Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.76·(187)
Overall rating
5
4
3
2
1
Care
4.7
Staff
4.7
Meals
4.5
Amenities
4.6
Value
3.4
Pros
Compassionate, attentive caregiving staff
Knowledgeable and welcoming executive leadership
Specialized memory-care programming and secure unit
Clean, well-maintained interiors
Bright, spacious apartment layouts
Attractive decor and landscaped grounds
Peaceful outdoor patios with water features
Engaging activity program and community events
High-quality, varied dining and responsive kitchen staff
Personalized resident interactions (staff know residents by name)
24/7 clinical availability and collaboration with providers
Helpful, informative tours and admissions process
Accessible, wheelchair-friendly facility design
On-site amenities (theater, gym, gardens)
Housekeeping and laundry services provided
Reasonable/affordable pricing options
Proximity to hospitals and outpatient providers
Positive post-move-in resident adjustment and wellbeing
Safety-focused infection-control practices
Family-friendly visitation accommodations
Cons
Inconsistent staff continuity and elevated turnover
Variable staff responsiveness and conduct
Occasional understaffing that can delay care
Inconsistent dining quality over time
Uneven activity engagement across care levels leading to resident isolation
Inconsistent front-desk communication and access-control practices
Transportation service reliability issues
Limited in-unit storage and closet space
Unclear ancillary-fee and billing communication
Inconsistent cleanliness or sanitation in select operations
Summary of reviews
The Vistas at Oxnard presents as a modern, well-appointed senior community with strong strengths in facility design, memory-care programming, and interpersonal caregiving. Many commenters praised the appearance and upkeep of the property—bright, airy apartments, attractive furnishings, landscaped grounds, and peaceful outdoor patios with water features. On-site amenities such as a theater, gym, gardens and communal dining areas contribute to a hotel-like environment that families found welcoming during tours. The community also benefits from proximity to hospitals and visiting medical professionals, and several reviewers highlighted 24/7 clinical availability and collaborative care visits.
Staff and care quality receive mixed-but-often-positive feedback. Numerous reviewers described caregivers as compassionate, attentive, and personalized in their approach, and cited executive leadership as knowledgeable and engaged. Memory-care expertise is repeatedly identified as a strength: secure programming, trained staff, and one-on-one attention in that unit. Positive post-move-in outcomes—residents flourishing socially and emotionally—are commonly mentioned. At the same time, there is a recurring pattern of variability: staffing continuity and turnover were flagged as concerns, and some families experienced delays in responsiveness or encounters with staff whose conduct felt less warm or engaged. These contrasts suggest generally strong caregiving practices that can be undermined at times by staffing instability.
Dining and activities are generally well regarded but show variation across reports. The kitchen and dining team are often commended for quality meals, variety, and personalized touches (kitchen staff who know residents by name, special events, and themed meals). Conversely, a subset of reviewers described food quality as mediocre or inconsistent. Activity offerings are described as bright, colorful, and diverse—events such as car shows, musical performances, and crafts were highlighted—but activity engagement appears uneven across care levels. Some families observed busy, engaging programs and residents who are socially active; others observed residents spending extended time in rooms and feeling isolated, indicating programming may be stronger in some areas or units than others.
Operational and management patterns merit close attention during a tour. Several operational weaknesses emerged repeatedly: inconsistent front-desk communication and access-control practices, unclear ancillary-fee or billing communication (for example, unexpected laundry charges), and transportation-service reliability concerns. Cleanliness and sanitation are usually described positively, but a few accounts noted inconsistencies in certain areas. Apartments receive praise for size and light; however, unit-level storage is a tangible facility trait to consider—some units rely on armoires rather than built-in closets, prompting suggestions for additional cabinetry or pantry space.
For prospective residents and families: this community offers well-maintained facilities, strong memory-care options, a robust activity calendar, and many empathetic caregivers and leaders. To evaluate fit, visitors should ask targeted questions about staffing continuity and turnover, daytime and evening staffing ratios, housekeeping schedules, ancillary fees and billing practices, transportation protocols, and activity participation specific to the care level being considered. An in-person tour—asking to meet care staff on duty and observing meal service and an activity period—will help verify how consistently the community’s strengths are delivered day to day.
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Location
The Vistas at Oxnard Senior Living is located at 2211 E Gonzales Rd, Oxnard, CA, 93036.
About The Vistas at Oxnard Senior Living
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.
Pacifica Senior Living, a division of Pacifica Companies (family-owned since 1978), was founded in 2008 and is headquartered in San Diego, California. Operating over 90 communities across 13-14 states with concentrations in California, Florida, and Arizona, Pacifica has grown to become the 13th largest overall senior care provider in the United States. The company ranks as the 5th largest memory care provider, 10th largest assisted living provider, and 21st largest independent living provider nationally, serving thousands of residents from coast to coast through their comprehensive care offerings.
Pacifica's mission centers on creating a lifestyle of independence, security, and peace of mind for each individual and their family. The company provides personalized, compassionate care services through their signature Heartland™ Assisted Living and Legacies™ Memory Care programs, which focus on the individual while offering customized care plans that respect each resident's needs, preferences, and privacy. Their philosophy emphasizes striking a balance between assistance and independence, providing dignified and compassionate retirement experiences in environments that feel like home. Each community is managed individually, allowing for tailored support of unique resident profiles and communal character, with everything from scheduling to dining menus designed around residents' preferences.
The company's specialized memory care programs demonstrate their expertise in dementia care. Their Legacies™ Memory Care program helps patients with Alzheimer's disease and other forms of memory loss feel safe and secure while providing memory-boosting activities. The innovative Amara Memory Support program creates welcoming and empowering environments that celebrate the essence of people rather than focusing on their diagnosis. Programming encompasses nine Focus Elements of Life: Recreation, Service, Spirituality, Movement, Sensory, Household Connection, Community, Exploration, and Creative Arts, delivered through stimulating activities including gardening, culinary adventures, musical experiences, creative artistic outlets, and mindfulness practices.
Pacifica offers a comprehensive continuum of care including independent living, assisted living, memory care, respite care, skilled nursing, and adult day care services. All communities focus on promoting well-being by meeting care needs while facilitating social interactions, activities, and wellness programs. Despite recent financial challenges leading to the bankruptcy of one management entity affecting approximately 20 California facilities, the majority of Pacifica's nearly 100 communities continue operating, maintaining their commitment to advancing senior living and providing peace of mind to residents and families through warm, family-like communities where each resident receives individualized attention while maintaining dignity and independence.
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 60 photos of The Vistas at Oxnard Senior Living on Mirador.
The full address for this community is 2211 E Gonzales Rd, Oxnard, CA 93036.
No, The Vistas at Oxnard Senior Living 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.
Concluded that staff did not engage the alarm system, allowing a resident to leave the secured unit unsupervised, and identified a deficiency in basic care and supervision.
Type ACCR 87464(f)(1)Basic services; care and supervision
18 May 2026Complaint
18 May 2026Complaint
Investigated an allegation of improper medication administration and concluded that residents experienced missed or incorrect doses and that a discontinued medication was continued.
Type ACCR 87465(a)(4)Incidental Medical & Dental Care
08 Apr 2026Inspection
08 Apr 2026Inspection
Observed well-maintained living spaces, proper meal service, and safe outdoor areas. Medication processes were reviewed.
19 Feb 2026Inspection
19 Feb 2026Inspection
Identified deficiencies in central medication storage records, with two of three residents' centrally stored destruction records not current, and noted a previously self-reported medication error affecting a resident.
Type B87465(h)(6)
19 Feb 2026Complaint
19 Feb 2026Complaint
Identified that staff did not properly assist a resident with self-administered medications as prescribed, resulting in medication discrepancies.
Type A87465(a)(4)
29 Dec 2025Inspection
29 Dec 2025Inspection
Identified that three staff consumed alcohol while on shift and slept on duty. The three staff were terminated.
Type A1569.58(a)(2)
17 Dec 2025Inspection
17 Dec 2025Inspection
Identified that unlicensed staff provided wound care for a resident with a stage II pressure injury, posing an immediate health and safety risk.
Type A87631(a)(3)(A)
Type A87611(a)
17 Dec 2025Complaint
17 Dec 2025Complaint
Investigated the allegation that staff did not prevent a resident from developing pressure injuries. Findings showed the resident was high risk, bedbound, and rapidly declined with hospice care, and developed a pressure injury despite preventive measures.
17 Dec 2025Complaint
17 Dec 2025Complaint
Investigated allegations that staff slept during shifts, consumed alcohol during work hours, locked residents in their rooms, and did not provide timely diapering care.
19 Nov 2025Complaint
19 Nov 2025Complaint
Identified that staff did not assist residents with self-administered medications as prescribed and did not accept a resident back after hospitalization.
Type A87465(a)(4)
Type B87468.2(a)(20)
28 Aug 2025Inspection
28 Aug 2025Inspection
Investigated a self-reported incident of missing narcotic medication involving a resident, which the pharmacy replaced.
26 Aug 2025Complaint
26 Aug 2025Complaint
Identified cleaning and maintenance issues, limited access to cleaning supplies, and unsanitary restrooms observed during an unannounced visit.
Type B87303(a)
07 Aug 2025Complaint
07 Aug 2025Complaint
Identified that medications were not securely stored, giving a resident access to medications kept in their room, with the door often left open.
Type A87465(h)(2)(h)
17 Jul 2025Complaint
17 Jul 2025Complaint
Investigated the allegation about activities for residents, an elopement by a resident, and maintaining a comfortable temperature; evidence did not prove violations.
04 Apr 2025Inspection
04 Apr 2025Inspection
Investigated bankruptcy filings and lawsuits tied to the management company and found no financial impact on residents or staff; noted management changes and requested supporting documents.
21 Mar 2025Inspection
21 Mar 2025Inspection
Identified a nonfunctional memory care patio door and a tripping hazard on the memory care floor.
Type B87303(a)
29 Jan 2025Complaint
29 Jan 2025Complaint
Found concerns that a staff member spoke to residents in a disrespectful manner and that bedtime medications were missed and left accessible to residents.
Type A87465(h)(2)
Type B87468.1(a)(1)
05 Nov 2024Complaint
05 Nov 2024Complaint
Identified deficiencies in staffing and supervision that led to delays in resident care. Also noted issues with reporting incidents and staff training, and a resident leaving unattended.
Type B87468.1(a)(2)
Type B87211(a)(1)
24 Oct 2024Complaint
24 Oct 2024Complaint
Investigated three allegations: that a copy of the signed admission agreement was not provided; insects were not properly addressed; and privacy was not provided.
18 Sept 2024Complaint
18 Sept 2024Complaint
Investigated the allegation that residents did not receive medications on time because there were no medication technicians on the overnight shift amid staffing shortages.
Type A87411(a)
18 Sept 2024Complaint
18 Sept 2024Complaint
Investigated allegations that staff did not communicate effectively with a resident's licensed physician and did not seek timely medical appointments; findings deemed the allegations unsubstantiated.
04 Sept 2024Complaint
04 Sept 2024Complaint
Investigated a complaint about call-light response times and a claim a resident left unassisted; found delays in call responses and insufficient evidence regarding supervision.
21 Aug 2024Complaint
21 Aug 2024Complaint
Investigated a complaint that staff did not respond promptly to a resident's call button, with evidence showing several responses delayed and some calls unanswered. Addressed another allegation about accepting a resident back from hospital.
Type B87468.2(a)(4)
21 Aug 2024Complaint
21 Aug 2024Complaint
Investigated two specific staffing and management concerns and found insufficient administrator coverage and long wait times for resident assistance.
Type B87405(a)
02 Aug 2024Complaint
02 Aug 2024Complaint
Identified that staff were not properly trained for disaster plans. Documentation showed no records of past emergency evacuation drills.
Type B1569.695(c)(c)
27 Jun 2024Complaint
27 Jun 2024Complaint
Found multiple safety and service concerns after investigating a complaint, including staff not consistently wearing masks, slow or missing responses to residents' call buttons, poor and inconsistent food quality, and insufficient staffing.
Type B87555(a)
Type B87555(b)(18)
Type B87468.1(a)(2)
Type B87468.2(a)(4)
Type B87411(a)
27 Jun 2024Inspection
27 Jun 2024Inspection
Observed an outside report alleging the site was representing itself under a different name. Signage and calendars still displayed the old name, and management said a name change was in progress; no deficiencies were observed.
03 May 2024Complaint
03 May 2024Complaint
Investigated a complaint that a resident's credit card and cash were taken from their room and used without permission, and investigators found insufficient evidence to confirm that the theft occurred there.
03 May 2024Complaint
03 May 2024Complaint
Investigated a complaint alleging dehydration and multiple falls due to inadequate supervision; reviewed medical records and interviewed staff and residents. Found no evidence of abuse or neglect based on the information reviewed.
18 Apr 2024Inspection
18 Apr 2024Inspection
Identified gaps in medication documentation and resident care plans, and noted updates to emergency planning and increased staffing in memory care.
15 Apr 2024Inspection
15 Apr 2024Inspection
Identified safety concerns, including memory care delayed egress doors not functioning and central medications not securely stored.
Type A87202(a)
Type A87465(h)(2)
08 Mar 2024Complaint
08 Mar 2024Complaint
Investigated the allegation that the facility was understaffed. Found no medication technicians were scheduled for Sundays and Thursdays on the night shift, creating an immediate safety risk.
Type A87411(a)
30 Oct 2023Complaint
30 Oct 2023Complaint
Investigated allegations that staff did not provide adequate food service, left residents in soiled diapers for extended periods, and did not meet residents' needs. The investigation included interviews with staff, residents, and family members.
19 Oct 2023Inspection
19 Oct 2023Inspection
Identified a resident who depends on others to perform all activities of daily living, with staff fully performing care tasks and assisting with eating and medications, posing an immediate health and safety risk.
Type A87615(a)(5)
27 Sept 2023Complaint
27 Sept 2023Complaint
Investigated an allegation that staff were not trained to assist with oxygen administration. The review also covered COVID-19 testing, outbreak notification, and staff performance concerns from 2022.
Type B87618(b)(2)
Type B87611(b)
18 Sept 2023Inspection
18 Sept 2023Inspection
Identified that a staff member lacked fingerprint background clearance and had been employed since March 10, 2023, creating an immediate safety risk to people in care.
Type A87355(e)(1)
14 Sept 2023Complaint
14 Sept 2023Complaint
Investigated a complaint about PPE use during a COVID-19 outbreak and about medication administration. Observed staff wearing masks pulled below their noses during the outbreak and reviewed medication records for a resident.
Type B87468.1(a)(2)
10 Aug 2023Complaint
10 Aug 2023Complaint
Identified deficiencies in emergency planning and staff training, including outdated emergency contact numbers and the need for evacuation chair training.
Type B1569.695(b)
Type B1569.695(d)
11 Jul 2023Complaint
11 Jul 2023Complaint
Investigated a complaint alleging delayed communication with an authorized representative and inadequate resident care. Found delays in responding to family inquiries and insufficient evidence of care deficiencies.
Type B87468.1(a)(9)
10 Jul 2023Complaint
10 Jul 2023Complaint
Investigated the allegation that staff neglected a resident while in care. Interviews and information obtained did not corroborate neglect, noting the resident was present only briefly and had special instructions in place.
10 Jul 2023Complaint
10 Jul 2023Complaint
Investigated two allegations: a resident developed pressure sores while in care and a resident did not receive deliveries. Findings showed insufficient evidence to support either claim.
07 Jul 2023Complaint
07 Jul 2023Complaint
Investigated the allegation that staff failed to provide adequate food service and found insufficient evidence to support it.
20 Jun 2023Inspection
20 Jun 2023Inspection
Observed chemicals and knives accessible to residents due to unlocked doors and lounges, creating safety risks; two deficiencies were cited.
Type A87705(f)(2)
Type A87705(f)(1)
20 Jun 2023Complaint
20 Jun 2023Complaint
Investigated allegations that staff hit residents, failed to safeguard personal belongings, yelled at residents, and mismanaged medications. Findings indicated no corroborating evidence for these claims.
31 May 2023Complaint
31 May 2023Complaint
Investigated a complaint alleging rooms were unclean, staff created an uncomfortable environment for residents, and a refund issue; found insufficient evidence to support the cleanliness and environment claims, and the refund matter lacked clear supporting evidence.
19 May 2023Complaint
19 May 2023Complaint
Investigated a complaint that medications were not administered as needed and found that two residents did not have PRN blood pressure medication at the facility, creating a health risk. Other complaints about infections and food preparation had insufficient supporting evidence.
Type A87465(a)(4)
02 May 2023Complaint
02 May 2023Complaint
Identified that a resident experienced multiple falls and injuries due to lack of supervision.
Type A1569.312(a)
28 Apr 2023Inspection
28 Apr 2023Inspection
Determined that neglect and lack of supervision contributed to a resident's serious pressure injuries and severe pain, resulting in a civil penalty.
Type A1569.49(f)
Type A1569.312
Type A1569.49
Type A15610.67
Type B87466
21 Apr 2023Inspection
21 Apr 2023Inspection
Identified that cash and a debit card were stolen from a resident's purse around 3/31/2023, and unauthorized transactions occurred with the stolen card.
Type B87211
21 Apr 2023Inspection
21 Apr 2023Inspection
Identified that a resident left unassisted on 4/8, 4/9, and 4/10/2023 and was later found by police and returned; staff did not ensure the resident received required assistance during sign-outs.
Type A87464(d)
09 Mar 2023Complaint
09 Mar 2023Complaint
Investigated the allegation that resident's room had mold; observed water stains on walls and possible water damage but could not confirm mold.
07 Mar 2023Complaint
07 Mar 2023Complaint
Investigated allegations that a resident's oral hygiene was not met and that medical care was not provided in a timely manner; records and interviews showed insufficient evidence to support these claims.
01 Mar 2023Complaint
01 Mar 2023Complaint
Investigated a complaint that staff did not provide adequate food service or timely medication; findings showed meals arriving late, missing utensils, and inconsistent assistance with residents' self-administration of medications.
Type B87468.2(a)(4)
01 Mar 2023Complaint
01 Mar 2023Complaint
Identified that staff did not respond to residents' call buttons in a timely manner, with delays attributed to equipment shortages.
Type B87468.1(a)(2)
22 Feb 2023Complaint
22 Feb 2023Complaint
Investigated the allegation that food service was inadequate and found that meals were frequently delivered late and cold, with inconsistent delivery times and shortages of food supplies.
Type B87468.2(a)(4)
22 Feb 2023Inspection
22 Feb 2023Inspection
Identified two deficiencies: courtyard doors were locked from the inside, restricting residents' right to leave, and alcohol and cleaning supplies were accessible to residents.
Type A87468.1(a)(6)
Type A87705(f)(2)
22 Feb 2023Complaint
22 Feb 2023Complaint
Investigated a complaint alleging meals were not delivered to residents in a timely manner; interviews and observations showed meals were delivered after posted service times.
Type B87468.2(a)(4)
15 Feb 2023Complaint
15 Feb 2023Complaint
Investigated allegations that staff did not respond promptly to residents' calls for assistance and that diapering needs were not met in a timely manner. Findings described ongoing issues with call button responsiveness and incontinence care.
Type B87468.1(a)(2)
15 Feb 2023Inspection
15 Feb 2023Inspection
Observed a personal rights violation where exterior doors to the memory care courtyard were locked from the inside, potentially trapping residents outside and hindering re-entry.
Type A87468.1(a)(6)
10 Feb 2023Inspection
10 Feb 2023Inspection
Reviewed infection-control practices; no health and safety concerns identified.
31 Jan 2023Complaint
31 Jan 2023Complaint
Investigated two allegations that a resident was injured while in care and that a resident sustained unwitnessed falls. Evidence did not show staff negligence or lack of supervision.
23 Jan 2023Inspection
23 Jan 2023Inspection
Identified health and safety and personal rights deficiencies, including standing water in water features, locked exterior access, a missing window screen, and accessible knife and gardening supplies.
Type A87307(e)
Type A87309(a)
Type A87468.1(a)(6)
Type A87303(c)
23 Jan 2023Complaint
23 Jan 2023Complaint
Investigated an allegation of rats in the kitchen. Observed rat droppings on the floor, counters, and equipment, and staff acknowledged an ongoing rodent problem.
Type A87555(b)(27)
23 Jan 2023Inspection
23 Jan 2023Inspection
Investigated whether an excluded individual was employed; confirmed the individual was not employed and not eligible to be licensed, reside, or work in any licensed setting.
06 Jan 2023Inspection
06 Jan 2023Inspection
Identified that residents not on isolation could not participate in communal dining or group activities and that the outbreak was not reported to the proper authorities in a timely manner.
Type A87468.2(a)(6)
Type A87211(a)(2)
06 Jan 2023Complaint
06 Jan 2023Complaint
Investigated the allegation that staff did not provide meals that meet residents' dietary restrictions, including low-sodium, heart-health, and diabetic diets.
Type B87555(b)(7)
25 Oct 2022Complaint
25 Oct 2022Complaint
Investigated issues with delayed responses to resident calls for assistance and with food quality.
Type B87468.1(a)(2)
Type B87555(a)
25 Oct 2022Inspection
25 Oct 2022Inspection
Observed deficiencies in fire safety and personal rights, including exit doors propped open and staff not wearing masks, creating health and safety risks for residents.
Type A87203
Type A87468.1(a)(2)
13 Oct 2022Complaint
13 Oct 2022Complaint
Found pests in the kitchen and a resident bathroom toilet that had not been repaired for about a week.
Type A87555(b)(27)
Type B87303(a)
23 Sept 2022Complaint
23 Sept 2022Complaint
Investigated a complaint about a scabies outbreak and found a resident diagnosed with scabies and that this diagnosis was not reported to licensing or public health.
Type B87211(a)(2)
Type B1569.49(f)
31 Aug 2022Complaint
31 Aug 2022Complaint
Investigated allegations of insufficient staffing and incontinence care; interviews and records indicated staffing shortages and related incontinence care concerns.
Type A87411(a)
Type A87625(b)(3)
26 Jul 2022Inspection
26 Jul 2022Inspection
Observed a resident elope from the community and be found about four blocks away without injuries; hazardous items including cleaners, a lighter, shovels, and a paper cutter were accessible to residents.
Type A87464(f)(1)(c)
Type A87705(f)(1)
Type A87705(f)(2)
13 Jul 2022Complaint
13 Jul 2022Complaint
Investigated a complaint that reporting requirements were not met after a resident's death. Evidence showed the death was not reported to the responsible party within seven days and a miscommunication occurred.
Type B87211(a)(1)(A)
24 May 2022Complaint
24 May 2022Complaint
Investigated the allegation that a resident's personal belongings were not safeguarded and the allegation that the resident developed pressure injuries while in care.
Type A1569.312(a)
Type B87217(b)
24 May 2022Complaint
24 May 2022Complaint
Investigated the allegation that staff were not wearing masks. Found that staff and visitors wore masks and that masks were readily available at the front desk.
06 May 2022Inspection
06 May 2022Inspection
Investigated an incident of inappropriate touching between a staff member and a resident after a witness reported it; interviews described the act and surrounding events. No citation was issued.
25 Apr 2022Complaint
25 Apr 2022Complaint
Investigated a change in condition not communicated to a resident's responsible party or physician and an ant infestation; interviews and records showed delays in communication and ants present in multiple areas.
Type B87466
Type B87468
Type B87303(a)
25 Apr 2022Complaint
25 Apr 2022Complaint
Found that personnel were not trained for their assignments, staffing levels were inadequate to meet resident needs, and call lights were not consistently answered.
Type A87411(a)
Type B87555(b)(18)
25 Apr 2022Complaint
25 Apr 2022Complaint
Investigated an allegation that medications were not dispensed as prescribed. Investigated related concerns that staff did not notice a change in a resident's condition and that residents were not allowed to have guests.
25 Apr 2022Complaint
25 Apr 2022Complaint
Investigated the allegation that a resident's apartment was not kept at a comfortable temperature.
12 Apr 2022Complaint
12 Apr 2022Complaint
Investigated two allegations: lack of an administrator and inadequate food service. Found that during COVID-19 outbreaks meals were sometimes served cold and residents received sandwiches while cooks were unavailable.
Type B8755(a)
12 Apr 2022Complaint
12 Apr 2022Complaint
Investigated an outbreak and found it was not reported to health authorities within 24 hours.
Type A87211(a)(2)
28 Mar 2022Inspection
28 Mar 2022Inspection
Observed adequate infection control practices and safety measures with no citations issued.
25 Mar 2022Complaint
25 Mar 2022Complaint
Investigated a complaint alleging staff mishandled a resident's medications; identified medication administration issues and gaps in documentation that created health and safety risks.
Type A87465(a)(4)
25 Mar 2022Complaint
25 Mar 2022Complaint
Identified specific failures: a resident developed a pressure injury, medications were not administered as prescribed, a resident was left in soiled clothing, call buttons were not promptly answered, and a resident's belongings were not safeguarded.
Type AHSC 1569.312(a)
Type ACCR 87466
Type ACCR 87465(d)(1)
Type BCCR 87303(i)(1)(A)
Type BCCR 87217(b)
18 Mar 2022Complaint
18 Mar 2022Complaint
Investigated allegations of neglect and lack of supervision, including untreated pressure injuries and delayed medical care, mismanagement of pain medications, unresponsive call buttons, leaving a resident in a soiled diaper, inadequate food service during isolation, and safeguarding lapses of personal belongings.
Type A87466
Type A1569.312(a)
Type A87303(i)(1)(A)
Type B87465(d)(1)
Type B87468.2(a)(4)
Type B87217(b)
Type B8755(a)
18 Mar 2022Complaint
18 Mar 2022Complaint
Investigated allegations about staff behavior, communication, training, food quality, and toileting care. The available evidence did not support the allegations.
Type A1569.625
18 Mar 2022Complaint
18 Mar 2022Complaint
Investigated allegations that staffing was inadequate and sanitation was not maintained; concluded the evidence did not substantiate violations. Also reviewed whether a resident required a higher level of care and found no evidence to support that claim.
18 Mar 2022Complaint
18 Mar 2022Complaint
Investigated allegations that a resident was left in soiled diapers for extended periods and that staff did not administer medication. Found no clear evidence to support the alleged violations.
13 Dec 2021Inspection
13 Dec 2021Inspection
Identified that a resident's Needs and Service Plan was not updated after a hospital return and change in condition. Records documented multiple unwitnessed falls and a fractured ankle.
Type B87463(a)
10 Nov 2021Complaint
10 Nov 2021Complaint
Investigated an allegation that a resident sustained an unexplained injury; investigators found no clear evidence supporting the allegation.
28 Oct 2021Complaint
28 Oct 2021Complaint
Investigated the allegation that staff inappropriately restrained a resident while in care. Evidence did not establish the allegation.
26 Oct 2021Complaint
26 Oct 2021Complaint
Investigated allegation that staff did not respond to residents' calls for assistance in a timely manner.
Type B87468.1(a)(2)
06 Oct 2021Complaint
06 Oct 2021Complaint
Investigated a claim that a resident sustained unexplained injuries while in care and found there was insufficient evidence to prove neglect or lack of supervision.
12 Aug 2021Complaint
12 Aug 2021Complaint
Investigated allegations that staff overmedicated a resident, medications were not properly stored, and residents were handled roughly. Interviews and records were reviewed.
12 Aug 2021Complaint
12 Aug 2021Complaint
Investigated allegations of neglect, a resident's death after a fall, a resident's fracture, unsanitary room and foul odor, and failure to meet hygiene needs; findings documented.
30 Apr 2021Complaint
30 Apr 2021Complaint
Identified that staff opened residents' mail and did not deliver some packages. Interviews indicated about ten small packages were delivered but opened and not given to residents.
Type B87468.1
27 Oct 2020Complaint
27 Oct 2020Complaint
Investigated concerns that residents were left in soiled diapers for extended periods and that staff did not respond promptly to call bells; interviews also addressed dignity, wheelchair use, and availability of supplies.
Type B87625(b)(3)
16 Dec 2019Complaint
16 Dec 2019Complaint
Found concerns regarding a resident repeatedly eloping from the facility due to lack of care and supervision. Substantiated allegations, civil penalties issued.
Type A87464(f)(1)
22 Nov 2019Complaint
22 Nov 2019Complaint
Confirmed concerns of staff failing to respond to calls for assistance, ultimately resulting in resident being found on the floor.
18 Oct 2019Complaint
18 Oct 2019Complaint
Found concerns with medication administration and record-keeping during the inspection. Some medications were not given as prescribed, leading to substantiated allegations.
Type A87465(a)(5)
Type B87411(a)
03 Oct 2019Inspection
03 Oct 2019Inspection
Identified deficiencies related to the accessibility of medication during a recent visit.
Type A87465
27 Sept 2019Complaint
27 Sept 2019Complaint
Confirmed concerns about staff not properly trained on hoyer lifts and failure to properly clean eating utensils.
Type B1569.625(a)
Type B87555(b)(30)
21 Aug 2019Complaint
21 Aug 2019Complaint
Investigated allegations that residents were not dressed properly (walking without shoes) and that staffing was insufficient.
Type B87411(a)
Type B87464(f)(1)(c)
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