I am very pleased with the compassionate, attentive staff, clean modern facility, beautiful gardens and courtyard (pet farm and waterfall included), and engaging events and meals (good vegan options). Communication was clear, hospice transitions were seamless, rooms are comfortable and budget-friendly with PACE/Medi-Cal support, and memory-care safety features gave me peace of mind. A few reports mentioned staffing or administrative lapses, so ask about staffing levels, but overall I would highly recommend this warm, home-like community.
Caring, compassionate and personable caregiving staff
Clean, well-maintained and modern-feeling rooms
Immaculate landscaping and attractive courtyard/gardens
Apartment-style private studios and comfortable accommodations
Active activities program with outings, music, church services
Pet farm (goats, pig, birds) and outdoor/therapeutic spaces
Regular photo/video updates and good family communication (in many cases)
Budget-friendly pricing and PACE/Medi-Cal acceptance
Home-like, family atmosphere and strong sense of community
Attentive housekeeping and personal grooming (clothes, hair, nails)
Appealing meals and accommodation of special diets (including vegan options)
Safety features such as timed/alarmed exits and fall risk checks
Helpful community representatives who ease move-in
Smooth transitions reported by many families
Engaged activities director coordinating programs
Convenient location and ample parking
Well-managed grounds and peaceful, relaxing setting
Supportive hospice and end-of-life care transitions (in many cases)
Cons
Chronic understaffing and low caregiver-to-resident ratios
Inconsistent management and administration performance
Serious care lapses reported: missed medications, dehydration, falls
No 24/7 RN coverage and many caregivers are not nurses
Reports of neglectful incidents including alleged elder abuse
Delays responding to resident calls and bathroom assistance
Residents locked out of rooms and locked restrooms reported
Mixed/variable quality of dementia/memory care and supervision
Inconsistent communication and lack of regular updates in some cases
Some common areas are dated or not well maintained
Food quality is inconsistent and meal times/snack schedules are rigid
Safety concerns around supervision and monitoring (spot checks needed)
Allegations linked to a leadership change (named director) affecting care
Occasional pager or response-system problems
Variable medication management and occasional life-threatening lapses
Summary review
Overall sentiment: The Gardens of Riverside receives a large number of very positive reviews that emphasize a caring, family-like culture, attractive grounds, and comfortable apartment-style rooms. Many families praise the compassionate, personable staff, excellent housekeeping, appealing meals, active programming, and the peaceful courtyard/pet-farm setting. For a substantial number of reviewers, move-in and transition were smooth, communication was proactive, and the facility felt like home—resulting in strong recommendations and high satisfaction.
Care quality and staff: A dominant theme is that direct-care staff—caregivers, housekeepers, activities personnel and some nurses—are consistently described as kind, attentive and emotionally supportive. Numerous accounts spotlight staff who go “above and beyond,” offer emotional comfort to families, and treat residents respectfully. However, there is a clear and recurring counter-theme: understaffing. Many reviewers report long wait times for assistance, delayed bathroom help, and caregiver-to-resident ratios cited as high as 1:9. That understaffing is linked in several reviews to serious consequences: missed medications, dehydration, falls, and at least one report of a fall that led to a brain bleed and a delayed hospital transfer. Several families explicitly call out insufficient supervision, ambiguous clinical oversight (no 24/7 RN), and caregivers who are not medically trained—issues that materially affect care reliability. In short, direct-care staff are widely praised for their compassion, but staffing levels and clinical oversight are common and significant concerns.
Management and consistency: Reviews show a split impression of management. Many reviewers praise responsive leadership, helpful community representatives, and directors who facilitate paperwork, updates and family involvement. Conversely, there are multiple reports of inconsistent or poor administration—some describe leadership change (a named director) associated with declines in staff qualification, communication breakdowns, and serious incidents. A subset of reviews include severe allegations such as missed doctor-ordered medications, elder-abuse filings, and patterns of neglect. Other reviews note that management can be responsive to feedback and will act when problems are raised. The pattern suggests variability in leadership effectiveness over time and that recent staffing or administrative transitions have impacted some residents negatively.
Safety and memory-care suitability: Safety features such as timed/alarmed exits and regular fall-risk checks are mentioned positively, and several families report effective dementia redirection techniques. Still, other reviewers describe residents being left unattended, locked out of rooms, locked restrooms, and inadequate supervision for higher-risk memory care needs. Multiple commenters recommend the community more for semi-independent or early-to-mid stage Alzheimer's residents than for those needing intensive supervision. Given the mix of praise and alarm, prospective families should verify current staffing levels, monitoring protocols, the presence of licensed nursing coverage, and an individualized care approach for residents with complex needs.
Facilities, grounds and amenities: The physical environment is a strong positive: immaculate landscaping, a calming courtyard with water features, and a miniature farm are frequently highlighted. Apartment-like private studios, spacious rooms that accept personal furniture, salon services, transport van outings, and well-run activities are repeatedly cited. Some reviews note dated or less-well-kept common areas and long hallways making navigation harder for some residents; these are less frequent but worth verifying during a tour. Overall the property and outdoor spaces receive widespread praise and are major drivers of resident/family satisfaction.
Dining and activities: The activities program is widely praised for variety—music, trips, church services, crafts, and community events are staples. Many reviewers report an engaged activities director and frequent outings that improve quality of life. Dining receives mixed but mostly positive commentary—many residents love the food, including family requests and vegan accommodations, while others find the menu inconsistent (e.g., lacking green salad) or too rigid around scheduled snack/meal times. Families valuing active programming and community life will likely find the offerings strong, but those with strict dietary or frequent-snack needs should discuss flexibility.
Communication and family involvement: Communication is reported as excellent in many reviews—regular photo/video updates, proactive staff, and community representatives who facilitate move-in and coordination. Yet, other families experienced poor communication, lack of photos/updates, and miscommunication with powers of attorney. This mixed pattern reinforces the need for prospective families to ask specific questions about the frequency and method of updates and to identify a consistent point-person for communications.
Patterns and recommendations: The reviews point to a polarized experience: many families report exemplary, loving care in a beautiful, home-like setting and consider The Gardens a top choice; a meaningful minority report serious safety incidents, administrative failures, and understaffing that led them to move loved ones out. The most frequent actionable concerns are staffing levels, nursing/clinical oversight, and managerial consistency. Prospective families should: (1) tour the community at varied times of day to observe staffing and response times, (2) ask about current staff-to-resident ratios and recent staffing turnover, (3) confirm RN coverage and medication administration protocols, (4) inquire about dementia care programming and supervision for higher-risk residents, (5) review incident reporting history and any regulatory complaints, and (6) clarify communication cadence and who will be the family’s point of contact.
Conclusion: The Gardens of Riverside offers many features that attract families—warm staff, clean facilities, attractive grounds, robust activities, and a homelike feel—making it an excellent fit for many seniors, particularly those who are relatively independent or need light-to-moderate memory care. However, mixed reports about administrative stability, serious isolated incidents, and chronic understaffing mean that families should perform careful, current due diligence focused on staffing, clinical oversight, and safety before making a placement decision. When the staffing and management are functioning well, families consistently report strong satisfaction and peace of mind; when they are not, consequences reported by reviewers have been significant.
Location
About The Gardens of Riverside
The Gardens of Riverside sits in the hills of La Sierra and has 98 licensed beds, offering long-term care for seniors in a quiet neighborhood. The community's made up of two buildings on one property, and all the rooms are studios you can make your own, either private or semi-private, so you can have your own space or share with a roommate, and the buildings are all one story, so there are no stairs to worry about, and you can move around even if you use a wheelchair, since the whole place is wheelchair accessible and showers have plenty of space. This community's set up to handle all sorts of needs, from light help with daily tasks to heavier medical and behavioral care, and there's a full-time licensed nurse along with RNs and LPNs on-site at all times, and a team trained to handle medication, blood sugar checks, and even help with people who can act out physically or are at risk for wandering, since they use bracelets with alarms and have a secured, purpose-built memory care center for folks with Alzheimer's or dementia.
There's a big focus on memory care, and people who need extra help with things like confusion or getting lost can stay in the memory care building, and inside they get custom plans, daily cognitive activities, and 24/7 staff who make sure everyone stays safe and comfortable, especially for those who need standby, one or two person, or mechanical lift transfers to help them get around, even for people who need reminders to use the restroom or help with incontinence. The staff helps people keep up with daily things, from bathing and dressing to cooking simple meals in the cooking classes, and with a schedule that includes stretching, art, intergenerational activities, gardening in the raised beds, karaoke, trivia, outings, pet-focused activities, and more, there's always something going on and an activity director makes sure everyone who wants to join in gets the chance.
Residents get three meals a day, with snacks and drinks always available, and the kitchen can handle special diets like gluten-free, low sodium, low sugar, and vegan meals, and guest meals are an option if family or friends visit. There's a courtyard and walking paths outside, plus raised garden beds for people who enjoy getting their hands in the dirt, and inside and outside, there are common spaces where you can sit with others or just enjoy the view, and you can always have your pet with you since they allow pets. The Gardens of Riverside offers a range of care from assisted living to memory care and has transportation services both free and with a fee depending on where you need to go, plus a beautician on site, and assistance with all the things you might need help with, like managing medications or reminders about appointments.
They're a Continuing Care Retirement Community, which means people can stay even as their health needs change without having to move somewhere else. The Gardens of Riverside holds devotional services onsite and offsite for those who want them, and they provide respite and hospice care if needed. They don't take Medicare as payment, but they do accept some financial aid programs like the Multipurpose Senior Services Program. The whole place is smoke-free indoors, and security's tight with computerized alerts if anyone wanders. There are many resources available, like health libraries and counseling, elder abuse prevention, opioid resources, and even a symptom checker, plus they're involved in legislative efforts to keep people updated on senior care laws. Over the years, they've worked to create a familiar, safe, and supportive place where family, staff, and residents can build good relationships and people can feel comfortable and as independent as possible.
Founded in 2008 and headquartered in Redding, California, Northstar Senior Living has established itself as one of the premier providers of senior living management and consulting services in the United States. Under the leadership of President and CEO Rick Jensen, who co-founded the company, Northstar has built a reputation for excellence in senior care management through its commitment to setting industry gold standards. The privately owned company operates approximately 40-51 communities across nine states, offering comprehensive management services that span the full spectrum of senior living operations.
People often ask...
The Gardens of Riverside offers competitive pricing, with rates starting at a cost of $4,708 per month.
The Gardens of Riverside offers assisted living and memory care.
There are 14 photos of The Gardens of Riverside on Mirador.
The full address for this community is 10849 Arlington Ave, Riverside, CA, 92505.
Yes, The Gardens of Riverside 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
88
Inspections
7
Type A Citations
8
Type B Citations
6
Years of reports
14 May 2025
14 May 2025
Found no evidence to support the eight complaints. Interviews indicated family members could visit 24 hours a day, belongings were safeguarded, beds had sheets, toothpaste was available, moves were communicated to families, roommates were matched for compatibility, weight was monitored with charts, and snacks were available.
14 May 2025
14 May 2025
Investigated the three specific allegations—delayed treatment of bruising due to lack of care and supervision; not providing hygiene and grooming assistance; and not safeguarding resident personal property. Interviews with staff and residents indicated no neglect, no failure to provide care or hygiene, and no mishandling of property, resulting in UNSUBSTANTIATED for each allegation.
14 May 2025
14 May 2025
Reviewed an amended record about an unannounced case management visit at the home, during which entry was granted to the administrator/executive director and the purpose of the visit was discussed; an exit interview followed.
§ 9058
20 Feb 2025
20 Feb 2025
Investigated two allegations: sexual abuse by staff and improper medication assistance. Found insufficient evidence to support the sexual abuse allegation, while medications were administered as prescribed with residents reporting receipt and records confirming proper dispensing.
08 May 2025
08 May 2025
Found that on September 4, 2021, the resident showed a change in condition around 8:00 am and did not receive medical care until about 9:00 am, leading to hospital admission for an acute brainstem stroke. Identified neglect in timely medical care and dehydration for the resident, based on records and staff interviews.
§ 87466
30 Dec 2024
30 Dec 2024
Found unsubstantiated the allegations that staff did not meet residents' hygiene needs and that bathrooms were not kept clean.
10 Dec 2024
10 Dec 2024
Identified an expired staff certification and missing non-slip mats in two shower areas.
27 Nov 2024
27 Nov 2024
Found no deficiencies during the unannounced visit; safety, living conditions, meals, and staff records met all requirements.
25 Nov 2024
25 Nov 2024
Found Allegation 1 that staff did not safeguard resident belongings and Allegation 2 that staff were not properly trained; both were UNSUBSTANTIATED. Interviews with residents and staff and observed rounds showed belongings were safeguarded and training was provided.
19 Nov 2024
19 Nov 2024
Found no health or safety hazards on site; three-day supply of perishable food and seven-day supply of non-perishable food on hand, meeting residents’ needs.
05 Nov 2024
05 Nov 2024
Found no evidence to support the allegations that staff left a resident in soiled diapers or restricted a resident's access to their room or restroom; residents and staff described regular checks and ongoing assistance.
30 Oct 2024
30 Oct 2024
Found the allegation that staff is neglectful unsubstantiated. Interviews with residents showed no mistreatment or neglect.
14 Aug 2024
14 Aug 2024
Identified that residents' toenails were not being cut because staff did not arrange or assist with podiatrist visits. Interviews indicated staff do not cut toenails and there were no regular podiatrist appointments, with several residents found to have long toenails.
14 Aug 2024
14 Aug 2024
Found Allegation 1 (inadequate supervision), Allegation 2 (hygiene needs), Allegation 3 (comfortable environment), and Allegation 4 (transporting residents to medical appointments) unsubstantiated.
14 Aug 2024
14 Aug 2024
Investigated allegations of inadequate supervision, unmet hygiene needs, uncomfortable environment, and lack of transportation to medical appointments, but found no conclusive evidence to support them. Conducted interviews and observations supported findings of adequate care and services provided.
26 Jun 2024
26 Jun 2024
Identified that staff did not properly report a resident’s history of inappropriate touching to the resident’s primary care physician, despite incidents in 2022 and a 2023 physician report, with another incident reported on 10/21/2023. Identified also no ongoing reappraisal by staff for the resident’s dementia diagnosis.
26 Jun 2024
26 Jun 2024
Found lack of sufficient evidence to prove the allegation that staff did not prevent a resident from engaging in a sexual interaction with another resident. Interviews with residents and staff indicated the two residents involved had a consensual relationship, and family was informed about the incident on the same day.
26 Jun 2024
26 Jun 2024
Confirmed that the facility did not appropriately report incidents of inappropriate sexual behavior by a resident, posing a risk to the health, safety, and rights of other residents. Deficiencies were identified and deficiencies will be issued.
21 Jun 2024
21 Jun 2024
Found that the allegation that records were not produced to the resident's responsible party or designee upon written request was unfounded.
09 May 2024
09 May 2024
Investigated the allegations described in two complaints and met with the business office manager during an unannounced case management visit.
08 May 2024
08 May 2024
Identified that a resident had access to a master key capable of opening other resident doors. Found no evidence that staff failed to provide a safe environment for residents, with staff observed checking on residents regularly.
§ 87468.2(a)(1)
09 May 2024
09 May 2024
Identified issues related to complaints and conducted a follow-up visit for further assessment.
08 May 2024
08 May 2024
Found that allegations regarding medication administration, medication training, consent for PRN medications, meeting residents' needs, protecting residents' personal rights, and training on using mechanical lifts were UNSUBSTANTIATED.
08 May 2024
08 May 2024
Found no evidence to support allegations of medication mishandling, inadequate staff training, unauthorized medication administration, neglect of resident needs, violation of personal rights, or lack of mechanical lift training.
27 Dec 2023
27 Dec 2023
Confirmed an unannounced case management visit to obtain signatures for an amended document, met with staff, explained the purpose, and collected signatures, followed by an exit interview to discuss and review the matter with a representative from the home.
27 Dec 2023
27 Dec 2023
Conducted an unannounced visit, obtained signatures for an amended report, and held an exit interview to discuss and review findings.
§ 87465(a)(1)
04 Dec 2023
04 Dec 2023
Identified three deficiencies: water temperatures in several rooms were outside acceptable ranges, one staff member lacked a health screening on file, and MARs were not updated for two residents.
04 Dec 2023
04 Dec 2023
Identified three deficiencies during inspection related to water temperature, staff health screening, and medication administration. Staff observed complete first aid kit and sufficient food supply on hand.
03 Oct 2023
03 Oct 2023
Found that staff failed to provide required documents to the designated party within the required timeframe. Confirmed that the documents were sent by secure email to the designated party, but they had not been received by the specified date.
03 Oct 2023
03 Oct 2023
Confirmed the staff failed to provide documents to the responsible party in the required time frame during the visit.
22 Sept 2023
22 Sept 2023
Found Allegation 1: bruised while in care due to neglect or lack of supervision unsubstantiated at the home.
Found Allegation 2: resident physically abused unsubstantiated; Allegation 3: failed to seek medical attention in a timely manner unsubstantiated; Allegation 4: failed to report incident unsubstantiated at the home.
22 Sept 2023
22 Sept 2023
Confirmed allegations of resident bruising, physical abuse, failure to seek medical attention, and failure to report incidents were not supported by evidence.
§ 87506(c)(1)
19 Sept 2023
19 Sept 2023
Investigated a resident’s medication and injuries; found staff did not administer prescribed medications as scheduled, including a missed PM dose and a missed Risperdal dose. Found insufficient evidence to support claims of unexplained cuts or bruises or neglect related to the fracture.
19 Sept 2023
19 Sept 2023
Found medication was not administered as prescribed, but neglect resulting in injury was not supported based on interviews and record review.
§ 87705(c)(6)
§ 87466
11 Aug 2023
11 Aug 2023
Found no evidence to support the allegation that the resident did not receive eating assistance or that supervision was inadequate. Staff were observed helping with meals and providing supervision, while the resident could not participate in interviews.
11 Aug 2023
11 Aug 2023
Confirmed lack of evidence for allegations of resident not receiving eating assistance and proper supervision.
09 May 2023
09 May 2023
Found the allegation that a staff member hit a resident unsubstantiated, after interviews and records review found no evidence of any such incident.
09 May 2023
09 May 2023
Investigated an allegation that staff hit a resident but found insufficient evidence to support the claim, concluding the allegation was unsubstantiated.
22 Mar 2023
22 Mar 2023
Determined that the allegation that staff did not safeguard resident personal belongings was unfounded, and that the allegation that staff did not provide appropriate supervision was unfounded. Interviews with residents and staff and on-site observations showed belongings were labeled and kept in rooms, and supervision was ongoing, including during events.
22 Mar 2023
22 Mar 2023
Reviewed allegations of staff not safeguarding resident personal belongings and not providing appropriate supervision, and found both allegations to be unfounded after interviews and observations.
§ 87465(a)(6)
§ 87412(a)(12)
§ 87303(e)(2)
21 Mar 2023
21 Mar 2023
Found no evidence to support Allegation 1 that staff did not provide adequate supervision; interviews and observations indicated regular checks every one to two hours and sufficient staffing. Found no evidence to support Allegation 2 that a resident’s screen door was in disrepair; doors were observed in good condition and repaired promptly when damaged.
21 Mar 2023
21 Mar 2023
Investigated two allegations regarding inadequate resident supervision and a resident's screen door in disrepair, both found lacking sufficient evidence. Interviews and observations suggested staff frequently checked on residents and promptly repaired any reported door issues.
27 Feb 2023
27 Feb 2023
Found no health or safety concerns at the site and no hazards observed inside or around it. Noted sufficient staff and adequate food supplies, with residents' needs met.
27 Feb 2023
27 Feb 2023
LPA conducted a health and safety check, finding no hazards or concerns. Residents' needs appeared to be adequately met during the visit.
§ 87465
31 Jan 2023
31 Jan 2023
Found insufficient evidence that the resident's injury resulted from lack of supervision. Interviews and records showed staff were monitoring residents and there were enough staff on duty during the time of the incident.
31 Jan 2023
31 Jan 2023
Determined that the allegation of a resident sustaining an injury due to lack of supervision was not supported by a preponderance of evidence. Found that staff was sufficient and responsive, and that appropriate procedures were followed after the incident.
30 Jan 2023
30 Jan 2023
Investigated a complaint identified as control number 56-AS-20220902161328, including an unannounced collateral visit to interview residents and staff, and an exit interview to discuss what was covered.
30 Jan 2023
30 Jan 2023
Confirmed resident and staff interviews were conducted regarding a complaint.
19 Jan 2023
19 Jan 2023
Found that the allegation that staff did not ensure the resident took medication as prescribed was unfounded, with MAR showing medications dispensed as prescribed.
19 Jan 2023
19 Jan 2023
Found that the complaint alleging staff did not ensure proper medication administration for a resident was unfounded.
20 Dec 2022
20 Dec 2022
Identified an allegation that one resident inappropriately touched another resident without consent, and noted that no reports were filed about this incident or prior similar incidents.
20 Dec 2022
20 Dec 2022
Identified that one resident inappropriately touched another resident in care on multiple occasions starting in July 2022, including an incident on 08/06/2022, and that the change of condition was not promptly reported to the resident’s physician, contributing to additional incidents.
§ 87466
20 Dec 2022
20 Dec 2022
Confirmed that the facility failed to report incidents of inappropriate behavior, posing a potential risk to residents.
07 Oct 2022
07 Oct 2022
Found comprehensive infection-control measures in place, including signage for cough etiquette and handwashing, centralized entry screening with temperature checks, ample PPE supply, and a designated infection-control lead; no health and safety concerns observed.
07 Oct 2022
07 Oct 2022
Confirmed no deficiencies and observed proper infection control measures during the visit.
12 May 2022
12 May 2022
Investigated the allegation tied to a complaint during an unannounced visit. An exit discussion with the administrator followed.
12 May 2022
12 May 2022
Confirmed allegations discussed and resolved during unannounced visit.
04 May 2022
04 May 2022
Found the allegation that the resident sustained injuries while in care to be unsubstantiated, with all necessary care provided in response.
Found the allegation that the resident is dehydrated to be unsubstantiated, with fluids and nutrition provided to maintain hydration.
04 May 2022
04 May 2022
Determined that allegations of resident injuries and dehydration lacked sufficient evidence to support claims of neglect.
30 Mar 2022
30 Mar 2022
Investigated, found the resident had several falls and showed aggressive and self-injurious behaviors, with staff denying they caused the injuries. The above allegations are UNSUBSTANTIATED.
30 Mar 2022
30 Mar 2022
Investigated five allegations: missing glasses and fall-risk equipment; being left in soiled diapers; feeding practices during meals; a vomit-like substance found in a resident’s room; and grooming/hygiene concerns. Staff described ongoing care challenges, and rooms were observed as orderly.
30 Mar 2022
30 Mar 2022
Investigated allegations 1 through 3 at this home and found no evidence to support physical abuse (allegation 1), verbal abuse (allegation 2), or neglect in incontinence care and delays in emergency medical care (allegation 3).
30 Mar 2022
30 Mar 2022
Determined that allegations of physical abuse, verbal abuse, unmet incontinence care needs, and delays in medical care were unsubstantiated, with no preponderance of evidence found to confirm the alleged violations.
22 Mar 2022
22 Mar 2022
Found no evidence that staff were physically aggressive toward residents; residents and staff denied such incidents. Meals were provided to residents with no concerns noted, and grooming and dressing were maintained daily with residents appearing well-groomed.
22 Mar 2022
22 Mar 2022
Determined that allegations of staff being physically aggressive, failing to provide meals, and not ensuring residents are properly groomed were unsubstantiated due to lack of evidence.
17 Dec 2021
17 Dec 2021
Determined that the allegation that residents' care needs were not being met did not have sufficient evidence to prove it. Observed that residents appeared well cared for.
17 Dec 2021
17 Dec 2021
Determined that the allegation regarding unmet resident care needs lacked sufficient evidence to support the claim. Interviews and observations indicated that residents' needs were being adequately met.
§ 87211
03 Nov 2021
03 Nov 2021
Identified no deficiencies at this residence; infection-control measures were in place, including PPE, hand hygiene supplies, staff masking, a designated infection-control lead, and plans for testing, isolation, and monitoring. Noted one resident hospitalized with COVID-19 and awaiting clearance.
03 Nov 2021
03 Nov 2021
Confirmed no deficiencies identified in infection control measures and health and safety protocols during annual inspection.
12 Oct 2021
12 Oct 2021
Found that on September 5, 2020, staff neglected R1 by leaving them outside unsupervised in a dark courtyard during a power outage and failing to provide adequate supervision or promptly summon emergency help, leading to R1's death from environmental heat exposure.
A civil penalty of $500 was assessed.
12 Oct 2021
12 Oct 2021
Determined neglect of a resident resulting in death, after being left outside unsupervised in extreme heat, leading to an immediate civil penalty.
20 Aug 2021
20 Aug 2021
Found all five allegations unsubstantiated after interviews and records review.
20 Aug 2021
20 Aug 2021
Interviews and file review investigated allegations of scabies, inadequate medical care, improper toileting, residents left on the floor, and staff mocking residents, but no evidence was found to support the claims.
16 Aug 2021
16 Aug 2021
Investigated allegation that a staff member was sexually inappropriate with a resident, with the resident reporting being awakened by someone moving their underwear and seeing the staff member standing above the bed. The staff member remained employed but suspended pending the completion of an internal investigation, and no health and safety concerns were observed.
16 Aug 2021
16 Aug 2021
Investigated a complaint of alleged inappropriate conduct by a staff member towards a resident; conducted interviews, reviewed records, and found no immediate health and safety concerns.
§ 87466
03 Nov 2020
03 Nov 2020
Found that staff followed proper fall precautions after an unwitnessed fall that resulted in a broken arm and required hospital visits and a cast replacement. Found no evidence that the injury was caused by staff neglect.
03 Nov 2020
03 Nov 2020
Confirmed that proper fall precautions were followed when a resident sustained an injury and that staff neglect was not proven.
02 Nov 2020
02 Nov 2020
Found Allegation #1 unsubstantiated; medications were dispensed per physician's orders and not mishandled. Found Allegation #2 unsubstantiated; residents and staff reported respectful treatment with no inappropriate comments.
02 Nov 2020
02 Nov 2020
Found no evidence of mishandling of medications or inappropriate comments by staff based on interviews and records review.
23 Sept 2020
23 Sept 2020
Identified that the person with a non-exemptible conviction is not present, employed, or residing at the site and had applied to work while awaiting background clearance; during this process they cannot be present at a licensed setting. No deficiencies were cited.
23 Sept 2020
23 Sept 2020
Verified individual named in Non-Exemptible Conviction letter not present at facility; no deficiencies cited during visit.
07 Jul 2020
07 Jul 2020
Confirmed there was no evidence of urine smell, disrepair, or piled laundry in the facility based on interviews with residents and staff.
03 Jul 2020
03 Jul 2020
Confirmed allegations regarding staff not being fingerprint cleared and not meeting residents' needs were found to be unsubstantiated following interviews and document reviews.
§ 1569.269(a)(6)
08 Jun 2020
08 Jun 2020
Investigated the allegation of a resident sustaining multiple fractures while in care; determined the complaint was unfounded, with evidence indicating that the resident caused their own fall.
14 Jan 2020
14 Jan 2020
Confirmed compliance with labor laws and wage regulations during inspection.
08 Jan 2020
08 Jan 2020
Identified deficiencies included a bedridden resident locked in their room and unable to respond to fire emergencies.
29 Oct 2019
29 Oct 2019
Confirmed personal rights violation related to incontinence care, while allegations regarding diabetic injections and blood glucose testing were unfounded.
28 Oct 2019
28 Oct 2019
Confirmed good overall conditions and compliance with regulations during inspection of the facility.
