 2022
Found no deficiencies during a health checks visit. Observed adequate food supplies, sufficient staff assisting residents, and functioning hot water and electricity.
05 Oct 2022
05 Oct 2022
Found no administrator on site during an unannounced visit; the earlier issue regarding administrator qualifications from June 15, 2022 remained unresolved. The coordinator had completed required training hours and was awaiting testing to become certified.
05 Oct 2022
05 Oct 2022
Observed no deficiencies during the visit.
30 Sept 2022
30 Sept 2022
Found no administrator present at the site during an unannounced visit on September 30, 2022. Also found a prior citation for administrator qualifications dated June 15, 2022, and that a resident care coordinator had completed required training and was awaiting testing to become the certified administrator; an exit interview was conducted with the human resources manager.
30 Sept 2022
30 Sept 2022
Identified during an unannounced visit that there was adequate food, staff assisting residents, residents watching a movie, and kitchen activity underway with hot water and electricity available. Noted a water leak in the second-floor fireside room requiring intermittent shutoffs until repaired, and deficiencies were cited.
30 Sept 2022
30 Sept 2022
Identified interference with Ombudsman visits by staff.
Found uncleared adults working at the site.
§ 87355(d)
§ 87405(a)
30 Sept 2022
30 Sept 2022
Identified deficiencies in the facility included water leaking from the walls and the failure to report incidents in a timely manner.
§ 87355
§ 87303
§ 87705
23 Sept 2022
23 Sept 2022
Investigated the allegation that staff failed to assist with medical appointments and found that TB test results from the 06/03/2022 visit were not promptly reported to the clinic, delaying the physician's report, though a later test was read and reported.
Investigated the allegation that staff failed to provide adequate supervision and found that the resident was physically aggressive toward others, including during an evacuation and on multiple dates in September 2022.
§ 87465(a)(1)
§ 1569.2(c)
23 Sept 2022
23 Sept 2022
Found no deficiencies identified during the visit; observed adequate food supplies, sufficient staff assisting residents, ongoing activities, meals being prepared, celebratory preparations underway, and functioning hot water and electricity.
23 Sept 2022
23 Sept 2022
Found no administrator on site; the resident care coordinator completed required training hours and is awaiting the certification test, and an exit interview was conducted with the resident care coordinator.
23 Sept 2022
23 Sept 2022
Confirmed failure to assist with medical appointments and inadequate supervision of residents.
02 Sept 2022
02 Sept 2022
Found a mandatory evacuation in progress with residents sheltered at an off-site location and staff remaining with them overnight; medications for all residents were prepared and families were notified. Sixty residents were present at the off-site location, one resident was hospitalized after an altercation, and no deficiencies were cited.
09 Sept 2022
09 Sept 2022
Found no administrator on site during an unannounced visit, with an earlier administrator qualifications issue cited on June 15, 2022; the resident care coordinator completed required training hours and awaits the testing date to become certified, and an exit interview was conducted.
09 Sept 2022
09 Sept 2022
Found an unannounced health-check visit conducted; observed sufficient staff, engaged residents, meal preparation in progress, and working utilities, with no deficiencies noted.
09 Sept 2022
09 Sept 2022
Observed deficiency in facility leadership during unannounced visit, pending certification of new Administrator.
02 Sept 2022
02 Sept 2022
Visited facility during mandatory evacuation, residents relocated to another location, staff present, no deficiencies found.
01 Sept 2022
01 Sept 2022
Identified an allegation regarding administrator qualifications and that no administrator was on site; penalties continued to be assessed. The resident care coordinator completed required training hours and was awaiting testing to become certified, and an exit interview was conducted.
01 Sept 2022
01 Sept 2022
Found no deficiencies after an unannounced health-check visit, observed adequate food supplies, sufficient staffing, residents in common areas, meals prepared and served to residents, and functioning hot water and electricity; exit interview with the care coordinator conducted.
01 Sept 2022
01 Sept 2022
Confirmed the allegation of facility not being in good repair based on observation of raised floor and empty hole in the wall in a specific bathroom.
§ 87470(a)(1)
26 Aug 2022
26 Aug 2022
Identified recent complaint findings about resident care and supervision, including an unlicensed nurse presenting as licensed and an allegation of false claims; civil penalties continued for not having a certified Administrator.
§ 87207
24 Aug 2022
24 Aug 2022
Identified the allegation that a resident's room was extremely cluttered and smelled of bleach, creating a health hazard. Deficiencies were cited for that condition.
24 Aug 2022
24 Aug 2022
Found no administrator present at the site; the Administrator Qualifications citation issued on June 15, 2022 remains unresolved. The resident care coordinator completed required training and was awaiting a testing date to become administrator.
19 Aug 2022
19 Aug 2022
Found no administrator on site during the unannounced visit, with an earlier citation for administrator qualifications dated June 15, 2022. Found that a resident care coordinator completed required training and was awaiting testing to become the certified administrator, and an exit interview was held with the human resources manager.
26 Aug 2022
26 Aug 2022
Confirmed recent complaint findings related to resident care, supervision, and false claims, as well as issues with lack of an Administrator and nurse not being licensed.
§
24 Aug 2022
24 Aug 2022
LPA inspection revealed absence of an Administrator, with the facility cited for this issue in the past.
19 Aug 2022
19 Aug 2022
Identified absence of required Administrator during the visit. Resident Care Coordinator awaiting certification to assume administrative role.
11 Aug 2022
11 Aug 2022
Found no deficiencies cited during an unannounced case-management health-check visit; observed adequate perishable and non-perishable food, staff assisting residents, ongoing flooring installation, and functioning hot water and electricity at the site.
11 Aug 2022
11 Aug 2022
Found no administrator on site and noted a prior issue with administrator qualifications dated June 15, 2022. A resident care coordinator completed required training and was awaiting a testing date to become the certified administrator.
11 Aug 2022
11 Aug 2022
Identified lack of qualified Administrator; waiting for certification completion.
04 Aug 2022
04 Aug 2022
Found no deficiencies during an unannounced visit. Observed adequate food supplies, ongoing meal preparation, several staff assisting residents, an activities assistant engaging residents, hot running water, electricity, and ongoing flooring installation.
04 Aug 2022
04 Aug 2022
Identified no administrator on site during an unannounced visit; a resident care coordinator completed required training and awaited testing to become administrator. Exit interview conducted with the HR manager.
04 Aug 2022
04 Aug 2022
No deficiencies were cited during the visit.
28 Jul 2022
28 Jul 2022
Found privacy violation by staff filming a resident in the dining area, infringing residents' right to privacy.
§ 87468.1(a)
28 Jul 2022
28 Jul 2022
Found that a resident left the home and was not properly accounted for, with staff unaware of the departure until the next morning, despite sign-in/out procedures requiring notification of planned overnight absences.
28 Jul 2022
28 Jul 2022
Found no administrator present during an unannounced visit on July 28, 2022, and noted the allegation about administrator qualifications from June 15, 2022. The person in charge completed required training and was awaiting testing to become certified.
28 Jul 2022
28 Jul 2022
Confirmed deficiency in staff oversight for failing to properly account for a resident who left the facility overnight.
§ 87303
19 Jul 2022
19 Jul 2022
Found no administrator on site during the visit, and noted a prior citation for administrator qualifications from June 15. The resident care coordinator had completed required training and was awaiting a testing date to become certified as administrator, and an exit interview was conducted.
19 Jul 2022
19 Jul 2022
Found that medical attention for a resident was not sought in a timely manner, resulting in hospitalization; supervision for another resident was not provided as needed; and the incident was not reported.
19 Jul 2022
19 Jul 2022
Found no deficiencies during an unannounced health checks visit. Conducted an exit interview with the care coordinator and observed staff assisting residents, meals served in the dining areas, and functioning hot water and electricity.
13 Jul 2022
13 Jul 2022
Identified deficiencies included insufficient perishable foods in the kitchen, a dirty bottom of the fridge with dried meat blood and hair, and an extremely dirty staff break room.
19 Jul 2022
19 Jul 2022
Visited facility for health checks, no deficiencies cited during inspection.
13 Jul 2022
13 Jul 2022
Investigated the allegation that a resident's money was being held and tracked; found an envelope containing cash and a handwritten log showing about $600 unaccounted for from an initial $2,400, with $100.45 remaining.
§ 87216(a)(1)
§ 87218(3)(a)
13 Jul 2022
13 Jul 2022
Confirmed facility's improper handling and tracking of resident money, as well as missing funds from a resident's envelope.
07 Jul 2022
07 Jul 2022
Identified an unannounced case management—health checks visit at 11:00 a.m., during which a site vehicle was observed with a cracked windshield and expired tags from June 2022, and it was not in use due to the expiration. Deficiencies were noted.
07 Jul 2022
07 Jul 2022
Identified deficiencies with facility vehicle maintenance and registration during a routine visit.
§ 87208
29 Jun 2022
29 Jun 2022
Investigated two allegations: that nutritious meals were not provided and that a resident lost weight because they were not fed; both allegations found unsubstantiated.
29 Jun 2022
29 Jun 2022
Found an unannounced visit on June 29, 2022, with staff and residents present. Observed adequate food supplies, ongoing meal preparation, several staff assisting residents, renovations in the administrator’s office, and functioning hot water and electricity; no deficiencies identified.
29 Jun 2022
29 Jun 2022
Confirmed no deficiencies during the visit.
§ 1569.2(c)
§ 87465(a)(1)
§ 87211(a)(b)
23 Jun 2022
23 Jun 2022
Found no deficiencies during the visit. Observed sufficient food, adequate staffing, and working utilities in common areas.
23 Jun 2022
23 Jun 2022
No deficiencies cited during the visit.
§ 87303
§ 87555
15 Jun 2022
15 Jun 2022
Found that bills were not paid on time, including a DirectTV invoice of $650.23 past due and resulting in service disconnection. A resident reported not being able to watch TV.
15 Jun 2022
15 Jun 2022
Identified deficiencies in staff records, including missing 10 hours of initial training and First Aid/CPR certification for one staff member, and a missing educational certificate for another. The site administrator resigned by close of business.
§ 87411
§ 87405
§ 87412
§ 87411
15 Jun 2022
15 Jun 2022
Identified deficiencies in staff training and documentation during a recent visit. Administrator has resigned.
10 Jun 2022
10 Jun 2022
Identified the allegation that food services are inadequate; four resident interviews and photos showed inadequate meals.
10 Jun 2022
10 Jun 2022
Found no deficiencies during a health checks case management visit; observed adequate food supplies, sufficient staff, and caregivers assisting residents with medications and meals.
10 Jun 2022
10 Jun 2022
No deficiencies were found during the visit to the facility.
02 Jun 2022
02 Jun 2022
Identified a May 17, 2022 incident in which a resident’s feet blistered after being outside without shoes on hot pavement, and found an eight-inch hole in the back deck that was accessible to residents.
§ 87464
§ 87303
02 Jun 2022
02 Jun 2022
Observed deficiencies during the visit included a hole on the back deck accessible to residents and an incident involving a resident's blistered feet from the hot pavement.
§ 87205
§ 87312
15 May 2022
15 May 2022
Found no deficiencies during a case-management health check at the site; observed adequate staffing for the number of residents, residents engaged in activities, and functioning utilities.
15 May 2022
15 May 2022
LPA conducted a visit and found no deficiencies during the inspection.
10 May 2022
10 May 2022
Found no deficiencies after a case management health check; toured kitchen, pantry, bathrooms, resident rooms, and outdoor spaces, observed running warm water and electricity, a 7-day perishable food supply, and a 2-day non-perishable food supply, with residents in their rooms watching television.
10 May 2022
10 May 2022
No deficiencies were cited during the visit to the facility. Residents were observed in their rooms watching television and basic necessities like water and food supplies were in satisfactory condition.
§ 87205(a)
03 May 2022
03 May 2022
Identified ongoing concerns about care and supervision at the site due to reports of several incidents. Noted discussions about advance payments to the food distributor and hiring a consulting firm to oversee operations.
18 Apr 2022
18 Apr 2022
Identified deficiencies were cited for missing documents in several staff files. Observed care services being provided with stable staffing and adequate food supplies during an unannounced health-check visit, followed by an exit interview with the administrator.
03 May 2022
03 May 2022
Confirmed concerns with care and supervision, ongoing payment issues with the food vendor, and detailed plans requested for staff roles and resident behavior management.
02 May 2022
02 May 2022
Found kitchen staff properly handling food and a clean kitchen; identified expired canned items, an expired cake frosting, and unmarked bags with no dates, confirming the allegation that expired food was served.
§ 87555(a)
02 May 2022
02 May 2022
Confirmed receipt of an accusation to suspend or revoke the license during an unannounced case management visit and advised on reporting requirements. Outlined that notices must be provided to residents and their representatives and include ombudsman contact and license information, must be posted in a conspicuous location, and that penalties may apply for noncompliance.
Found safety and care concerns during an unannounced site visit, with 59 residents (2 on hospice), unclean bedrooms, broken bathroom cabinets, carpet with a urine odor, and locked medication storage. Noted adequate food supplies and functioning safety devices with disaster drills completed, but first aid kits were incomplete and vaccination records or exemptions for staff were not on file.
25 Apr 2022
25 Apr 2022
Identified an incident in which a resident was repeatedly attacked by another resident and deemed not safe, needing a higher level of care. The responsible party reported finding another facility to provide the needed care, but admission could not be held because the required paperwork was not submitted in time.
25 Apr 2022
25 Apr 2022
Found deficiencies in cleanliness, maintenance, staff documentation, and emergency preparedness during the inspection.
18 Apr 2022
18 Apr 2022
Identified vendor payment problems and oversight concerns; licensee and administrator discussed updating financial records and insurance documentation.
18 Apr 2022
18 Apr 2022
Identified deficiencies during the visit included missing documents in staff files. Staffing levels were observed to be sufficient, with care services being provided.
14 Apr 2022
14 Apr 2022
Identified an allegation that unpaid invoices prevented a food order from being placed, delaying a delivery from April 13 to April 15. Observed sufficient food supply, meals plated and served, a warm dessert, hot coffee and juice, with warm water and electricity available.
14 Apr 2022
14 Apr 2022
Cited deficiencies were observed during the visit, relating to issues with food supply and invoices.
12 Apr 2022
12 Apr 2022
Found that there was no compliant financial plan and identified ongoing financial concerns, including insufficient income to cover obligations, inadequate cash reserves, and food costs below USDA guidelines. Noted that quarterly financial reporting and supporting documentation were reviewed as part of the process.
12 Apr 2022
12 Apr 2022
Identified deficiencies in financial planning, budgeting, and food cost management were discussed in the meeting. Recommendations were made for the licensee to improve controls and cash reserves at the facility.
07 Apr 2022
07 Apr 2022
Arrived unannounced at 9:30 a.m. on April 7, 2022, to conduct a Case Management Health Check. Observed running warm water, electricity, a seven-day perishable and a two-day non-perishable food supply, residents in their rooms watching TV, and staff preparing lunch; no deficiencies cited.
07 Apr 2022
07 Apr 2022
Confirmed no deficiencies were cited during the visit.
§ 87405
§
§ 87465
§ 87303
17 Mar 2022
17 Mar 2022
Found an unannounced visit at 10:15 a.m. on March 17, 2022, with checks of the kitchen, pantry, bathrooms, resident rooms, and outdoor areas; observed running warm water, electricity, and 7-day perishable and 2-day non-perishable food supplies. Noted no deficiencies; exit interview completed with the administrator.
01 Apr 2022
01 Apr 2022
Found that residents were not given proper eviction notices and were reportedly evicted verbally, with no written notices provided, and that the administrator acknowledged verbally evicting two residents during an office meeting.
01 Apr 2022
01 Apr 2022
Confirmed allegations of illegal evictions due to lack of proper documentation for residents leaving.
30 Mar 2022
30 Mar 2022
Identified ongoing issues with delinquent bills and resident supervision, including residents not receiving medications and concerns about assessments, evictions, and management controls. The licensee reported an SBA loan would cover past due balances and bring payments current, and no deficiencies were cited.
30 Mar 2022
30 Mar 2022
Confirmed ongoing financial concerns and issues with resident supervision at the facility discussed in a recent meeting.
§ 87224(a)
22 Mar 2022
22 Mar 2022
Identified medication management deficiencies, including missing medications and incomplete logs for residents, and transportation planning gaps that affected medical appointments; noted unpaid invoices and an insurance cancellation for nonpayment.
§ 87464
§ 87208
§ 87205
22 Mar 2022
22 Mar 2022
Reviewed deficiencies in medication management, resident transportation for medical appointments, and outstanding invoices for food and insurance.
§ 87412
17 Mar 2022
17 Mar 2022
Confirmed no deficiencies and observed adequate food supply and essential services during visit.
§ 87468.2
14 Mar 2022
14 Mar 2022
Identified a February 18 incident in which one resident attacked another after the second resident entered the first resident's room, with staff stating the aggressor remains a personal rights risk to others. Staff also reported ongoing behaviors by the other resident—exposing himself, urinating openly, entering other residents' rooms, and taking food—and noted a cable service disruption that was resolved after payment.
14 Mar 2022
14 Mar 2022
Confirmed that residents were at risk due to multiple personal rights issues, including physical assaults and inappropriate behavior.
08 Feb 2022
08 Feb 2022
Found not enough food to meet regulatory requirements and unpaid payments to vendors, with delinquencies to the tax board and several suppliers; financial documents were requested.
08 Feb 2022
08 Feb 2022
Found that the 7-day non-perishable food supply was not met by the due date, despite having purchased additional food. It remained insufficient.
07 Feb 2022
07 Feb 2022
Identified insufficient food supplies in all storage areas and insufficient incontinent-care supplies for Large and Extra Large sizes during an unannounced visit, with observations of outside food storage and an additional cold storage, and noting residents including three on hospice.
08 Feb 2022
08 Feb 2022
Identified deficiencies related to food supplies not meeting requirements during the inspection.
§ 87205
07 Feb 2022
07 Feb 2022
Identified deficiencies in food supply and resident incontinent care supplies during the visit.
§ 87405
§ 87213
§ 87555
§ 87211
§ 1569.686
23 Dec 2021
23 Dec 2021
Investigated the allegation that medical care was not sought timely; records showed ongoing hospice care and a natural-death outcome.
Investigated the allegation that the death and incidents were not reported to licensing and the Ombudsman, and that supervision and staffing were inadequate; records and interviews indicated hospice care was in place and supervision and staffing did not contribute to the death.
23 Dec 2021
23 Dec 2021
Reviewed allegations of failing to seek timely medical care and lacking sufficient staff, both deemed unsubstantiated. Failed to report a death or incident properly, resulting in a substantiated allegation.
22 Nov 2021
22 Nov 2021
Identified medication administration lapses and incomplete admission records, including missing physician reports. Found missing needs and services plans, incomplete care plans, and no Covid testing for newly admitted residents.
09 Dec 2021
09 Dec 2021
Investigated the allegation identified in an amended complaint dated 09/03/2021 during an unannounced case management visit. No deficiencies were cited.
08 Dec 2021
08 Dec 2021
Identified that no deficiencies were cited during this visit. Noted a history of several complaints and past deficiencies across multiple areas.
09 Dec 2021
09 Dec 2021
No deficiencies were cited during the visit by the licensing program analyst.
§ 87555(b)(26)
§ 87307(a)(3)
08 Dec 2021
08 Dec 2021
Confirmed eight complaints and identified fourteen deficiencies in various areas during the Non-Compliance Conference.
§ 87468
22 Nov 2021
22 Nov 2021
Confirmed allegations included residents not receiving prescribed medications, incomplete resident files, improper appraisals, and lack of care plans upon admission. Staff were found to not be following COVID protocols.
14 Oct 2021
14 Oct 2021
Reviewed records and interviews at this site, found no evidence that staff provided wrong medications to residents; the billing complaint was not supported by information. No evidence that medications were not ordered timely, and the previous issue of staff speaking to residents inappropriately did not recur.
14 Oct 2021
14 Oct 2021
Found that staff did not prevent a resident from engaging in inappropriate behavior. Found that there was no plan in place to prevent such behavior.
14 Oct 2021
14 Oct 2021
Found that the allegation of inadequate supervision UNSUBSTANTIATED. Found that the allegations that a resident was inappropriately dressed, that an unsafe electrical cord was accessible, and that staff could not manage resident behaviors were UNSUBSTANTIATED.
14 Oct 2021
14 Oct 2021
Foundings include unsubstantiated allegations of staff providing wrong medications, unfounded claims of facility not paying bills, and unsubstantiated allegations of facility not ordering medications timely. One allegation of staff speaking inappropriately to residents was initially substantiated but is now deemed unsubstantiated after staff interviews.
§ 87205
§ 87202
13 Oct 2021
13 Oct 2021
Investigated complaints at the care site; the incontinence-care concern was supported, while concerns about safeguarding personal property and medication theft were not supported, and the past issue of staff speaking inappropriately to residents had been resolved by today. No deficiencies were observed today.
§ 87625(b)(3)
13 Oct 2021
13 Oct 2021
Confirmed allegations of inadequate incontinence care and inappropriate staff communication, while unsubstantiated claims of theft and lack of safeguarding personal property.
§ 87211(a)(1)
16 Sept 2021
16 Sept 2021
Found the allegation that staff spoke inappropriately to residents based on interviews with several staff members.
16 Sept 2021
16 Sept 2021
Confirmed staff speaking inappropriately to residents.
§ 87464
§ 87458(b)(1)
§ 87506(a)
§ 87467(a)(b)
§ 87458(a)
30 Jul 2021
30 Jul 2021
Found meals were prepared and served to residents, with dining hall service and trays delivered to rooms observed, and hygiene logs showed showers on a regular schedule; noted an elevator with damaged flooring and a strong odor of incontinence in hallways and some rooms. Allegations about meals and cleanliness were unsubstantial.
§ 87303(a)
30 Jul 2021
30 Jul 2021
Confirmed allegations of cleanliness and maintenance issues, but unsubstantiated claims of inadequate food and hygiene for residents.
§ 87705(a)
§ 87468(a)
21 Jul 2021
21 Jul 2021
Found that on 4/13/2021, a resident engaged in sexually aggressive behavior toward another resident who could not consent due to medical conditions. Revealed insufficient staffing to provide the required level of supervision.
§
§ 1569.72(a)
21 Jul 2021
21 Jul 2021
Found that one resident sexually assaulted another resident, and supervision was insufficient to prevent the incident. Moved a resident to a different room without notifying the responsible party.
21 Jul 2021
21 Jul 2021
Identified deficiencies in case management related to a serious incident involving two residents with medical conditions, where one resident exhibited sexually aggressive behavior due to a lack of appropriate supervision.
16 Jul 2021
16 Jul 2021
Found that a suspected elder abuse incident on 7/8/2021 was not reported to the local ombudsman and police, involving a resident who threatened staff, attempted to strike, and injured another resident, and a staff member who pushed a resident into a wall and a table lamp. Noted that the injured resident sustained a facial contusion and received first aid.
16 Jul 2021
16 Jul 2021
Confirmed deficiencies related to an incident where a staff member used physical force on a resident, resulting in injuries, and failed to report the incident to the necessary authorities.
08 Jul 2021
08 Jul 2021
Investigated an incident from July 3, 2021 that resulted in death. Records were reviewed and further investigation is needed.
08 Jul 2021
08 Jul 2021
Investigated incident resulting in death on July 3, 2021.
25 Jun 2021
25 Jun 2021
Identified deficiencies, including a malodorous odor on the second floor and an expired elevator permit.
25 Jun 2021
25 Jun 2021
Investigated two specific allegations; found the temperature remained within the 78 to 85 degree range, and that the resident’s weight loss was due to age and hospice status with a doctor-ordered pureed diet, not neglect.
25 Jun 2021
25 Jun 2021
Found deficiency's in the facility including expired elevator permit, malodorous odors, and high water temperature. Staff and resident files were reviewed and found to be in compliance with training requirements.
§ 87413(a)(2)
20 May 2021
20 May 2021
Found that the Physical Plant and Personal Rights allegations were unfounded and unsubstantiated; no deficiencies identified and no resident needs unmet. Noted minor wall cracks being addressed through maintenance, and a solar and battery system installed to provide power during outages.
20 May 2021
20 May 2021
Identified a high volume of complaints and concerns about resident care, supervision, record-keeping, and health condition notifications. Found that no deficiencies were cited during this visit.
20 May 2021
20 May 2021
Identified a personal rights concern where staff told residents not to use call lights while others were being assisted. Evidence did not establish that the alleged violation occurred.
20 May 2021
20 May 2021
Identified multiple issues and deficiencies requiring corrective action at the facility.
29 Apr 2021
29 Apr 2021
Found that a resident's room was not kept clean or in good repair, that the resident sustained a minor injury while in care from being left in urine and feces, and that the resident remained unkempt for an extended period.
§ 80072(a)(1)
06 May 2021
06 May 2021
Determined the allegation of Personal Rights and Financial Abuse to be unfounded; evidence showed prior notice of the individual’s inability to manage finances and confirmation from staff and the guardian overseeing the funds.
06 May 2021
06 May 2021
Investigated complaint of Personal Rights and Financial Abuse, allegations were unfounded and complaint was dismissed. No deficiencies noted.
29 Apr 2021
29 Apr 2021
Confirmed allegations of neglect and uncleanliness in resident's room and injuries sustained while in care.
§ 15630(b)(1)
§
30 Mar 2021
30 Mar 2021
Investigated three specific allegations—the resident fall, inadequate monitoring and supervision of residents with dementia, and stealing or falsifying medication records—and could not prove any of them.
01 Apr 2021
01 Apr 2021
Identified a deficiency that narcotic medications were administered to residents without the required witness signature, contrary to policy.
01 Apr 2021
01 Apr 2021
Identified deficiencies in medication administration practices were discussed during a tele-visit with the facility administrator.
30 Mar 2021
30 Mar 2021
Found no evidence to support allegations of resident falls, lack of supervision for residents with dementia, or medication theft/falsification.
§ 80087
16 Mar 2021
16 Mar 2021
Identified an incident in which a resident left the gated community without assistance and was located shortly after with no injuries. Noted the resident has dementia and cannot leave unassisted.
16 Mar 2021
16 Mar 2021
Confirmed deficiency related to a resident leaving the facility unsupervised.
12 Mar 2021
12 Mar 2021
Found that a resident returned from a skilled nursing facility with unstageable wound and stage 3 pressure injuries, and hospice care began on 5/20/2020. Appraisal/Needs and Services Plan dated 5/15/2020 directed hourly checks for restroom use, but staff reported checking every 2–3 hours, and deficiencies were cited.
§
§
§
12 Mar 2021
12 Mar 2021
Found that staff followed the resident's wound care plan based on interviews and documentation. Found that the resident was left in soiled clothes, without bed linens, and the room was not kept clean.
12 Mar 2021
12 Mar 2021
Investigated allegations of inadequate wound care and poor resident hygiene practices were substantiated during the recent inspection.
§ 87468.1
26 Feb 2021
26 Feb 2021
Investigated the allegation that meals were undercooked and food service was inadequate; interviews with residents and staff, a kitchen tour, and photo review could not substantiate the allegation, and no deficiencies were found.
26 Feb 2021
26 Feb 2021
Determined allegations regarding food services were not supported by sufficient evidence, with interviews and observations indicating no issues.
14 Jan 2021
14 Jan 2021
Identified ongoing concerns about COVID-19 testing for residents, with 40 not tested and no documentation of testing schedules for the remaining residents. Encountered transportation barriers and no available vehicle to transport residents to a testing site, conflicting with the approved plan that requires a vehicle to be available.
19 Feb 2021
19 Feb 2021
Found the neglect/lack of supervision allegation unsubstantiated after interviews with four staff and four residents, who reported residents may refuse showers but no pattern of skipping showers. Found the smoking indoors allegation unsubstantiated, as staff and residents denied indoor smoking and only a past incident involving a former resident was noted as addressed.
19 Feb 2021
19 Feb 2021
Allegations of staff neglecting residents' bathing schedules and allowing smoking inside were investigated. Interviews with staff and residents did not substantiate the allegations.
14 Jan 2021
14 Jan 2021
Identified deficiencies in response testing for COVID-19 among residents at the facility. Transportation barriers hindered completion of testing for remaining residents.
05 Jan 2021
05 Jan 2021
Found ongoing roof leaks and carpets that were stained and needed cleaning or replacement. Found no evidence that regular fire drills were conducted as required, and interviews corroborated these issues with photos documenting dirty carpets.
§ 87303(a)
§ 87705(l)(8)
§ 87303(a)
05 Jan 2021
05 Jan 2021
Confirmed allegations of leaks in the roof, stained carpets, and lack of regular fire drills at the facility.
§ 87211(a)(1)
§ 87464(d)
13 Nov 2020
13 Nov 2020
Found Neglect/Lack of Supervision allegation not supported. Residents denied being left in soiled clothing, and staff denied any such neglect, while changes in resident condition were documented and reported.
13 Nov 2020
13 Nov 2020
Investigated allegations of neglect and lack of supervision, but found insufficient evidence to prove residents were left in soiled clothing or that staff failed to notice changes in residents' conditions.
§ 87633(b)(4)
§ 873039(a)
§ 87307(a)(3)
§ 87625(b)(3)
15 Sept 2020
15 Sept 2020
Investigated the allegation that the resident did not have access to telephone calls and that there were no planned activities, and found no evidence to support either claim.
15 Sept 2020
15 Sept 2020
Interviews and records reviewed found that allegations of lack of phone access and insufficient activities for residents were unsubstantiated.
§
02 Jun 2020
02 Jun 2020
Investigated allegations of staff behavior and resident care, with some allegations substantiated and others unsubstantiated. Staff were found to handle residents roughly, but other claims - such as inadequate food services and hygiene care - were not supported by evidence.
§ 87705(c)(4)
28 Jan 2020
28 Jan 2020
Confirmed deficiency related to a resident leaving the facility without proper assistance.
13 Jan 2020
13 Jan 2020
Investigated incidents involving two residents, including a death that occurred after the paramedics arrived. No deficiencies were found during the visit.
§
§
26 Dec 2019
26 Dec 2019
Confirmed complaints of isolation, temperature control, lighting, food service, alert system, and laundry services were unsubstantiated after interviews and review of facility operations.
07 Nov 2019
07 Nov 2019
Inspection found deficiencies in the facility including issues with emergency preparedness, water temperature, and fire extinguisher servicing.
