Pasadena Villa Assisted Living

    1811 N Raymond Ave, Pasadena, CA 91103
    • Assisted Living

    Attentive staff, clean facility, recommended

    I'm very pleased with this community - attentive, compassionate staff and organized leadership give me real peace of mind. The facility is clean, welcoming and well-maintained, care coordination and communication are solid, and there are plenty of activities and events to keep residents engaged; I'd recommend it.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 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

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    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

    4.24·(21)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      4.6
    • Meals

      3.0
    • Amenities

      5.0
    • Value

      4.2

    Pros

    • attentive, compassionate staff
    • responsive and strong leadership
    • organized operations and consistent management
    • clean, well-maintained facility
    • safe, welcoming atmosphere
    • engaging activities program
    • on-site amenities (movie room, game room, library)
    • regular holiday and birthday celebrations
    • solid care coordination
    • varied menu offerings

    Cons

    • inconsistent cleanliness and sanitation in some common areas
    • noise and disruptive behavior in communal spaces
    • inconsistent meal execution versus posted menus
    • limited multilingual staff availability
    • outdoor smoking and social behavior affecting patios
    • potential social isolation for families farther away
    • variable service quality across shifts or units

    Summary of reviews

    Overall impression: Reviews portray a facility with many operational strengths alongside some notable areas needing attention. Positive commentary centers on compassionate caregiving, proactive leadership, and an active social program. However, several operational issues — particularly around cleanliness consistency, noise control, and meal‑service accuracy — appear intermittently and may affect resident experience depending on unit or shift.

    Care and staff: Care quality is frequently described as attentive and compassionate, with families noting solid care coordination and a resident-focused approach. Leadership and management receive consistent praise for responsiveness and organizational improvements; reviewers credit administrators with elevating standards and addressing concerns over time. At the same time, there are indications of variability in service quality across shifts or units, and occasional communication challenges related to limited multilingual staff availability during intake or early placement.

    Dining: Menu variety is present and some reviewers found the food satisfactory. A recurring operational concern is inconsistency between the posted menu and actual meal delivery, suggesting gaps in meal‑service execution or communication between kitchen and dining staff. Prospective families who prioritize consistent meal accuracy should inquire about current kitchen processes and menu management.

    Activities and amenities: The facility offers an active calendar with planned events, movies, game room access, a library, and routine holiday and birthday celebrations. Reviewers highlight an engaged activity director and a range of social opportunities that contribute to resident satisfaction and a welcoming atmosphere.

    Facilities and environment: Many accounts describe bright, practical, and well‑maintained interiors that feel safe and welcoming. Conversely, there are intermittent cleanliness and sanitation issues in some common areas and occasional episodes of loud or disruptive behavior in communal spaces. Outdoor areas near patios can be affected by smoking and social activity, which may impact enjoyment of those spaces and create odor or visual concerns for nearby residents.

    Management and notable patterns: Strong administrative leadership and responsiveness are consistent positive themes; reviewers indicate management often addresses concerns and can improve operations over time. The pattern of feedback suggests a polarized experience: many residents and families report high satisfaction, while others encounter specific operational shortcomings. Distance from family is a practical consideration for prospective residents — the facility’s location may be convenient for some but a source of social isolation for families who live farther away.

    Recommendation guidance: For families considering this community, key follow‑up topics would include current cleaning schedules and sanitation audits, noise‑management policies, kitchen/menu execution protocols, language/communication supports, and patio/outdoor-use rules. Asking for recent examples of how management has resolved specific issues and requesting to observe activities and meal service during a visit can help set expectations and identify whether the facility’s strengths align with a prospective resident’s priorities.

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    Location

    Map showing location of Pasadena Villa Assisted Living

    Pasadena Villa Assisted Living is located at 1811 N Raymond Ave, Pasadena, CA, 91103.

    About Pasadena Villa Assisted Living

    Pasadena Villa Assisted Living sits at 1811 N Raymond Ave in Pasadena, CA, and holds a 97-bed license to provide assisted living, independent living, and memory care. The community offers both single and two-bedroom units, as well as studio layouts, so seniors can pick what fits them best, and each has either a kitchen or kitchenette for more independence. Residents find personal care assistants who help with bathing, dressing, medication, and address other needs, and staff remain on-site for support and supervision, providing 12-16 hour nursing help and a 24-hour call system, which gives families some peace of mind. There are washers, dryers, maintenance help, housekeeping, and options for laundry and dry cleaning, which make daily life easier.

    Pasadena Villa has features like a sprinkler system for fire safety, handicap-accessible parts of the property, plus guest parking, along with cable TV and WiFi, making it easy to stay connected. The staff focus on residents' comfort by offering dining rooms with chef-prepared meals, planned to be nutritious and tasty, along with social spaces like a game and activities room, a library, a salon and barbershop, and a fitness center, so there's always something going on for those who want to join in. The care here covers a wide range, so people with diabetes, incontinence, or those who need non-ambulatory help can have their needs met.

    There's transportation for outings and appointments, which helps keep residents involved with the nearby area, with places like Huntington Memorial Hospital and Rite Aid pharmacy close by. Pasadena Villa supports community life with arts and crafts, health and wellness programs, and lots of opportunities for mental, physical, and emotional engagement. Amenities and programs are tailored for both assisted living and memory care needs, including specialized support for disabilities or certain conditions. The community tries to create a welcoming, helpful atmosphere, based on kindness and a sense of belonging, and keeps a focus on safety and ongoing care. Pasadena Villa Assisted Living has earned awards like Best of Senior Living and Best of Senior Living All Star, which show the staff's commitment to good service and resident satisfaction.

    People often ask...

    Pasadena Villa Assisted Living offers competitive pricing, with rates starting at a cost of $5,371 per month.

    Pasadena Villa Assisted Living offers assisted living.

    There are 1 photos of Pasadena Villa Assisted Living on Mirador.

    The full address for this community is 1811 N Raymond Ave, Pasadena, CA 91103.

    No, Pasadena Villa Assisted 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.

    License number198603286
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity97 residents
    LicenseePASADENA VILLA, INC.
    EffectiveMarch 18th, 2020
    View the official license record

    Inspection Reports

    165

    Reports

    35

    Type A Citations

    63

    Type B Citations

    137

    Complaints

    6

    Years

    15 May 2026Complaint
    Investigated a complaint about delayed medication administration; found that a resident's ibuprofen and trazodone were not dispensed as prescribed on multiple dates.
    • CCR Title 22, Section 87465(b)Incidental Medical and Dental Care
    09 Apr 2026Complaint
    Investigated allegations of staff neglect and care lapses involving a resident’s pendant accessibility, incontinence care, meals, and room climate. Findings did not establish the alleged violations.
    18 Mar 2026Inspection
    Identified deficiencies where staff did not assist residents with activities of daily living and did not observe changes in residents' health, resulting in civil penalties.
    • Type A87459(a)(5)(B)
    • Type A87466
    03 Mar 2026Complaint
    Investigated a complaint about bedding cleanliness, hazards, resident safety, and a broken sliding door in a resident's room. Observations found bedding clean and rooms generally in repair, while one room had a broken door covered with cardboard and plywood.
    • Type B87303(a)
    12 Feb 2026Inspection
    Found hot water temperatures in several rooms exceeded the required 105–120°F range, posing a health risk to residents.
    • Type ACCR87303(e)(2)
    12 Feb 2026Complaint
    Investigated allegation that staff did not ensure residents' incontinence needs were met.
    15 Jan 2026Complaint
    Investigated two complaints about ceiling leaks and towel provisions; evidence was insufficient to establish violations.
    30 Dec 2025Complaint
    Investigated allegations that staff drank alcohol and used drugs while on duty, provided a resident with alcohol and drugs, and did not safeguard a resident's personal belongings.
    24 Oct 2025Inspection
    Found neglect and lack of supervision that allowed a resident to make unwanted physical advances toward residents, risking their personal rights and safety.
    • Type A87468.2(a)(4)
    24 Oct 2025Complaint
    Investigated an allegation of non-consensual touching between two residents; interviews and surveillance did not provide sufficient evidence to prove the incident occurred.
    23 Oct 2025Complaint
    Investigated a complaint with three allegations about dignity during interaction, access to a call pendant, and comfort/privacy during care. Interviews and observations did not corroborate the allegations.
    19 Sept 2025Complaint
    Investigated an allegation that staff did not properly intervene between residents during altercations, including verbal harassment and unwanted advances. Interviews and records were reviewed.
    15 Sept 2025Inspection
    Identified failures to report resident incidents to licensing and to perform a reappraisal after a change in a resident's condition.
    • Type B87211(a)(1)(D)
    • Type B87463(b)(1)
    15 Sept 2025Complaint
    Investigated the allegation that a resident sustained an unexplained injury while in care due to staff neglect, and found insufficient evidence to corroborate it.
    12 Aug 2025Complaint
    Investigated allegation that staff did not ensure residents' medical needs were met. Wound care visits occurred twice weekly, and residents reported staff provided medical attention when needed, though one resident refused certain care.
    05 Aug 2025Complaint
    Investigated four complaints about resident care and found insufficient evidence to substantiate the concerns.
    05 Aug 2025Complaint
    Investigated allegations that staff did not provide a resident monthly allowance and that staff handled a resident roughly. Found insufficient evidence to support these allegations.
    25 Jul 2025Complaint
    Investigated three allegations; personal belongings were not safeguarded during relocations and renovations, while the other two allegations lacked sufficient evidence.
    • Type B87218(a)(2)(a)
    • Type B1569.153
    15 Jul 2025Complaint
    Investigated two complaints about residents' belongings and water access; evidence did not confirm the complaints.
    07 Jul 2025Complaint
    Investigated a complaint alleging improper maintenance and bad odors; found there was insufficient evidence to support either allegation.
    01 Jul 2025Complaint
    Investigated the allegation that staff neglected residents and did not respond to calls or seek timely medical care. Findings did not establish a preponderance of evidence to prove or disprove the violations.
    10 Jun 2025Complaint
    Investigated the allegation that staff did not prevent a resident from engaging in inappropriate interactions with another resident. Evidence did not clearly support the claim.
    13 May 2025Complaint
    Investigated two complaints about medical care access and access to personal belongings; findings did not corroborate the concerns.
    08 May 2025Inspection
    Found hot water temperatures in several rooms exceeded the allowed range of 105-120 F, posing an immediate risk to residents.
    • Type A87303(e)(2)
    26 Apr 2025Complaint
    Identified concerns that residents' personal belongings were not adequately safeguarded during renovations and that residents were able to enter the premises in unsafe conditions without proper supervision.
    • Type B87411(a)
    • Type B87217(b)
    11 Apr 2025Complaint
    Investigated allegations that staff did not safeguard residents' personal belongings during renovations and that residents entered during unsafe conditions, and that staff did not notify licensing about renovations.
    • Type B87411(a)
    • Type B87217(b)
    23 Dec 2024Complaint
    Investigated an allegation that a resident was assaulted by another due to lack of supervision. Found insufficient evidence to prove the incident occurred or to establish neglect.
    05 Dec 2024Complaint
    Investigated an allegation that staff did not clean residents' rooms properly and did not safeguard residents' personal property; found no conclusive evidence to prove or disprove the allegations.
    03 Sept 2024Complaint
    Investigated three allegations: staff pushed a resident out of a wheelchair, staff locked a resident in their room, and staff did not safeguard a resident's personal belongings; there was no corroborating evidence from interviews and observations.
    23 Aug 2024Inspection
    Identified that the dining room air conditioning was not working and the ice machine was broken, posing potential health and safety risks to residents.
    • Type B87303(a)
    23 Aug 2024Complaint
    Investigated the allegation that staff did not prevent residents from engaging in a physical altercation. Interviews and records indicated staff intervened and residents felt safe.
    26 Jul 2024Inspection
    Identified that hot water for residents in the community shower rooms did not meet required temperatures. Readings were around 90-99°F, indicating a plumbing issue and potential safety risk.
    • Type A87303(e)(2)
    26 Jul 2024Complaint
    Investigated three allegations about resident care: staff did not frequently change a resident, staff did not meet a resident's hygiene needs, and residents did not have cold water. Found insufficient evidence to corroborate any of them.
    10 May 2024Inspection
    Identified inconsistent statements about a resident's injuries and who arranged medical transportation for the resident. Also noted a roommate conflict left a resident without a room for several days and a staff member was involved in an altercation with a resident's family member.
    • Type B87207
    • Type B87468.1(a)(3)
    • Type B87211(a)(1)
    09 May 2024Complaint
    Investigated the allegation that a resident sustained an injury while in care. Evidence from records and interviews did not prove the injury resulted from care.
    30 Apr 2024Complaint
    Investigated two allegations about residents left in soiled clothing and not fed adequately. The findings did not corroborate the allegations.
    05 Apr 2024Inspection
    Observed hot water temperatures outside the required 105-120°F range in multiple rooms and broken plumbing fixtures, posing immediate safety risks to residents. Noted deficiencies included missing administrator certification and issues with staff records.
    • Type ACCR87303(e)(2)
    • Type BCCR87303(e)(6)
    • Type BCCR87412(d)
    04 Apr 2024Complaint
    Investigated an allegation that staff failed to seek medical attention for a resident's wounds after a slip-and-fall.
    • Type B87465(a)(2)
    28 Mar 2024Complaint
    Investigated allegations that staff did not treat residents with respect and that residents' personal belongings were missing.
    19 Mar 2024Inspection
    Identified an inaccurate MAR for March 2024 and improper documentation after a resident's death, posing immediate health and safety risks.
    • Type B87506(a)
    14 Mar 2024Complaint
    Investigated the allegation that staff did not prevent a resident from hitting another resident. There was no conclusive evidence that the resident hit the other or that injuries occurred.
    07 Mar 2024Complaint
    Investigated two allegations that staff were not aware of a resident's whereabouts and that a missing-person report was not filed; findings did not establish a preponderance of evidence.
    23 Feb 2024Complaint
    Investigated the allegation that a staff member handled a resident roughly; interviews and surveillance did not substantiate the claim.
    30 Jan 2024Inspection
    Identified a violation of residents' rights when a resident who cannot leave unassisted left with another resident and was later found in a hospital.
    • Type B87468.2(a)(4)
    29 Jan 2024Complaint
    Investigated allegations about showers, hot water, laundry, housekeeping, and menus. Evidence showed hot water available, showers kept clean, laundry and housekeeping provided per schedule, and menus posted for resident review.
    16 Jan 2024Complaint
    Investigated a resident elopement and an allegation that a resident was abandoned at a hospital.
    • Type A87468.2(a)(4)
    12 Jan 2024Complaint
    Investigated a complaint about pest infestation, tripping hazards, and furniture in disrepair; found cockroaches in the kitchen, an unsanitary soda machine dispenser, lifted floor tiles in the dining room, and damaged dressers in several rooms.
    • Type A87555(b)(27)
    • Type B87303(a)
    12 Jan 2024Inspection
    Identified an unsanitary soda machine dispenser spout with an unknown residue, possibly a dried maggot. The finding was documented as a deficiency.
    09 Jan 2024Complaint
    Investigated a set of complaints about showers, laundry, housekeeping, hot water, and menus. Found no conclusive evidence to support the allegations.
    05 Jan 2024Complaint
    Investigated the allegation that staff did not prevent an altercation between residents; found there wasn't enough evidence to prove the allegation.
    05 Jan 2024Complaint
    Investigated an allegation that staff did not provide adequate supervision resulting in a resident-on-resident altercation; interviews and records were reviewed to assess the claim.
    05 Jan 2024Complaint
    Investigated allegations that staff failed to meet residents' toileting and hygiene needs and did not provide timely assistance.
    04 Jan 2024Complaint
    Investigated allegations that night staff did not respond to residents and that staff handled residents roughly during diaper changes. Found concerns with night supervision; the evidence regarding rough handling was inconclusive.
    • Type B87415(a)
    • Type B1569.312
    • Type B1569.2
    04 Jan 2024Complaint
    Investigated the allegation that staff could not communicate with a resident due to a language barrier. Found there was insufficient evidence to prove or disprove the claim.
    21 Dec 2023Inspection
    Identified a deficiency in timely reporting of incidents when staff could not provide incident reports for a resident during the visit.
    • Type B87211(a)(1)(D)
    21 Dec 2023Complaint
    Investigated two specific allegations: one that medications were not provided to a resident as prescribed, and another that a resident did not have oxygen. The medication allegation lacked sufficient evidence, while the oxygen issue showed problems with the oxygen equipment not being operable.
    • Type A87618(b)(3)(H)
    12 Dec 2023Complaint
    Investigated complaints about privacy during a phone call, staff conduct toward residents, resident-to-resident interactions, belongings, and meal service. Findings indicated no substantiated violations.
    07 Dec 2023Complaint
    Investigated the allegation that staff did not safeguard a resident's personal belongings.
    30 Nov 2023Complaint
    Investigated two allegations about a resident sustaining injuries and about not seeking timely medical care. Found sufficient evidence that lack of supervision contributed to the injury, and insufficient evidence to prove failure to seek timely medical care.
    • Type A87411(a)
    30 Nov 2023Complaint
    Investigated three allegations regarding lice spread, bathing, and threatening behavior; all three were found unsubstantiated.
    30 Nov 2023Complaint
    Investigated an allegation that a resident was illegally evicted without notice. Evidence did not confirm the eviction occurred.
    13 Nov 2023Complaint
    Investigated a complaint alleging a resident was nude outside, did not receive meals, and was not checked during the night. The investigation included interviews with staff and residents and review of incident and care records.
    02 Nov 2023Complaint
    Investigated a complaint about resident care and living conditions; hot water temperature in several rooms failed to meet the required range.
    • Type B87303(e)(2)
    20 Oct 2023Complaint
    Investigated allegations that a resident's room had no call light, needs weren't met, dignity wasn't treated, and retaliation occurred; interviews and file reviews did not establish evidence to prove the violations.
    18 Oct 2023Inspection
    Observed discussions about a high volume of complaints, resident placement for safety, and improving communication with residents.
    10 Oct 2023Complaint
    Investigated the allegation that staff did not assist a resident with medications. Findings showed insufficient monitoring and administration of prescribed meds for pain and fever, and concerns about foley catheter care leading to health risks.
    • Type A87465(c)(2)
    03 Oct 2023Complaint
    Investigated an allegation that a resident was assaulted by a staff member. Evidence did not establish that the incident occurred.
    14 Sept 2023Complaint
    Investigated a resident's hospice placement without meeting criteria and whether wound care was provided as ordered; findings showed no preponderance of evidence to prove or disprove the allegations.
    12 Sept 2023Complaint
    Identified missing or disrepair call buttons in several rooms and quick staff response when tested. Other allegations about food service, resident behavior, and meeting residents' needs were not supported by evidence.
    • Type B87303(i)(1)
    12 Sept 2023Complaint
    Investigated the allegation that staff did not follow infection control practices and found no health and safety risk or deficiencies.
    12 Sept 2023Complaint
    Investigated an allegation that staff did not provide adequate supervision, allowing a resident to leave the premises without authorization; evidence did not establish the violation.
    31 Aug 2023Complaint
    Investigated an allegation that staff did not safeguard a resident's personal belongings. Found insufficient evidence to support the allegation.
    31 Aug 2023Complaint
    Investigated allegations regarding resident care, meals, towels, respect, and debit card handling... all were unsubstantiated.
    25 Aug 2023Complaint
    Investigated a set of resident-care allegations and found there was not a preponderance of evidence to prove the violations.
    25 Aug 2023Complaint
    Investigated several allegations about cleanliness, supplies, dietary restrictions, records, food quantity/quality, staff training, and universal precautions; findings did not establish that any violations occurred.
    21 Aug 2023Complaint
    Investigated the allegation that a resident was placed on hospice without meeting criteria and that the resident did not receive needed care.
    18 Aug 2023Complaint
    Investigated allegations that retaliation occurred after a complaint, that medical care was not provided timely, and that a resident's authorized representative was not notified of changes in condition; interviews with residents and staff indicated no retaliation and most residents reported timely care, though emergency contact information was incomplete for some residents.
    17 Aug 2023Complaint
    Investigated allegations that overnight staffing was insufficient and residents were left in urine and vomit, with delays in care and soiled bedding.
    • Type B87411(a)
    • Type B87625(b)(2-3)
    04 Aug 2023Complaint
    Investigated a complaint alleging residents were not adequately fed and that assistance calls were not answered promptly. Found insufficient evidence to prove the alleged violations.
    03 Aug 2023Complaint
    Investigated an allegation that staff did not prevent a resident from being assaulted by another resident. Interviews with residents and staff did not provide enough evidence to confirm the incident.
    25 Jul 2023Complaint
    Investigated two specific issues: a staff member yelled at a resident in the hallway, humiliating and intimidating him; and a kitchen staff member assisted with resident care without required training and with an expired CPR/First Aid certificate.
    • Type B87468.1(a)(1)
    • Type B87411(c)
    • Type B87411(c)(1)
    18 Jul 2023Complaint
    Investigated a complaint alleging staff did not provide proper supervision to residents and that staff spoke inappropriately to a resident; evidence did not establish the allegations.
    14 Jul 2023Complaint
    Investigated the allegation that staff provided in-house medical care to residents; interviews and records did not support the claim.
    07 Jul 2023Complaint
    Investigated the illegal eviction allegation. Found no sufficient evidence that it occurred.
    30 Jun 2023Complaint
    Investigated an allegation of lack of supervision that allowed an altercation between residents; staff intervened, residents were separated, police were notified, and there were no injuries.
    29 Jun 2023Inspection
    Identified that not all resident rooms had a working signal system and Room 16 was dirty and unsanitary.
    • Type B87303(i)(1)(A)
    • Type B87303(i)(1)(B)
    • Type B87303(i)(1)(C)
    28 Jun 2023Complaint
    Investigated three resident-related allegations—altercation not prevented, unlawful eviction, and lack of dignified treatment—and found insufficient evidence to prove any of them.
    23 Jun 2023Complaint
    Investigated allegations that a resident developed multiple pressure injuries, that infection spread was not prevented, that a resident requiring higher-level care was retained, and that wound care was not adequate.
    06 Jun 2023Complaint
    Investigated the allegation that staff failed to notify the resident's authorized representative when the resident was missing. Found there was not a preponderance of evidence to prove the allegation.
    27 May 2023Inspection
    Identified multiple deficiencies including unsafe medication storage and inconsistent medication records, inadequate postural supports lacking physician orders, missing bonding and resident cash safeguards, and gaps in emergency drills and disaster plan updates.
    • Type A87465(h)(2)
    • Type A87465(h)(5)
    • Type A87465(c)(2)
    • Type A87608(a)(3)
    • Type A87217(g)(1)
    • Type A87216(a)
    • Type B1569.695(c)
    • Type B1569.695(d)
    16 May 2023Complaint
    Investigated the allegation that staff unlawfully evicted a resident in care. An eviction notice was never issued, the resident was not allowed back after hospitalization, and the resident no longer resides at the location.
    • Type B87224(a)
    16 May 2023Complaint
    Investigated the allegation that residents requiring a higher level of care were being retained; found insufficient evidence to support the allegation.
    11 May 2023Complaint
    Investigated an allegation that staff financially abused a resident. Findings did not establish that the allegation occurred.
    05 May 2023Complaint
    Investigated an allegation that staff mishandled residents' food items. Found insufficient evidence to corroborate the allegation.
    04 May 2023Complaint
    Investigated a complaint that a resident did not receive mail. Staff denied the allegation, residents reported receiving mail, and mail areas were observed as secure with mail being distributed.
    04 May 2023Complaint
    Investigated the allegation that staff failed to provide a safe and comfortable environment for a resident. Interviews and reviewed records did not establish that the allegation occurred.
    24 Apr 2023Complaint
    Investigated an allegation that a resident grabbed a chair and threw it at another resident, causing bruising. Video footage and interviews were reviewed.
    22 Apr 2023Inspection
    Identified health/safety, sanitation, and record-keeping deficiencies, including unsafe hot water temperatures, spoiled produce, dirty floors, missing TB tests, and unsigned admission agreements.
    • Type ACCR87303(e)(2)
    • Type ACCR87555(b)(28)
    • Type ACCR87411(f)
    • Type ACCR87303(a)
    • Type ACCR87303(e)(5)
    • Type ACCR87458(b)(1)
    • Type ACCR87507(c)
    • Type BCCR87411(f)
    • Type BCCR87303(a)
    • Type BCCR87303(e)(5)
    • Type BCCR87303(f)(1)
    • Type BHSC1569.69(a)(1)
    • Type BCCR87458(b)(1)
    • Type BCCR87507(c)
    • Type BCCR87555(b)(27)
    • Type BCCR87412(b)(2)
    28 Mar 2023Complaint
    Investigated a complaint alleging staff did not clean resident rooms, did not complete laundry timely, and did not provide enough linens. Evidence from interviews and observations showed rooms, laundry, and linens were maintained as needed; there was not a preponderance of evidence to support the allegations.
    27 Mar 2023Complaint
    Investigated the following allegations: the resident's room has no call light; the resident's needs were not being met by staff; staff did not treat the resident with dignity; and staff retaliated against the resident. There was not a preponderance of evidence to prove or disprove these allegations.
    23 Mar 2023Complaint
    Investigated allegations that staff did not provide adequate food service, did not meet residents' dietary needs, did not assist with toileting, did not respond to residents' calls for assistance, and did not provide water. Found there was not a preponderance of evidence to support these claims.
    21 Mar 2023Complaint
    Investigated allegations that staff retaliated against a resident for complaining, allowed indoor smoking with oxygen in use, and failed to protect privacy during phone calls; findings did not establish the allegations.
    21 Mar 2023Complaint
    Investigated allegation that staff had inappropriate interactions with a resident; found the allegation unfounded after interviewing residents and staff.
    16 Mar 2023Complaint
    Investigated allegations that staff failed to intervene in resident confrontations, did not protect resident privacy, and threatened eviction. Found insufficient evidence to prove these alleged violations.
    14 Mar 2023Complaint
    Investigated specific allegations that call buttons were in disrepair, laundry and showering services were not provided adequately, the dryer was in disrepair, and bedding services were unmet.
    10 Mar 2023Complaint
    Investigated allegations that staff did not assist with ADLs and did not observe health changes; findings showed inappropriate catheter care and missed health monitoring.
    • Type A87459(a)(5)(B)
    • Type A87466
    07 Mar 2023Complaint
    Investigated a complaint that staff didn't supervise a resident adequately, allowing the resident to wander away. The investigation found no clear evidence to prove or disprove the allegation.
    02 Mar 2023Complaint
    Investigated an allegation that staff failed to supervise adequately, resulting in a resident wandering off; no preponderance of evidence was found to prove or disprove the allegation.
    02 Mar 2023Complaint
    Investigated allegations that a resident developed multiple pressure injuries, infection control breaches occurred, a resident requiring a higher level of care was retained, and wound care was not adequately provided; found insufficient evidence to support these claims.
    16 Feb 2023Complaint
    Investigated allegations that staffing was inadequate, toileting assistance was delayed, staff lacked competence with a hoyer lift, sanitation was poor, and temperature control was not comfortable.
    14 Feb 2023Complaint
    Identified that food served to residents was not of good quality, with spoiled, moldy produce found in storage and unsanitary conditions observed.
    • Type A87555(b)(8)
    10 Feb 2023Complaint
    Found that a tree branch fell on a resident and staff called paramedics, with hospital records showing no serious injury. Staff and residents reported medical needs were met, the tree was rotted and removed, and there was not a preponderance of evidence to prove the alleged violations occurred.
    20 Dec 2022Complaint
    Identified that the back door activation switch to the smoking area was not functioning for about a week due to a programming issue, and maintenance fixed it so it now works.
    • Type B87303(a)
    21 Oct 2022Inspection
    Observed staff inside the site not wearing face coverings and no COVID screening for entrants, posing a health and safety risk.
    • Type A87470(c)(1)(F)
    20 Oct 2022Complaint
    Investigated four complaints about hot water, food quality and flavor, meals planned with respect to religious practices, and meals served cold. Measurements showed water temperatures in restrooms and community bathrooms met state requirements.
    23 Sept 2022Complaint
    Investigated allegations found that residents received shower assistance, housekeeping, three meals daily, weekly laundry, and odor control. There was not a preponderance of evidence to prove violations occurred.
    13 Sept 2022Complaint
    Investigated a claim that staff did not safeguard a resident's funds and found insufficient evidence to prove the allegation.
    13 Sept 2022Complaint
    Found no evidence to support the pests, cleanliness, or laundry service allegations.
    25 Aug 2022Complaint
    Investigated two allegations: fire doors are heavy for residents in wheelchairs to open, and residents' linens are not changed promptly; also reviewed two additional claims about a damaged wheelchair and trash in resident rooms.
    • Type B87468.2(a)(14)
    • Type B87468.1(a)(2)
    18 Aug 2022Complaint
    Investigated three specific allegations about resident care and transport and found all three to be unsubstantiated.
    18 Aug 2022Complaint
    Investigated allegations of financial abuse and failure to report incidents. Found no preponderance of evidence to support the allegations.
    04 Aug 2022Complaint
    Investigated allegations that a staff member retaliated against a resident by altering room temperature and that the resident's needs were not met. Found no evidence to support the allegations; temperatures were kept within a comfortable range and residents reported satisfaction with climate control.
    04 Aug 2022Complaint
    Investigated allegations that staff did not assist residents with medications, that centrally stored medications were not kept in a safe and locked place, and that unqualified staff administered injections.
    27 Jul 2022Inspection
    Identified a failure to submit an Unusual Incident/Injury Report to licensing by the deadline after a resident was found smoking marijuana and drinking beer in the designated smoking area, with police involvement.
    • Type B87211(a)
    27 Jul 2022Complaint
    Investigated two allegations that a resident had access to marijuana and alcohol while in care. The findings did not establish that the alleged violations occurred.
    13 Jul 2022Complaint
    Investigated allegations regarding shower assistance, housekeeping, dietary needs, laundry, and odors; interviews and records showed residents received shower help, daily housekeeping, three meals daily, weekly laundry, and odor control.
    06 Jul 2022Complaint
    Investigated an allegation that residents engaged in an altercation while in care and found insufficient evidence to prove it.
    06 Jul 2022Inspection
    Found no active COVID-19 cases and noted several infection-control recommendations from public health staff; no deficiencies were observed.
    20 May 2022Complaint
    Investigated a complaint that staff did not respond to resident call lights; evidence showed delays on the night shift with quicker responses later.
    • Type B87415(a)(2)
    18 May 2022Complaint
    Identified that a resident smoked around an oxygen tank and there were not enough towels for residents.
    • Type A87618(b)(3)(C)
    • Type B87307(a)(3)(C)
    07 Apr 2022Complaint
    Investigated the allegation that staff failed to prevent a resident from leaving the premises without authorization. An elopement occurred around 8:00 am due to no staff monitoring the front desk during early morning hours and weekend shifts.
    • Type A87101(c)(3)
    07 Apr 2022Complaint
    Investigated an allegation of lack of supervision resulting in a resident altercation. Found that staff were not present during the incident but intervened after hearing commotion, and there was not enough evidence to determine the validity of the allegation.
    30 Mar 2022Complaint
    Investigated a complaint that two residents engaged in a physical altercation; staff intervened promptly in both incidents and residents reported no injuries.
    29 Mar 2022Inspection
    Identified health and safety deficiencies, including hot water temperatures outside the required range, missing medication, unsanitary resident rooms, and damaged outdoor areas.
    11 Mar 2022Complaint
    Investigated the allegation that a resident eloped from the home; observed that the resident left without staff supervision, was later located, and is staying with family.
    • Type A87101(c)(3)
    08 Mar 2022Complaint
    Identified an illegal eviction allegation; subsequent findings showed back rent paid and the eviction notice rescinded, with not enough evidence to prove the allegation.
    16 Feb 2022Complaint
    Investigated an allegation that doors do not meet ADA standards for wheelchairs. Interviews and observations showed residents have difficulty passing through two back doors and often need staff assistance to open them.
    • Type B87468.2(a)(14)
    01 Feb 2022Inspection
    Identified that a resident's appraisal was not updated to reflect significant changes in physical, medical, mental, and social condition.
    • Type B87463(a)
    01 Feb 2022Complaint
    Found that three allegations—restraint of a resident to a bed, threats to a resident’s life, and attempted theft of a resident’s money—were investigated. There was not a preponderance of evidence to prove the allegations.
    22 Dec 2021Complaint
    Investigated the allegation that a resident was financially abused while in care; evidence did not establish the claim.
    14 Dec 2021Complaint
    Investigated a complaint that staff did not prevent a physical altercation between residents; video showed the incident escalated quickly, with insufficient time for staff to intervene.
    02 Dec 2021Complaint
    Investigated allegations about a resident's personal property, communication with family, care needs, and emotional abuse; found no evidence to support the allegations.
    23 Nov 2021Complaint
    Investigated the allegations that staff neglected a resident and failed to notice a change in condition; interviews and hospice documentation indicated appropriate care and prompt action.
    20 Oct 2021Complaint
    Investigated allegation that staff did not administer medications in a timely manner. Interviews with residents and review of medication records showed no evidence of delays.
    19 Oct 2021Inspection
    Observed an unannounced case management visit focusing on resident files; the visit was terminated due to time constraints and will resume later.
    06 Oct 2021Inspection
    Identified incomplete pre-admission assessment and missing reappraisals for a resident, with behavior changes not documented, creating potential safety risks.
    • Type B87457(c)(1)
    • Type B87463(a)
    06 Oct 2021Complaint
    Investigated a complaint alleging false claims about staff training and that staff did not receive required training.
    21 Sept 2021Complaint
    Investigated the allegation that a resident was sexually abused while in care. Found insufficient evidence to determine whether the alleged incident occurred.
    01 Sept 2021Complaint
    Investigated an allegation that medications were not administered as prescribed, there was a strong odor of marijuana, and staffing was inadequate for residents.
    • Type B87468.2(a)(4)
    • Type B87468.1(a)(2)
    01 Sept 2021Complaint
    Investigated a complaint that marijuana was present on the premises and that staff were not qualified to administer medications. A strong odor of marijuana was noted near room 45B during the visit and interviews were conducted with residents and staff.
    • Type B87468.1(a)(2)
    11 Aug 2021Complaint
    Investigated the allegation of illegal eviction; findings showed the eviction notice did not include specific reasons and the resident's appraisal/needs and services plan had not been updated to reflect current behaviors.
    • Type B1568.683(a)
    • Type B87463(a)
    03 Aug 2021Complaint
    Investigated a complaint that a resident wandered away from the site. Found the resident could not leave unassisted and required help with daily activities and medical care, and staff supervision did not meet the resident's needs, creating an immediate health and safety risk.
    • Type A87101(c)(3)
    • Type A87464(f)(1)
    30 Jul 2021Complaint
    Investigated a complaint that a resident did not receive necessary hospital bed equipment and that a call light was not functioning. Findings showed no preponderance of evidence to support the allegations.
    07 Jul 2021Inspection
    Identified that a staff member worked before obtaining a California clearance or criminal record exemption as required.
    • Type A1569.17(b)
    07 Jul 2021Complaint
    Investigated an illegal eviction allegation and related issues involving a resident. Found a 30-day eviction notice was issued for refusing medication and for allegedly insulting staff, and that the resident's Appraisal/Needs and Service Plan had not been updated since 7/9/2020.
    23 Jun 2021Complaint
    Investigated the allegation that the temperature was too hot; observed air conditioning functioning and a temperature of 76-78 degrees, with eight of nine residents reporting comfort.
    10 Jun 2021Complaint
    Investigated two evacuation-related allegations; reviewed the disaster plan, observed exits, and interviewed staff and residents to assess evacuation procedures.
    09 Jun 2021Complaint
    Investigated two complaints: one alleging disrepair and another alleging failure to provide a copy of the admission agreement.
    02 Jun 2021Complaint
    Investigated the illegal eviction allegation after a resident received a 30-day eviction notice for refusing medication and conflicts with staff.
    • Type B87224(a)(4)
    • Type B87463(a)
    26 May 2021Complaint
    Investigated the allegation that staff did not protect Resident #1 from Resident #2, did not safeguard Resident #1's personal items, and did not have a sufficient amount of incontinence supplies.
    26 May 2021Inspection
    Identified 23 complaints since licensure and discussed staffing changes and DHS-resident admissions.
    21 Apr 2021Complaint
    Investigated three complaints about intimidation, universal precautions, and incontinence care; found that incontinent residents were not consistently checked or changed during the night and a log for showers/diaper changes had only recently been started. No evidence supported intimidation or improper universal precautions.
    • Type B87625(b)(2)
    02 Sept 2020Complaint
    Investigated multiple allegations made against the facility, but found all allegations to be unsubstantiated based on interviews with residents and staff.
    11 Mar 2020Inspection
    Confirmed compliance with regulations during an inspection of a facility for elderly residents.
    21 Feb 2020Inspection
    Confirmed understanding of regulations, policies, and requirements during inspection.

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