I live here and, overall, the building is beautiful, very clean and well-maintained with spacious balcony rooms, a large courtyard, plenty of activities, and generally good food. Staff are mostly warm and helpful-Nazmeen (care coordinator), Andre (maintenance) and Denise at the desk have been wonderful-and basic care (meals, meds, escorting to dining) is reliable. That said, management and communication are inconsistent: I experienced a dishonest staff member, appointment mismanagement and rescheduling without notice, passive-aggressive responses, and billing/fee opacity. I also witnessed a safety lapse (an oxygen machine left unplugged) and have concerns about missing clothes and disputed charges. Memory care seemed understaffed and undertrained with high turnover, so advanced dementia needs may not be well met. Good choice for independent or basic assisted living with lots of activities-just confirm billing transparency and dementia staffing before you commit.
Transportation limitations or driver-related issues
Some rooms described as small, motel-like, or needing renovation
Facility not consistently well-equipped for dementia patients
Perceived emphasis on appearance/marketing over resident care
Med-tech/clinical phone lines sometimes unresponsive
Lack of spiritual care and few meaningful one-on-one conversations reported
Neighborhood is busy and not very walkable
Discrepancies between website claims and actual resident count/occupancy
Summary review
Overview and overall sentiment:
Reviews for The Point At Rockridge show a community with many strengths in physical amenities, social programming, and numerous frontline staff who are praised as friendly and attentive. Common positive themes include very clean, spacious, sunlit apartments (many with balconies and kitchenettes), attractive common areas such as a top-floor lounge and library with views, an expansive courtyard and gardens, plentiful activities and outings, and on-site services like housekeeping, laundry on floors, maintenance, and rehab/physical therapy. Despite those strengths, the overall sentiment is mixed because of recurring operational and care-quality concerns concentrated in memory-care services, dining consistency, staff turnover, communication and billing issues.
Staff and care quality:
Frontline caregivers, kitchen staff, maintenance workers, and several named staff members receive many heartfelt compliments for kindness, responsiveness, and individualized attention. Reviewers repeatedly describe staff as patient, warm, and attentive — with examples of staff knowing residents by name and being proactive in care coordination. However, there is a significant and recurring counterpoint: multiple reviews raise serious concerns about staffing, training, and behavior—especially on the Generations memory-care floor. Issues reported include underpaid/undertrained staff, dismissive or patronizing interactions, lack of dementia-specific training, insufficient one-on-one engagement, and occasional clinical lapses (for example, a cited oxygen-machine safety issue). There are also many notes about staff turnover, frequent changes in activity directors, and uneven availability of clinical lines (med-tech phone) and memory-care leadership presence.
Facilities, cleanliness and maintenance:
The physical facility is consistently praised: generally described as clean, modern in many areas, well maintained, and thoughtfully designed. Apartments are frequently called spacious and bright, often featuring private bathrooms, kitchenettes, and balconies. Common features noted positively are the large dining room that resembles a restaurant, a library, exercise room, top-floor lounge with panoramic views, courtyard and gardens, and multiple laundry rooms. On-site maintenance staff and a responsive handyman are highlighted as valuable. Criticisms here are mostly localized: some parts of the building feel older or motel-like to certain residents, a few reports mention broken laundry machines and understaffing in maintenance at times, and there are inconsistent reports about room sizes (some studios described as small).
Dining and food service:
Dining feedback is mixed and highly variable by reviewer and time period. Positive comments emphasize a long-tenured chef, fresh produce and fish offerings, restaurant-like presentation, warm meals, and 24/7 snack/food availability. Many outings and special meals (Sunday banquets, champagne) are noted. Conversely, numerous reviews cite unappetizing or cold food, inconsistent preparation (overcooked or undercooked dishes), bland menus, box lunches during COVID, and instances where alternate-menu requests were not fulfilled. Multiple reviewers found the dining experience improved at times but inconsistent overall. Food-service staffing and supply issues during COVID are mentioned as an explanatory factor in some accounts.
Activities, social life and programs:
A major strength of the community is its activity program and social opportunities: reviewers cite abundant activities (art classes, TED talks, movies, games, music, brain-exercise classes, daily exercise, happy hour), frequent outings (Oakland A's, symphony, hot-air-balloon plan), and an engaged resident population. For many, the community reduces isolation and provides stimulating options that match independent and assisted-living needs. However, some reviewers report fewer visible activities, residents who appear to sit idle in dining rooms, and limited entertainment in certain areas (for memory care: minimal activities like 'Tea and Cookies' on Sundays, only one TV channel). These differences suggest inconsistency across floors or shifts and may be worsened by staff turnover or COVID restrictions.
Management, communication, and operations:
Several reviews point to inconsistent communication from management, sales miscommunication, unanswered emails, and what some perceive as a marketing/PR emphasis over transparent resident care. There are recurring reports of billing disputes, lack of fee transparency, overcharging, and disagreements about additional costs (including the high cost of memory care). While some reviewers praise recent leadership changes and name an executive director or staff who improved resident-centered care, others describe disorganized administration, passive-aggressive or unprofessional communication by individual staff, and slow resolution of operational problems. Occupancy and reporting inconsistencies (smaller resident count than the website stated, empty rooms) were also mentioned.
Safety and notable incidents:
A few reviews report serious safety and public-health incidents: a GI infection outbreak was mentioned by multiple sources, and at least one safety lapse (an oxygen machine unplugged) was cited. On the other hand, several reviewers praise the community's COVID outbreak management and vaccination program. These mixed signals indicate that while infection control and emergency response have had successes, there have also been lapses that concerned families.
Memory care and suitability for dementia:
This is the area with the most polarization and the clearest red flags. Multiple reviewers explicitly state the Generations memory-care unit suffers from staffing shortages, insufficient dementia training, and caregivers who at times are patronizing or uninterested in meaningful engagement. Some accounts say the unit is not well-equipped for more advanced dementia needs and that management has prioritized reputation over addressing core care issues. At the same time, other reviews describe compassionate memory-care caregivers and good communication with families, which suggests variability in staffing, shifts, or time periods. Families considering memory care should probe staffing ratios, turnover rates, dementia-specific training, examples of daily programming for cognition and engagement, clinical oversight, and fee structures.
Pricing, value and who it suits best:
Many reviewers appreciate the location, apartment quality, social programming, and frontline staff — calling it a strong choice for independent and assisted-living residents who are relatively mobile and socially engaged. Several mention good value or budget-friendly options with income assistance for some. Yet the community is repeatedly described as expensive in absolute terms, with memory care particularly costly. Billing opacity, add-on fees, and disputes over charges reduce perceived value for some families. The neighborhood's busy, less-walkable surroundings also affect suitability for those seeking walkable urban access.
Bottom line and recommendations:
The Point At Rockridge offers many real strengths: attractive, clean physical spaces; numerous social and enrichment activities; responsive maintenance; and many warm, dedicated frontline staff. It appears especially well suited for independent and assisted-living residents who want a socially active, well-appointed community with strong amenities. However, there are consistent concerns you should investigate before deciding: variability in dining quality, management and billing transparency, staff turnover, and particularly uneven quality and training in the memory-care (Generations) unit. Prospective residents and families should ask direct, specific questions about memory-care staffing levels and training, recent turnover rates, clinical oversight, dining sample menus and alternate-meal policies, laundry and maintenance SLAs, communication protocols, infection-control history, and a clear breakdown of all fees. A thorough, recent tour (including visiting the memory-care floor during activity times), talking with current families, and checking how management handled recent incidents or leadership changes will help determine whether the community is the right fit for a particular care need.
Location
About The Point At Rockridge Senior Living
The Point At Rockridge Senior Living sits in Oakland, California, on a mid-rise campus with a neighborhood feel and offers independent living, assisted living, memory care, and respite care. Residents can pick from different floor plans, including Studio, One Bedroom, Redwood, Lakeview, Sequoia, and Alameda layouts ranging from about 324 to 720 square feet, with apartments featuring kitchenettes, private bathrooms, some balconies, and step-up showers, which could make things tricky for people with mobility issues. People live here as part of a continuing care retirement community, with separate services for folks who want independence, need some help each day, or require memory care.
The community has plenty of amenities, like a sky lounge and bar with Golden Gate views, a movie theater, formal library with computers and printers, a gym, a salon and barber shop, private dining rooms, cozy common areas, a restaurant-style dining room, and a full courtyard with a dog path, fireplace, outdoor seating, barbecue, and dining spots amid lush landscaping. The place schedules regular activities and uses Vibrant Life® programs, so residents can stay busy with things they enjoy, and Elevate® Dining serves restaurant-style meals, including some award-winning choices.
Weekly housekeeping, linen service, home maintenance, and a concierge take care of chores and special requests, and transportation is available for outings and errands. For health and safety, every apartment has a 24/7 emergency call system and touchless temperature scanning, and trained staff are present around the clock. Staff help with daily activities like dressing or reminders for medication, and many folks mention the team is kind and compassionate.
Changes in management have brought higher rents and extra fees for some residents, and as of January 1 there's a separate care fee structure in place, though some say services haven't increased with the new costs. The community is fully licensed as a Residential Care Facility for the Elderly under License Number #019200873. People can enjoy outdoor patios, a community blog, a senior living library, and virtual tours. The Point At Rockridge Senior Living tries to make things warm, welcoming, and safe, offering a range of care and living options for those looking for senior accommodations in Oakland.
Integral Senior Living (ISL), founded in 2002 and headquartered in Carlsbad, California, has emerged as a leading third-party management company specializing in senior independent living, assisted living, memory care, and new development properties. Managing 58 communities across 15 states including California, Oregon, Washington, Arizona, Utah, Idaho, Colorado, Texas, Oklahoma, Illinois, Tennessee, Alabama, Michigan, Missouri, and Florida, ISL ranks as the 20th largest senior living provider in the United States with annual revenues reaching $750 million.
In 2023, ISL entered a transformative partnership with Discovery Senior Living through an investment by Lee Equity Partners and Coastwood Senior Housing Partners, creating the nation's fifth-largest senior housing operator. This strategic alliance positioned ISL as Discovery's largest vertically integrated senior living operator, managing over 113 communities within the Discovery family of companies. Together, Discovery Senior Living has become the largest privately held operator in the U.S., with a portfolio of nearly 35,000 units across 350 communities in almost 40 states, supported by more than 17,000 employees.
ISL's care philosophy centers on fostering dignity and respect for residents while promoting their independence and individuality. Their person-centric approach is exemplified in programs like Generations Memory Care, where individuals are viewed as whole persons first rather than being defined by their conditions. The company delivers meaningful and vibrant life experiences through exceptional amenities, award-winning programs, chef-prepared meals, and expert care. This commitment extends to creating fulfilling work environments for associates, recognizing that employee satisfaction directly impacts resident care quality.
The company's excellence has earned significant recognition, including 19 communities being named among the Best Senior Living Communities for 2024. Under the leadership of President and CEO Collette Gray, who received the 2025 McKnight's Senior Living Women of Distinction Lifetime Achievement Award and was inducted into the McKnight's Women of Distinction Hall of Honor in 2023, ISL has maintained its position as an industry leader. The partnership with Discovery has proven transformative for operations, enhancing support services, improving employee retention through enhanced benefits, and allowing both companies to leverage best practices while maintaining their unique cultures and programs.
People often ask...
The Point At Rockridge Senior Living offers competitive pricing, with rates starting at a cost of $5,638 per month.
The Point At Rockridge Senior Living offers independent living, assisted living, and memory care.
There are 50 photos of The Point At Rockridge Senior Living on Mirador.
Yes, The Point At Rockridge Senior Living allows residents to age in place and adjust their level of care as needed.
The full address for this community is 4500 Gilbert Street, Oakland, CA, 94611.
Yes, The Point At Rockridge Senior Living offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
76
Inspections
6
Type A Citations
16
Type B Citations
5
Years of reports
16 Jul 2025
16 Jul 2025
Found all safety measures in place, essential supplies stocked, and records complete; no deficiencies identified.
§ 9058
13 Feb 2025
13 Feb 2025
Conducted an unannounced case management visit in response to a complaint; requested an in-service training for all care staff on ADL and resident personal rights with signatures by 2/21/25; no deficiencies identified today.
13 Feb 2025
13 Feb 2025
Investigated two allegations: staff hurt a resident and staff did not clean facility properly. Interviews with residents and staff and observations found no evidence to support either claim.
15 Jan 2025
15 Jan 2025
Reviewed amended LIC 9099 and LIC 9099-C with management; signed by a member of management. Conducted an exit interview.
12 Nov 2024
12 Nov 2024
Investigated the allegation that staff did not promptly answer communications from a resident's representative and the allegation that staff did not prevent a resident from inappropriately grabbing another resident. Found insufficient evidence to prove either claim.
26 Dec 2024
26 Dec 2024
Found insufficient evidence to prove the allegation that staff slept during evening shifts. Interviews indicated that breaks or brief rest occurred in the memory care dining area, and no on-duty sleeping was observed.
12 Nov 2024
12 Nov 2024
Investigated a 10/30/2024 incident in which a resident injured another; reviewed the injuring resident's physician's report, service plan, and progress notes, and met with the program director to discuss the situation.
31 Oct 2024
31 Oct 2024
Identified that a staff member had not been fingerprinted or associated with the care setting, and that there was no qualified, certified administrator in charge; deficiencies were observed.
31 Oct 2024
31 Oct 2024
Investigated allegations involving staff conduct and resident safety, including a staff member engaging in a physically inappropriate interaction with a resident, sexually inappropriate comments toward a resident, failure to centrally store medications, and not meeting a resident’s dietary needs, plus a resident’s death reported as natural causes. Found no evidence to prove these allegations.
§ 87411(a)
§ 87468.1(a)(3)
§ 87468.1(a)(1)
13 Sept 2024
13 Sept 2024
Found that two staff were rough with residents during ADL care, and that a resident fell on two separate days without injuries, after which those staff resigned or were terminated. Found that there was evidence suggesting staff caused multiple injuries to residents, including an unwitnessed fall with injuries, while staff contested that they caused the injuries, and the allegation of inadequate supervision did not have sufficient evidence.
13 Sept 2024
13 Sept 2024
Confirmed allegations of staff causing injuries to residents, but found no evidence of inadequate supervision.
08 Aug 2024
08 Aug 2024
Found safety and care standards met: lighting adequate, hallway at 68 degrees, hot water 116 degrees, bathrooms with grab bars and non-slip mats, and stocked food with medications, sharps, and toxins locked away. Also found detectors and fire safety equipment functioning, emergency plan posted, drills conducted, first aid kit complete, and resident and staff records reviewed and complete; no deficiencies noted.
08 Aug 2024
08 Aug 2024
Determined no deficiencies during visit and all records were found to be complete.
06 Mar 2024
06 Mar 2024
Investigated the allegations about nighttime security, elevator operation, and staff response times; found five staff on duty from 11 pm to 7 am with doors locked from the inside and alarmed, exits allowed if needed, and events logged. Found two elevators in use, with one having issues at the end of February and serviced on March 4, and a call log showing an average response time of 23 minutes, noting that resetting sensors for doors and stairwells can lengthen those times.
06 Mar 2024
06 Mar 2024
Found that allegations regarding security, elevator functionality, and staff response time were unfounded during the visit.
30 Jan 2024
30 Jan 2024
Found two residents from another facility remained and decided to stay at the location. Observed that the apartments previously used by those residents were empty, with no health or safety concerns and no deficiencies noted.
30 Jan 2024
30 Jan 2024
Visited facility, no health/safety concerns observed, no deficiencies cited. Two residents decided to stay.
18 Dec 2023
18 Dec 2023
Verified the individual is not present, employed, or residing at the location during a case management visit on 12/18/23.
18 Dec 2023
18 Dec 2023
Verified individual not present, employed, or residing at the facility during the visit.
§ 87355(d)
§ 87405(a)
30 Nov 2023
30 Nov 2023
Identified a billing error in July 2023 where tray services were charged for the entire month though only one day occurred, and the family notified the error on 7/1/2023. Found no evidence of staff stealing residents' money or financially abusing residents after interviews and document reviews.
30 Nov 2023
30 Nov 2023
Found no deficiencies after an unannounced visit; fire clearance approved for 186, lighting adequate, hallway temperature at 70 degrees F, hot water in a resident bathroom measured at 116.8 degrees F, bathrooms with grab bars and non-skid mats, and food supplies sufficient (one week nonperishable, two days perishable); medications, sharps, and toxic substances were locked. Reviewed five residents' records and five staff records; all were complete, and a sample of medications was reviewed.
30 Nov 2023
30 Nov 2023
Found seven residents from another facility residing in six furnished apartments, with adequate supplies and no health or safety concerns observed. Found food, staffing, and hygiene supplies to be adequate, and that residents reported having all they needed; they were tentatively scheduled to return to their previous facility in December 2023.
30 Nov 2023
30 Nov 2023
Conducted an inspection of the facility and found no deficiencies or imminent health/safety concerns. Residents from another facility were provided with necessary supplies and are tentatively scheduled to return in December.
§ 87468.1(a)(3)
26 Oct 2023
26 Oct 2023
Found seven residents from another facility living in six furnished apartments with beds, chairs, and personal belongings. Observed adequate food, hygiene supplies, and staffing, with no health or safety concerns and no deficiencies cited.
26 Oct 2023
26 Oct 2023
Visited facility following move of residents from another location. Found no concerns in terms of resident care, staffing, supplies, or safety during inspection.
14 Sept 2023
14 Sept 2023
Found seven residents from another facility living here; one resident died on 8/18/23. Food, staffing and hygiene supplies were adequate, and no health or safety concerns or deficiencies were found.
14 Sept 2023
14 Sept 2023
Conducted an unannounced visit to check on residents relocated from another facility, found no deficiencies or health/safety concerns, all residents reported having necessary supplies.
17 Aug 2023
17 Aug 2023
Found eight residents from another facility living in seven furnished apartments with personal items and hygiene supplies. Food, staffing, and hygiene supplies were adequate; no health or safety concerns identified.
17 Aug 2023
17 Aug 2023
Found no deficiencies during the visit. All residents had adequate supplies and there were no health/safety concerns identified.
§ 87468.2(a)(4)
12 Jul 2023
12 Jul 2023
Confirmed eight residents from another home resided here; seven apartments were fully furnished and hygiene supplies were adequate. Found seven of eight residents reported having all they needed, and one had moved out to a facility earlier; no health or safety concerns were identified and no deficiencies were cited.
12 Jul 2023
12 Jul 2023
Investigated an allegation of a death record with incorrect dates. Updated information shows the death occurred on June 1, 2023, replacing the May 31 finding date and the May 1 contact date.
12 Jul 2023
12 Jul 2023
Confirmed adequate living conditions and supplies for residents from a previous facility.
07 Jul 2023
07 Jul 2023
Found no deficiencies; hot water measured at 116 degrees F in a resident bathroom sink; one week of non-perishable and two days of perishable foods sufficient; medications locked; smoke detectors interconnected with sprinkler system; carbon monoxide detectors observed; first-aid kit complete; fire extinguisher full; no accessible bodies of water.
07 Jul 2023
07 Jul 2023
No deficiencies were cited during the inspection on 7/7/2023, indicating that the facility met health and safety standards.
23 Jun 2023
23 Jun 2023
Investigated a suicide incident, collected records for the involved resident, and referred the matter to the Investigations Branch. Advised the care director to forward all incident and death information to the licensing agency by fax or email.
23 Jun 2023
23 Jun 2023
Investigated a suicide incident, reviewed relevant documents, and provided guidelines for submitting future incident reports.
01 Jun 2023
01 Jun 2023
Found no health or safety concerns and no deficiencies cited after an unannounced case management visit, with residents reporting adequate supplies and feeling welcome, comfortable, and safe. Noted one resident moved out recently and another is scheduled to move today, while food, staffing, and hygiene supplies remained adequate.
01 Jun 2023
01 Jun 2023
Confirmed no deficiencies found during visit. Residents felt safe and comfortable. Adequate supplies observed.
24 May 2023
24 May 2023
Found ten furnished apartments housed residents from another residence with adequate supplies and no imminent health or safety concerns identified; nine of ten residents reported feeling welcome, comfortable, and safe, and food, staffing, and hygiene supplies were sufficient.
24 May 2023
24 May 2023
Reviewed visit to facility following residents transfer from another location, found residents satisfied with accommodations and supplies, no immediate safety concerns observed.
17 May 2023
17 May 2023
Found no immediate health or safety concerns after visiting 10 resident apartments; observed furnishings and personal items in each, with residents reporting they had all they needed. Food, staffing, and hygiene supplies were adequate.
17 May 2023
17 May 2023
Conducted an unannounced visit to check on residents, found no safety concerns, adequate supplies, and residents satisfied with their living conditions.
11 May 2023
11 May 2023
Found that 10 residents transferred from another facility were living in 10 furnished apartments with adequate personal items and hygiene supplies, and reported having all necessary items. Found food, staffing, and hygiene supplies adequate, and no imminent health or safety concerns were observed.
11 May 2023
11 May 2023
Conducted unannounced visit, toured facility, found no health/safety concerns, residents satisfied with supplies and care.
05 May 2023
05 May 2023
Found that twelve residents from another facility were housed in seven of eleven furnished apartments, including a married couple sharing. Found adequate food, staffing, and hygiene supplies, and observed residents well groomed and in good spirits with no immediate health or safety concerns evident.
05 May 2023
05 May 2023
Conducted an unannounced visit, observed residents to be well-cared for and facility to be in good standing with no immediate concerns.
29 Apr 2023
29 Apr 2023
Confirmed 11 residents moved in from another center; eight were dining while three were in their rooms. Found no imminent health or safety concerns, and observed adequate food, staffing, hygiene supplies, and furnishings.
29 Apr 2023
29 Apr 2023
Confirmed adequate living conditions, supplies, food, and staffing at the facility during an unannounced case management visit.
28 Apr 2023
28 Apr 2023
Confirmed 11 residents from another home were moved in, with current staff providing care today and agency staff helping over the weekend. One resident said she felt safe and her needs were being met; beds were expected to arrive between 7 and 8 p.m., and no imminent health or safety concerns were identified.
28 Apr 2023
28 Apr 2023
Confirmed safe and satisfactory conditions for residents after an unannounced visit.
06 Feb 2023
06 Feb 2023
Identified deficiencies in how resident health needs were managed, including not updating needs and service plans when health conditions changed, lacking annual needs and service plans, and missing annual physician’s reports for residents with dementia. Also found failures to report fall-related incidents that led to hospitalizations on 11/7/22 and 11/8/22, with a civil penalty assessed; an exit interview was conducted with the interim executive director.
06 Feb 2023
06 Feb 2023
Found that there was no janitor on duty in the memory care unit for almost two months, with the former administrator admitting the gap and care staff reporting cleanliness concerns. Found that the allegations that a resident suffered falls while in care, that a resident was left in soiled bedding for a long period, and that a resident's hygiene needs were not being met were not supported by evidence.
§ 87303(a)
06 Feb 2023
06 Feb 2023
Identified deficiencies related to updating residents' health plans, submitting medical reports, and reporting incidents, resulting in a civil penalty being assessed.
10 Jan 2023
10 Jan 2023
Found financial abuse: rent continued to accrue after the resident's death on 10/30/2022, with the room vacant by 11/19/2022 and the last rent withdrawal for December 2022 on 12/6/2022.
Found failure to refund the partial month rent after death, with the resident's representative having the room vacant since 11/19/2022 and the refund not issued in a timely manner.
10 Jan 2023
10 Jan 2023
Confirmed financial abuse and failure to refund after resident deceased.
29 Nov 2022
29 Nov 2022
Identified improper storage of chemical supplies in residents' rooms 201 and 205.
§ 87705
29 Nov 2022
29 Nov 2022
Identified deficiencies in the storage of chemical supplies in residents' rooms during a recent visit.
23 Sept 2022
23 Sept 2022
Found that a resident's fall, which led to hospital admission on 9/8/2022, was not reported to CCLD and no incident report for this event was on record. A deficiency was noted, and an exit interview with the Administrator was conducted.
23 Sept 2022
23 Sept 2022
Found that the administrator did not respond to the hospital's request to readmit the resident, even though calls and emails were received on 9/16/2022. The investigation noted that the administrator later coordinated with the hospital, and the resident was set to return on 9/24/22.
23 Sept 2022
23 Sept 2022
Identified deficiency in reporting a resident's fall to state authorities. Deficiency must be corrected to avoid penalties.
14 Jul 2022
14 Jul 2022
Determined that the allegations of staff yelling at residents, humiliating residents, forcing residents to finish meals, not following residents' dietary needs, and displaying aggressive behavior toward residents were not proven by a preponderance of evidence. Identified that a resident had a witnessed fall with a walker on 7/30/2021, resulting in skin tears and wound care, with a primary care visit on 7/31/2021.
14 Jul 2022
14 Jul 2022
Found that a caregiver passed medication to residents without required training, and there were no training records for that caregiver.
14 Jul 2022
14 Jul 2022
Observed caregiver administering medication without required training during inspection.
§ 87705
§ 87463
§ 87211
§ 87463
25 Aug 2021
25 Aug 2021
Found an unannounced infection-control review by licensing staff, with the administrator present. Noted ample PPE and hygiene supplies on all floors, medications secured in the Med room, COVID-19 postings and visitor screening with logs, and mitigation and disaster plans on file.
25 Aug 2021
25 Aug 2021
Inspection findings showed adherence to infection control protocols, availability of necessary supplies, and compliance with COVID-19 safety measures.
§ 1569.652(a)
§ 1569.652(c)
20 Jul 2021
20 Jul 2021
Investigated a failure to report an incident to CCLD, with staff saying it was reported to the Ombudsman instead. Noted a deficiency for failing to report the incident to CCLD, and exit rights were explained.
20 Jul 2021
20 Jul 2021
Investigated and found the allegation against an outside agency employee unfounded and dismissed.
20 Jul 2021
20 Jul 2021
Identified failure to report an incident to the appropriate agency as a deficiency during the inspection.
§ 87405(h)(8)
19 Nov 2020
19 Nov 2020
Found that consent for medical treatment from the responsible party was not obtained. Found that staff forced the resident to undergo a medical procedure after the resident expressed refusal.
19 Nov 2020
19 Nov 2020
Confirmed allegations related to not obtaining consent for medical treatment and forcing a resident to undergo a medical procedure.
§ 87211
10 Aug 2020
10 Aug 2020
Investigated allegations of a resident sustaining a head injury and staff not providing a safe environment or seeking timely medical attention; found insufficient evidence to prove violations occurred, resulting in unsubstantiated allegations.
25 Jun 2020
25 Jun 2020
Investigated an allegation that a resident suffered multiple falls due to not using a prescribed walker; however, evidence was insufficient to determine a violation occurred.
§ 1569.69
17 Jun 2020
17 Jun 2020
Reviewed infection control procedures in response to COVID-19, no deficiencies were observed during the visit.
16 Jun 2020
16 Jun 2020
Toured facility and reviewed Covid-19 policies, no deficiencies found.
27 Apr 2020
27 Apr 2020
Investigated allegations of insufficient care plans and inadequate supervision for a resident; determined that while the resident's needs changed, the facility communicated these changes to the resident's representative, and the facility's staffing policy did not include one-on-one supervision, with the allegations lacking sufficient evidence to be proven.
§ 87211
12 Feb 2020
12 Feb 2020
Confirmed appropriate handling of a resident's incident resulting in passing away. No concerns noted in resident's file.