1. Home
    2. Assisted Living
    3. California
    4. Lancaster

    Leisure Garden Senior Assisted Living

    44523 15th St W, Lancaster, CA, 93534
    2.4 · 5 reviews
    • Assisted living
    • Memory care
    For pricing and availability(510) 508-4507
    For the front desk(661) 941-4579
    AnonymousCurrent/former resident
    2.0

    Friendly staff but filthy rooms

    I found the staff friendly, the place welcoming and the food good, but communication was awful - long holds, no email replies, and they failed to notify my family about an emergency. Rooms smelled of cigarette smoke, weren't clean, and I saw signs of bed bugs and staff smoking marijuana and behaving inappropriately. I can't fully recommend it.

    Pricing

    Schedule a Tour

    Amenities

    2.40 · 5 reviews

    Overall rating

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

    • Care

      1.0

    • Staff

      2.3

    • Meals

      4.0

    • Amenities

      2.4

    • Value

      2.4

    Location

    Map showing location of Leisure Garden Senior Assisted Living

    About Leisure Garden Senior Assisted Living

    Leisure Garden Senior Assisted Living sits at 44523 15th Street West in Lancaster, California, and folks who need different levels of help find options here since the place has assisted living, memory care, independent living, and even skilled nursing for those who are frail or need more care, and with space for up to 157 residents, it's got a big community feel but rooms can be private, semi-private, or shared if that's what someone prefers, and it's all fully furnished with big patios and activity rooms where people can visit or join in on something. Licensed since late 2020, this facility focuses on supporting independence but always has staff around the clock to lend a hand with anything from bathing and dressing to medication and meals prepared by chefs who stick to simple, nutritious choices, while housekeeping and laundry are handled as part of the daily routine, so residents don't have to worry about daily chores if they don't want to. They offer help for people with Alzheimer's or other memory conditions and set up activity programs, group dining, and some recreation spaces meant to help folks stay engaged, active, and as independent as possible, and the staff, who are called helpful, joyful, and kind by others, try to create a warm and welcoming environment, though visitors sometimes mention the communication could be better, especially when it comes to getting updates or reaching staff quickly in urgent situations. Recent reports show there have been a few complaints and citations but nothing at the highest level, and the facility keeps its doors open to active, independent seniors as well as those needing more care, with safety measures, social programs, and care plans tailored for everyone's needs so that each person can find the right kind of support for their stage of life. Meals, medication help, laundry, and even dietary counseling come with the care here, and the facility aims to let older adults keep their dignity, have purpose, and enjoy retired life with company and support around them, even though working hours and some details about specific amenities aren't always spelled out.

    People often ask...

    State of California Inspection Reports

    161

    Inspections

    16

    Type A Citations

    32

    Type B Citations

    5

    Years of reports

    16 Jul 2025
    Found three residents relocated from a facility under a temporary suspension were safe during the visit, with neat rooms and personal belongings in place. No immediate health and safety issues were observed.
    • § 9058
    18 Jun 2025
    Investigated the allegation that hazardous items were not disposed of properly. Found staff reported proper disposal, observed sealed bags in outdoor trash barrels with lids kept closed, and noted no unsecured hazardous materials; there was insufficient information to confirm the allegation.
    21 May 2025
    Found insufficient evidence to confirm the claim that a resident was sexually assaulted by three staff members. Interviews and records did not corroborate the allegation, and no health or safety hazards were identified.
    02 Apr 2025
    Found no evidence to support the allegations that a resident did not receive a preplacement appraisal before admission, that the responsible party was not informed or did not sign the admissions agreement, that staff did not communicate with the responsible party about care, and that staff did not assist with obtaining medical care, based on review of records and interviews.
    01 Apr 2025
    Found evidence of a pest problem at the residence, including a live cockroach observed, with pest control hired to address it. Found insufficient evidence of staff neglect causing a pressure injury and insufficient evidence of mishandling a resident's personal belongings; hospital records showed a stage II pressure injury, but staff actions were not proven to cause it.
    • § 87303(a)
    12 Mar 2025
    Investigated two allegations about care for a resident with a restricted health condition. Found issues with the pre-admission appraisal and catheter status not being disclosed prior to admission, and found no evidence that catheter care was neglected after admission.
    • § 87457(c)(1)
    24 Jan 2025
    Investigated two specific allegations: catheter care for a resident with a clogged Foley and medication administration for residents. Verified by records and interviews that staff promptly addressed the catheter issue when it occurred and that residents received medications as prescribed.
    22 Jan 2025
    Investigated the allegation that staff refused to release medical documents after a consent form; found that all requested records were sent to the requester in a timely manner.
    15 Jan 2025
    Investigated findings identified the allegation that a resident was stuck in a toilet for four hours and admitted to the hospital as unfounded.
    17 Dec 2024
    Investigated three specific allegations: disrepair, unsafe environment for residents, and failure to adhere to dietary needs. Found elevators in good repair with no reports of anyone being trapped; residents felt safe and windows had screens; dietary restrictions were posted and meals were prepared to accommodate modified diets.
    03 Dec 2024
    Verified closure took effect on 12/3/2024 after the last resident moved on 11/15/23, leaving the place empty and all rooms vacant. Reported that the administrator was no longer interested in operating.
    25 Nov 2024
    Identified that a small fire started in a resident's room on 10/20/2024, required 911/fire department response, and was not reported to licensing the next working day, with a self-report dated 10/25/2024.
    25 Nov 2024
    Found that one of two second-floor exit doors was locked with a keypad, blocking egress and aligning with the allegation that passageways were obstructed. Interviews and records described a small fire, a resident was hospitalized, alarms sounded, and residents evacuated.
    • § 87307(d)(6)
    02 Nov 2024
    Found no deficiencies during the annual visit; safety systems, resident and staff records, and living areas were in order and properly maintained.
    11 Oct 2024
    Found residents received their monthly personal and incidental funds, with records and interviews indicating funds were provided regularly. Found no evidence of bed bugs after room inspections, with extermination reports showing spraying from May to September 2024 and residents reporting daily cleaning and no urine odors.
    25 Sept 2024
    Investigated three complaints and found that a missed medical appointment occurred because the transportation driver was unavailable. The other two complaints—about not notifying the authorized representative of hospitalization and about staff not cleaning resident rooms—were not supported.
    • § 87464(f)(6)
    27 Aug 2024
    Identified that staff did not ensure a safe environment for a resident. Records and interviews described wandering into other residents’ rooms, yelling in hallways, and a resident being grabbed by another, with no documented actions after these incidents.
    • § 87468.1(a)(1)
    • § 87466
    14 Aug 2024
    Found that the allegation that staff did not release a resident’s medical records despite a signed release form was not supported; interviews showed the resident could authorize disclosure to a designated person and the administrator was aware of the current release request.
    18 Jul 2024
    Found one elevator not working during an unannounced visit; co-administrator notified; a deficiency cited.
    18 Jul 2024
    Identified a non-functioning elevator during a visit, prompting a regulatory citation based on observed deficiencies related to safety standards.
    • § 87303(a)
    11 Jul 2024
    Found no evidence to support the allegation that a resident was raped by another resident; found no evidence that hygiene needs were unmet; found no evidence that basic laundry services were neglected; found no evidence that a resident's hair was cut against their will; found no evidence of pests or disrepair; found no evidence that clean eating utensils were lacking. Overall, findings did not corroborate these allegations.
    11 Jul 2024
    Investigated allegations including resident rape, poor hygiene, inadequate laundry services, forced head shaving, pest infestation, facility disrepair, and reuse of utensils, and found no evidence to support any of these claims.
    03 Jul 2024
    Investigated three allegations: insulin not refilled timely, insulin not dispensed as prescribed, and residents smoking in non-smoking areas. Found insufficient information to verify any of the allegations; staff and residents reported medications were dispensed or self-administered as prescribed, and no smoking was observed.
    03 Jul 2024
    Investigated allegations that staff did not refill resident’s insulin timely, did not dispense medication as prescribed, and allowed residents to smoke in non-smoking areas; found insufficient evidence to confirm any of these claims.
    19 Jun 2024
    Found Allegation 1 that staff did not notify the responsible party of the resident's death, noting that attempts were made to reach the family promptly but the family member delayed responding after the death due to confusion. Found Allegation 2 that staff refused to provide the resident's personal belongings to the responsible party, with belongings stored for over two years and not picked up despite the family being informed they were available.
    19 Jun 2024
    Investigated whether responsible parties were notified of a resident's death and if personal belongings were returned; confirmed that family was contacted late due to confusion and belongings remained stored after attempts to arrange pickup.
    11 Jun 2024
    Investigated allegations that staff did not seek medical care for a resident and that the licensee refused to release medical documents after a medical consent form; found no evidence to support either claim.
    11 Jun 2024
    Investigated the allegation that staff did not seek medical care for a resident with a brain condition, and found staff consistently assisted with medical appointments and follow-ups. Also reviewed the claim that the licensee refused to release medical documents after a consent form was submitted, and determined that the facility did not release any documents without valid consent.
    29 May 2024
    Found that a resident's cognitive ability declined and a change in condition indicated a need for a higher level of care, corroborated by an RN involved in placement. Records showed a physician's report from 2021 and an appraisal without a date or current health/behavior information.
    29 May 2024
    Reviewed resident records and interviews revealed that the resident’s cognitive ability had declined, and a recent assessment indicated they required a higher level of care, but their current appraisal lacked updated health and behavioral information.
    • § 87705(c)(5)
    08 May 2024
    Found no evidence of mismanagement of residents' money; all receipts, funds, and signatures were accounted for and residents reported no concerns. Found medication refills and administration were accurate and timely; smoking occurred only in designated outdoor areas with staff enforcement; elevators were functional and last inspected; the site was clean and sanitized; and room temperatures remained within the allowed range.
    08 May 2024
    Investigated multiple allegations including mismanagement of residents’ money, delayed medication refills, improper smoking enforcement, elevator disrepair, unsatisfactory cleanliness, and uncomfortable temperatures, with findings indicating no violations or concerns in these areas.
    04 May 2024
    Found no deficiencies after an annual required visit. Safety systems were in place and functional, living areas and bedrooms were well maintained, medications secured, and resident and staff records current.
    04 May 2024
    Found all safety, sanitation, and maintenance requirements met, including functional alarms, fire safety systems, proper storage of toxins and medications, and adequate living and common areas, with no deficiencies observed during the inspection.
    03 May 2024
    Found that on 12/06/2022 a resident eloped after staff found an exit door open and the resident not present. A sheriff missing-person report was filed with authorities, and the resident’s physician’s report indicates the resident must be accompanied by staff if leaving.
    • § 87468.1(a)(2)
    03 May 2024
    Identified bed bugs in five residents’ rooms, including in residents’ beds, after inspections; these findings support the allegation that staff do not keep the home free of bed bugs.
    03 May 2024
    Found multiple residents' rooms with bed bugs despite spraying efforts, confirming the allegation that staff do not ensure the facility is free from bed bugs.
    • § 87303(a)
    24 Apr 2024
    Found that the allegation that staff did not respond to communications from the resident's representative in a timely manner remained unsubstantiated.
    15 Apr 2024
    Investigated the allegation that a staff member inappropriately touched a resident during showers; interviews with residents and staff and a records review did not yield enough evidence to prove or disprove the incident, leaving the matter unresolved at this time.
    15 Apr 2024
    Investigated the allegation that staff inappropriately touched a resident during bathing; interviews and record reviews indicated no evidence to support the claim.
    12 Apr 2024
    Investigated an allegation that a resident died on 4/09/2024 at 6:20 am. Reviewed the resident's file, interviewed a resident and a staff member, planned additional staff interviews, and conducted an exit interview.
    12 Apr 2024
    Reviewed a death report and incident documentation related to a resident’s passing on the morning of April 9, 2024; conducted interviews and will follow up with additional staff.
    15 Sept 2023
    Found that residents were allowed to leave the premises and staff did not refuse to accompany them when they chose to leave. Found that medications were refilled in a timely manner and available, that staff promptly arranged medical appointments and escorted residents to the hospital when needed, and that residents received their mail in a timely fashion.
    13 Mar 2024
    Found that no residents were present during the visit and all observed rooms, including three bedrooms and an extra room, were empty, though the administrator stated residents still reside there. Found no deficiencies to report and noted that an exit interview was conducted.
    13 Mar 2024
    Confirmed that there were no residents living in the facility at the time of the visit, with all resident rooms and the extra room found to be empty, and noted the administrator's consideration of selling the business, which has not yet progressed.
    08 Mar 2024
    Identified several physical deficiencies in resident rooms, including a toilet that did not work in room 210, damaged bathroom flooring around door frames in rooms 210 and 209, a broken dresser in room 209, closet doors off the track in rooms 210 and 218, a ripped window screen in room 225, and missing evacuation chairs on the second floor. Ten residents were interviewed, and an exit interview was conducted with appeal rights explained.
    08 Mar 2024
    Identified multiple physical plant issues, including broken and damaged fixtures, flooring, screens, and missing evacuation chairs, during a visit in conjunction with a complaint.
    • § 87303(a)
    • § 1569.695(f)(1)
    01 Mar 2024
    Investigated bed bug bites allegation, found insufficient evidence to support that bed bugs were present or observed by staff. Found staff failed to seek timely medical attention for a resident with concerning symptoms.
    01 Mar 2024
    Identified the allegation that staff did not safeguard residents’ belongings and that clothing was not returned after laundry.
    • § 87217(b)
    01 Mar 2024
    Investigated whether staff failed to notice bed bug bites on a resident and improperly delayed seeking medical attention for another resident experiencing significant health issues; findings indicated insufficient evidence regarding the bed bug bites but confirmed that staff did not promptly address the resident's medical needs.
    • § 87466
    • § 87465(g)
    08 Feb 2024
    Found that staff removed the entire diaper during changes rather than just replacing inserts, according to interviews with residents and caregivers. Found that neglect and inadequate management of contractures and repositioning contributed to multiple pressure injuries, supported by medical and hospice records, and an immediate civil penalty of $500 was issued.
    08 Feb 2024
    Investigation determined that staff properly changed residents' incontinence products but contributed to a resident’s pressure injuries by inadequately addressing their contractures and failing to ensure proper repositioning and care. An immediate civil penalty was issued for staff negligence.
    • § 87615(a)(1)
    10 Jan 2024
    Identified that a resident was hospitalized with a right-hand injury reportedly from an altercation with another resident; staff said the administrator was notified but a special incident report was not submitted, and the administrator confirmed no such report had been filed. Deficiencies were issued and a civil penalty assessed, with an exit interview and appeal rights provided.
    10 Jan 2024
    Investigated allegation that one resident repeatedly hit another on the head. Interviews and record reviews did not yield witnesses or medical evidence to confirm the incident, and the involved resident had moved out.
    10 Jan 2024
    Reviewed records and interviews revealed a resident sustained a hand injury from an altercation, but the administrator did not submit a required incident report to the department.
    • § 87211(a)(1)
    03 Jan 2024
    Conducted an unannounced visit, met with the Administrator, and requested a resident's documentation. Received the resident's Admissions Agreement and was told the remaining documents would be emailed by Friday, 1/05/2023; exit interview conducted.
    03 Jan 2024
    Reviewed a request for a resident’s admissions documentation and received a copy of the Admissions Agreement, with the remaining documents to be emailed by a specified date.
    20 Dec 2023
    Found that fire alarm testing records were maintained, that second-floor mid-hallway doors were removed, and that the license sign was displayed.
    20 Dec 2023
    Confirmed that the facility completed required fire alarm testing and maintenance, and observed that certain doors were removed while the inspection/license sign was properly displayed.
    21 Nov 2023
    Investigated allegation #1 that staff did not allow a resident to have visitors and found it unsubstantiated; residents were allowed visitors. Investigated allegation #2 that staff listened in on residents' private phone conversations and found it unsubstantiated; residents reported privacy when using the community phones.
    21 Nov 2023
    Investigated whether staff allowed residents to have visitors and whether staff listened in on personal phone calls; found residents had visitation rights and privacy during calls.
    03 Nov 2023
    Identified that residents were not given written notices about room changes, observed floor disrepair with gaps and cracks, and noted unsanitary laundry practices such as clean linen carts tied with trash bags and towels on the floor.
    03 Nov 2023
    Identified that residents were not given written notices of room changes, flooring was in poor condition due to improper installation, and laundry practices were unsanitary, including linens on the floor and trash bag-tied carts.
    • § 87468.2(a)(16)
    • § 87303(a)
    • § 87303(a)
    27 Oct 2023
    Investigated hazardous equipment left accessible to residents, noting propane tanks used for bedbug treatment were locked in the maintenance room. Found a locked second-floor egress door without fire clearance, and observed unsafe shower conditions and shared bathing items, including a single loofah used by multiple residents, reused towels, an open trash can, and an unclean shower floor without a nonskid mat.
    27 Oct 2023
    Identified a deficiency after observing unattended cleaning chemicals in a hallway cart in the memory care unit and a housekeeper cleaning in a resident's room without a line of sight to those chemicals.
    • § 87705(f)(2)
    27 Oct 2023
    Identified the allegation that insufficient staffing resulted in residents' hygiene needs not being met. Observed only one staff member on duty in the memory care unit with 25 residents, requiring another staff member to be called for assistance and causing delays in bathing and incontinent care.
    • § 87411(a)
    27 Oct 2023
    Reviewed, used propane tanks for bedbug treatment stored securely; identified lack of fire clearance for recently installed egress door; observed shared bathing implements, unclean conditions, and inadequate safety measures.
    • § 87309(a)
    • § 87307(a)(3)
    • § 87705(k)(2)
    10 Oct 2023
    Found no evidence to support the claim that resident belongings were not safeguarded; interviews indicated residents routinely locked their doors and kept items secure. Found no evidence that staff withheld residents' personal and incidental funds or that bullying occurred; ledgers showed funds were provided twice monthly and residents reported no abuse.
    10 Oct 2023
    Investigated allegations that residents’ belongings were not protected, staff withheld personal funds, and residents were unsafe due to bullying; found no evidence to support any of these claims.
    15 Sept 2023
    Identified missing floor panels in the north hallway, leaving uneven flooring and hazards. Found a missing toilet tank top in the public bathroom and a water leak in the kitchen near the industrial dishwasher causing a puddle.
    15 Sept 2023
    Found hazards at the facility, including missing flooring panels that created an uneven and unsafe walking surface, a missing toilet tank top in the public bathroom, and a water leak in the kitchen that staff could not stop.
    • § 87303(a)
    26 Apr 2023
    Investigated three allegations: that a resident did not receive prescribed medications, that medication logs were falsified, and that residents did not receive adequate care. Found that prescription changes were sent directly to the pharmacy, no falsification of medication logs was observed in reviewed records, and residents interviewed reported receiving adequate care.
    26 Apr 2023
    Investigated the allegation that residents did not receive medications as prescribed, falsified medication logs, and were not provided adequate care; findings showed no evidence supporting these claims.
    09 Mar 2023
    Conducted an unannounced visit on 3/09/2023, reviewed twenty-four residents under 60 and found fifteen files’ care needs compatible with others receiving similar supervision, while eight additional files lacked the required physician documentation. A deficiency was noted; exit interview conducted with the administrator and appeal rights explained.
    09 Mar 2023
    Reviewed resident files and found that residents under age 60 had care needs compatible with others; identified missing physician reports for some residents, leading to a regulatory deficiency.
    • § 87458
    22 Feb 2023
    Found that a resident shoved another, leading to hospital admission and a police report, with no incident report submitted. Observed insufficient food supplies—nonperishables for at least one week and perishables for at least two days—and a drooping ceiling tile with a water spot; maintenance was notified.
    22 Feb 2023
    Investigated an incident where a resident was hospitalized after being shoved, and identified issues with incomplete food supplies and a ceiling leak in a resident room.
    • § 87555(b)(26)
    • § 87211(a)(1)
    • § 87303(a)
    30 Dec 2022
    Investigated the allegation that the resident could leave unassisted and that hygiene needs were not being met. Findings showed the resident signed out on 11/18/2022, and staff stated the resident can bathe and dress themselves, though the resident often refuses showers and changing clothes.
    30 Dec 2022
    Confirmed that the resident left the facility by signing out and that staff encouraged hygiene but the resident refused to bathe or change clothes frequently; no safety or hygiene issues were observed during the visit.
    01 Dec 2022
    Identified the allegation that the supplier did not deliver the full amount of food that was ordered last week.
    01 Dec 2022
    Investigated a complaint about food supply issues, confirmed that the facility did not receive the ordered amount from the supplier, and cited a deficiency for failing to meet regulation standards.
    • § 87555
    16 Dec 2021
    Found no evidence that staff over medicated a resident, failed to treat residents with dignity, allowed a resident’s room to have an odor, prevented a resident from leaving, or blocked access to personal items.
    17 Nov 2022
    Identified a bed bug in a resident’s bed, validating the resident’s report. Noted ample PPE and hygiene supplies, food preparation for the noon meal, staff wearing masks, and standard room amenities with a locked medication room.
    17 Nov 2022
    Found that a resident refused help with daily needs, including showering and taking medications, and refused medical assistance. Reviewed the resident's file and conducted a site tour; no health or safety issues were observed; the family and physician were notified.
    17 Nov 2022
    Reviewed conditions at the facility, including food preparation, supply inventories, medication storage, and resident accommodations, and identified a bed bug in one resident’s bed.
    • § 87303
    04 Nov 2022
    Found no health or safety concerns after an unannounced visit to check on the resident. Interviews with the resident and the administrator indicated the resident was doing fine.
    04 Nov 2022
    Confirmed that Resident #1 was observed to be doing well and safe during an unannounced visit, with no health or safety concerns noted.
    20 Oct 2022
    Found that during an unannounced visit no health or safety issues were observed. Staff and administrators said residents are reminded to keep doors locked, and a resident reported a door was not locked but reminders continued; the claim of withholding PNI funds was not supported, with earlier evidence indicating the resident received PNI money.
    20 Oct 2022
    Found that the allegation that medical attention was not sought promptly was not supported, based on staff and resident accounts that timely actions were taken when needed. Found that the allegations that the resident had lice and that hygiene needs were not being met were not supported.
    20 Oct 2022
    Investigated allegations that staff did not ensure a safe environment for a resident and that PNI funds were being withheld; no safety issues were observed, and the resident confirmed receipt of PNI funds.
    15 Sept 2022
    Found that the resident consented to hospice services, and the allegation that unnecessary services were requested without need was not supported by the evidence.
    15 Sept 2022
    Reviewed resident’s documentation and found that the resident consented to hospice services, indicating the allegation that residents were signed up for unnecessary services was unsubstantiated.
    17 Aug 2022
    Found that the allegation that staff did not clean resident R1's bed sore on the left thigh daily was not supported; R1 does not have a wound on the left thigh, and hospice nurses visit twice weekly with additional nurses available daily if needed.
    17 Aug 2022
    Reviewed records and interviewed staff confirmed that staff did not neglect cleaning a bed sore because the resident did not have a staged wound on their thigh.
    28 Jul 2022
    Identified the allegation that three caregivers in the dining hall and two staff members on the first-floor hallway did not wear masks.
    28 Jul 2022
    Found that staff members were not consistently wearing masks in common areas during a visit.
    • § 87470(b)(2)
    • §
    14 Jul 2022
    Found that the allegation that staff prevented the resident from contacting their physician was not supported, as the resident had not requested staff assistance to speak with the physician. Found that the allegation that staff refused the resident's PRN medication was not supported by medication records or staff interviews, which showed the medication was administered.
    14 Jul 2022
    Investigated whether staff prevented a resident from contacting their physician or receiving medication; found no evidence to support either allegation.
    07 Jul 2022
    Determined the allegation that the resident's authorized representative was not notified of the move was not supported after reviewing records and interviewing staff.
    07 Jul 2022
    Found insufficient evidence to support the allegation that a resident sustained severe pressure injuries while in care and the allegation that the resident sustained multiple bruises while in care.
    11 Jul 2022
    Identified an incident in which a resident slammed a door on another resident’s hand, causing an injury; interviews with staff and the involved resident, plus a witness statement, were conducted, law enforcement responded, and the case was forwarded for follow-up.
    11 Jul 2022
    Found that the allegation that a resident's mail was being withheld by staff was unsubstantiated after interviews indicated timely receipt of three packages mailed on 7/3/22, arriving on 7/6 and 7/7/22. A brief tour revealed no immediate health or safety issues and staff were unaware of any mail problems.
    11 Jul 2022
    Investigated an incident where a resident reportedly slammed a door on another resident’s hand, causing an injury, including interviews, witness statements, and law enforcement involvement.
    07 Jul 2022
    Reviewed the complaint about whether the facility notified the resident's authorized representative of the resident’s move, and found that documentation confirmed proper communication and authorization from the conservator and physicians regarding the move.
    22 Jun 2022
    Identified that some designated room keys could open other residents' rooms, indicating copies of the master key and raising concerns about safeguarding residents' personal belongings. Also noted that a resident used an insurance card to access another resident's room, and that metal security shields were purchased to prevent unauthorized entry.
    22 Jun 2022
    Investigated concerns that residents' room keys could open other rooms, found some keys were copies of master keys, and concluded that residents' belongings or rooms may have been at risk.
    • § 87307(d)(2)
    13 Jun 2022
    Found no open wounds on the resident; both the resident and staff stated there were no wounds. Found that medical care was provided for a previously reported infection, with the physician contacted and antibiotics given, and needed medications and supplies supplied.
    13 Jun 2022
    Investigated allegations that a resident sustained wounds and did not receive medical attention; found no evidence of wounds or neglect based on resident and staff interviews and record reviews.
    08 Jun 2022
    Investigated a complaint about over-medicating a resident with an over-the-counter medication and about disrespect by a staff member; found no evidence to support either allegation. The dose followed the label and was disposed when refused, and interviews indicated no disrespect.
    08 Jun 2022
    Investigated allegations that staff over-medicated a resident and were disrespectful; findings showed medication doses were appropriate and the staff member was not disrespectful.
    06 Jun 2022
    Identified the allegation that four staff members were not wearing masks during a tour, and that masks were required for all staff.
    06 Jun 2022
    Found no immediate health and safety issues during the site tour. Reviewed resident records and requested copies; further investigation needed.
    06 Jun 2022
    Found that during a visit, four staff members were not wearing masks despite requirements, leading to the issuance of a deficiency notice.
    • §
    09 May 2022
    Investigated two specific allegations: that staff did not ensure residents' toileting needs were met and that a resident was malodourous. Through interviews with three staff and ten residents and a brief tour, no evidence supported either concern, with residents reporting timely incontinent care and no malodour.
    09 May 2022
    Investigated allegations that staff did not meet resident toileting needs and that a resident was malodorous; found no evidence to support these claims based on staff and resident interviews and observations.
    06 Apr 2022
    Identified that a resident wandered away from the home early on April 1, 2022, with the exit door near Room 137 not fully secured and staff not reporting the incident promptly. The resident returned at 11:00 am, while the medical record states the resident cannot leave unassisted.
    06 Apr 2022
    Investigated an incident where a resident who was not capable of leaving unassisted wandered away from the facility between 5:00 am and 7:00 am after setting off a fire alarm; staff failed to report the alarm or secure the exit door properly.
    • § 87468.2(a)(4)
    30 Mar 2022
    Determined eviction allegation unsubstantiated after interviews and review of statements and records. Determined threats allegation unsubstantiated after reviewing staff actions and communications about locating a skilled nursing facility.
    30 Mar 2022
    Investigated allegations that a resident was being illegally evicted and threatened; found no evidence of eviction threats or improper actions, with staff assisting the resident in seeking appropriate placement options.
    14 Mar 2022
    Found no evidence of bed bugs after inspecting twenty-two rooms, checking beds and baseboard areas, and speaking with eight residents who reported treatments and no sightings for over a month. Found no scabies diagnosis or treatment; administrator stated there was no scabies diagnosed after a telemedicine visit, and pharmacy confirmed no prescription for scabies.
    14 Mar 2022
    Investigated a complaint about residents potentially having scabies and a facility-wide bed bug problem; found no evidence of bed bugs or scabies in residents.
    10 Mar 2022
    Found that the allegation that caregivers did not provide proper care for a resident lacked supporting evidence after reviewing caregiver accounts and records. Found that medication-related claims were explained by records showing the morphine was administered and the prescription was refilled, and that the bed-change claim did not align with other caregivers' statements that bedding is regularly changed.
    10 Mar 2022
    Investigated whether caregivers properly changed resident's bedding and administered medication; findings showed that bedding was changed as needed and medication was provided as prescribed.
    09 Mar 2022
    Found that staff lacked knowledge of infectious disease prevention measures and that a resident's medication was left in a disposable cup in the resident's room.
    09 Mar 2022
    Found that staff lacked proper infectious disease prevention knowledge and left medication in a disposable cup in a resident’s room.
    • § 87470(2)
    • § 87465(h)2
    07 Mar 2022
    Found two deficiencies cleared after securing storage areas: the cabinet under the kitchen sink and a kitchen drawer containing knives were locked, and the bathroom cabinet with cleaning supplies was kept locked.
    07 Mar 2022
    Confirmed that locks were installed on kitchen and bathroom cabinets to secure cleaning supplies and knives, and that these safety measures were properly in place during the visit.
    23 Feb 2022
    Identified two deficiencies: cleaning products and knives were not secured in the kitchen, and the backyard gate was left unlocked with a caregiver's husband present; medications were kept locked in the kitchen area.
    23 Feb 2022
    Found issues with unlocked cleaning products and knives in the kitchen and bathroom, and the backyard gate was not locked during the visit.
    • §
    • §
    16 Dec 2021
    Investigated the diapering concerns and found several residents waited long for diaper changes, with some waiting more than 30 minutes and one waiting over two hours. Investigated the bed sore and bed bug allegations; observed the wound dressing on a resident to be proper and found no bed bugs after checks.
    • § 87411(a)
    16 Dec 2021
    Found that staff correctly managed resident medication without overmedication, treated residents with dignity, properly cleaned rooms, allowed residents to leave as indicated, and did not restrict access to personal items.
    08 Dec 2021
    Found no evidence that the resident was prevented from receiving medical treatment; four staff members stated the resident did not leave a note or inform staff about needing assistance.
    08 Dec 2021
    Investigated a complaint that a resident was prevented from getting medical treatment when a caregiver did not assist despite a note requesting help to leave the building; interviews with staff and the resident indicated no staff were informed or had seen the note.
    12 Nov 2021
    Investigated allegations that staff did not notify the authorized representative of a resident's death, that residents lacked toilet paper, and that personal belongings were not returned to the authorized representative. Found that the death notification allegation was not supported, toilet paper needs were met promptly, and personal belongings were securely stored and available for pickup.
    12 Nov 2021
    Identified an initial deficiency due to lack of paper towels in seven resident bathrooms; later, all eleven bathrooms checked had towels and three large boxes of paper towels were available in storage, with no additional deficiencies reported.
    12 Nov 2021
    Confirmed that the facility had no paper towels in the bathrooms during an earlier visit, but supplies were replenished during a follow-up check, and the deficiency was addressed.
    04 Nov 2021
    Identified a shortage of paper towels in multiple bathrooms and resident rooms, with staff indicating restocking is handled by kitchen staff; a citation was issued. Observed PPE and hygiene supplies secured in locked areas.
    04 Nov 2021
    Found that the facility maintained hygiene supplies and food service properly, though it had a shortage of paper towels in bathrooms and resident rooms. The inspection highlighted compliance with health and safety standards, with some areas identified for improvement.
    • § 87307
    27 Aug 2021
    Identified bed bugs in a resident's bed and confirmed a resident reported bug bites; administrator was notified.
    27 Aug 2021
    Found no evidence to support the allegation that two residents argued, grabbed chairs, and threatened one another. Nine residents and four staff reported they never witnessed the incident, and one resident recalled a possible occurrence about five months ago but could not remember.
    27 Aug 2021
    Identified that no threats against residents were reported by anyone, but residents described times when food ran short and the menu was not posted. Found that residents said the temperature was comfortable, dietary needs were followed, and water was available.
    • § 87555(a)
    • § 87555(b)(6)
    27 Aug 2021
    Confirmed resident had bug bites and bed bugs were observed in the bed during the visit. Contact was made with the administrator, who planned to fumigate the room and replace the mattress.
    • § 87303
    29 Jul 2021
    Found the bruising on the resident’s chest and neck most likely resulted from IV attempts, leukemia, and blood thinners, not from staff actions or a fall. Found no evidence of abuse or neglect by staff; injuries were consistent with medical treatment and the resident’s illness.
    29 Jul 2021
    Found no evidence to support the allegation that staff did not assist with transporting the resident from the hospital; a wheelchair was provided within 15 to 20 minutes and taken to the front entrance.
    29 Jul 2021
    Investigated the allegation that staff did not assist a resident with transportation from the hospital; interviews indicated a wheelchair was provided within 15 to 20 minutes as requested.
    27 Jul 2021
    Investigated rape allegation involving a resident who called 911; paramedics and police responded; the resident went to the hospital and returned the same day. Interviewed the resident and reviewed medication records; observed staff cleaning, wearing masks, preparing the evening meal, and bathrooms stocked with soap and wash-your-hands signs during a tour of the site.
    27 Jul 2021
    Reviewed an incident involving a resident who called 911 reporting being raped multiple times, resulting in hospital transport and police involvement; also conducted a tour of the facility and observed staff cleaning and residents engaged in activities.
    21 Jul 2021
    Found two residents were reported AWOL and were located after staff followed missing-person procedures and performed room checks. Identified a prior incident where a resident had a metal hanger around the neck, hanger removed, and the resident was taken to hospital.
    21 Jul 2021
    Reviewed incident reports revealed residents were found to be AWOL at times, with procedures in place for thorough checks and emergency responses; an incident involving a resident with a hanger around their neck was addressed, leading to hospital treatment and planned ongoing monitoring.
    12 Jul 2021
    Found that the resident was removed from hospice services without notice and that the hospital bed and disposable catheter bag were removed; staff provided an alternative bed the same day after contacting other health services.
    12 Jul 2021
    Investigated the allegation that resident was removed from hospice services and his disposable catheter bag was taken without notice, as well as the claim that the resident was not provided a bed after his hospital bed was removed; found that the resident was discharged from hospice without proper notice and was given a different bed promptly, with no health and safety issues observed during the visit.
    06 May 2021
    Investigated a complaint that a resident sustained bruising and injuries while in care. Found the bruising most likely resulted from IV attempts and the resident's leukemia with blood thinners, with no evidence that staff harmed the resident or that a fall occurred.
    06 May 2021
    Reviewed evidence indicating the resident’s bruising was likely caused by medical treatments and underlying health conditions, rather than abuse or neglect.
    19 Feb 2021
    Investigated incidents where a resident grabbed another resident by the hair and pulled them into the hallway, then cursed and kicked at the entrance, breaking glass at a side door; the sheriff was called and the resident was removed. Found that an eviction letter had been issued previously and that deficiencies were observed and cited.
    19 Feb 2021
    Investigated incidents involving a resident who caused disturbances and injuries, leading to multiple sheriff calls and an eviction notice, with deficiencies observed during the review.
    • § 87224(a)
    03 Nov 2020
    Found that the residence’s physical plant met licensing requirements after telephonic and virtual review, including verification of COVID-19 signs and emergency procedures. Component 3 was completed virtually on 10/30/2020.
    03 Nov 2020
    Reviewed the physical plant and COVID-19 safety measures following a change of ownership, confirming compliance with licensing standards during a telephonic inspection.
    06 Jul 2020
    Found that the allegation of a staff member yelling at a resident was unsubstantiated after interviews with a resident, the administrator, staff, and a family member. Found that the allegation of failing to follow the resident’s advanced directives and CPR decisions was unsubstantiated after interviews with staff, the administrator, and the resident’s family member.
    21 Aug 2020
    Found multiple safety and sanitation deficiencies, including damaged mattresses with stains, missing sheets, and poor lighting in several bedrooms, and a nonfunctional emergency alert system. Identified cluttered storage areas and rooms being used for storage, reducing capacity.
    21 Aug 2020
    Reviewed the inspection of a senior residential care setting, noting both operational strengths such as fire safety measures and sanitation practices, and deficiencies including outdated furniture, non-functional emergency systems, and unsafe mattress conditions.
    06 Jul 2020
    Investigation determined that staff members did not yell at residents or fail to follow resident’s advanced directives regarding CPR, based on interviews with staff, residents, and family members.

    Nearby Communities

    • Photo of Ivy Park At Burbank
      $4,375 – $9,895+4.1 (37)
      Semi-private • Studio • 1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      Ivy Park At Burbank

      2721 Willow Street, Burbank, CA, 91505
    • Exterior view of Aegis Living Granada Hills facility with a beige stucco building featuring red tile roofing, surrounded by palm trees and other greenery under a clear blue sky. A sign in front displays the facility name and address.
      $5,460 – $6,450+4.7 (9)
      Studio • 1 Bedroom
      assisted living, memory care

      Aegis Living Granada Hills

      10801 Lindley Avenue, Granada Hills, CA, 91344
    • Entrance of The Gardens at Park Balboa facility with double glass doors, potted plants on either side, outdoor wall lanterns, and surrounding greenery including palm trees and bushes.
      $3,400 – $4,100+4.5 (200)
      Semi-private • 1 Bedroom
      independent, assisted living, memory care

      The Gardens at Park Balboa

      7046 Kester Ave, Van Nuys, CA, 91405
    • Exterior view of The Village at Sherman Oaks building entrance at dusk with illuminated covered driveway, palm trees, and landscaped plants.
      $5,230 – $8,155+4.4 (104)
      Studio • 1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      The Village at Sherman Oaks

      5450 Vesper Ave, Sherman Oaks, CA, 91411
    • Photo of The Village at NorthRidge
      $6,500+4.2 (25)
      1 Bedroom
      independent living, assisted living

      The Village at NorthRidge

      9222 Corbin Avenue, Northridge, CA, 91324
    • Exterior front view of Encino Terrace Senior Living building with beige walls, multiple windows with brown awnings, a driveway entrance, and a pharmacy on the right side under a green sign.
      $2,750 – $4,680+4.5 (87)
      Studio • 1 Bedroom
      independent living, assisted living, board and care

      Encino Terrace Senior Living

      16025 Ventura Blvd, Encino, CA, 91436

    Assisted Living in Nearby Cities

    Quartz Hill assisted living

    4.3 mi
    124 facilities$5,390/mo

    Desert View Highlands assisted living

    7 mi
    70 facilities$5,533/mo

    Palmdale assisted living

    7.3 mi
    72 facilities$5,505/mo

    Leona Valley assisted living

    9.7 mi
    30 facilities$5,045/mo

    Rosamond assisted living

    12.5 mi
    3 facilities

    Acton assisted living

    13.6 mi
    2 facilities$5,303/mo

    Elizabeth Lake assisted living

    12.8 mi
    0 facilities

    Sun Village assisted living

    14.6 mi
    18 facilities$5,347/mo

    Littlerock assisted living

    15.4 mi
    20 facilities$5,339/mo

    Agua Dulce assisted living

    15.8 mi
    0 facilities

    Lake Hughes assisted living

    17.1 mi
    0 facilities

    Edwards AFB assisted living

    19.6 mi
    0 facilities

    Company

    Senior living guides

    © 2025 Mirador Living