I toured Pacifica and was very impressed - spotless, bright apartments, beautiful grounds, great food and lots of activity options. The staff were overwhelmingly friendly, caring and helpful; my mom feels at home and is thriving. The tour and leadership were informative and welcoming. Minor front-desk/communication hiccups were mentioned by others, but overall I highly recommend it.
The Vistas at Oxnard Senior Living offers assisted living, memory care, and respite care in a three-story building close to Oxnard State Beach, Heritage Square, and the Channel Islands Maritime Museum, so you get a nice location near several local attractions, and you'll find a friendly atmosphere where staff help with things like bathing, dressing, and medication, and they do their best to make sure each person keeps their independence but gets help when needed, which is important as everyone's needs differ over time. They have private apartments, companion suites, and studio apartments, so there are different living options, and each residence has an emergency call system. Staff are there 24 hours a day, 7 days a week in case of urgent needs, and they take care of laundry and housekeeping, which keeps things easier for those who have trouble with those tasks, and they always have three nutritious meals daily in a dining room with restaurant-style service. Pets are welcome, including cats and dogs, which means people don't have to give up their companions when moving in, and the memory care section is set up for seniors with Alzheimer's and dementia with special therapies, housing, and safety features that help prevent confusion and wandering.
People at The Vistas can join exercise classes, music lessons, arts programs, and field trips outside the community, which provides something to look forward to, and there are on-site beauty services for grooming needs. They've got high-speed internet if anyone wants to go online to read, stream, or stay in touch, and everything's handicap accessible, making it easier for people with mobility needs. Staff support residents by creating individualized care plans and doing regular wellness checks, which helps catch any health changes early, and they take care of things like doctor appointment scheduling. There's a strong focus on dignity, respect, and privacy, and families can schedule a tour if they want to see what daily life's like at The Vistas at Oxnard Senior Living. The activity directors always find ways to keep things lively, and there's plenty of help to make or maintain friendships within the community, which really helps people feel at home.
People often ask...
The Vistas at Oxnard Senior Living offers competitive pricing, with rates starting at a cost of $7,693 per month.
The Vistas at Oxnard Senior Living offers assisted living and memory care.
There are 36 photos of The Vistas at Oxnard Senior Living on Mirador.
The full address for this community is 2211 E Gonzales Rd, Oxnard, CA, 93036.
Yes, The Vistas at Oxnard 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
140
Inspections
69
Type A Citations
70
Type B Citations
6
Years of reports
25 Mar 2022
25 Mar 2022
Found deficiencies related to a resident's wound care, medication administration, being left in soiled clothing, delays or lack of response to the call button, and safeguarding of the resident's personal property.
§ 1569.312(a)
§ 87466
§ 87465(d)(1)
§ 87303(i)(1)
§ 87217(b)
22 Feb 2023
22 Feb 2023
Found ongoing issues with meal delivery, including late service, inconsistent temperatures, and missing utensils and condiments. Identified a similar issue on 2/22/2023.
§ 87468.2(a)(4)
10 Feb 2023
10 Feb 2023
Found no immediate health and safety concerns or deficiencies; infection control practices, visitor screening, and PPE availability were in place, with discussions about obtaining more COVID-19 testing resources and booster information.
18 Apr 2024
18 Apr 2024
Identified ongoing door repairs with bids from two companies and parts to order; memory care staffing increased. Three staff interviews yielded appropriate responses; fire alarm system last inspected 1/12/2024; Emergency Disaster Plan noted and evacuation drills referenced; medications reviewed for five residents with one CSMDR incomplete though meds appeared to be given as prescribed; five staff files complete; four residents’ files needing updates; one resident may require an updated medical assessment.
03 May 2024
03 May 2024
Found no support for the allegation that staff failed to supervise adequately, leading to a resident becoming dehydrated and experiencing multiple falls.
23 Jan 2023
23 Jan 2023
Verified that a lifelong-excluded individual was not employed at this site; management confirmed the person could not be hired, the exclusion order was served in January 2023 and is in effect, and the staff roster was reviewed to confirm non-employment.
18 Mar 2022
18 Mar 2022
Found no evidence to support allegations that staff spoke inappropriately to residents, failed to communicate effectively, employed unqualified staff, provided inadequate food, or left residents in soiled diapers. Interviews indicated residents were treated with respect, communication was adequate, staff training met required hours, and menus consistently showed balanced meals.
25 Apr 2022
25 Apr 2022
Found that personnel were not trained for their assigned jobs, staffing was inadequate to meet residents’ needs, and call lights were not answered promptly.
§ 87411(a)
§ 87555(b)(18)
25 Apr 2022
25 Apr 2022
Investigated an allegation that residents' rooms were not kept at a comfortable temperature; readings in several rooms and common areas ranged from about 67.5 to 85 degrees Fahrenheit, and residents reported no ongoing temperature issues.
27 Jun 2024
27 Jun 2024
Identified issues with staff not consistently wearing masks and with delayed responses to residents' call buttons during a COVID outbreak. Also noted food service problems, including cold meals and shortages, and staffing shortages that affected medication delivery and meal service.
§ 87555(a)
§ 87555(b)(18)
§ 87468.1(a)(2)
§ 87468.2(a)(4)
§ 87411(a)
15 Apr 2024
15 Apr 2024
Found an unattended medication cart with medications inside the lounge and two memory care delayed egress doors that would not open without a security code. Noted missing documentation for smoke and carbon monoxide detector inspections and that fire safety equipment had not been recently serviced.
§ 87202(a)
§ 87465(h)(2)
28 Mar 2022
28 Mar 2022
Found no health or safety issues after an unannounced visit focused on infection control; observed clean rooms and common areas, safe restrooms with grab bars, adequate PPE and cleaning protocols, and a central symptom screening at entry with capacity to isolate if needed.
27 Oct 2020
27 Oct 2020
Investigated allegations that residents were left in soiled diapers for an extended period and that staff delayed responding after call bells. Found no evidence that residents' feet were dragged while using wheelchairs and observed that gloves and bags were adequately stocked, with diapers provided by families/hospice as needed.
§ 87625(b)(3)
28 Apr 2023
28 Apr 2023
Found that neglect and lack of supervision led to a resident developing multiple pressure injuries and severe pain, with inadequate nutrition and delayed medical care contributing to the harm. A civil penalty of nine thousand five hundred dollars was issued for this serious bodily injury.
08 Mar 2024
08 Mar 2024
Identified overnight staffing gaps for medication technicians, with no technicians scheduled on Sundays and Thursdays. Confirmed by the administrator that shortages existed and that the 3/7/2024 overnight shift went without a medication technician.
§ 87411(a)
06 May 2022
06 May 2022
Investigated an incident of inappropriate touching between a staff member and a resident; a witness reported the hand placement on the resident’s upper thigh near the pants, which made them uncomfortable. Interviews with the resident and witness supported the concern, and no citation was issued.
25 Mar 2022
25 Mar 2022
Determined that the allegations that staff isolated residents from authorized representatives, emotionally abused residents, created fictitious medical reasons for residents, mishandled a resident, and retaliated against residents were unfounded. Found evidence of problems with medication administration and documentation, indicating mishandling of a resident's medications.
§ 87465(a)(4)
22 Feb 2023
22 Feb 2023
Found a personal rights violation when sandbags blocked the memory care courtyard entrance, trapping residents and forcing staff to open a door for egress, with a penalty assessed for a repeat violation. Found accessible alcohol, cleaning supplies, and personal care items in a room and in a resident bathroom cabinet, including Lysol spray and Clorox wipes.
§ 87468.1(a)(6)
§ 87705(f)(2)
23 Jan 2023
23 Jan 2023
Found rat droppings in the kitchen area on the floor, countertops, and on equipment, aligning with the allegation of rats present there. Admitted an ongoing rat problem and noted monthly pest control has been in place since October 2022.
§ 87555(b)(27)
18 Mar 2022
18 Mar 2022
Found insufficient evidence to prove the allegation that a resident was left in soiled diapers for extended periods and that staff did not administer medications. Interveiws showed staff responded to pendant calls and assisted with toileting as needed, and that medication management occurred via an in-room machine, with one instance described where staff were confused about medication handling.
26 Oct 2021
26 Oct 2021
Investigated the allegation that staff did not respond to residents' call buttons promptly; interviews with caregivers and care logs showed repeated delays, with some calls unanswered for up to an hour. Found the allegation supported by evidence.
§ 87468.1(a)(2)
20 Jun 2023
20 Jun 2023
Found no evidence that staff hit or yelled at residents, or that medications were mismanaged; a few residents reported missing personal items, but these incidents were isolated.
18 Mar 2022
18 Mar 2022
Investigated allegations of neglect and lack of supervision in the care setting, including untreated pressure injuries and failure to seek medical attention for a resident. Led to findings of issues with call-button response times, inadequate pain management, and poor food service, plus safeguarding concerns about missing personal belongings; a civil penalty of $500 was assessed.
§ 87466
§ 1569.312(a)
§ 87465(d)(1)
§ 87303(i)(1)
§ 87468.2(a)(4)
§ 87217(b)
§ 8755(a)
21 Apr 2023
21 Apr 2023
Investigated an incident where a resident who cannot leave unassisted exited without staff and was later returned by police. Sign-out logs showed unaccompanied departures to Walmart on 4/8, 4/9, and 4/10, despite a physician's order restricting unassisted leaving, and staff did not consistently verify permission; a receptionist maintains a list of residents not allowed to leave unassisted.
§ 87464
25 Apr 2022
25 Apr 2022
Identified problems with a resident’s medication administration, including MAR entries not matching actual doses and missing handwritten notes. Found insufficient evidence to prove that staff did not notice a change in the resident’s condition, and that visitation for the resident complied with public health orders, with a private caregiver involved.
21 Apr 2023
21 Apr 2023
Found that cash and a debit card were stolen from a resident's purse on or about 3/31/2023, with unauthorized debit transactions afterward. Reported that the family notified management in early April, and that no incident report was filed; deficiencies were cited and a civil penalty assessed.
§ 87211
22 Feb 2023
22 Feb 2023
Found that meals were not provided to some residents in a timely manner, with meals often served after planned times. Found insufficient evidence that staff informed authorized representatives of injuries, or notified about a communicable disease outbreak, or wrote an incident report; no deficiencies were cited.
§ 87468.2(a)(4)
07 Mar 2023
07 Mar 2023
Investigated the complaint that a resident's oral hygiene was not met and that medical care was not provided in a timely manner. Found that the resident was on hospice for Alzheimer's with aggressive behavior that hindered care, and that hospice and facility records show multiple attempts at oral care and an order for oral care.
15 Feb 2023
15 Feb 2023
Identified concerns that staff did not respond promptly to residents' calls for assistance and that residents' diapering needs were not met in a timely manner. Noted that call buttons were frequently in disrepair and some alert responses were missing or delayed.
§ 87468.1(a)(2)
01 Mar 2023
01 Mar 2023
Found concerns that meals were delivered late and with missing items, and concerns that staff delayed or inadequately assisted with residents’ medications, including support for self-administration where applicable.
§ 87468.2(a)(4)
27 Jun 2024
27 Jun 2024
Found signs and calendars at the site still reflected the original name; the executive director said the name change is underway and must go through the licensing process, and no deficiencies were observed.
12 Apr 2022
12 Apr 2022
Found that from about 1/13/2021 to 2/8/2021 the administrator was out due to COVID-19, with two acting administrators in charge by phone, and no evidence supported concerns about that absence. Found that during the 2020–2021 COVID outbreaks meals were served in residents’ rooms due to isolation, many cooks left, and the food service was inadequate for a period, with residents reporting sandwiches and some meals arriving cold, supported by staff interviews.
§ 8755(a)
23 Sept 2022
23 Sept 2022
Identified a scabies outbreak involving four residents, with one case not reported to public health authorities. Found no clear evidence that staff failed to bathe a resident, illegally evicted a resident, or did not administer medications as prescribed; although a resident had multiple falls, records did not show they resulted from a lack of care.
§ 87211(a)(2)
25 Apr 2022
25 Apr 2022
Identified that the allegation staff not treating residents with dignity was not supported by interviews, which indicated residents were treated with dignity. Identified that a resident's health change was not communicated to the family or physician in a timely manner, partly due to staffing shortages; ants were present in multiple areas with residents reporting an ant problem; and staff regularly assisted residents with ADLs.
§ 87466
§ 87303(a)
12 Aug 2021
12 Aug 2021
Investigated four concerns: severe neglect leading to a resident’s death, a resident sustaining a fracture in care, an unsanitary room with a foul odor, and failure to meet a resident’s hygiene needs; all four allegations were unsubstantiated.
13 Dec 2021
13 Dec 2021
Identified a missing service plan for a resident and that no new needs-and-service plan had been created after a change in condition. Physician notes and chart entries documented multiple falls, a fractured ankle, and a hospital return, with staff indicating a reappraisal had not yet been completed.
§ 87463(a)
21 Mar 2025
21 Mar 2025
Found general compliance with safety and care standards, with clean spaces and complete resident and staff records. Identified two safety deficiencies: a hole in the floor outside memory care room 1204 that was poorly covered, and a delayed egress door that was not functioning.
§ 87303(a)
06 Oct 2021
06 Oct 2021
Found that a resident fell on 03/21/2020 while under hospice care and was regularly monitored. Review of records and interviews did not establish staff neglect or lack of supervision as the cause of the injuries.
18 Mar 2022
18 Mar 2022
Found that the allegation that staff did not provide a sanitary environment for residents was not supported; observations indicated clean conditions overall, with a room cleaned after concerns were raised.
Found that the allegations that a resident required a higher level of care and that there was insufficient staffing were not supported; hospice involvement and regular monitoring were in place, and staffing on all shifts was described with typical response times.
10 Nov 2021
10 Nov 2021
Investigated the allegation that a resident sustained an unexplained injury while in care; found a skin tear around 06/05/2020, but there was insufficient evidence to prove the injury occurred during care.
04 Apr 2025
04 Apr 2025
Reviewed media-reported lawsuits against the former management company and found no financial impact on residents, properties, or staff, and no vendor issues. Noted that management had informed staff and residents about changes and updated signage, and that the bankruptcy did not affect operations because the management company was no longer involved.
§ 9058
13 Oct 2022
13 Oct 2022
Identified pests in the kitchen and a resident bathroom in disrepair after an unannounced visit, with interviews noting a mouse in the kitchen and a toilet that would not flush despite repair attempts.
§ 87555(b)(27)
§ 87303(a)
12 Aug 2021
12 Aug 2021
Found that three allegations—overmedicating a resident, improper storage of medications, and rough handling causing skin injuries—were not supported by interviews and medical records.
21 Aug 2024
21 Aug 2024
Found delays in staff response to a resident's call button on 7/25/2023, with several calls lasting 16–30 minutes and two rooms unanswered. Noted the claim that staff refused to accept the resident back from the hospital was not supported, as the resident remained in care and received injections daily from a home health nurse.
§ 87468.2(a)(4)
18 Sept 2023
18 Sept 2023
Identified the allegation that a staff member did not have fingerprint background clearance, and a civil penalty of $500 was issued.
§ 87355(e)(1)
06 Jan 2023
06 Jan 2023
Identified a dietary-restriction complaint and found that meals were not consistently aligned with residents’ needs, with restricted items served and residents often unaware of what was being served. Found a complaint about after-hours access, with limited reception hours and the main door not always opened promptly, though residents could leave.
§ 87555(b)(7)
20 Jun 2023
20 Jun 2023
Identified two safety deficiencies after finding unknown chemicals in an unlocked kitchen area and in an unlocked staff lounge, both accessible to residents, and knives in the staff lounge were accessible as well; staff secured the items.
§ 87705(f)(2)
§ 87705(f)(1)
15 Feb 2023
15 Feb 2023
Found a personal rights violation when the memory care courtyard door wouldn't open for exit, forcing staff to help a resident re-enter. Observed adequate food supplies; a technical violation for expired yogurt and uncovered items, with PPE, infection control, cleanliness, and safety measures generally good.
§ 87468.1(a)(6)
31 Jan 2023
31 Jan 2023
Found that the allegation that a resident was injured while in care and the allegation that residents sustained unwitnessed falls while in care occurred, but there was insufficient evidence to support staff negligence or lack of supervision.
10 Aug 2023
10 Aug 2023
Identified two allegations: that the Emergency Disaster Plan was not adequate because emergency contact numbers were outdated and not posted, and that staff were not adequately trained for emergencies, including evacuation-chair use.
§ 1569.695(b)
§ 1569.695(d)
31 Aug 2022
31 Aug 2022
Found insufficient staffing due to staff quitting and frequent call-offs, with the administrator covering caregiving duties. Found residents’ incontinence needs not consistently met, including gaps in checks and hospice notes of soiling, and staff did not provide residents with clean linens.
§ 87411(a)
§ 87625(b)(3)
04 Sept 2024
04 Sept 2024
Identified the allegation that staff did not respond promptly to residents’ calls for assistance, with several calls delayed beyond 15 minutes and some unanswered. Identified the allegation that a resident left unassisted due to lack of supervision, noting that records showed the resident could leave unassisted and was returned after concerns were raised.
11 Jul 2023
11 Jul 2023
Identified a complaint alleging staff did not promptly communicate with a resident's authorized representative, with multiple delays in returning calls or emails. Found insufficient evidence to support that staff failed to provide adequate nail care or arrange podiatry services for the resident.
§ 87468.1(a)(9)
21 Aug 2019
21 Aug 2019
Found that residents were not always dressed appropriately, including one walking without shoes and another sitting on a wet chair that dampened their pants. Found the allegation that a medication technician did not provide caregiving assistance, and that staffing was insufficient with only one caregiver present while another was on break.
§ 87411(a)
§ 87464(f)(1)
19 May 2023
19 May 2023
Identified that two residents did not have their as-needed blood pressure medications available on-site, limiting staff ability to administer BP meds when requested. Other concerns—bladder infection/UTI, timely medical attention, and food preparation—were not supported by evidence.
§ 87465(a)(4)
02 Aug 2024
02 Aug 2024
Found lack of records for past disaster evacuation training and identified the allegation that staff were not properly trained for disaster plans.
§ 1569.695(c)
30 Apr 2021
30 Apr 2021
Identified that staff did not deliver mail to residents and opened residents' mail without their consent after unknown packages were delivered; cookies and marketing items were found inside opened packages.
§ 87468.1
10 Jul 2023
10 Jul 2023
Found insufficient evidence that the resident developed pressure sores while in care. Found insufficient evidence that the resident was not being provided with deliveries.
02 May 2023
02 May 2023
Identified an allegation that a resident experienced multiple falls and injuries due to lack of supervision. Interviews and medical records showed three falls on 10/04/2022, after which the resident was hospitalized and did not return, with staff noting limited reporting of the earlier falls.
§ 1569.312(a)
09 Mar 2023
09 Mar 2023
Determined the allegation that the resident's room had mold could not be confirmed due to insufficient evidence.
14 Sept 2023
14 Sept 2023
Investigated found that during a COVID-19 outbreak staff did not consistently wear PPE as required. Reviewed records show the resident’s daily medication was administered as prescribed with no documented missed doses.
§ 87468.1(a)(2)
27 Sept 2023
27 Sept 2023
Identified that staff did not receive training to assist with administering oxygen. Found that actions taken during the June 2022 COVID-19 cases followed public health guidance, including no mass testing, timely notifications when needed, and appropriate return-to-work timing for staff who tested positive.
§ 87618(b)(2)
19 Oct 2023
19 Oct 2023
Found that a resident depended on others for all activities of daily living and for taking medications, indicating a higher level of care was needed, based on records and staff interviews.
§ 87615
01 Mar 2023
01 Mar 2023
Found that staff did not respond promptly to residents' call buttons, with multiple delayed responses and unaddressed alerts, and that similar concerns had occurred in prior complaints.
§ 87468.1(a)(2)
28 Oct 2021
28 Oct 2021
Found no evidence to prove the allegation that staff restrained a resident while in care. Interviews and records showed gait belts and other restraint devices were removed about a year ago, and staff reported that no residents were restrained.
30 Oct 2023
30 Oct 2023
Found insufficient evidence to support the allegation that staff did not provide adequate food service, noting adequate food supplies, posted menus, and positive input from residents and families. Found insufficient evidence to support the allegations that residents were left in soiled diapers for extended periods or that residents' needs were not being met.
18 Sept 2024
18 Sept 2024
Found that the resident's family handled medical appointments and communications with the physician, while staff arranged transportation and a chaperone for appointments. Noted that the resident's care needs had increased, and a care plan conference with the family led to revisions.
21 Aug 2024
21 Aug 2024
Found insufficient management presence on site to oversee operations, and that staff failed to assist residents promptly due to staffing shortages.
§ 87405(a)
18 Sept 2024
18 Sept 2024
Investigated a complaint about residents not receiving medications on time due to night-shift staffing shortages in March 2024; found that there were days with late doses and no medication technicians on duty, and that new staff have since been hired and trained in medication management.
§ 87411(a)
24 May 2022
24 May 2022
Investigated allegations that staff did not clean resident rooms, did not transfer resident belongings to the new location, and did not issue proper refunds; a resident developed pressure injuries while in care; and personal belongings were not safeguarded. Civil penalties were assessed for repeat violations.
§ 1569.312(a)
§ 87217(b)
24 May 2022
24 May 2022
Found staff and visitors wore masks as required, with masks readily available at the front desk and in multiple areas. Confirmed training on mask requirements and PPE, with postings visible, and no evidence supported the allegation that staff were not wearing masks.
24 Oct 2024
24 Oct 2024
Determined that residents received copies of signed admission agreements, insect issues were addressed promptly, and privacy for independent residents was maintained; no deficiencies observed.
07 Jul 2023
07 Jul 2023
Found insufficient evidence to support the allegation that staff failed to provide adequate food service, including claims meals were served cold. Interviews with residents, family, and staff did not corroborate the concern, and kitchen staff noted that after-hours items were usually not hot and breakfast service began around 8 to 8:30 a.m.
25 Oct 2022
25 Oct 2022
Identified that two housekeeping staff and two kitchen staff did not wear face coverings as required, and found a fire exit door propped open with a door wedge.
§ 87203
§ 87468.1
13 Jul 2022
13 Jul 2022
Identified that death reporting requirements were not met when a resident died; the responsible party was not contacted within seven days and the notifier was not clearly documented due to miscommunication while the administrator was away.
§ 87211(a)(1)
25 Oct 2022
25 Oct 2022
Found that staff did not consistently respond to residents' call bells, with many alerts exceeding 15 minutes and several not answered within the required timeframe. Identified that meals were inconsistent and of poor quality, with residents reporting burnt or undercooked items, and noted that the head cook had annual training but no qualified formal training in dining services.
§ 87468.1(a)(2)
§ 87555(a)
06 Jan 2023
06 Jan 2023
Investigated concerns about a COVID-19 outbreak and found that communal dining and group activities were ceased without a local health department requirement, contrary to guidance protecting residents' rights.
Flagged as a repeat violation and a civil penalty of $250 was assessed.
§ 87468.2(a)(6)
§ 87211(a)(2)
31 May 2023
31 May 2023
Found that the move-in unclean room allegation was not supported and any drawer issues were promptly addressed by housekeeping. Also found that the claim of a lack of a comfortable environment was not substantiated, and the refund matter contained conflicting information with no deficiencies cited.
23 Jan 2023
23 Jan 2023
Identified multiple safety and resident-rights deficiencies, including standing water in two fountains, an egress door that could not be opened from inside, a missing window screen leading to an enclosed balcony, an accessible knife in the staff break room, and gardening tools in the courtyard; one fountain violation carried a civil penalty.
§ 87307(e)
§ 87309(a)
§ 87468.1(a)(6)
§ 87303(c)
26 Jul 2022
26 Jul 2022
Investigated the allegation that staff failed to supervise a resident, who eloped from the premises and was found several blocks away. Identified hazardous items and tools left accessible to residents, including cleaning products, a lighter, shovels, and a paper cutter, in multiple areas.
§ 87464
§ 87705
§ 87705
29 Jan 2025
29 Jan 2025
Found that a staff member spoke to residents in a rude manner and did not maintain a professional demeanor. Found that bedtime medications were not consistently administered or documented, and that medications were left accessible on dining tables, allowing a resident to take another resident's medication.
§ 87465(h)(2)
§ 87468.1(a)(1)
05 Nov 2024
05 Nov 2024
Identified the following allegations: insufficient staff to meet residents' care needs due to missing medication technicians on Sundays and Thursdays during the night shift; delays in toileting and supervision; a resident left the premises unattended; reporting to the responsible party did not occur; a staff member was found sleeping on duty; and gaps in oxygen administration training.
§ 87468.1(a)(2)
§ 87211(a)(1)
03 May 2024
03 May 2024
Found insufficient evidence to confirm that the resident's credit card and cash were stolen from their room, and the claim that belongings were not safeguarded was not supported.
10 Jul 2023
10 Jul 2023
Found insufficient evidence to support the allegation that staff neglected a resident while in care. Interviews indicated staff were responsive, any special instructions for the resident were followed, and the stay was brief.
12 Apr 2022
12 Apr 2022
Found that the allegation that the site failed to handle the outbreak appropriately was present. Findings showed delayed reporting to health authorities, incomplete illness tracking, and inconsistent communication while many residents and staff became ill.
§ 87211(a)(2)
27 Jun 2024
27 Jun 2024
Confirmed misrepresentation of facility's name; licensee notified of process for name change with licensing agency.
03 May 2024
03 May 2024
Investigated theft allegation of credit card and cash from resident's room, unable to confirm at this time.
18 Apr 2024
18 Apr 2024
Identified incomplete documentation, staff training updates needed, and plans for emergency preparedness improvements during the inspection.
15 Apr 2024
15 Apr 2024
Identified deficiencies in health and safety measures during the visit.
§ 87202(a)
§ 87465(h)(2)
30 Oct 2023
30 Oct 2023
Investigated allegations regarding food services, residents being left in soiled diapers, and unmet resident needs; found insufficient evidence to support claims, deeming them unsubstantiated.
19 Oct 2023
19 Oct 2023
Identified deficiencies in care for a resident who required full assistance with all activities of daily living were observed during the visit.
§ 87615
27 Sept 2023
27 Sept 2023
Confirmed staff did not receive proper training for oxygen administration. Determined facility did meet COVID-19 testing requirements after an outbreak in June. Found no evidence that residents were not notified of COVID-19 outbreak in a timely manner. Identified no staff were instructed to report to work after testing positive for COVID-19. Investigated claims that assisted living was left unattended by staff, but could not substantiate.
§ 87618(b)(2)
18 Sept 2023
18 Sept 2023
Identified deficiencies in employee background clearance during a recent visit. Civil penalty issued for non-compliance.
§ 87355(e)(1)
14 Sept 2023
14 Sept 2023
Confirmed that staff were not properly wearing PPE during a COVID-19 outbreak, but determined that no wrongdoing was found regarding medication administration.
§ 87468.1(a)(2)
10 Aug 2023
10 Aug 2023
Confirmed deficiencies in the Emergency Action Plan included outdated emergency contact information and staff needing additional training on evacuation procedures.
§ 1569.695(b)
§ 1569.695(d)
11 Jul 2023
11 Jul 2023
Confirmed inadequate communication with the resident's family members and unsubstantiated claims of inadequate care provided.
§ 87468.1(a)(9)
10 Jul 2023
10 Jul 2023
Investigated an allegation of staff neglecting a resident and determined insufficient evidence to support the claim, as interviews and observations revealed staff were attentive to residents' needs and communicated with family.
07 Jul 2023
07 Jul 2023
Confirmed that allegations of inadequate food service were unfounded after interviews with residents, staff, and family members and observation of kitchen facilities.
20 Jun 2023
20 Jun 2023
Observed unlocked doors with chemicals accessible to residents and knives accessible to residents at the facility. Two citations were issued.
§ 87705(f)(1)
§ 87705(f)(2)
31 May 2023
31 May 2023
Reviewed allegations of uncleanliness, staff conduct, and refund issuance at the facility, but found insufficient evidence to support any of the claims.
19 May 2023
19 May 2023
Confirmed late administration of medication, but unsubstantiated allegations of resident infections and improper food preparation.
§ 87465(a)(4)
02 May 2023
02 May 2023
Confirmed multiple falls and injuries due to lack of supervision at the facility.
§ 1569.312(a)
28 Apr 2023
28 Apr 2023
Confirmed that neglect and lack of supervision by facility staff led to a resident sustaining multiple pressure injuries and not receiving timely medical attention. A civil penalty was issued as a result.
21 Apr 2023
21 Apr 2023
Confirmed deficiency related to theft of resident's belongings and unauthorized use of debit card. Penalty assessed.
§ 87211
09 Mar 2023
09 Mar 2023
Investigated a complaint about possible mold in a resident's room and found insufficient evidence to confirm the presence of mold, with some water stains observed and treated. Discovered potential water damage in a common area, and the administration planned to have a professional assessment conducted.
07 Mar 2023
07 Mar 2023
Investigated complaints regarding resident's oral hygiene and timely medical care, but insufficient evidence was found to support the claims.
01 Mar 2023
01 Mar 2023
Confirmed delayed response times to resident call buttons based on multiple interviews and review of records.
§ 87468.1(a)(2)
22 Feb 2023
22 Feb 2023
Confirmed inadequate food service based on temperature variations, delivery delays, food quality, and staff forgetfulness of utensils.
§ 87468.2(a)(4)
15 Feb 2023
15 Feb 2023
Confirmed that staff did not respond to residents' calls for assistance and residents' diapering needs were not met in a timely manner.
§ 87468.1(a)(2)
10 Feb 2023
10 Feb 2023
Recommended infection control practices and procedures were discussed and no immediate health or safety concerns noted.
31 Jan 2023
31 Jan 2023
Investigated allegations of neglect and lack of supervision in response to complaints of resident injuries sustained while in care and multiple unwitnessed falls. Evidence was inconclusive regarding staff negligence.
23 Jan 2023
23 Jan 2023
Identified deficiencies included standing water in fountains, missing window screens, access to sharp objects, and inappropriate items in resident areas.
§ 87303(c)
§ 87309(a)
§ 87468.1(a)(6)
§ 87307(e)
06 Jan 2023
06 Jan 2023
Found deficiencies related to COVID-19 protocols, including ceasing communal dining and group activities without required authorization, resulting in a civil penalty.
§ 87468.2(a)(6)
§ 87211(a)(2)
25 Oct 2022
25 Oct 2022
Identified deficiencies were cited for staff not wearing masks and a door being propped open during the inspection.
§ 87203
§ 87468.1
13 Oct 2022
13 Oct 2022
Confirmed staff did not keep facility free from pests and resident's bathroom was in disrepair.
§ 87555(b)(27)
§ 87303(a)
23 Sept 2022
23 Sept 2022
Confirmed scabies outbreak, alleged falls not substantiated, bathing and medication allegations also not substantiated. Eviction allegation inconclusive.
§ 87211(a)(2)
31 Aug 2022
31 Aug 2022
Confirmed insufficient staffing and inadequate resident care at the facility.
§ 87625(b)(3)
§ 87411(a)
26 Jul 2022
26 Jul 2022
Found deficiencies in the facility included hazardous substances accessible to residents and failure to supervise a resident who eloped from the community.
§ 87464
§ 87705
§ 87705
13 Jul 2022
13 Jul 2022
Identified failure to report resident's death to responsible party within required timeframe.
§ 87211(a)(1)
24 May 2022
24 May 2022
Confirmed that staff and visitors were observed wearing masks properly and masks were readily available throughout the facility, making the allegation of staff not wearing masks unsubstantiated.
06 May 2022
06 May 2022
Confirmed inappropriate touching incident between staff and resident, no citation issued during visit. Staff and resident interviewed and appropriate reporting procedures in place.
25 Apr 2022
25 Apr 2022
Confirmed medication errors, but did not find evidence of staff negligence in monitoring resident conditions or restricted visitation.
12 Apr 2022
12 Apr 2022
Confirmed inadequate food service during COVID-19 outbreaks at the facility.
§ 8755(a)
28 Mar 2022
28 Mar 2022
Confirmed no issues were found during the annual inspection focused on infection control practices and procedures at the facility.
25 Mar 2022
25 Mar 2022
Confirmed allegations of a resident developing a bed sore, not receiving medication as prescribed, being left in soiled clothing, staff not responding promptly to call buttons, and not safeguarding resident property.
§ 87217(b)
§ 1569.312(a)
§ 87303(i)(1)
§ 87465(d)(1)
§ 87466
18 Mar 2022
18 Mar 2022
Confirmed that staff did not speak inappropriately to residents, effectively communicated with them, had required training, and provided adequate food. Also confirmed that residents were not left in soiled diapers for extended periods of time.
13 Dec 2021
13 Dec 2021
Identified deficiencies in documentation and care for a resident, prompting staff education on assessing and updating service plans.
§ 87463(a)
10 Nov 2021
10 Nov 2021
Determined that a resident sustained a skin tear with no conclusive evidence on how it occurred, making the allegation of unexplained injuries unproven.
28 Oct 2021
28 Oct 2021
Investigated an allegation of inappropriate restraint of a resident and determined insufficient evidence to support it occurred, deeming the claim unsubstantiated.
26 Oct 2021
26 Oct 2021
Confirmed allegation of staff not responding to residents' calls for assistance in a timely manner.
§ 87468.1(a)(2)
06 Oct 2021
06 Oct 2021
Reviewed a complaint alleging a resident sustained unexplained injuries while in care; determined insufficient evidence to prove the injury was due to staff neglect or lack of supervision.
12 Aug 2021
12 Aug 2021
Confirmed allegations of staff overmedicating residents, improper storage of medication, and rough handling of residents were deemed unsubstantiated based on interviews, documentation, and observations.
30 Apr 2021
30 Apr 2021
Confirmed allegations that staff failed to deliver mail to residents and opened residents' mail without consent.
§ 87468.1
27 Oct 2020
27 Oct 2020
Confirmed allegations of residents being left in soiled diapers and concerns regarding staff behavior, while insufficient evidence was found to support claims of residents' feet dragging and inadequate care supplies.
§ 87625(b)(3)
16 Dec 2019
16 Dec 2019
Found concerns regarding a resident repeatedly eloping from the facility due to lack of care and supervision. Substantiated allegations, civil penalties issued.
§ 87464(f)(1)
22 Nov 2019
22 Nov 2019
Confirmed concerns of staff failing to respond to calls for assistance, ultimately resulting in resident being found on the floor.
18 Oct 2019
18 Oct 2019
Found concerns with medication administration and record-keeping during the inspection. Some medications were not given as prescribed, leading to substantiated allegations.
§ 87465(a)(5)
§ 87411(a)
03 Oct 2019
03 Oct 2019
Identified deficiencies related to the accessibility of medication during a recent visit.
§ 87465
27 Sept 2019
27 Sept 2019
Confirmed concerns about staff not properly trained on hoyer lifts and failure to properly clean eating utensils.
§ 1569.625(a)
§ 87555(b)(30)
21 Aug 2019
21 Aug 2019
Found concerns about residents not being properly dressed and lack of sufficient staffing at the facility. Substantiated allegations, civil penalties assessed.
