I placed my grandmother at Leven Oaks and have been very pleased. The staff - especially administrator Lupe and assistant Claudia - are caring and treat residents like family, the facility is clean and home-like, activities keep residents engaged, and administration communicates promptly. I feel my loved one is well cared for and would recommend Leven Oaks.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.44·(25)
Overall rating
5
4
3
2
1
Care
4.5
Staff
4.5
Meals
3.3
Amenities
3.8
Value
3.5
Pros
Compassionate, attentive caregiving staff
Clean, well-maintained interior and grounds
Active, varied recreational programming
Home-like, cozy atmosphere
Private-room options with en-suite bathrooms
Medication management and clinical support
Engaged and accessible administration
Visible infection-control practices and visitor accommodations
Pleasant dining room and posted menus
Attractive outdoor spaces and yard with fruit trees
Personalized tour and move-in assistance
Friendly resident community and social spirit
Cons
Aging, historically dated building and interiors
Small unit layouts with limited bathroom privacy
Exposed in-room fixtures and unfinished maintenance in areas
Ongoing elevator installation creating temporary accessibility limits
Perceived high cost relative to perceived value
Variable staffing levels and occasional understaffing
Administrative turnover affecting continuity
Inconsistent communication and coordination at times
Activity participation not accessible to all residents
Inconsistent food quality
Summary of reviews
Overall impression: Leven Oaks presents as a small, historic senior residence with a strong emphasis on personal attention and a home-like atmosphere. Families and residents frequently praised the staff’s warmth, responsiveness, and teamwork; medication management and basic clinical supports were noted as being provided. The property is described as clean and well-maintained, with pleasant outdoor areas and a variety of private-room options, which contributes to a comfortable, community-oriented feel.
Care and staff: Care quality is a prominent strength in the reviews. Reviewers repeatedly highlight compassionate, attentive caregivers, med techs, kitchen staff, and housekeepers who foster a familial atmosphere. Named administrators and staff members received individual praise for responsiveness and hands-on involvement. That said, several comments point to variability in staffing levels and occasional understaffing; coupled with mentions of executive turnover, this creates some concern about continuity of care and operational stability.
Dining and activities: The community offers an active programming calendar — dancing, singing, games, music, arts and crafts, seated exercise, birthday celebrations, and seasonal events were all described. These activities appear to contribute to a lively social environment and to residents feeling engaged. The dining room setting and posted menus are seen positively, but food quality was described inconsistently; some reviewers suggested the cuisine could be improved and that value for cost varies.
Facilities and accessibility: The facility’s historic character is a double-edged point. Reviewers appreciate the charm, cozy rooms, and roomy grounds, but also describe dated building elements and small unit footprints in places. Specific physical-plant concerns raised include limited bathroom privacy in some units, exposed fixtures or pipes, and ongoing elevator installation — the latter indicates improving accessibility but also temporary mobility and safety limitations until work is complete. Prospective residents should inspect specific unit layouts and ask about the timeline for ongoing maintenance and upgrades.
Management and patterns: Management style is generally described as engaged and personable, with staff often praised for clear explanations, individualized orientation, and COVID-era accommodations such as outdoor visiting and masking. However, reviewers also mention intermittent communication lapses and the effects of administrative turnover, which can influence family confidence and perceived consistency of services. Cost concerns appear in multiple comments; several families expressed that pricing felt high relative to the level of physical accommodations or dining quality.
Recommendation guidance: For prospective residents and families, Leven Oaks is likely to be a strong fit if compassionate caregiving, active programming, a small-home environment, and attractive grounds are priorities. Those for whom modern room layout, guaranteed bathroom privacy, immediate elevator access, or consistent culinary offerings are essential should verify unit specifics, current maintenance status, staffing ratios, and the elevator completion timeline during a visit. Asking for recent staffing schedules, menus, and a written explanation of recent administrative changes will help clarify how well the community’s strengths align with individual needs.
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Location
Henrietta's Leven Oaks by SCH is located at 120 S Myrtle Ave, Monrovia, CA, 91016.
About Henrietta's Leven Oaks by SCH
Henrietta's Leven Oaks by SCH sits right in the heart of Old Town Monrovia, California, in a historic building that was once a hotel built in 1911 and fully restored for senior living, and the place really does feel like it, with big balconies to sit on and look at the city, spacious gardens full of flowers and quiet, and an old charm that makes the halls and rooms calm and homelike, which you'll notice when you walk into one of the 41 elegant units that are tailored for seniors wanting peace, some privacy, and enough space to make it feel truly like home. People can choose between studio and semi-private apartments, and every living space includes a private bathroom, along with lots of other thoughtful little touches, and the facility can welcome up to 80 residents. The community is pretty lively with a mix of assisted living, memory care, independent living, respite care, and skilled nursing options, and there's solid attention given to folks with memory issues, with support and programs for cognitive impairments, and full-day, full-week caregiving staff ready for help and supervision.
Out in the gardens, some folks spend their time gardening or relaxing on the patio or beneath the gazebo, and inside, there's always something to do, whether it's going to the fitness room, joining others in the game room for cards or checkers, spending quiet time in the large library, or sitting at the computer center. Meals come three times a day, served restaurant style in a mission-inspired dining room, and if you need, staff can follow dietary restrictions, offering kosher or vegetarian menus upon request. There's help for everyday things like bathing, dressing, moving around, and special care for those who need diabetic or medication management. The staff assists with medication ordering and dispensing under a doctor's direction, plus there are 24-hour call systems in every room and staff are always on site and supervised by an experienced Administrator.
There's a wellness center for checkups and mental health programs, and wireless internet is available throughout the building. People who live here also have access to scheduled activities, like arts and crafts, exercise plans, devotional services, and planned trips off property, and residents are encouraged to help run some of the events themselves. Housekeeping handles laundry and linens weekly, and move-in services make getting settled less of a hassle. Transportation is available for appointments, and the central location means shops, farmers markets, and doctors are close by. The community allows some pets. Some residents enjoy the large balcony in the mornings and afternoons, and you'll often find groups gathered in the lovely backyard for conversation and fresh air.
The atmosphere here is meant for seniors who want their days structured and full, and the care is individual, whether someone wants independence, needs a bit of support, or needs higher nursing care. Staff pay attention to everyone's unique needs and preferences, and residents are treated with dignity, privacy, and a genuine effort to keep social, emotional, and physical health addressed, whether they're active or need extra help. The building is open 24 hours daily, with visiting hours from 7:00 AM to 7:00 PM every day. You can learn more by visiting the website at schcares.com/henriettas-leven-oaks. The goal here seems to be to let people live in a setting that's safe, comfortable, and supportive, all while leaving behind the worries of home upkeep, enjoying both quiet and busy parts of each day, however they wish.
People often ask...
Henrietta's Leven Oaks by SCH offers competitive pricing, with rates starting at a cost of $2,850 per month.
Henrietta's Leven Oaks by SCH offers independent living, assisted living, and memory care.
There are 33 photos of Henrietta's Leven Oaks by SCH on Mirador.
Yes, Henrietta's Leven Oaks by SCH allows residents to age in place and adjust their level of care as needed.
The full address for this community is 120 S Myrtle Ave, Monrovia, CA 91016.
No, Henrietta's Leven Oaks by SCH does not offer 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.
Safety & Compliance
In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.
Found hot water temperatures above the allowed range in several resident rooms, identified missing medications for a resident, and determined the facility lacked an appropriately skilled professional to administer diabetes injections; a civil penalty was issued.
Type ACCR 87303(e)(2)Maintenance and Operation
Type ACCR 87465(a)(4)Incidental Medical and Dental Care Services
Type ACCR 87628(a)Diabetes
08 May 2026Complaint
08 May 2026Complaint
Found that a staff member used a resident's credit card to purchase items.
Type A87413(a)(2)
07 May 2026Complaint
07 May 2026Complaint
Investigated the allegation that staff neglect led to a resident sustaining a fracture; findings did not support the claim.
26 Mar 2026Complaint
26 Mar 2026Complaint
Investigated allegation that a staff member financially abused a resident; records showed the resident's credit card was used to purchase equipment, with a bank report confirming the charges.
Type A87468.1(a)(3)
24 Feb 2026Complaint
24 Feb 2026Complaint
Investigated allegations that staff hit a client, yelled at a client, pulled on a client's hair, mishandled a client's funds, unlawfully evicted a client, and mishandled a client's belongings; found no preponderance of evidence to prove the allegations.
16 Oct 2025Complaint
16 Oct 2025Complaint
Investigated the allegation that staff did not safeguard a resident's personal belongings. Found insufficient evidence to support the allegation.
10 Oct 2025Complaint
10 Oct 2025Complaint
Investigated and found no evidence to support the allegations that staff hit, yelled at, pulled a client's hair, mishandled funds, evicted a client, or mishandled belongings.
25 Aug 2025Inspection
25 Aug 2025Inspection
Observed hot water temperatures in eight resident bathrooms exceeded the allowed 105 to 120 degrees Fahrenheit range, creating an immediate health and safety risk.
Type A87303(e)(2)
29 Apr 2025Complaint
29 Apr 2025Complaint
Investigated two complaints: that staff disposed of a resident's personal belongings and that staff did not treat a resident with respect. Found insufficient evidence to support either allegation.
10 Apr 2025Complaint
10 Apr 2025Complaint
Investigated a complaint alleging rough handling, wheelchair access issues, and a resident's mouth being covered. Interviews and observations found no evidence to support these allegations.
03 Apr 2025Inspection
03 Apr 2025Inspection
Identified an unsafe hot water temperature of 142.1°F in bathroom #5, exceeding the allowed range and posing an immediate safety risk.
Type A87303(e)(2)
03 Apr 2025Complaint
03 Apr 2025Complaint
Investigated allegations that repairs were not kept up and the environment was unsafe. Found issues including extremely hot water in one bathroom, a nonworking showerhead, odors in another bathroom, and hazards in hallways from ongoing construction, with residents reporting mixed experiences about food, temperature, and dignity.
Type A87307(d)(6)(d)
Type B87303(a)(a)
11 Mar 2025Complaint
11 Mar 2025Complaint
Investigated the allegation that staff did not meet a resident's bathroom needs. Interviews indicated caregivers assisted with bathroom reminders and incontinence care every two hours, and there was not enough evidence to prove the allegation.
11 Mar 2025Complaint
11 Mar 2025Complaint
Investigated an allegation that staff did not assist a resident with showers and hygiene; found there was not enough evidence to prove or disprove the allegations.
28 Jan 2025Complaint
28 Jan 2025Complaint
Investigated the allegation that staff did not meet residents' hygiene needs. Interviews with staff and residents showed regular cleaning and diaper changes, and there was no evidence that a resident had feces stuck to the bottom; the allegation could not be proven or disproven.
15 Aug 2024Complaint
15 Aug 2024Complaint
Investigated two allegations about food service and requests for assistance. Interviews and a kitchen tour indicated adequate food, vegetarian options, and timely assistance, with no corroboration of the claims.
11 Jul 2024Inspection
11 Jul 2024Inspection
Identified several health and safety deficiencies, including smoke detectors missing batteries in several rooms and hot water temperatures outside the required range.
Type A87203
Type A87303(e)(2)
Type B87216(a)
Type B87303(a)
Type B87307(a)(3)(C)
22 Apr 2024Complaint
22 Apr 2024Complaint
Investigated an allegation that staff covered a resident's mouth and nose during dressing. Interviews with residents and staff did not establish consistent corroboration, and the investigation found no evidence to prove the allegation.
28 Mar 2024Complaint
28 Mar 2024Complaint
Found no evidence of an illegal eviction or staff retaliation against the person who filed the complaint, based on interviews with residents and staff and review of records.
23 Jan 2024Complaint
23 Jan 2024Complaint
Investigated the allegation that staff did not prevent a resident from being harmed by another resident; there was not a preponderance of evidence to prove the alleged incident occurred.
23 Jan 2024Complaint
23 Jan 2024Complaint
Investigated the allegation that staff did not ensure adequate night time supervision; interviews with staff and residents, and review of surveillance footage found no evidence of sleeping or lapse in supervision during night hours.
16 Jan 2024Complaint
16 Jan 2024Complaint
Investigated two complaints alleging dirty resident rooms and improper medication training. Found no evidence supporting these claims; rooms were clean and staff had documented medication training.
11 Jan 2024Complaint
11 Jan 2024Complaint
Investigated allegations that staff restrained a resident, left residents underdressed in cold temperatures, did not dispense medications as prescribed, and did not intervene during altercations. The investigation found no evidence to support these allegations.
09 Jan 2024Inspection
09 Jan 2024Inspection
Identified that a special incident report was not submitted to licensing after an incident on January 2, 2024.
Type B87468.2(a)(8)
09 Jan 2024Complaint
09 Jan 2024Complaint
Investigated an allegation that staff did not prevent a resident from being harmed by another resident. Findings indicated there was not a preponderance of evidence to prove or disprove the allegation.
21 Dec 2023Complaint
21 Dec 2023Complaint
Investigated the allegation that staff did not safeguard a resident's property. Interviews and a room check found no evidence of missing items and the cabinet lock was functioning.
27 Nov 2023Complaint
27 Nov 2023Complaint
Investigated allegations that residents lacked hot water, the home was in disrepair, dietary needs weren't met, and rooms weren't kept clean. Evidence showed hot water was available, an elevator was nonoperational but permitted, dietary needs were addressed, and rooms were kept clean.
17 Oct 2023Complaint
17 Oct 2023Complaint
Investigated two allegations about medication dispensing and safeguarding residents' belongings; found no conclusive evidence to prove or disprove them.
05 Oct 2023Inspection
05 Oct 2023Inspection
Conducted an unannounced annual continuation case management visit; resident files were reviewed and found complete with no deficiencies identified.
26 Sept 2023Inspection
26 Sept 2023Inspection
Identified missing criminal clearances for staff and incomplete health screenings and employment records.
Type A87355(e)(1)
Type B87412(a)(11)
Type B87412(a)(7)
25 Sept 2023Inspection
25 Sept 2023Inspection
Identified cleaning chemicals left unattended and accessible to residents, along with multiple maintenance and outdoor safety concerns.
Type A87309(a)
Type B87303(a)
20 Sept 2023Inspection
20 Sept 2023Inspection
Observed no deficiencies during an unannounced annual visit.
18 Sept 2023Complaint
18 Sept 2023Complaint
Investigated allegation that staff mismanaged residents' medications; interview and record review showed medications administered per doctor's orders and most residents satisfied.
31 Aug 2023Complaint
31 Aug 2023Complaint
Investigated an allegation of a questionable death; evidence did not establish staff involvement or drug provision.
30 Aug 2023Complaint
30 Aug 2023Complaint
Investigated allegation that a resident wandered away from the premises due to lack of supervision. Two residents left through an unlocked back gate, were located and returned.
Type B87705(c)(4)
30 Aug 2023Complaint
30 Aug 2023Complaint
Investigated two specific allegations: eviction procedures and safeguarding residents' belongings. Records and interviews indicated eviction notices were issued for non-payment with a set payment timeline, and staff reported belongings are safeguarded; no evidence supported the allegations.
24 Aug 2023Complaint
24 Aug 2023Complaint
Identified that staff failed to report a COVID-19 positive case and failed to notify residents and health authorities.
Type A87468.1(a)(2)
Type A87211(a)(2)
30 May 2023Complaint
30 May 2023Complaint
Investigated allegations of poor communication, unmet resident needs, and inappropriate restraint; interviews and observations did not corroborate these concerns.
17 May 2023Complaint
17 May 2023Complaint
Determined that there was no current liability insurance meeting required coverage for resident injuries, due to a shared policy with six other facilities and multiple exclusions that left coverage incomplete.
02 May 2023Complaint
02 May 2023Complaint
Investigated an allegation that a resident wandered away due to lack of supervision.
Type B1569.2(c)
06 Apr 2023Complaint
06 Apr 2023Complaint
Investigated allegations that staff did not respond promptly to call lights, did not provide nutritious meals, and that the bathroom plumbing was in disrepair, and that the administrator did not communicate with the Ombudsman.
Type B87303(e)(6)
Type B87411(a)
Type B87555(b)(7)
Type B87468.1(a)(9)
06 Apr 2023Complaint
06 Apr 2023Complaint
Investigated claim that staff did not treat residents with dignity or respect; found insufficient evidence to prove the allegation.
09 Mar 2023Complaint
09 Mar 2023Complaint
Investigated allegations that staff did not assist a resident with toileting and that a resident was locked in a bathroom, and found no evidence to support these claims while safety appeared adequate.
19 Jan 2023Complaint
19 Jan 2023Complaint
Investigated a complaint that a resident wandered off on more than one occasion due to inadequate staff supervision.
Type B87705(c)(4)
13 Dec 2022Inspection
13 Dec 2022Inspection
Observed safety systems and records were in order, including detectors, fire extinguishers, emergency plan posted, and centrally stored files; water temperatures were checked and hazardous substances secured.
08 Dec 2022Complaint
08 Dec 2022Complaint
Investigated the allegation that a resident was unlawfully evicted while in care and found insufficient evidence to confirm the eviction.
31 Aug 2022Inspection
31 Aug 2022Inspection
Observed an inoperable auditory door chime that monitors exits, creating a safety hazard for residents with dementia.
Type A87468.2(a)(8)
31 Aug 2022Complaint
31 Aug 2022Complaint
Investigated allegations that a resident engaged in a physical altercation with another resident and that staff did not seek medical attention; staff intervened and a medical evaluation followed.
30 Aug 2022Complaint
30 Aug 2022Complaint
Investigated a complaint and found that the license was revoked as of 8/26/22 following a decision and order.
30 Aug 2022Inspection
30 Aug 2022Inspection
Identified concerns about the building lacking an operable elevator and a wheelchair lift installed without a permit, and noted issues with several residents' medical reports.
26 Aug 2022Inspection
26 Aug 2022Inspection
Identified failure to maintain liability insurance coverage as required by state law. Civil penalties were issued for the period reviewed.
Type A1569.605
26 Aug 2022Inspection
26 Aug 2022Inspection
Identified safety deficiencies such as missing bathroom doors in multiple rooms and high hot-water temperatures, and noted pending fire safety approval and a dementia care program planned upon licensure.
23 Aug 2022Inspection
23 Aug 2022Inspection
Observed multiple safety and maintenance concerns, including an inoperable elevator, missing bathroom doors and privacy locks, water leaks, and hot water temperatures reaching unsafe levels.
16 Aug 2022Inspection
16 Aug 2022Inspection
Identified a deficiency related to liability insurance coverage required by law, and civil penalties were issued for the period noted.
Type B1569.605
10 Aug 2022Complaint
10 Aug 2022Complaint
Investigated the allegation that a resident was hit while in care; interviews and record reviews showed no witnesses or evidence to support the claim.
02 Aug 2022Inspection
02 Aug 2022Inspection
Observed noncompliance with infection control: a staff member did not wear a mask and entry COVID screening was not conducted; one resident tested positive and was isolated.
Type A809D
02 Aug 2022Inspection
02 Aug 2022Inspection
Identified failure to maintain liability insurance as required by law; civil penalties were assessed for the period.
Type B1569.605
21 Jul 2022Inspection
21 Jul 2022Inspection
Identified failure to maintain required liability insurance coverage, with civil penalties assessed for six days.
Type B1569.605
18 Jul 2022Inspection
18 Jul 2022Inspection
Confirmed that applicant and administrator demonstrated understanding of license requirements, staff qualifications, program policies (including abuse, admission agreements, medication management, and incident reporting), and the rules about excluded individuals.
13 Jul 2022Inspection
13 Jul 2022Inspection
Found failure to submit proof of liability insurance as required.
Type B1569.605
14 Jun 2022Inspection
14 Jun 2022Inspection
Identified that liability insurance coverage did not meet requirements; civil penalties were issued.
Type B1569.605
02 Jun 2022Complaint
02 Jun 2022Complaint
Identified ongoing pest issues with rats observed in the kitchen and hallway, supported by an exterminator invoice and prior pest-control notes. Evidence indicated the problem persisted with needs for improved rodent proofing and control.
Type B87303(a)
02 Jun 2022Inspection
02 Jun 2022Inspection
Identified failure to maintain liability insurance meeting regulatory coverage requirements.
Type B1569.605
19 May 2022Inspection
19 May 2022Inspection
Identified that liability insurance coverage did not meet state requirements, and civil penalties were issued for 13 days in May 2022.
Type A1569.605
19 May 2022Inspection
19 May 2022Inspection
Conducted an unannounced case management visit, collected the resident roster and emergency information, and discussed the decision and order with residents.
06 May 2022Inspection
06 May 2022Inspection
Identified failure to maintain liability insurance meeting the required coverage; civil penalties were assessed for 4/23/22 through 5/6/22.
Type B1569.605
22 Apr 2022Inspection
22 Apr 2022Inspection
Identified that liability insurance coverage did not meet state requirements and civil penalties were assessed for the period.
Type B1569.605
12 Apr 2022Inspection
12 Apr 2022Inspection
Identified failure to maintain liability insurance meeting state requirements, with civil penalties assessed.
Type A1569.605
29 Mar 2022Inspection
29 Mar 2022Inspection
Identified liability insurance coverage did not meet state requirements. Civil penalties were issued for the period.
Type A1569.605
16 Mar 2022Inspection
16 Mar 2022Inspection
Identified liability insurance coverage did not meet required limits. Civil penalties were assessed.
Type B1569.605
02 Mar 2022Inspection
02 Mar 2022Inspection
Identified liability insurance coverage did not meet requirements, and civil penalties were issued.
Type B1569.605
02 Mar 2022Inspection
02 Mar 2022Inspection
Identified maintenance and operation deficiencies due to several items in disrepair, including a faucet aerator, closet door hardware, sink drainage, and ceiling damage.
Type B87303(a)
26 Feb 2022Inspection
26 Feb 2022Inspection
Identified that wandering incidents involving a resident were not reported to the licensing agency as required, creating a potential health and safety risk.
Type B87468.2(k)(7)
26 Feb 2022Complaint
26 Feb 2022Complaint
Investigated a complaint alleging lack of supervision that allowed a resident with dementia to leave unassisted on more than one occasion. Also reviewed related safety concerns, including resident interactions, care practices, and overall conditions at the care setting.
Type A87464(d)
16 Feb 2022Inspection
16 Feb 2022Inspection
Identified that liability insurance coverage did not meet the required limits, and civil penalties were assessed for a specified period.
Type B1569.605
16 Feb 2022Inspection
16 Feb 2022Inspection
Identified safety concerns including hot water temperatures outside the allowed range, missing physician orders for supplements, and several maintenance and repair issues.
Type A87303(e)(2)
Type A87465(a)(5)
Type B87303(a)
02 Feb 2022Inspection
02 Feb 2022Inspection
Found that liability insurance coverage did not meet state requirements, and civil penalties were assessed.
Type B1569.605
02 Feb 2022Inspection
02 Feb 2022Inspection
Identified multiple health and safety deficiencies, including hot water temperatures outside the required range, unsecured medications, a missing exit chime, a missing smoke detector, and several items in disrepair.
19 Jan 2022Inspection
19 Jan 2022Inspection
Identified liability insurance coverage that did not meet state requirements, with civil penalties assessed for the period January 7–January 19, 2022.
Type B1569.605
12 Jan 2022Complaint
12 Jan 2022Complaint
Investigated allegations about staff working while diagnosed with Covid-19 and PPE practices. Interviews and observations showed masks and gloves were used, and staff had access to sick leave; there was no evidence to support the allegations.
06 Jan 2022Inspection
06 Jan 2022Inspection
Identified liability insurance coverage did not meet required standards. Civil penalties were assessed.
Type B1569.605
27 Dec 2021Inspection
27 Dec 2021Inspection
Identified a deficiency related to liability insurance coverage not meeting requirements.
Type B1569.605
14 Dec 2021Inspection
14 Dec 2021Inspection
Observed a staff member not wearing a mask inside and no COVID screening for entrants, creating immediate health and safety concerns.
Type A1569.50(a)(3)
14 Dec 2021Inspection
14 Dec 2021Inspection
Observed missing evacuation chairs at two stairwells and late submission of required documentation resulted in penalties.
Type A1569.695(f)(1)
Type B1569.605
14 Dec 2021Inspection
14 Dec 2021Inspection
Identified that liability insurance coverage did not meet state requirements, and civil penalties were issued for the period.
Type B1569.605
30 Nov 2021Inspection
30 Nov 2021Inspection
Identified failure to maintain required liability insurance coverage; civil penalties were issued.
Type B1569.605
30 Nov 2021Inspection
30 Nov 2021Inspection
Identified evacuation chairs missing from two stairwell exits, constituting a health and safety deficiency.
Type B1569.695
17 Nov 2021Inspection
17 Nov 2021Inspection
Identified lack of proof of liability insurance meeting the required coverage for residents and guests.
Type B1569.605
02 Nov 2021Inspection
02 Nov 2021Inspection
Identified that the prior deficiency regarding proof of liability insurance remained uncorrected, and civil penalties were assessed.
Type B1569.605
28 Oct 2021Complaint
28 Oct 2021Complaint
Observed hot water temperatures in resident areas not within the required range, and the elevator was out of order.
Type A87303(e)(2)
Type B87303(a)
27 Oct 2021Inspection
27 Oct 2021Inspection
Identified a deficiency regarding refund conditions in admission agreements. The responsible party was not given a copy of the admission agreement.
Type B87468.2(a)(8)
20 Oct 2021Inspection
20 Oct 2021Inspection
Identified that the required liability insurance coverage was not adequate for all facilities, and civil penalties were issued.
Type B1569.605
08 Oct 2021Inspection
08 Oct 2021Inspection
Identified a deficiency regarding a refund owed by a resident's responsible party. By 10/08/2021 the required response had not been submitted and civil penalties were planned for late submission.
07 Oct 2021Inspection
07 Oct 2021Inspection
Found that several prescribed medications were missing and not administered per physician orders, and that a multivitamin was given without a physician's order.
Type A87465(a)(5)
07 Oct 2021Inspection
07 Oct 2021Inspection
Found that proof of liability insurance was not submitted by the due date, resulting in civil penalties.
Type B1569.605
07 Oct 2021Inspection
07 Oct 2021Inspection
Identified an overdue annual fee of $1,484 due March 14, 2021 during a collateral visit.
28 Sept 2021Inspection
28 Sept 2021Inspection
Observed that an Accusation was served but not posted conspicuously and not communicated to residents or the ombudsman; identified multiple compliance concerns including criminal background clearance, medication administration, and liability insurance.
Type ACCR87705(j)
Type AHSC1569.38(b)(1)
Type ACCR87355(e)(1)
Type ACCR87465(a)(5)
Type BHSC1569.38(e)
Type BHSC1569.605
28 Sept 2021Inspection
28 Sept 2021Inspection
Observed an exit door auditory alert was inoperable, presenting a safety hazard for residents with dementia. A civil penalty was issued.
Type A87705(j)
23 Sept 2021Inspection
23 Sept 2021Inspection
Identified failure to submit proof of liability insurance by the due date, with civil penalties assessed for 14 days (9/10/21–9/23/21).
Type B1569.605
09 Sept 2021Inspection
09 Sept 2021Inspection
Identified a citation for failure to submit proof of liability insurance by the due date, with civil penalties issued. The deficiency remained not cleared at the time of the follow-up.
Type B1569.605
09 Sept 2021Inspection
09 Sept 2021Inspection
Observed health, safety, and personal rights concerns during a site visit, including missing temperature screenings, inoperable exit chimes, insufficient perishable foods, a privacy breach with a diaper change, and a bed frame obstructing a walkway.
Type A1569.50(a)(3)
Type A87705(j)
Type A87555(b)(26)
Type B87468.1(a)(3)
Type B87307(d)(6)
02 Sept 2021Complaint
02 Sept 2021Complaint
Investigated a refund complaint involving a former resident and missing admission documents. Found the responsible party was not given a copy of the admission agreement and a pro-rated refund for February 2019 and preadmission fees was due.
Type B87507(g)(5)(A)
02 Sept 2021Complaint
02 Sept 2021Complaint
Identified that some caregivers lacked the required training hours and there were not enough staff to meet resident needs, resulting in delayed assistance and slow emergency pendant responses.
Type A87411(a)
Type B1569.625(b)(1)
31 Aug 2021Inspection
31 Aug 2021Inspection
Identified that a staff member was employed prior to obtaining a transfer of a criminal record clearance.
Type A87355(e)(2)
31 Aug 2021Inspection
31 Aug 2021Inspection
Identified corrections to citations and civil penalties from a prior visit.
30 Aug 2021Inspection
30 Aug 2021Inspection
Discussed closing multiple facilities and relocating all residents by October 29, 2021, and that no new admissions would be accepted.
Type B87224
Type B1569.682
Type B87211
23 Aug 2021Inspection
23 Aug 2021Inspection
Amended a prior visit report to correct citations and penalties.
20 Aug 2021Inspection
20 Aug 2021Inspection
Identified that personnel records were not accessible during review because files were locked in the office and the administrator was unavailable.
Type B87211(f)
12 Aug 2021Inspection
12 Aug 2021Inspection
Identified amendments to earlier citations and penalties after a prior review.
29 Jul 2021Inspection
29 Jul 2021Inspection
Identified that the auditory exit chime on the courtyard door was turned off, creating an immediate safety concern for residents with dementia.
Type A87705(j)
29 Jul 2021Inspection
29 Jul 2021Inspection
Identified an amendment to correct citations issued during a prior visit.
16 Jul 2021Inspection
16 Jul 2021Inspection
Identified deficiencies during an unannounced case management visit.
30 Jun 2021Complaint
30 Jun 2021Complaint
Investigated the allegation that staff did not have required training. Evidence showed staff had training on NG-Tube care and feeding, and there was insufficient proof to support the allegation.
24 Jun 2021Complaint
24 Jun 2021Complaint
Investigated complaints and found a pest problem with rat droppings in the kitchen area; interviews indicated residents were not mistreated and their needs were met.
Type B87303(a)
24 May 2021Complaint
24 May 2021Complaint
Identified that staff administering medications lacked required training and certification.
Type B1569.69(b)
Type B1569.69(a)(5)
12 May 2021Inspection
12 May 2021Inspection
Identified an inoperable exit chime on the courtyard exit door and an elevator out of service during an unannounced visit.
Type A809D
12 May 2021Complaint
12 May 2021Complaint
Investigated allegations that a resident sustained multiple falls and that staffing was insufficient. Found that there was no fall risk plan for a resident and that staffing levels were insufficient prior to the 9/14/19 incident.
Type A87468.1(a)(2)
Type A87411
03 Nov 2020Complaint
03 Nov 2020Complaint
Found that staff mismanaged residents’ medications and did not administer them as prescribed. OTC medications were unlabelled or lacked orders, several residents lacked central medication records or medication sheets for multiple months, and staff could not provide complete documentation or training records.
22 Sept 2020Complaint
22 Sept 2020Complaint
Investigated; found the six allegations unsubstantiated: that staff slapped a resident; that staff did not prevent harm between residents; that residents were not properly fed; that unsafe sugary drinks were provided to diabetics; that staff lacked oxygen-related training; and that medications were mishandled.
27 Feb 2020Inspection
27 Feb 2020Inspection
Identified deficiencies in care and safety protocols during the visit, including issues with resident evaluations, staffing levels, emergency exit devices, and hazardous materials storage.
Type A1569.17(b)
20 Feb 2020Inspection
20 Feb 2020Inspection
Identified deficiencies during the inspection led to the issuance of appeal rights to the individuals involved.
Type A
14 Feb 2020Inspection
14 Feb 2020Inspection
Confirmed regulatory violation due to an unassociated individual working significant hours without proper staff documentation during an administrative leave.
06 Feb 2020Inspection
06 Feb 2020Inspection
Identified a violation related to lack of electricity and heat in two rooms during an unannounced visit.
Confirmed deficiency in liability insurance coverage, resulting in civil penalties.
Type A87465(e)
Type B1569.69
Type B87465(h)(6)
27 Dec 2019Inspection
27 Dec 2019Inspection
Identified inadequate liability insurance coverage, resulting in a civil penalty being issued.
Type A87468.1(a)(2)
Type A87411
12 Dec 2019Inspection
12 Dec 2019Inspection
Found a violation of liability insurance requirements during the visit, resulting in a citation being issued.
Type B87303(a)
13 Nov 2019Inspection
13 Nov 2019Inspection
Identified a deficiency regarding verification of liability insurance during the visit, resulting in civil penalties being assessed.
Type B1569.69(b)
23 Oct 2019Complaint
23 Oct 2019Complaint
Confirmed allegations of elevator being in disrepair and failure to provide written report for resident fall incident.
Type A
Type B1569.50
Type A1569.17(b)
Type A
Type B
Type B
10 Oct 2019Inspection
10 Oct 2019Inspection
Confirmed inability to provide verification of Liability Insurance during the visit. Civil penalties were assessed.
Type A
Type B
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