I'm very happy with this community - the staff are friendly, professional and go the extra mile, so my loved one is well taken care of and I have peace of mind. The facility is beautiful, super clean and homey with a large shady backyard and engaging activities. Communication, housekeeping and meals have been good, and management has been responsive. I would recommend this caring, family-like place.
Loved one of resident
Jul 2026
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Reviews
3.87·(53)
Overall rating
5
4
3
2
1
Care
3.3
Staff
3.8
Meals
3.0
Amenities
3.0
Value
3.3
Pros
Compassionate, attentive caregiving staff
Knowledgeable nursing and trained clinical staff
Scenic, well-maintained outdoor grounds and garden
Large, fenced backyard with fruit trees
Small, community-style memory care environment
Private and shared room options with personalization allowed
Active on-site programming (line dancing, arts, library, outings)
Flexible dining options (in-room service or dining hall)
Affordable and competitive monthly rates
Helpful and proactive admissions/placement staff
Secure features (cameras, gated outdoor areas, 24/7 visiting)
Spotless-clean reports for portions of the facility
Cons
Inconsistent staffing levels and high employee turnover
Variable staff conduct and uneven caregiver training
Gaps in supervision and resident safety monitoring
Inconsistent housekeeping and move-in room preparation
Maintenance and facility-upkeep backlog
Inconsistent dining quality and portion control
Gaps in clinical-incident response and family communication
Variability in activity engagement and staffing support
Communication and management responsiveness variability
Sanitation and odor concerns in some common or private areas
Summary of reviews
Reviews for Roseleaf of Oroville at Larkspur Landing present a mixed but consistent set of themes. Many family members and residents praise the community's small, memory-care–focused environment, scenic rural grounds, and strong elements of person-centered service: compassionate caregivers, on-site nursing, a variety of activities (arts, line dancing, library and outings), and flexible dining options. Several reviewers highlighted helpful admissions staff and local marketing/placement support, along with affordable monthly rates and acceptance of VA benefits. Physical campus features—large fenced yard, fruit trees, murals, and some renovated cottages—are frequently cited as strengths that contribute to a home-like atmosphere.
Care quality and staffing emerge as the most polarized areas. Positive accounts describe respectful, committed caregivers and well-trained nurses who provide individualized attention. However, other accounts raise operational concerns: inconsistent staffing levels, high turnover, and variability in caregiver conduct and skills. These operational weaknesses appear to drive uneven resident supervision and occasional delays in attending to needs. There are also references to serious individual incidents and concerns following a resident's death; reviewers describe gaps in clinical-incident response and in how leadership communicated with families in those situations.
Housekeeping, maintenance, and building condition are another area of mixed feedback. Several reviews praise spotlessly maintained spaces, while others note inconsistent room preparation at move-in, sanitation and odor concerns in some areas, and a backlog of maintenance work (potholes at the main entrance, pilled carpeting, inconsistent temperature control, and other repair needs). These discrepancies suggest that cleanliness and upkeep may vary by unit or shift rather than being uniformly managed across the facility.
Dining and activities show a similar split. Some families describe excellent meals, good variety, and staff willingness to accommodate portions and preferences; others report bland or inconsistent food and negative impacts on residents' weight. Activity programming is described as robust and creative in many accounts (line dancing, murals, frequent engagement), yet other reviewers found the offerings insufficiently engaging or irregularly staffed. Secure features such as cameras, gated areas, and 24/7 visiting are noted, but multiple reviewers raised safety-monitoring concerns tied to staffing and supervision gaps.
Management and communication are recurring themes. Reviewers reference a change in ownership several years ago and perceive a decline in some areas since that transition. Complaints include inconsistent responses from leadership, high employee turnover, and claims of problematic management practices. Conversely, some families emphasize professional, responsive office staff and effective leadership who facilitated placement and follow-up. This pattern points to variability in administrative consistency and the importance of current leadership practices in day-to-day operations.
Overall, Roseleaf of Oroville offers clear strengths—small community feel, pleasant grounds, a range of activities, on-site nursing, and instances of highly attentive caregiving—but also presents operational weaknesses that have real implications for safety, cleanliness, and reliability of services. Prospective residents and families would benefit from an in-person tour at multiple times of day, direct questions about current staffing ratios and turnover, cleaning and maintenance schedules, incident response protocols, and recent leadership or ownership changes to gauge whether the positive operational examples are consistently in place now.
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Location
Roseleaf of Oroville at Larkspur Landing is located at 1900 20th St, Oroville, CA, 95965.
About Roseleaf of Oroville at Larkspur Landing
Roseleaf of Oroville at Larkspur Landing sits at 1900 20th Street in Oroville, CA, and serves up to 60 residents in its Main Villa and a small, quaint Cottage. There's a large, secure garden and orchard outside, with covered patios where residents can sit and enjoy wide views of Table Mountain, the Forebay, and the valley, which does make for peaceful afternoons or short strolls. The inside spaces have murals along the hallways and common areas for gathering, a reception area, a dining room, and rooms set up for both games and reading, with a small library, a computer center, and a fitness room, and there's even a beauty salon. Residents have private bathrooms and kitchenettes in fully furnished rooms if that's what they want, and a model room gives a feel for the place before moving in.
The Roseleaf community runs both assisted living and memory care programs, with special focus on those with mild cognitive impairment or dementia. There's always someone around for supervision since the staff works around the clock, and nurses are present 12 to 16 hours a day. Residents can get help with activities like bathing, dressing, taking medicines, and moving around if they need it, and there's a 24-hour call system to get help quickly. The team makes sure each person gets a care plan right for their health and daily needs, and they work with outside healthcare providers, too, to coordinate care.
For activities, Roseleaf offers a full calendar with mental wellness programs, life enrichment activities, and even resident-run clubs. There are planned day trips, an adult day program for short stays or daytime care, and hospice and palliative services for those who need a higher level of help. Residents can use community transportation for trips out, whether it's for a medical appointment or something social. Housekeeping and move-in help are included, and amenities are picked to make life comfortable and easy.
Roseleaf is made for seniors who want a safe and calm setting with a bit of support and a community feel. The place is verified by Seniorly, so it's recognized as a proper senior community, and it's designed to strike a good balance between independence, comfort, and care for those who need it, either in their villa with views or out in the orchard under the sun if that's where they feel better.
People often ask...
Roseleaf of Oroville at Larkspur Landing offers assisted living and memory care.
There are 39 photos of Roseleaf of Oroville at Larkspur Landing on Mirador.
The full address for this community is 1900 20th St, Oroville, CA 95965.
No, Roseleaf of Oroville at Larkspur Landing 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 no deficiencies cited after investigating an incident involving a resident's unwitnessed fall.
13 May 2026Complaint
13 May 2026Complaint
Found resident rooms did not meet temperature requirements; random room temperatures ranged from 70 to 83 degrees, with some rooms as high as 90 degrees on a hot day.
Type A87303(b)(2)
13 May 2026Complaint
13 May 2026Complaint
Investigated three complaints about resident care, safety, and administrator presence; determined no violations or deficiencies.
30 Mar 2026Inspection
30 Mar 2026Inspection
Identified multiple maintenance and safety issues, including a broken plexiglass window, discarded equipment in sunroom and outdoor areas, a broken bed on the porch, and water pooling near the garden. A deficiency was noted for failing to maintain a clean, safe, and sanitary environment.
Type B87303(a)
12 Mar 2026Inspection
12 Mar 2026Inspection
Identified that a staff member sprayed Febreze on a resident's genital area, violating the resident's personal rights.
Type A87468.1(a)(3)
12 Mar 2026Complaint
12 Mar 2026Complaint
Investigated an allegation that the licensee charged two additional weeks’ rent after a resident moved out or died; review of the admission agreement, invoices, and credits, and interviews did not support the claim.
24 Feb 2026Complaint
24 Feb 2026Complaint
Investigated allegation that staff left residents in soiled diapers for hours.
Type B87411(a)
24 Feb 2026Inspection
24 Feb 2026Inspection
Investigated an incident in which a staff member sprayed Febreze on a resident's genital area; three staff were suspended and the resident's physician, family, and local law enforcement were notified.
29 Jan 2026Inspection
29 Jan 2026Inspection
Identified that telephone service on the premises was not reliably functioning, making it hard for families to contact residents. This created potential health, safety, and personal rights risks.
Type A87311
15 Jan 2026Inspection
15 Jan 2026Inspection
Identified that a resident left the premises and was found in a parking lot ditch after a lobby door with a keypad failed to latch, indicating supervision gaps.
Type A87411(a)
Type A87303(a)
15 Jan 2026Complaint
15 Jan 2026Complaint
Investigated a complaint about a resident harming others. Found no evidence to support the alleged violation.
08 Jan 2026Inspection
08 Jan 2026Inspection
Identified ongoing financial, maintenance, and governance concerns, including administrator turnover and reporting responsibilities, with no deficiencies cited.
06 Jan 2026Complaint
06 Jan 2026Complaint
Identified a water leak in the ceiling of Room 2 with buckling interior walls; could not confirm sparking from electrical outlets in that room.
Type A87303(a)
06 Jan 2026Inspection
06 Jan 2026Inspection
Observed that a new fire alarm system was installed and operating; no deficiencies were cited.
18 Dec 2025Complaint
18 Dec 2025Complaint
Investigated the allegation that the licensee did not pay past-due utility bills and vendor invoices, leading to several overdue notices and a substantial outstanding balance.
Type A87155
Type A87213
18 Dec 2025Complaint
18 Dec 2025Complaint
Investigated a complaint alleging a resident could not obtain medical care, staff training issues, and failure to follow a care plan; no deficiencies were cited.
05 Dec 2025Inspection
05 Dec 2025Inspection
Identified that a previous heating deficiency was issued for not maintaining 68 F in common areas and resident rooms; temperatures in all rooms and shared spaces met the requirement on the follow-up check.
Type A87303(b)(1)
04 Dec 2025Inspection
04 Dec 2025Inspection
Identified an allegation that the fire alarm system was not in good repair and posed an immediate health and safety risk.
Type A87303(a)
04 Dec 2025Inspection
04 Dec 2025Inspection
Identified an allegation of inadequate heating due to cold temperatures in the lower portion, with readings of 61–64°F in common areas and resident rooms, below the required minimum of 68°F.
Type A87303(b)
06 Nov 2025Complaint
06 Nov 2025Complaint
Investigated the allegation that staff sent a hospice resident to the hospital without authorization from the POA or Hospice and the allegation that staff did not follow the hospice care plan; found no evidence to support them.
28 Oct 2025Complaint
28 Oct 2025Complaint
Identified disrepair in the laundry and upper food service areas, including badly worn linoleum, non-working light ballasts, and missing cabinet drawers/doors; the allegation that resident room lighting was insufficient was unfounded.
Type B87303(a)
28 Oct 2025Complaint
28 Oct 2025Complaint
Investigated a complaint alleging medication mismanagement and inadequate food service at the site. Review of MARs, care notes, and staff interviews indicated no evidence supporting the allegations.
09 Oct 2025Inspection
09 Oct 2025Inspection
Observed a strong mildew odor and a large hole in the electrical room floor, indicating the premises were not clean, safe, sanitary, or in good repair.
Type B87303(a)
14 Aug 2025Complaint
14 Aug 2025Complaint
Investigated an allegation that staff were not properly trained; found that medication training documentation for a staff member was missing, allowing dispensing of medications without verified training.
Type B87411(c)(6)
Type B87412(c)(2)
Type B87411(c)(3)
14 Aug 2025Complaint
14 Aug 2025Complaint
Investigated allegations regarding reporting requirements, medical care timeliness, and infection control; did not find evidence to support the allegations. No deficiencies cited.
11 Jul 2025Complaint
11 Jul 2025Complaint
Observed physical plant violations, including a nonfunctional kitchen air conditioning and dirty resident rooms, with insufficient housekeeping staff.
Type B87303(a)
21 May 2025Inspection
21 May 2025Inspection
Identified an incident in which a staff member verbally abused two residents, shoved a wheelchair, and ignored them; the staff member was terminated after review of surveillance footage.
21 May 2025Inspection
21 May 2025Inspection
Identified deficiencies from a prior complaint and confirmed they were fulfilled. No new deficiencies were issued.
01 May 2025Complaint
01 May 2025Complaint
Investigated the complaint about insulin administration and glucose monitoring; found no violations.
17 Apr 2025Complaint
17 Apr 2025Complaint
Identified a rodent infestation and inoperable exterior call lights; staffing was adequate.
Type B87303(a)
Type B87303(1)(i)(c)
20 Feb 2025Inspection
20 Feb 2025Inspection
Identified two staff files missing first aid certificates and several maintenance and safety issues in common areas and exterior spaces.
Type BHSC1569.618(c)(3)
Type BCCR87303(a)
20 Feb 2025Inspection
20 Feb 2025Inspection
Observed mice droppings in a resident's closet and that the resident sometimes refused housekeeping entry, with plans for deep cleaning and follow-up to verify completion.
04 Feb 2025Complaint
04 Feb 2025Complaint
Investigated a complaint that staff did not ensure a comfortable temperature. Thermostats were set to 78 degrees and six resident rooms measured 74 to 79 degrees.
08 Jan 2025Inspection
08 Jan 2025Inspection
Observed discussions about recent falls involving hospice residents and monitoring for safety.
17 Dec 2024Inspection
17 Dec 2024Inspection
Found lower hall temperatures below Title 22 requirements and that repairs were under way; ten random rooms in the middle and upper halls registered 72–79 degrees, meeting Title 22 requirements, with no deficiencies cited.
25 Nov 2024Complaint
25 Nov 2024Complaint
Investigated a complaint about temperature control and found resident rooms measured below the required minimum of 68°F, with some readings as low as 62°F in the lower hall.
Type B87303(b)
Type B87303(b)(1)
14 Nov 2024Complaint
14 Nov 2024Complaint
Identified maintenance and cleanliness issues, including patched walls, missing baseboards, and dirty floors, during an unannounced visit. The investigation reviewed other resident care allegations and found no evidence to support those claims.
Type B87303(a)
14 Nov 2024Complaint
14 Nov 2024Complaint
Identified a shortage of laundry detergent that caused laundry to pile up in the laundry room.
Type B87303(g)(1)
14 Nov 2024Inspection
14 Nov 2024Inspection
Identified an order excluding a staff member from all licensed facilities and confirmed the staff member was not currently employed there.
18 Jun 2024Complaint
18 Jun 2024Complaint
Identified that a resident did not receive levothyroxine, which led to hospitalization. The issue involved failure to assist with self-administered medications.
Type A87465(a)(4)
16 May 2024Complaint
16 May 2024Complaint
Investigated an allegation that staff did not assist with a resident's condom catheter; the care plan did not include condom catheter use, and evidence did not establish a violation.
09 May 2024Inspection
09 May 2024Inspection
Investigated an incident in which staff escorted a resident from another resident's room after agitation. Law enforcement responded and a 5150 hold was considered but not required; medications were adjusted and one staff member was terminated.
02 May 2024Complaint
02 May 2024Complaint
Identified safety and care concerns: a resident fell from a wheelchair during transport when not belted, and a resident did not receive the showers required by their care plan.
Type B87468.2(a)(4)
Type B1569.2(c)
23 Apr 2024Complaint
23 Apr 2024Complaint
Identified that staff did not provide paramedics with the resident's emergency paperwork during transport to hospital, risking unknown code status and medical history. The allegation that staff were not trained properly on emergency procedures was not borne out.
Type B87506(a)
23 Apr 2024Complaint
23 Apr 2024Complaint
Investigated two complaints: staff yelled at residents, resulting in a staff member's termination; the claim of failing to report per guidelines had insufficient evidence.
Type B87468.1(a)(1)
23 Apr 2024Complaint
23 Apr 2024Complaint
Identified the allegation that prescribed medications were not dispensed, leaving a resident without several medications for multiple days.
Type A87465(a)(4)
19 Mar 2024Complaint
19 Mar 2024Complaint
Investigated a medication error where a staff member dispensed the wrong medication to a resident, resulting in ER evaluation and hospitalization.
Type A87465(a)(4)
19 Mar 2024Inspection
19 Mar 2024Inspection
Observed maintenance and safety issues at the site, including damaged outdoor furniture and missing window screens, weeds growing in gutters, a refrigerator needing defrosting, and four of six staff files with expired first aid training certificates.
Type B87303(a)
Type B1569.618(c)(3)
14 Mar 2024Complaint
14 Mar 2024Complaint
Observed maintenance and safety issues during an unannounced visit, including leaking shower hoses, a door latch that won't close, and malfunctioning laundry equipment.
Type B87303(a)
07 Mar 2024Complaint
07 Mar 2024Complaint
Investigated a claim that documents were not provided to the responsible party. The records were reviewed and steps were taken to obtain them, including directing the responsible party to submit a written request and tracking the delivery via mail.
08 Nov 2023Complaint
08 Nov 2023Complaint
Investigated a complaint that the toilet in Room 9 was leaking; observed no leak and learned it had been fixed, with insufficient evidence to support the allegation.
01 Nov 2023Complaint
01 Nov 2023Complaint
Observed that a resident could not reach their call button because the call light was missing its pull cord and could only be activated when the bed was fully against the wall.
Type B87303(a)
11 Oct 2023Complaint
11 Oct 2023Complaint
Investigated an allegation that a resident room was not kept in good repair because electrical outlets did not work, preventing use of a portable air conditioner.
01 Aug 2023Complaint
01 Aug 2023Complaint
Investigated an allegation that staff failed to notify the resident’s authorized representative about changes in health condition, including significant weight loss.
Type A87468.1(8)
01 Jun 2023Inspection
01 Jun 2023Inspection
Investigated an incident where a resident was found with laundry detergent in their mouth after gaining access to a laundry room. The event raised concern about storage of toxic substances.
Type A87705(f)(2)
30 May 2023Complaint
30 May 2023Complaint
Investigated reports of insect and rodent infestation and related care concerns. Found pests were not adequately controlled and posed health and safety risks.
Type A87303(a)
30 May 2023Complaint
30 May 2023Complaint
Identified that a resident with an infected foot did not receive timely medical attention under proper supervision, and found deficiencies related to wound care supervision and basic services.
Type A87464(d)
Type A87631(a)(1)
30 May 2023Complaint
30 May 2023Complaint
Investigated allegations that residents did not receive adequate services, call bells were not answered promptly, and supervision was lacking; evidence did not establish the alleged violations.
09 May 2023Complaint
09 May 2023Complaint
Investigated a complaint alleging the fire alarm system was not functioning. The finding noted the fire alarm system was not in working condition and three egress lighting units did not function.
Type A87203
11 Apr 2023Complaint
11 Apr 2023Complaint
Investigated a complaint alleging financial issues; findings showed insufficient resources to cover operating costs, inadequate liability insurance, and lack of active supervision by the governing body.
Type A87213
Type A87205(a)(b)
Type A1569.605
23 Mar 2023Complaint
23 Mar 2023Complaint
Investigated an allegation that a rodent issue wasn't properly addressed. Found the rodent issue had been addressed and the allegation unfounded.
23 Mar 2023Complaint
23 Mar 2023Complaint
Investigated two medication-related complaints and found no deficiencies. The allegations were determined unsubstantiated or unfounded.
07 Mar 2023Complaint
07 Mar 2023Complaint
Identified an insufficient supply of incontinence products to meet residents' needs.
Type A87625(a)(1)(D)
06 Mar 2023Complaint
06 Mar 2023Complaint
Identified that syringes and needles were not disposed of properly, with a Sharps Container found in a resident's room.
Type A87303(a)
06 Mar 2023Complaint
06 Mar 2023Complaint
Investigated the allegation that residents paid for services not received. Found that hot water issues and cable/internet downtime occurred due to plumbing problems and service disruptions, and there was no preponderance of evidence to support the allegation.
16 Feb 2023Inspection
16 Feb 2023Inspection
Observed infection control measures in place and no health or safety violations were found.
10 Jan 2023Complaint
10 Jan 2023Complaint
Investigated an allegation that hallway floors were unclean and that a resident was hospitalized for dehydration.
Type B87303(a)
10 Jan 2023Complaint
10 Jan 2023Complaint
Identified that a resident's hygiene needs were not being met and that indoor temperatures were uncomfortably high.
28 Dec 2022Inspection
28 Dec 2022Inspection
Observed an unannounced visit following a complaint; issues related to incidental medical and basic services were cleared.
Type B87465(a)(4)
Type B1569.312(e)
08 Dec 2022Complaint
08 Dec 2022Complaint
Investigated allegations that a resident received the wrong medication resulting in hospitalization and that signs of a urinary tract infection and dehydration were missed, along with delays in providing documentation to a power of attorney and in contacting the doctor or palliative care.
Type A87465(a)(4)
Type A1569.312(e)
Type B87211(a)(1)
Type B1569.269(a)(21)
08 Dec 2022Complaint
08 Dec 2022Complaint
Investigated allegations that laundry equipment was in disrepair and window screens were not maintained.
Type B87303(a)
08 Dec 2022Complaint
08 Dec 2022Complaint
Investigated the allegation that the call light system malfunctioning; interviews yielded mixed reports and no clear evidence of ongoing problems.
12 Oct 2022Inspection
12 Oct 2022Inspection
Identified an AWOL incident involving a resident with staffing concerns affecting safety. Noted health and safety hazards including water leaks, mold, and resident injuries, along with high resident acuity and supervision needs.
Type A87705(c)(4)
Type A87555(b)(29)
07 Sept 2022Inspection
07 Sept 2022Inspection
Observed issues included a malfunctioning fire alarm system and an inoperable air conditioning system, along with staffing needs to meet resident needs. Discussed overall operations, infection control planning, and COVID-19 guidance.
09 Aug 2022Complaint
09 Aug 2022Complaint
Investigated allegations that a resident sustained multiple falls, staff did not seek medical attention promptly, and a resident's belongings were misplaced.
Type A87464(f)(1)
Type A87465(a)(1)
Type B87217(b)
09 Aug 2022Complaint
09 Aug 2022Complaint
Investigated a medical-related incident where a medical professional's orders were not followed, staff did not seek timely medical attention, and a medication dosage was inaccurate.
Type A87466
Type A87465(g)
Type A87465(a)(5)
09 Aug 2022Complaint
09 Aug 2022Complaint
Investigated the allegation that a resident was attacked by another resident; reviewed the allegations that residents were left in incontinence products and that a resident entered another resident’s room undressed.
09 Aug 2022Complaint
09 Aug 2022Complaint
Investigated the allegation that staff discouraged a medical professional from seeing a resident and the questionable death; found insufficient evidence to determine whether violations occurred.
22 Jul 2022Inspection
22 Jul 2022Inspection
Identified multiple safety and maintenance concerns, including a malfunctioning fire alarm system, inoperable air conditioning, water heater, and call system, as well as staffing needs and administrator vacancies. Licensing staff and representatives discussed these issues during a coordinated meeting.
18 Jul 2022Inspection
18 Jul 2022Inspection
Observed there was no on-site administrator; cooling issues persisted, the water heater did not provide cold water, and the fire alarm system needed replacement, with portable AC units in use.
15 Jul 2022Complaint
15 Jul 2022Complaint
Found that a failing water heater valve prevented control of water temperature, causing showers to be conducted in a different area and leading to refusals by some residents; the water system had been in disrepair for about a month.
Type A87464(f)(2)
15 Jul 2022Complaint
15 Jul 2022Complaint
Investigated a complaint alleging safety and maintenance issues at a licensed care home, including a resident elopement risk due to a faulty gate and failures in the air conditioning, water heater, and fire alarm.
Type A87705(c)(4)
Type A87303(a)
15 Jul 2022Complaint
15 Jul 2022Complaint
Identified that visitors were not permitted to visit privately during reasonable hours and that indoor temperatures in several areas were uncomfortably hot during hot weather.
Type A87468.1(a)(11)
Type B87303(b)(2)
08 Jun 2022Inspection
08 Jun 2022Inspection
Observed an informal conference addressing licensee accountability, the transition as Peer Services separates management, and fingerprint clearance for all staff, with deadlines noted for required forms.
20 May 2022Inspection
20 May 2022Inspection
Investigated an incident in which one resident yelled at another, who pushed, resulting in a forearm laceration. The resident who pushed was new to the setting and had cognitive decline.
07 Mar 2022Complaint
07 Mar 2022Complaint
Found staff were not wearing masks properly. Observed ongoing noncompliance with infection control requirements.
Type A87470(c)(1)(F)
07 Mar 2022Inspection
07 Mar 2022Inspection
Observed no health, safety, or personal rights violations and infection control measures were in substantial compliance.
07 Mar 2022Complaint
07 Mar 2022Complaint
Investigated an allegation that staff did not provide resident phone time or television time. The evidence showed phones and TVs were available in the building and residents had personal devices, and there was no basis for the claim.
16 Feb 2022Inspection
16 Feb 2022Inspection
Identified orders for immediate exclusion of a staff member from all facilities and for immediate exclusion of the licensee from the premises.
05 Aug 2021Inspection
05 Aug 2021Inspection
Identified lack of supervision that allowed a resident to go outside unaccompanied to smoke, leading to a clothing fire and serious burns requiring hospitalization; determined a civil penalty of $10,000 against the licensee for the serious bodily injury.
04 Aug 2021Inspection
04 Aug 2021Inspection
Observed a Covid-related health check with ongoing infection control discussions and PPE needs. No deficiencies were observed.
01 Aug 2021Inspection
01 Aug 2021Inspection
Observed a health and safety case-management visit noting 30 residents in census with six COVID-19 positive cases (four hospitalized, two awaiting evaluation and confirmed positive today) and 22 residents present. Current staff consisted of one med tech and one caregiver, with a planned staffing level of one med tech and two caregivers per shift.
31 Jul 2021Inspection
31 Jul 2021Inspection
Observed COVID-19 safety protocols, PPE use, and sanitation measures in place; no deficiencies were cited.
23 Jul 2021Inspection
23 Jul 2021Inspection
Investigated a lack of supervision that allowed a resident to exit unaccompanied, light a cigarette, and suffer burns; a civil penalty of $10,000 was deemed warranted.
Type A87464(f)(1)
23 Apr 2021Complaint
23 Apr 2021Complaint
Investigated a complaint that a resident was not supervised, leading to multiple falls, and that incontinence care and personal rights were not properly addressed. Evidence showed gaps in supervision and hygiene, including leaving a resident in a soiled diaper for hours prior to changing.
Type A87468.1(a)(2)
Type A87625(b)(2)
28 Jan 2021Inspection
28 Jan 2021Inspection
Identified several issues during a tele-visit, including a locked closet containing resident clothing, an unlocked cabinet with personal hygiene items, and missing mattress pads in some rooms, along with hot water temperatures outside the recommended range. Pre-licensing remains incomplete.
12 Oct 2020Complaint
12 Oct 2020Complaint
Found the allegation that staff failed to notify the resident's authorized representative in a timely manner and provided inaccurate information to the authorized representative to be unsubstantiated.
09 Oct 2020Complaint
09 Oct 2020Complaint
Found lack of supervision that led to a resident sustaining serious burns on the left leg during smoking after a staff member gave him a cigarette and lighter and did not accompany him as required by the care plan.
04 Feb 2020Complaint
04 Feb 2020Complaint
Found that staff did not have the resident's DNR paperwork readily available during a 911 call, resulting in CPR being performed before the paramedics accessed the DNR, confirming the allegation regarding the unavailability of the DNR document.
Type A87469(c)(1)
23 Jan 2020Inspection
23 Jan 2020Inspection
Reviewed an incident involving a resident from January 8th, with discussions and paperwork related to aftercare completed, and no deficiencies cited.
Type A87464(f)(1)
03 Jan 2020Inspection
03 Jan 2020Inspection
Investigated an incident where an employee posted a photo on social media of a deceased resident in a body bag, leading to counseling and suspension for poor judgment regarding resident privacy.
Type A87468.1(a)(2)
Type A87625(b)(2)
14 Nov 2019Inspection
14 Nov 2019Inspection
Reviewed a fall involving a resident who slipped and hit his head in the bathroom, prompting emergency response and hospital evaluation; no hazards were found in the bathroom during inspection.
03 Oct 2019Inspection
03 Oct 2019Inspection
Determined that a resident with mobility issues experienced an unwitnessed fall around lunchtime, was promptly assessed, and received medical attention, with the staff responding appropriately throughout the incident.
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Roseleaf of Oroville at Larkspur Landing. The information above has not been verified or approved by the owner or operator. For exact information, please contact Roseleaf of Oroville at Larkspur Landing directly. There is no cost for this service. We are compensated by the community you select.
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