I found a clean, well-maintained community with good food, active programming, pleasant outdoor spaces and on-site doctor visits - many staff were caring and helpful. However I also noted inconsistent management, understaffing, medication/safety lapses, poor responsiveness to complaints and occasional cleanliness or conduct problems. It's an attractive option that could be great for many families, but I would personally verify staffing levels, med schedules and incident reporting before committing.
Friendly, polite, and helpful staff (many reports)
Thorough and informative tours
Caring and dedicated caregivers noted by multiple reviewers
Smooth admitting/intake process with administrative support
Flavorful and generally good meals
Inviting dining area and pleasant food service environment
Plenty of activities, outings, and field trips
Exercise room with guided programs and rehab services
Outdoor spaces, garden area, and covered patio
Secure building with safety features
Wheelchair accessibility and private bathrooms in rooms
Laundry service, beauty shop, and library on-site
On-site doctor visits and accessible medical care
Free WiFi provided (signal may vary by room)
Homier/decorated common areas and gathering rooms
Good location (close to ocean, restaurants, laundromat)
Integrated memory care units and ongoing updates
Cons
Allegations of rude, unprofessional, or dismissive staff
Management favoritism and perceived dismissiveness of complaints
Medication administration delays and schedule errors
Understaffing complaints, especially on weekends and nights
Serious hygiene and supervision concerns reported (soiled diapers/bedding)
Reports of pest problems (roaches) in at least one review
Violent incident(s) and allegations of staff misconduct
Reports of resident death and poor incident follow-up
Lack of consistent memory-care lockdown/safety for dementia patients
Inconsistent responsiveness and unreturned calls from management
Some rooms lack kitchen facilities or sufficient storage
Older building elements (dated bathrooms, tubs) needing updates
Variable WiFi signal strength in different rooms
Allegations of staff theft and threats toward complainants
Noise issues and early-morning disturbances reported
Inconsistent meal portions/quality in some accounts
Safety concerns (no bed rails available noted; injury reported)
Perception of inadequate training for some support staff
Mixed impressions on value/price versus comparable communities
Polarized experiences across reviewers (high variability)
Summary review
Overall sentiment about Glen Park at Long Beach is highly polarized. Many reviewers praise the facility for its cleanliness, well-kept common areas, tasteful decor, and spacious furnished rooms. Numerous accounts highlight friendly, caring, and professional staff members, smooth admissions handled by administrators, flavorful meals, and a broad schedule of activities including outings, music, exercises, and holiday events. Positive experiences often emphasize a homelike atmosphere, secure building access, accessible bathrooms and wheelchair-friendly layouts, and on-site amenities such as a library, laundry, beauty shop, and on-site medical visits. The campus and outdoor spaces (garden beds, covered patio, pleasant grounds) and the location near the ocean and local amenities are repeated strengths that appeal to residents and families.
At the same time, a significant portion of reviews raise serious operational and safety concerns. Multiple reviewers allege understaffing, medication mismanagement (medications not given on schedule), and hygiene failures — including reports of residents left in soiled diapers or bedding and claims of untrained support staff handling meal service. There are also specific, alarming accusations in some summaries: reports of a roach infestation, at least one violent incident and alleged staff misconduct, a resident death mentioned in the context of poor supervision, and claims of management dismissiveness when family members complained. Several reviews reference a staff member by name (Lilly) being rude, threats directed at complainants, and even allegations of staff theft. These accounts contrast sharply with the many positive narratives and suggest inconsistency in care and management responsiveness.
Facilities and physical plant comments are mostly positive about cleanliness and aesthetics: freshly painted areas, nicely decorated gathering rooms, an attractive dining room, and large property grounds. However, several reviewers note that the building is older in places (dated bathrooms, tubs) and some larger rooms lack kitchenettes or storage space some families expected. WiFi availability is generally offered but signal strength reportedly varies by room. Some residents or families perceived the price as comparable to other communities that offered more features, which influenced their decisions to choose alternatives. A few reviewers pointed to noise or early-morning disturbances that affected sleep for some residents.
Staffing and management emerge as the center of both praise and criticism. Many testimonials describe compassionate, competent, and attentive caregivers who create a family-like environment and help with transitions. Conversely, multiple reviews cite management issues: favoritism, poor follow-through on callbacks and promised follow-up, inconsistent scheduling, and insufficient staffing levels at critical times (weekends, nights). Medication timing errors and delayed administration are repeated operational concerns tied to staffing and training. The dichotomy suggests that while strong staff and administrators exist at the community, systemic problems or variability in training, supervision, and leadership responsiveness have led to serious lapses for other residents.
Memory care and dementia supervision are mixed topics. Some reviews note that memory care has been updated and integrated with assisted living, and some families appreciated the presence of secure units. Yet other reviewers explicitly said the community lacked sufficient memory-care lockdown or appropriate supervision for their loved ones with dementia, and cited safety risks and incidents stemming from those gaps. This inconsistency is important for families seeking secure memory-care environments: confirm unit features and lockdown capabilities directly with management.
Dining and activities receive generally favorable comments for meal quality, variety, and engagement opportunities, with several reviewers praising the cook and dining atmosphere. Still, a minority of reviews reported insufficient portions, inconsistent food quality, or concerns tied to untrained personnel serving meals. Activities, outings, and therapy/recreation offerings are frequently noted as positives; the exercise room with guided programs and rehabilitation services is singled out as a benefit by multiple reviewers.
Given the blend of strong endorsements and serious allegations, the overall pattern is one of pronounced variability in experience. Prospective residents and families should weigh both the many positive reports of cleanliness, caring staff, good food, and robust activities against the troubling accounts of neglect, staff misconduct, medication errors, and management unresponsiveness. Recommended next steps for decision-making include: scheduling a detailed tour focused on staffing ratios (including weekends and nights), medication administration policies, incident reporting and resolution procedures, pest-control records, memory-care security measures, and references from current residents or families. Ask to see recent inspection reports and incident logs, and confirm amenities and room configurations (kitchenette, storage, WiFi strength) for the specific unit under consideration.
In summary, Glen Park at Long Beach presents a facility with many real strengths—clean, welcoming spaces; engaging activities; convenient location; and many staff who are praised for compassion and competence—yet some reviews report highly concerning lapses in care and management. The community may offer an excellent environment for many residents, but the notable negative reports warrant careful, specific inquiry by anyone considering placement there.
Location
About Glen Park at Long Beach
Glen Park at Long Beach is a senior living community that offers assisted living, memory care, independent living, nursing home support, and a continuing care retirement community. The staff provides personalized care plans, including support with bathing, dressing, medication reminders, and housekeeping. Residents who need extra help due to dementia or Alzheimer's can live in the memory care wing, which has controlled access, delayed egress systems, and certified caregivers trained to work with memory impairment. Licensed nurses and state-certified medication aides are on site each day for medication administration and health needs. The facility provides private and semi-private apartments, indoor and outdoor walking paths, a gated community with video surveillance, emergency pull strings in each room and bathroom, and amenities like Wi-Fi, pets allowed, and handicap accessibility.
Seniors have access to indoor common areas and an enclosed courtyard for group activities, socializing, and daily exercise. The team organizes a structured schedule filled with art therapy, pet therapy, live entertainment, cooking classes, devotional services, and field trips. Residents eat three daily meals and snacks, with vegetarian options available. There's a beautician on site, and transportation is provided to medical appointments within a 7-mile range for free, though other trips have a set fee. Resident parking and close access to the bus line make getting around easier.
Glen Park at Long Beach accepts people over 55 and supports those wanting to age in place. It offers respite care for short stays and hospice care through Five Star Home Hospice, Inc. and Steward Hospice Care, Inc., focusing on quality end-of-life support. Each resident receives an individualized service plan, and the community provides levels of care from Level 1 to Level 4 for changing needs. Activities and programs keep people engaged physically, mentally, and socially, and a behavioral analyst helps design plans for those needing extra behavioral support. The team aims to create a friendly, safe, and caring place for seniors who need some help but want to keep as much independence as possible. Glen Park at Long Beach, operated by Glen Park Senior Living of Glendale, CA, has been accredited since 2017, offering care that centers on kindness, security, and quality of life for older adults.
People often ask...
Glen Park at Long Beach offers competitive pricing, with rates starting at a cost of $6,092 per month.
Glen Park at Long Beach offers assisted living and memory care.
There are 36 photos of Glen Park at Long Beach on Mirador.
The full address for this community is 1046 E 4th St, Long Beach, CA, 90802.
Yes, Glen Park at Long Beach 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
123
Inspections
13
Type A Citations
19
Type B Citations
6
Years of reports
06 Aug 2025
06 Aug 2025
Investigated Allegation 1 that vegan meals were not provided; interviews and records showed dietary restrictions were identified and alternatives were offered, but vegan options were not consistently posted in dining areas.
Investigated Allegation 2 that staff could not communicate effectively with residents; interviews revealed mixed experiences, with a small number of residents reporting communication challenges while staff noted using translators and bilingual staff to assist.
§ 87464(d)
06 Aug 2025
06 Aug 2025
Verified that a staff member is no longer on site after HR confirmed their employment ended on 11/12/2024, and records show they were employed from 06/14/2021 to 11/12/2024.
§ 9058
28 Jul 2025
28 Jul 2025
Identified a deficiency related to incidental medical and dental care, with civil penalties assessed on July 28, 2025.
Held an exit interview with the administrator, with appeal rights explained.
§ 9058
24 Jul 2025
24 Jul 2025
Found no personnel record on file for one staff member and medication discrepancies were identified during records review.
§ 87412(a)
§ 87465(h)(6)
§ 9058
10 Jul 2025
10 Jul 2025
Found that vegan dietary needs for a resident were not consistently met, with dietary instructions not posted in dining areas and vegan meal options not clearly displayed. Determined that the allegation of ineffective communication due to language barriers was not established, as staff used translation tools and bilingual coworkers and most residents reported satisfactory communication.
§ 87464(d)
29 May 2025
29 May 2025
Investigated the allegation that staff stole residents' personal belongings. Interviews with staff and residents found no evidence of theft, and records showed no theft reports or missing items attributed to staff.
29 May 2025
29 May 2025
Investigated the allegation that staff did not ensure transportation for a resident to receive substance and mental health treatment. Found that transportation assistance was generally provided, with some residents uncertain, and no deficiencies were cited.
12 May 2025
12 May 2025
Found the allegation that staff did not notify the licensing agency within seven days after a resident was placed on a 5150 hold.
§ 87211(a)(1)
§ 9058
12 May 2025
12 May 2025
Found the allegation that staff illegally evicted a resident in care to be supported by interviews and record reviews.
§ 87224(a)(4)
10 Apr 2025
10 Apr 2025
Found insufficient evidence to prove or disprove the allegation that staff stole residents' personal belongings, including jewelry and paintings. Interviews and record reviews showed most residents denied theft, and there was no documentation of missing items.
10 Apr 2025
10 Apr 2025
Investigated eight allegations and found no evidence to support any of them, including room cleanliness, handling of residents' funds, resident documentation, incident reporting, preventing altercations, keeping residents clean, changes in medical condition, and insulin administration timing.
27 Feb 2025
27 Feb 2025
Identified five specific allegations: residents did not receive medications as prescribed; unqualified staff administered insulin injections; staff stole residents’ medications; illegal eviction practices occurred; and residents were charged for COVID testing without consent. Findings were based on interviews and records reviewed.
§ 87465(a)(6)
27 Feb 2025
27 Feb 2025
Investigated allegations of staffing adequacy, staff training, and pre-admission assessments. Found no evidence to support these claims.
27 Feb 2025
27 Feb 2025
Found no preponderance of evidence that staff failed to provide residents' medical records promptly when requested, including copies of medication administration records. Residents and staff denied the allegation, and no requests were observed.
06 Feb 2025
06 Feb 2025
Amended the record related to the allegation in the complaint after a case management visit at the site, with the updated version superseding the original.
06 Feb 2025
06 Feb 2025
Found unsubstantiated four specific allegations: staff did not meet a resident's showering needs; staff did not seek timely medical attention; staff did not secure a resident's personal belongings; and staff provided a different explanation about a resident's death than what a doctor reported.
18 Apr 2024
18 Apr 2024
Found no conclusive evidence to prove the two medication-related allegations: that a resident’s Haldol was not discontinued and that medications were not administered as prescribed. Records showed the medication was discontinued after a doctor’s order and that all doses were given on time according to MARs and staff statements.
30 Jan 2025
30 Jan 2025
Found insufficient evidence to prove that staff did not administer medications as prescribed or that medications were mismanaged, and found no evidence of financial abuse against residents.
23 Jan 2025
23 Jan 2025
Identified that separate, complete, and current resident records were not maintained for each resident in a central, readily accessible location. Deficiencies were cited.
15 Jan 2025
15 Jan 2025
Investigated the claim that staff could not meet a resident's care needs and provide medications due to staffing issues. Found insufficient evidence to support this allegation; staff were observed administering medications and attending to residents, most residents reported that their needs were met, and one resident with health issues died on 1/1/2025.
15 Jan 2025
15 Jan 2025
Found on 1/15/2025 that residents and staff denied the allegations about clean linens, not helping with changing clothes, not assisting with showers, not providing medications on time, and not helping with follow-up medical appointments. Observations and MAR reviews showed no evidence to support these claims.
14 Jan 2025
14 Jan 2025
Investigated the allegation that staff did not allow a resident to return after hospitalization. Found there was not enough evidence to prove this claim.
13 Jan 2025
13 Jan 2025
Identified an amended citation and civil penalties tied to a complaint investigation after an unannounced visit, with an exit interview conducted by the Quality Assurance Director where appeal rights were discussed.
06 Jan 2025
06 Jan 2025
Investigated six allegations: physical abuse of a resident by a staff member; a med-tech being under the influence while on duty; improper MAR documentation; residents not receiving adequate showers; unmet health care needs; and lack of proper staff background clearance. Evidence showed the first two allegations were supported, while the remaining four were not clearly proven.
§ 87468.1(a)(3)
§ 87411(f)
27 Dec 2024
27 Dec 2024
Identified insufficient evidence to prove or disprove the specific allegation that housekeeping staff cross-contaminated during meals and that kitchen staff, including the main cook and managers, lacked food handler certificates. Observed proper hygiene during service, certificates and training materials posted, and no deficiencies cited.
16 Dec 2024
16 Dec 2024
Investigated a complaint about rust inside a resident's bathroom medicine cabinet that was being used by the resident. Interviewed nine staff members and eight residents.
16 Dec 2024
16 Dec 2024
Identified eight allegations: supervision to prevent falls, mismanagement of medications, failure to meet toileting needs, failure to meet showering needs, insufficient clean linen, serving expired beverages, insufficient quantity of food, and cleanliness/sanitation concerns. Found no evidence to support these allegations.
07 Nov 2024
07 Nov 2024
Investigated four allegations about living environment, preventing access to other residents' rooms, meeting dietary needs, and safeguarding personal belongings; interviews and records showed residents generally had a comfortable environment, doors prevented entering other rooms, and meals met needs with substitutions available. Found evidence supporting the allegation that staff did not safeguard residents' personal belongings, including documented water leakage from an air conditioner in one room and related damage to linens and mattress, while the remaining concerns did not have sufficient evidence to confirm.
§ 87303(a)
14 Nov 2024
14 Nov 2024
Completed an unannounced case management visit, amended the prior complaint and superseded the original; risk assessment showed no COVID-19 infection, no deficiencies were found, and an exit interview was conducted.
07 Nov 2024
07 Nov 2024
Identified that a staff member had an intimate, consensual romantic relationship with a resident. Concluded there was insufficient evidence to prove that the resident was financially exploited by staff.
15 Nov 2024
15 Nov 2024
Identified that separate, complete, and current resident records were not maintained in a central, accessible location; medication and controlled medication count records were removed and not readily available, resulting in a technical violation.
08 Nov 2024
08 Nov 2024
Investigated allegations that staff spoke to residents disrespectfully and handled them roughly. Based on interviews and records, there was no clear evidence to prove either claim, with most residents denying disrespectful speech or rough handling and some staff noting no complaints.
06 Nov 2024
06 Nov 2024
Investigated three specific allegations: staff threaten residents for contacting the Ombudsman or licensing office; staff did not administer residents’ medications as prescribed; and staff did not meet residents’ dietary needs despite physician orders. Found no evidence to confirm threats or medication mismanagement, while evidence supported that dietary needs were not consistently met.
§ 87555(b)(7)
06 Nov 2024
06 Nov 2024
Identified an unannounced visit on 11/06/24 for an unrelated complaint, during which rosters showed a staff member listed as not eligible and that person was removed from the schedule after it was brought to leadership's attention.
Found a deficiency cited under state regulations and discussed it in an exit interview with leadership.
11 Oct 2024
11 Oct 2024
Investigated an allegation that the licensee did not ensure a qualified administrator was on site; records showed the administrator held active certification through two cycles and was set to expire on December 20, 2024. Found no evidence to prove the allegation; it remains unproven.
25 Oct 2024
25 Oct 2024
Found that the allegation that a resident sustained fractures due to staff dropping during transfer was supported by record reviews and interviews.
§ 87468.2(a)(4)
22 Oct 2024
22 Oct 2024
Found no conclusive proof that staff did not treat residents with dignity and respect, or that admission agreements were not honored, or that food service was inadequate. Observed interviews with staff and residents and kitchen checks that supported satisfactory conditions, with no issues identified.
30 May 2024
30 May 2024
Found insufficient evidence to prove that staff failed to safeguard a resident’s personal belongings. Found insufficient evidence to prove that staff did not properly manage a resident’s medical condition or did not assist with showers; no deficiencies were cited.
26 Sept 2024
26 Sept 2024
Found that the site largely met safety, sanitation, and care requirements, with one discrepancy documented.
27 Sept 2024
27 Sept 2024
Verified May 30, 2024 complaint unsubstantiated. No deficiencies cited during the visit.
27 Sept 2024
27 Sept 2024
Investigated an unannounced visit related to a previous complaint about facility practices and determined the allegations of misconduct were unsubstantiated, with no deficiencies noted. Exit interview conducted with an authorized representative.
26 Sept 2024
26 Sept 2024
Confirmed all areas of the facility were in compliance with regulations during the visit.
§ 87468.1(a)(1)
16 Sept 2024
16 Sept 2024
Investigated allegations that staff did not safeguard residents' funds, acted as payee for several residents, and treated residents without dignity or respect. Found no evidence to support these allegations; interviews and records showed safeguards and payee arrangements in place and that residents were treated with dignity.
16 Aug 2024
16 Aug 2024
Found no evidence to support four specific allegations: that staff yelled at a resident, did not ensure a resident was administered medications, did not follow a resident's dietary orders, and did not ensure a resident's room was clean.
16 Aug 2024
16 Aug 2024
Investigated whether staff met residents’ toileting needs, addressed pests, answered call buttons promptly, and monitored changes in condition; found no evidence to support any of these allegations.
16 Aug 2024
16 Aug 2024
Reviewed allegations including staff yelling at residents, medication administration, dietary orders, and room cleanliness, with no evidence found to support the claims.
10 Aug 2023
10 Aug 2023
Identified a cockroach infestation and no diabetic meal plan for residents. Evidence did not support staff injecting insulin, non-skilled staff performing fecal impaction, or preventing residents from choosing their own home health care provider.
01 Aug 2024
01 Aug 2024
Investigated and found unsubstantiated that residents' dietary needs were not met, that cockroaches infested the home, that non-skilled staff performed fecal impaction removal, that residents are prohibited from using a home health agency of their choosing, and that staff inject insulin.
01 Aug 2024
01 Aug 2024
Substantiated: Residents' dietary needs were not being met. Unsubstantiated: Facility was infested with cockroaches. Unsubstantiated: Staff were injecting insulin for residents. Unsubstantiated: Non-skilled staff were performing manual fecal impaction removal on residents. Unsubstantiated: Residents were prohibited from using a home health agency of their choosing.
08 Mar 2024
08 Mar 2024
Found no evidence to confirm the February/March 2020 resident abuse occurred, as interviews and records did not corroborate the claim and no related incident reports were found. Found no evidence of record fabrication, misdistribution of personal supplies, or an uncleared staff member, and all staff were confirmed fingerprint cleared.
08 Mar 2024
08 Mar 2024
Confirmed allegations of abuse, record falsification, and supply redistribution were unsubstantiated.
§ 87465(a)(6)
20 Sept 2023
20 Sept 2023
Found that the allegation that staff spoke inappropriately to a resident in care was unsubstantiated.
10 Oct 2023
10 Oct 2023
Found three allegations—staff not following residents' dietary needs, staff not providing housekeeping services, and staff not treating residents with dignity and respect—unsubstantiated.
11 Jan 2024
11 Jan 2024
Identified four specific allegations: showering needs not met, staff did not seek timely medical attention, personal belongings were not secured, and staff explanations of the death differed from hospital reports. Found these allegations unsubstantiated.
07 Feb 2024
07 Feb 2024
Investigated two allegations: 1) staff did not prevent a resident from physically assaulting another resident; 2) staff did not administer medication as prescribed. Found no preponderance of evidence to prove either occurred, and both allegations were unsubstantiated.
07 Feb 2024
07 Feb 2024
Investigated allegations that staff did not prevent a physical altercation between residents and did not administer medication as prescribed; found insufficient evidence to substantiate either claim.
§ 80087(a)(1)
§ 87555(b)(7)
27 Jan 2024
27 Jan 2024
Investigated allegation that staff did not safeguard residents’ personal belongings. Found evidence including video showing a staff member entering a resident’s room with a key and taking items.
27 Jan 2024
27 Jan 2024
Confirmed that facility staff did not safeguard residents' personal belongings, as evidenced by video footage and interviews with staff and residents.
§ 87555(b)(5)
11 Jan 2024
11 Jan 2024
Found five specific allegations about care, call button response, language used with the resident, personal belongings, and shower assistance to be unsubstantiated. Allegations included: 1) staff did not assist the resident with obtaining care; 2) staff did not answer the resident's call button in a timely manner; 3) staff spoke to the resident in an inappropriate manner; 4) staff did not allow residents to possess personal belongings; 5) staff did not assist the resident with showering.
11 Jan 2024
11 Jan 2024
Interviews and documentation Reviewed did not substantiate allegations of staff not assisting residents with care, not responding to call buttons promptly, speaking inappropriately, restricting personal belongings, or refusing to assist with showering at the facility.
§ 87468.1(a)(2)
20 Dec 2023
20 Dec 2023
Investigated four allegations and found no clear evidence to support that staff did not meet residents' dietary needs, did not clean resident rooms, yelled at a resident, or made inappropriate comments toward a resident.
20 Dec 2023
20 Dec 2023
Identified allegations of staff behavior and resident care were investigated, with findings indicating that the allegations were unsubstantiated.
18 Dec 2023
18 Dec 2023
Investigated four specific allegations and found them unsubstantiated: staff handled a resident in a rough manner; staff did not respond promptly to a resident's call for assistance; staff did not serve nutritious meals; and staff served expired milk.
18 Dec 2023
18 Dec 2023
Found no evidence of rough handling of residents, delayed responses to calls for assistance, inadequate meal service, or serving expired milk to residents.
25 Oct 2023
25 Oct 2023
Investigated nine allegations about residents’ care and rights, including level of care, neglect, personal rights, abuse, vaccination access, theft, medications, and food service; found no preponderance of evidence to prove or disprove each allegation.
25 Oct 2023
25 Oct 2023
Reviewed several allegations at the facility, including staff allowing residents with prohibited health conditions, neglect, abuse, denial of COVID-19 vaccines, theft, medication mismanagement, food denial, and lack of respect for residents. Found insufficient evidence to support any of the allegations, leading all to be deemed unsubstantiated.
10 Oct 2023
10 Oct 2023
Found that allegations were unsubstantiated after conducting interviews and reviewing documentation related to dietary needs, housekeeping services, and treatment of residents.
07 Oct 2023
07 Oct 2023
Found no deficiencies identified during the one-year annual visit to the home; safety systems, kitchen operations, medications, and staff and resident records met regulatory requirements, with no citations issued.
07 Oct 2023
07 Oct 2023
Reviewed the facility and found it to be in compliance with regulations during the inspection.
29 Sept 2023
29 Sept 2023
Investigated multiple allegations including sexual and physical abuse, medication mismanagement, financial abuse, neglect, residents’ rights violations, inadequate food service, and confinement to rooms; both staff and residents denied the allegations, and no incident reports were found. One resident reported a single missing pill that was corrected, kitchen checks supported adequate food service, and some residents noted Covid-era room confinement; there was not enough evidence to prove or disprove the allegations.
29 Sept 2023
29 Sept 2023
Reviewed allegations of sexual abuse, physical abuse, medication mismanagement, financial abuse, neglect, violation of residents’ rights, inadequate food service, and confinement to rooms; none were supported by evidence.
20 Sept 2023
20 Sept 2023
Found allegations of staff speaking inappropriately to residents to be unsubstantiated after interviews and documentation review.
19 Sept 2023
19 Sept 2023
Investigated the allegation that a resident sustained a cut on their hand due to rough handling by staff; interviews with staff and residents and review of records did not establish proof that the incident occurred as alleged.
19 Sept 2023
19 Sept 2023
Confirmed that allegations of rough handling resulting in injury were unsubstantiated, based on interviews with residents and staff as well as record review.
10 Aug 2023
10 Aug 2023
Confirmed infestation of cockroaches in the facility and found that residents' dietary needs were not being met. Unsubstantiated allegations of staff administering insulin to residents and non-skilled staff performing manual fecal impaction removal.
19 Jun 2023
19 Jun 2023
Investigated a complaint that a resident fell, sustained a head injury, and was returned from the hospital with missing information. Review of interviews and records, including the administrator's and a witness's accounts and the resident's discharge paperwork, showed ongoing communication about the resident's care, but there was insufficient evidence to determine whether the allegation occurred.
19 Jun 2023
19 Jun 2023
Investigated the allegation that a resident's return was denied following a hospital discharge; determined no conclusive evidence to support or refute the claim.
16 May 2023
16 May 2023
Found no evidence to support the allegation that staff intimidated a resident who reported, and no evidence that qualified staff were not on duty during overnight hours (11 p.m. to 7 a.m.); concluded the allegations are unsubstantiated.
16 May 2023
16 May 2023
Investigated allegations that staff intimidated a resident and lacked qualified staff during certain hours, and no evidence was found to support these claims. Residents and staff interviews did not substantiate the allegations, and documents showed no issues with medication administration or staffing qualifications.
13 Mar 2023
13 Mar 2023
Investigated the allegation that a staff member stole residents' money; interviews with residents and staff and review of records found no evidence of theft.
13 Mar 2023
13 Mar 2023
Investigated the allegation of staff stealing residents' money; insufficient evidence found, making the claim unsubstantiated.
01 Mar 2023
01 Mar 2023
Found insufficient evidence to support the allegation that staff do not treat residents with dignity or respect. Interviews with residents and staff indicated residents were treated with dignity and respect and felt safe.
01 Mar 2023
01 Mar 2023
Investigated the allegation that staff did not treat residents with dignity and respect; found insufficient evidence to support or disprove the claim. Interviews with residents and the majority of staff contradicted the allegation.
31 Jan 2023
31 Jan 2023
Found no preponderance of evidence to prove the allegations that staff did not inform the responsible party of changes in the resident's condition, did not assist the resident with obtaining medical care, or failed to safeguard the resident's personal belongings.
31 Jan 2023
31 Jan 2023
Determined insufficient evidence to support allegations that staff failed to inform a responsible party about a resident's condition, did not assist with obtaining medical care, and did not safeguard personal belongings.
21 Dec 2022
21 Dec 2022
Found insufficient evidence to prove the specific allegation that PPE was inaccessible and that a COVID-positive staff member worked during an outbreak; interviews and records showed PPE was accessible and staff denied the claim.
21 Dec 2022
21 Dec 2022
Found insufficient evidence to support the allegation regarding failure to follow the mitigation plan during a COVID outbreak.
26 Oct 2022
26 Oct 2022
Identified several safety and infection-control deficiencies, including a missing fan cover in a bathroom, an accessible paper cutter in the activity room, no sign outside a room where a resident uses oxygen, and two unlocked storage sheds containing hazardous chemicals and gardening tools. Observed generally adequate cleanliness, stocked linens and supplies, functional emergency postings, and staff wearing masks.
26 Oct 2022
26 Oct 2022
Identified deficiencies in safety measures, hygiene supplies, and storage security during the inspection.
27 May 2022
27 May 2022
Identified the allegation of an unwitnessed fall on 04/05/22 resulting in injuries and a hospital visit. There was insufficient evidence to determine whether any policy violations occurred.
27 May 2022
27 May 2022
Confirmed an isolated incident of a resident sustaining a fall with injuries, with insufficient evidence to support or refute the allegation.
25 Apr 2022
25 Apr 2022
Investigated two allegations: that a resident acquired scabies while in care and that a resident was injured while in care. Found sufficient evidence to support both concerns based on interviews and medical records.
25 Apr 2022
25 Apr 2022
Investigated two allegations, one about a resident potentially acquiring scabies, which lacked sufficient evidence to confirm, and another about a resident receiving an injury while in care, which was supported by evidence.
24 Mar 2022
24 Mar 2022
Investigated allegations including “Staff are under the influence of an illegal substance while providing care and supervision,” “Residents do not have planned activities while in care,” “Residents have access to toxic items while in care,” “Residents pull cords are not accessible while in care,” “Facility has inadequate record keeping for medication,” “Residents medications are being mishandled while in care,” and “Staff are stealing from residents while in care.” Found no preponderance of evidence to prove the allegations did or did not occur.
24 Mar 2022
24 Mar 2022
Confirmed allegations of staff being under the influence, lack of planned activities, improper medication record-keeping, and theft were unsubstantiated, while allegations of residents having access to toxic items and pull cords not being accessible were also unsubstantiated.
§ 87309(a)(1)
§ 87303(a)
06 Oct 2021
06 Oct 2021
Found that the medication-related allegation was unsubstantiated; interviews and records showed meds were administered per doctors' orders. Found that the elopement allegation was substantiated; a resident left the home, was located later, and police were notified.
29 Sept 2021
29 Sept 2021
Investigated the allegation that staff made false accusations against a resident; found there was not enough evidence to prove the allegation either way.
06 Oct 2021
06 Oct 2021
Investigated allegations of medication mishandling and elopement were addressed.
29 Sept 2021
29 Sept 2021
Investigated the allegation that staff made false accusations against a resident; determined there was insufficient evidence to prove or disprove the claim.
22 Sept 2021
22 Sept 2021
Investigated two allegations—privacy during a resident’s medical visit and staff speaking inappropriately; found insufficient evidence to prove or disprove either issue, with interviews and records indicating privacy was generally respected and interactions were appropriate.
22 Sept 2021
22 Sept 2021
Investigated allegations of privacy violation and inappropriate staff conduct; determined insufficient evidence to support claims.
16 Sept 2021
16 Sept 2021
Found no convincing evidence that residents were denied privacy or that staff intruded on personal space; residents reported privacy was respected. Found no convincing evidence that resident property was at risk or misused; interviews indicated belongings remained secure and no items went missing.
16 Sept 2021
16 Sept 2021
Investigated allegations of staff not respecting resident privacy and not safeguarding personal property; found no preponderance of evidence to support either claim.
§ 87705(c)(5)
§ 1569.49(c)(1)
§ 87463(a)
09 Aug 2021
09 Aug 2021
Investigated two allegations. Found no evidence to support that medications were dispensed without a prescription or that a resident sustained a fall while in care.
09 Aug 2021
09 Aug 2021
Reviewed allegations of medication dispensing without prescription and resident falls, but found no conclusive evidence to support the claims. No citations were issued during the visit.
21 Jul 2021
21 Jul 2021
Investigated four allegations about care: not checking residents in a timely manner, not meeting showering needs, not ensuring residents eat, and not providing residents water. Found each unsubstantiated.
21 Jul 2021
21 Jul 2021
Staff were found to be appropriately checking on residents, meeting showering needs, ensuring residents eat, and providing water, based on interviews and record review.
30 Jun 2021
30 Jun 2021
Investigated the allegation that staff did not treat a resident with respect; based on interviews and records, there was not a preponderance of evidence to prove or disprove the claim, so it remains unsubstantiated.
09 Jul 2021
09 Jul 2021
Identified safety concerns at the site, including an exposed pipe through a cracked wall in a linen closet and exposed wires from a ceiling panel, and cited one deficiency for cosmetic repairs. Observed infection-control measures in place, with staff wearing masks, symptom screening logs, required postings, and a 30-day supply of PPE.
09 Jul 2021
09 Jul 2021
Identified deficiencies in the physical plant were noted during the inspection. Infection control measures were found to be in place, along with necessary COVID-19 protocols.
§ 87705(b)(2)
30 Jun 2021
30 Jun 2021
Investigated allegations of staff not treating a resident with respect; however, insufficient evidence to confirm whether the alleged incident occurred.
04 Jun 2021
04 Jun 2021
Found that a resident with dementia had three falls in June 2019, resulting in fractures, and that staff did not obtain timely medical evaluation after a fall or consistently follow up on prescribed medications, contributing to the injuries.
04 Jun 2021
04 Jun 2021
Verified lack of adequate care resulting in resident falls and failure to promptly seek medical treatment for injuries. Staff neglected to secure necessary medications, contributing to resident's falls.
23 Apr 2021
23 Apr 2021
Found evidence addressing the allegations that staff are stealing from residents and that staff are abusing residents, based on resident interviews and records. Residents reported missing money and personal items and described past aggressive handling; staff said they had not witnessed abuse and had mixed views on qualifications, with some saying management was trying to recover the money and others saying nothing had been done.
23 Apr 2021
23 Apr 2021
Found allegations of staff stealing from residents and abusing residents in care. Allegation of staff lacking qualifications was determined to be unsubstantiated.
14 Dec 2020
14 Dec 2020
Investigated the allegation that staff did not safeguard a resident’s personal property and found it tied to a prior complaint from 2017 involving the same items. No new citations were issued.
14 Dec 2020
14 Dec 2020
Confirmed allegation of failure to safeguard resident's personal property at the facility.
24 Sept 2020
24 Sept 2020
Found insufficient evidence to prove or disprove the allegation that staff unlawfully evicted a resident while in care; the resident was transferred to a hospital for medical care and isolation due to infection and cognitive condition, not as an unlawful eviction.
24 Sept 2020
24 Sept 2020
Confirmed violation of Covid-19 protocols and transfer of resident to the hospital due to the risk posed by positive test result and change in health status.
04 Mar 2020
04 Mar 2020
Investigated allegations of staff mishandling residents and their funds and staff not meeting qualifications; found no corroborating evidence, leaving allegations unsubstantiated.
§ 87465(a)(2)
§ 87466
§ 87411(a)
16 Dec 2019
16 Dec 2019
Investigated allegations of bed bugs in resident rooms, unqualified staff administering medication, and inadequate hygiene supplies; found no substantial evidence to support claims, indicating the allegations were inconclusive.
§ 87217(b)
28 Oct 2019
28 Oct 2019
Substantiated findings of bed bugs in some resident rooms were identified, while allegations of stolen personal items and threats between residents were unsubstantiated.
02 Oct 2019
02 Oct 2019
Investigated allegation of staff forcing residents to change medical plans; determined there was insufficient evidence to support the claim.