I placed my mom in a one-bedroom here and have been very pleased - the place is clean, safe, and beautifully set with friendly, compassionate staff who truly treat residents like family. Dining is excellent and nutrition-minded, activities (Oscar is outstanding) keep everyone engaged, and caregivers and med-techs go above and beyond. The downtown location, scenic views, and welcoming atmosphere give us real peace of mind.
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
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
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
4.53·(118)
Overall rating
5
4
3
2
1
Care
4.5
Staff
4.5
Meals
4.1
Amenities
4.3
Value
2.4
Pros
Attractive two-story atrium with abundant natural light
Hotel-like dining rooms and social dining atmosphere
Housekeeping, laundry, and included apartment services
Scheduled transportation and social outings
Variety of floor plans (studios and one-bedrooms)
Central downtown location and walkability
Well-maintained gardens and pleasant outdoor areas
Safety features and emergency-response systems
Active volunteer and community partnerships
Regular wellness and exercise programming
Clean and comfortable common areas
Cons
High staff turnover and inconsistent staffing levels
Management and ownership instability
Inconsistent communication and billing processes
Variable dining quality and limited menu variety
Limited or uneven memory-care programming
Noise in communal spaces and limited quiet zones
Small or awkward apartment layouts with limited natural light in some units
Parking constraints and limited accessible outdoor space
Maintenance and renovation disruptions impacting resident areas
Delays for changes that require corporate approval
Security and access-control gaps
Inconsistent availability of on-site therapy services
Inconsistent housekeeping and unit upkeep in older sections
Summary of reviews
Avila Senior Living at Downtown SLO is consistently described as an attractive, social community with a strong emphasis on activities and resident engagement. The facility’s two‑story atrium, abundant natural light, music programing (choirs, recitals, student volunteers) and regular cultural offerings contribute to a lively, hotel‑like social atmosphere. Residents and families frequently praise the variety of activities — exercise classes, book clubs, happy hours, themed parties and excursions — and identify the activities leadership as a major strength in keeping people engaged.
Care and daily support are generally presented positively. Reviewers commonly note caring, attentive caregivers and wellness staff who provide assistance with medication administration, showering, dressing and other activities of daily living. Housekeeping, laundry and other included services are often appreciated, and many families cite a sense of safety and peace of mind from routine checks and emergency systems. However, there are recurring comments about staffing instability; turnover and occasional understaffing create variability in the resident experience and responsiveness.
Dining and food services elicit mixed feedback. Several reviewers describe a luxury dining experience with a chef‑driven menu, flavorful and creative meals, and pleasant dining rooms, while others cite inconsistent meal quality, limited variety, and menu repetition. Meal service continuity and preferences appear to depend on kitchen leadership and staffing; some reviews point to improvement after staffing changes, while others describe ongoing dissatisfaction.
The facility’s built environment is often praised for its attractive public spaces — atrium, gardens, bistro and performance areas — and its downtown, walkable location. Apartment options include studios and one‑bedrooms with convenient services; some units offer expansive views. At the same time, the complex’s age and layout create operational tradeoffs: some apartments are described as small, oddly shaped or darker due to limited windows, and parking or outdoor space can be constrained. Ongoing renovations have improved parts of the campus but also produced noise and disruption at times.
Management and operational patterns are the most mixed element across reviews. Families and residents highlight strong, mission‑driven staff and engaged caregivers, but also point to managerial instability, frequent executive leadership changes, and instances of poor communication or slow responses on billing and corporate approvals. There are recurring mentions of renovation and staffing transitions that affect consistency of service, as well as isolated but serious reports of legal and ownership concerns that have affected community confidence. In addition, reviewer comments indicate gaps in memory‑care programming and uneven availability of on‑site therapy services, which may limit suitability for residents with higher clinical needs.
Overall, Avila Downtown SLO appears to deliver a highly social, activity‑rich environment with many staff members who are praised for compassion and engagement. Prospective residents and families should weigh those strengths against operational considerations: staffing stability, management continuity, dining consistency, unit layout, parking and the facility’s ability to meet higher‑acuity memory or therapy needs. A focused tour and direct questions about current staffing levels, memory‑care capabilities, billing practices and ongoing renovation timelines are advisable before making a placement decision.
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Location
Avila Senior Living at Downtown SLO is located at 475 Marsh St, San Luis Obispo, CA, 93401.
About Avila Senior Living at Downtown SLO
Avila Senior Living at Downtown SLO sits right in the heart of San Luis Obispo, in the 93401 neighborhood, and offers a wide range of care for older adults, like independent living, assisted living, memory care, respite care, and skilled nursing, and you've got all sorts of options here if you're looking for a place that'll fit your changing needs. This community belongs to Pacifica Senior Living and you'll find a mix of studio, one-bedroom, two-bedroom, and deluxe apartment homes, all with things like vinyl or hardwood floors, full kitchens or kitchenettes, washer and dryer units, walk-in or roll-in showers, central air and heating, plus patios or balconies if you want some outdoor air, and there are nice touches like skylights, spacious closets, high ceilings, scenic views, and a glass-topped atrium.
They've got good accessibility too, since the building is wheelchair friendly and there are handrails, accessible showers, elevators, and gated entry for safety, and you'll get high-speed internet, package receiving, off-street surface parking, and pet-friendly rules as long as your dog or cat is under 30 pounds and you pay a deposit, with pet care available for folks who need the help. The grounds have walking trails, a courtyard, rooftop garden and patio, outdoor grilling area, and there are shared spaces inside like a movie theater that shows nightly movies, a library with computers, an onsite salon and spa, a fitness center with a pool, and different community rooms for activities or relaxing. Families appreciate the clean and welcoming look-reviews often mention how friendly the staff is, since they're known for being helpful and joyful, and the whole building feels like home.
Avila Senior Living plans activities to keep people active and social, with daily programs, exercise and art classes, movies, community events, scenic drives, outings, and both onsite and offsite events and devotional services. Dining is a highlight here, since you can eat chef-prepared meals in the dining room or have in-room dining if you like privacy, and they've got vegetarian choices and nutrition in mind, and there's a beautician onsite for those who like to keep up appearances. For care services, the staff is around 24 hours for emergencies and daily help, and care plans are built from the very start with input from residents and families, focusing on what each person needs, whether it's help with daily activities, medication, memory support for dementia or Alzheimer's, skilled nursing, hospice, or palliative care.
Housekeeping, laundry, and even dry-cleaning are handled, so people don't have to worry about keeping things tidy. Transportation is simple too-there's scheduled rides, complimentary rides for local trips, paid options for out-of-area, and parking for those who still drive. People wanting independence find good support here, since the independent living side lets residents have a low-maintenance, active lifestyle but still have help nearby if they ever want it. Assisted living covers personal assistance, and the memory care program gives special attention, structure, and mental engagement for folks dealing with memory issues. Short-term stays for recovery or caregiver breaks are possible through respite care.
The whole place really centers on the needs of seniors, offering a comfortable setting, friendly staff, and a strong focus on safety and health, while trying to keep life active and meaningful for both individuals and couples. There's a glossary and planning resources for families, plus some helpful tools for caregiving right from the start, so everyone feels prepared and supported. Overall, Avila Senior Living offers a steady mix of supportive care, pleasant surroundings, engaging programs, and flexible options to fit many stages of aging in downtown San Luis Obispo.
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...
Avila Senior Living at Downtown SLO offers competitive pricing, with rates starting at a cost of $3,250 per month.
Avila Senior Living at Downtown SLO offers independent living and assisted living.
There are 36 photos of Avila Senior Living at Downtown SLO on Mirador.
The full address for this community is 475 Marsh St, San Luis Obispo, CA 93401.
No, Avila Senior Living at Downtown SLO 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 the site closed and no licensed care was being provided, with residents relocated as needed. Remaining independent residents were informed services such as dining, housekeeping, and activities would continue on the property.
16 Apr 2025Inspection
16 Apr 2025Inspection
Conducted a continuation annual visit, met with the administrator, and reviewed the Emergency and Disaster Plan.
04 Apr 2025Inspection
04 Apr 2025Inspection
Observed a meeting to verify bankruptcy information and discuss management changes; noted lawsuits against related properties but no impact on residents or resources.
13 Mar 2025Inspection
13 Mar 2025Inspection
Observed maintenance issues, including a loose hand railing and a dryer out of order in the laundry room.
26 Feb 2025Inspection
26 Feb 2025Inspection
Observed activities and census data during an annual visit. Additional time was needed to complete the assessment, so a return visit was planned.
22 Jan 2025Complaint
22 Jan 2025Complaint
Investigated two allegations: staff spoke to a resident in an inappropriate manner and illegal eviction. Findings indicated insufficient evidence.
10 Jan 2025Complaint
10 Jan 2025Complaint
Investigated whether staff mismanaged residents' medications; found insufficient evidence.
24 Dec 2024Complaint
24 Dec 2024Complaint
Investigated an allegation that staff unlawfully evicted a resident; the eviction was rescinded after updated medical records showed the resident's condition no longer supported the eviction.
Type B87224(a)(4)
Type B87463
15 Nov 2024Inspection
15 Nov 2024Inspection
Identified incomplete staff files and improper medication labeling practices.
29 Oct 2024Complaint
29 Oct 2024Complaint
Investigated an eviction issue and a retaliation claim; interviews and records did not reveal evidence to support either allegation.
16 Oct 2024Inspection
16 Oct 2024Inspection
Identified that there was no approved dementia plan for admitting residents with dementia, and an audit of dementia diagnoses among residents was required.
Type B87208(c)
Type B87705(b)
16 Oct 2024Complaint
16 Oct 2024Complaint
Identified an incident where a staff member administered the wrong medication to a resident; the resident noticed the pills were not the ones they take and the mistake was corrected.
Type B87465(a)(4)(a)
26 Sept 2024Complaint
26 Sept 2024Complaint
Investigated allegations regarding an SSI resident being charged for laundry and potential harassment. Found the laundry charge resulted from the resident signing up for laundry services, credits were issued, and no future laundry charges would occur, while the harassment claim reflected a misunderstanding and the resident did not feel harassed.
14 Aug 2024Complaint
14 Aug 2024Complaint
Investigated a false fire alarm incident and found that staff did not fully implement the emergency disaster plan, including failing to notify all residents and complete assigned evacuation tasks.
Type B87212(b)(2)(F)(b)
28 Jun 2024Inspection
28 Jun 2024Inspection
Identified that an incident report for a resident's 05/28/2024 fall was not submitted to licensing within seven days as required.
Type B87211(a)(1)
20 Jun 2024Complaint
20 Jun 2024Complaint
Investigated two complaints about timely medical attention and assistance with prescribed medications; findings concluded the concerns were not supported by the available evidence.
19 Jun 2024Inspection
19 Jun 2024Inspection
Identified that a resident with dementia was retained for several months before receiving a dementia diagnosis and did not receive timely medical attention, with required dementia information not included in the plan of operation.
Type B87705(b)
19 Jun 2024Complaint
19 Jun 2024Complaint
Investigated a complaint about supervision, medical attention delays, and staff training. Findings showed supervision gaps, delayed medical attention for changes in condition, and insufficient staff training.
Type A87464(f)(1)(f)
Type A87101(c)(3)
Type A1569.2(c)
Type A87468
Type A87468.1
Type A87468.2
Type A87468.2(a)(4)
Type B87411(c)
Type B1569.625
Type B1569.69
29 May 2024Complaint
29 May 2024Complaint
Investigated an eviction threat against a resident and retaliation against a resident council member. Records showed this was the first formal counseling for inappropriate behavior.
Type B87468.1(a)(3)(a)
28 May 2024Inspection
28 May 2024Inspection
Found that the Family Council's written concerns were not responded to within 14 days, as required. This resulted in a civil penalty being assessed.
Type B1569.158(f)
Type B1569.158(k)(3)
28 May 2024Complaint
28 May 2024Complaint
Found eviction notices were used to retaliate against family council participation.
Type A87468.2(a)(20)
Type A1569.158(j)
Type B1569.158(f)
Type B1569.158(k)(3)
23 May 2024Inspection
23 May 2024Inspection
Identified unapproved pharmacy charges tied to an Alternate Pharmacy Waiver added to the admission agreement without approval, and admission agreements weren't submitted for licensing review.
Type B87208(a)
23 May 2024Complaint
23 May 2024Complaint
Investigated the allegation that staff interfered with residents' medical decisions and restricted visitation; found an alternate pharmacy waiver not in the original admission documents and no evidence of interference with medical decisions or visitation rights.
Type A87468(a)(11)
Type B1569.2(c)
Type B1569.312(a)
10 May 2024Complaint
10 May 2024Complaint
Identified that hot water temperatures throughout the living units did not meet regulatory requirements, with readings ranging widely around the 105–120°F target.
Type B87303(e)(2)(e)
10 May 2024Complaint
10 May 2024Complaint
Investigated illegal eviction allegation; eviction was rescinded.
Type B87224(a)(4)(a)
19 Apr 2024Complaint
19 Apr 2024Complaint
Investigated the allegation that the licensee failed to promptly or appropriately respond to communications from residents' representatives.
Type B87468.1(a)(9)(a)
19 Apr 2024Complaint
19 Apr 2024Complaint
Investigated allegation that apartments were not clean, safe, sanitary or in good repair.
11 Mar 2024Complaint
11 Mar 2024Complaint
Found that a resident did not receive a PRN medication as prescribed, and MARs and doctor orders were not consistently updated.
Type B87465(a)(4)(a)
11 Mar 2024Inspection
11 Mar 2024Inspection
Identified drainage issues in the storage area, an out-of-service washer, and incomplete roof repairs with several repairs still outstanding.
Type A87303(a)
22 Feb 2024Inspection
22 Feb 2024Inspection
Identified multiple ongoing maintenance and repair issues across units and common areas, including unfinished work in Apt 118 and Apt 202, a drainage problem, peeling paint in the atrium, and roof and exterior wood trim repairs not yet completed; skylight leaks were fixed. Daily civil penalties were assessed for a prior complaint.
16 Feb 2024Inspection
16 Feb 2024Inspection
Observed that residents' records were reviewed and additional time was needed to complete the annual continuation visit.
13 Feb 2024Inspection
13 Feb 2024Inspection
Observed that a one-year evaluation began and more time was needed to complete it, with a tour of multiple living areas and common spaces conducted.
08 Feb 2024Complaint
08 Feb 2024Complaint
Identified issues with night staffing, delayed responses to resident call buttons, and insufficient administrator presence.
Type B87415(a)(6)(a)
Type B87415(a)(5)
Type B87405(a)(a)
08 Feb 2024Complaint
08 Feb 2024Complaint
Investigated a 2022 injury and two related allegations about safeguarding belongings and missing money. The injury allegation is substantiated, while the safeguarding and missing money allegations are unsubstantiated.
08 Feb 2024Complaint
08 Feb 2024Complaint
Found two allegations unsubstantiated after investigation.
25 Jan 2024Complaint
25 Jan 2024Complaint
Identified mold and extensive repairs needed across multiple areas, and found staffing levels insufficient to provide adequate care.
Type ACCR 87303(a)(a)
Type BCCR 87411(a)(a)
17 Nov 2023Complaint
17 Nov 2023Complaint
Identified mismanagement of a resident's medications, with several missed doses documented in MARs and audits.
Type B87465(a)(4)(a)
02 Nov 2023Inspection
02 Nov 2023Inspection
Observed an emergency exit gate that was locked and would not open, creating a safety risk for residents at the site.
Type A87203
02 Nov 2023Complaint
02 Nov 2023Complaint
Identified improper food storage and poor sanitation, with evidence of unsealed frozen food, uncovered items, and dirty areas.
Type B87555(b)(9)
Type B87303(a)(a)
26 Oct 2023Complaint
26 Oct 2023Complaint
Identified that a resident's apartment had a heating and air conditioning unit that stopped working in July 2023. A temporary unit was used, but no repair or replacement had been completed by the time of the visit.
Type B87303(a)(a)
16 Oct 2023Complaint
16 Oct 2023Complaint
Investigated a complaint alleging staff did not meet a resident's needs, including assistance with wheelchair transportation and wound care, and concerns about van safety, dignity, and residents' ability to file complaints.
Type A87464(a)
16 Oct 2023Complaint
16 Oct 2023Complaint
Investigated allegations that staff did not meet a resident's needs, failed to keep the living area clean, and did not provide adequate food; reviewed notes and interviewed staff and residents.
12 Oct 2023Complaint
12 Oct 2023Complaint
Investigated the allegation that an SSI resident was charged additional fees beyond the basic rate and that overnight staffing levels were not sufficient.
Type B87464(e)
Type B87411(a)
06 Oct 2023Complaint
06 Oct 2023Complaint
Identified unsanitary kitchen conditions and improper food handling and storage practices during a complaint investigation.
Type B87555(b)(27)
Type B87555(b)(9)
06 Oct 2023Complaint
06 Oct 2023Complaint
Investigated allegation that staff did not feed a resident timely; found that staff did not follow physician orders for a modified diet, delaying meals and risking health.
Type A87555(b)(7)
06 Oct 2023Complaint
06 Oct 2023Complaint
Investigated the allegation that a staff member financially abused a resident. The evidence did not conclusively prove that donated funds were misused.
06 Oct 2023Complaint
06 Oct 2023Complaint
Investigated the allegation that staff did not provide appropriate nutrition and did not meet a resident’s diabetic needs. The investigation included interviews and review of records to determine adequacy of care.
06 Oct 2023Complaint
06 Oct 2023Complaint
Investigated a complaint about staffing levels and timely medical care; interviews and records indicated AM shift staffing was occasionally limited and residents were generally attended to promptly after calls.
13 Jul 2023Complaint
13 Jul 2023Complaint
Investigated the allegation that there were not at least one week of nonperishable food supplies; findings showed emergency nonperishable stock in storage and kitchen, with staff unaware of the exact location of backup supplies.
21 Jun 2023Inspection
21 Jun 2023Inspection
Observed staffing coverage improved, but documentation of tasks remained inconsistent regarding completed versus non-completed work. No deficiencies at this time.
12 Apr 2023Complaint
12 Apr 2023Complaint
Investigated the allegation that staff mismanaged a resident's medications and failed to provide a prescribed PRN dose on multiple occasions.
Type A87465(a)(4)
22 Mar 2023Complaint
22 Mar 2023Complaint
Investigated complaints about medication administration, staff conduct, facility cleanliness, and dietary accommodations. Findings showed medication not given as prescribed, inappropriate staff remarks about a resident, and unclean carpets, while a dietary needs issue was not supported by evidence.
Type A87465(a)(4)
Type B87468.1(a)(1)
Type B87303(a)
22 Mar 2023Complaint
22 Mar 2023Complaint
Investigated the allegation that staff disclosed a resident's confidential information in the presence of others; finding: unsubstantiated.
17 Mar 2023Complaint
17 Mar 2023Complaint
Investigated a complaint that residents did not receive their medications as prescribed. Findings showed delays and inconsistencies in med administration on 1/1/23, with multiple doses not documented or aligned with MAR/CDR records.
Type A87465(a)(4)
17 Mar 2023Complaint
17 Mar 2023Complaint
Investigated the allegation that staff mismanaged resident medications when pills dropped on the floor; replacement pills provided within about an hour.
17 Mar 2023Complaint
17 Mar 2023Complaint
Investigated a complaint that staff mishandled a resident's medication and found the delay in refilling the medication was caused by the doctor's absence and pharmacy/insurance issues, not staff actions.
09 Mar 2023Complaint
09 Mar 2023Complaint
Investigated a complaint that staff were not present to assist residents in care and that residents were not provided proper food service. Found that there were no caregiving staff on site for about 5 hours and 51 minutes, resulting in unmet resident needs.
Type A87411(a)
09 Mar 2023Complaint
09 Mar 2023Complaint
Investigated a complaint that staff did not follow a resident's dietary orders, resulting in an inappropriate meal being served.
Type A87555(b)(9)
01 Mar 2023Complaint
01 Mar 2023Complaint
Identified inadequate staffing contributed to residents waiting long for meals and receiving cold food.
Type B87411(a)
01 Mar 2023Complaint
01 Mar 2023Complaint
Identified inadequate staffing and disrepair concerns at the care setting. Residents waited long for meals and observed dirty or unusable equipment and areas.
Type B87411(a)
Type B87303(a)
01 Mar 2023Complaint
01 Mar 2023Complaint
Investigated allegations that medications were not administered as prescribed and that food service was inadequate, including late or missing doses and insufficient meal items.
Type A87465(a)(4)
01 Mar 2023Complaint
01 Mar 2023Complaint
Identified issues included improper storage of food, failures in providing prescribed medications, non-adherence to infection control practices, and unsafe carpeting affecting residents.
Type A87555(a)(9)
Type A87465(a)(1)
Type A87468.1(a)
Type B87468.1(b)(2)
27 Jan 2023Inspection
27 Jan 2023Inspection
Observed staff not wearing face coverings while caring for residents, creating health and safety risks and affecting residents' personal rights.
Type A87468.1
27 Jan 2023Inspection
27 Jan 2023Inspection
Identified that one resident received another resident's medication, which caused dizziness and low blood pressure; emergency personnel were involved after the error was discovered.
Type A87468.2(a)(4)
27 Jan 2023Inspection
27 Jan 2023Inspection
Identified improper food storage when a three-gallon ice cream container was left uncovered in the freezer and a bowl of salad was left uncovered in the refrigerator.
Type A87555(b)(9)
19 Jan 2023Complaint
19 Jan 2023Complaint
Investigated the allegation that staff were not properly trained and that there was insufficient staffing. Findings showed issues with medication-related training and staffing shortages.
Type A1569.69(a)(1)
Type A87468.1(a)(2)
19 Jan 2023Inspection
19 Jan 2023Inspection
Identified a failure to report COVID-19 outbreaks within 24 hours after two staff tested positive in January. Staff were unaware of the reporting requirement.
Type A87211(a)(2)
11 Jan 2023Complaint
11 Jan 2023Complaint
Found that residents did not receive showers as scheduled, with staffing gaps contributing to delays and concerns about documentation.
Type A87468.1(a)(2)
11 Jan 2023Inspection
11 Jan 2023Inspection
Identified improper food storage with unlabeled items in the refrigerator and acknowledgement that labeling was required.
Type A87555(b)(9)
03 Jan 2023Inspection
03 Jan 2023Inspection
Identified health and safety deficiencies, including improper mask use by staff, obstruction of a fire exit, and improper food storage.
Type A87468.1
Type A87202(a)
Type A87555(b)(9)
10 Nov 2022Inspection
10 Nov 2022Inspection
Identified an allegation of sexual abuse by a staff member toward a resident.
Type A87468.2(a)(8)
07 Sept 2022Complaint
07 Sept 2022Complaint
Identified improper food handling and storage techniques by staff, including unlabeled items and rancid food in the kitchen.
Type A87555(b)(9)
30 Aug 2022Inspection
30 Aug 2022Inspection
Identified numerous ongoing compliance concerns, including staffing shortages, unsafe environment, medication issues, food service problems, fingerprint clearance issues, unlawful eviction, transportation problems, COVID-19 protocol lapses, and other facility conditions.
15 Jul 2022Inspection
15 Jul 2022Inspection
Identified that eviction procedures were not followed for a resident, including no 30-day written notice and no reappraisal or care plan update.
Type B87224(a)(4)
15 Jul 2022Complaint
15 Jul 2022Complaint
Investigated an allegation of insufficient staffing to meet resident needs. Interviews indicated shortages in dining, caregiving, and medication dispensing that affected resident care.
Type A87411(a)
12 Jul 2022Complaint
12 Jul 2022Complaint
Investigated allegation that residents were not provided transportation to medical appointments. Findings showed staff did not provide or arrange transportation as required by policy.
Type B87465(a)(2)
30 Jun 2022Complaint
30 Jun 2022Complaint
Investigated the allegation that staff left rags with hazardous chemicals in the kitchen causing a chemical reaction. The investigation determined the situation did not create a hazardous condition and the alarm activation was a false alarm.
30 Jun 2022Complaint
30 Jun 2022Complaint
Investigated staff response times to resident call buttons and cleanliness at the site. Interviews and observations indicated timely responses and a generally clean environment.
30 Jun 2022Complaint
30 Jun 2022Complaint
Investigated the allegation that it is not financially solvent. Findings showed vendors paid and no interruptions in basic needs, but there were late payments to utilities and food suppliers in 2021, resulting in a technical violation.
09 Jun 2022Complaint
09 Jun 2022Complaint
Investigated the allegation of insufficient staffing to meet residents' needs. Evidence showed periods with low staff-to-resident ratios that affected care.
Type A87411(a)
09 Jun 2022Inspection
09 Jun 2022Inspection
Identified a violation for staff not wearing face coverings, creating an immediate health and safety risk to residents.
Type A87468.1
07 Jun 2022Complaint
07 Jun 2022Complaint
Investigated the allegation that staff did not follow COVID-19 protocols. An observation showed a staff member wearing a mask improperly while talking with a resident.
Type A87468.1
28 May 2022Inspection
28 May 2022Inspection
Observed staff not wearing face coverings properly while speaking with a resident, including close face-to-face interaction and a hug. This raised concerns about residents' safety and personal rights.
Type A87468.1
10 May 2022Inspection
10 May 2022Inspection
Identified that two staff members were not associated with the licensed community while working in the community, creating an immediate health and safety risk to residents.
Type A87355(e)(2)
10 May 2022Inspection
10 May 2022Inspection
Investigated an allegation that a resident was sexually abused by a staff member about a week earlier; interviews were conducted and documentation reviewed; further investigation needed.
06 May 2022Complaint
06 May 2022Complaint
Investigated a complaint that there was no administrator on-site for several weeks, leading to perceived management gaps and an uptick in resident incidents.
Type B87405(a)
06 May 2022Complaint
06 May 2022Complaint
Identified that staff failed to assist residents with self-administered medications, resulting in some residents not receiving medications on time.
Type B87465(a)(4)
04 May 2022Complaint
04 May 2022Complaint
Identified that a resident experienced extended power outages and insufficient lighting due to construction, creating a safety risk.
Type B87303(d)
04 May 2022Complaint
04 May 2022Complaint
Identified a safety issue with the pedestrian door from the garage into the building that did not provide enough time for residents with walkers to pass through safely.
Type B87303(a)
20 Apr 2022Complaint
20 Apr 2022Complaint
Investigated allegations of medication mismanagement, lack of activities, and improper food storage; evidence from interviews and observations indicated medications were delivered on time, residents were offered activities, and food was properly stored.
30 Mar 2022Complaint
30 Mar 2022Complaint
Found that transportation for residents' medical appointments was not arranged as required. Staffing shortages limited transportation days and hours.
Type B87465(a)(2)
30 Mar 2022Complaint
30 Mar 2022Complaint
Identified that residents did not receive arranged transportation and the kitchen did not meet standards for food storage, cleanliness, and safety.
Type B87465(a)(2)
Type B87555(b)(9)
23 Mar 2022Inspection
23 Mar 2022Inspection
Found that staff assistance was not qualified, causing a resident to fall and suffer nasal bone fracture, fracture of the right hand finger, and fracture of the maxilla, with a civil penalty assessed.
Type A87468.2(a)(4)
23 Mar 2022Inspection
23 Mar 2022Inspection
Identified invalid rate increases for monthly care fees, with civil penalties planned for the period.
08 Mar 2022Complaint
08 Mar 2022Complaint
Investigated allegation that residents were given illegal rate increases for services.
Type A1569.655(a)
01 Mar 2022Complaint
01 Mar 2022Complaint
Investigated found that staff caused an injury to a resident while in care and that the resident's room was not properly maintained.
Type A87468.2(a)(4)
Type B87303(a)(1)
01 Mar 2022Complaint
01 Mar 2022Complaint
Investigated the allegation that a resident's grooming needs were not met. Documentation showed nails were trimmed on 6/07/2020 and the grooming plan did not specify nail trimming.
18 Feb 2022Inspection
18 Feb 2022Inspection
Observed entry screening, hand sanitizer availability, and mask use by staff and residents. Noted lack of handwashing reminder signage in common area bathrooms and a garden gate in need of repair.
08 Sept 2021Complaint
08 Sept 2021Complaint
Investigated allegations that staff did not provide clean linens and that a resident's room was unsanitary, and reviewed a rent increase claim.
Type B87307(a)(3)(C)
Type B87303(a)
08 Sept 2021Inspection
08 Sept 2021Inspection
Identified failures to provide 60 days' prior notice for rent increases and to credit those increases on residents' ledgers. Refunds for some residents who moved out had not been issued, and several ledgers still showed increases without credits.
Type B1569.655(a)
26 Aug 2021Inspection
26 Aug 2021Inspection
Identified failure to provide 60 days' prior written notice of rental increases to residents and to credit increases for current and former residents, resulting in improper charges.
Type B1569.655(a)
12 Aug 2021Inspection
12 Aug 2021Inspection
Identified staff who worked without proper criminal background clearance or association with the site, posing an immediate safety risk to residents.
Type A87355(e)(2)
Type A87355(e)(1)
08 Jul 2021Complaint
08 Jul 2021Complaint
Investigated a complaint that the dining room wasn't kept at a comfortable temperature; found the dining room heater had broken, space heaters were used, and the heater was replaced in April 2021, with thermostat readings between 68 and 74 F.
01 Jul 2021Complaint
01 Jul 2021Complaint
Identified that rent increases were imposed without the required 60-day written notice to residents.
Type B1569.655(a)
30 Apr 2021Inspection
30 Apr 2021Inspection
Observed all staff wearing face coverings; reviewed an allegation that staff were not wearing masks.
14 Oct 2020Complaint
14 Oct 2020Complaint
Investigated various complaints regarding the HVAC system, food service, record keeping, overcharging residents, and staffing levels. Issues with HVAC system and record keeping were identified, while allegations of inadequate food service, overcharging residents, and insufficient staff were not substantiated.
14 May 2020Complaint
14 May 2020Complaint
Investigated allegations of an unsafe and unsanitary environment, lack of supervision leading to falls, and inadequate staffing. Determined all claims were unsubstantiated, with no evidence supporting any failure in providing care or supervision.
13 Feb 2020Inspection
13 Feb 2020Inspection
Found high water temperatures in common area bathrooms and missing emergency evacuation chairs in stairwells during a complaint visit.
Type A
Type A
09 Jan 2020Inspection
09 Jan 2020Inspection
Confirmed cleanliness and proper functioning of physical plant, resident rooms, kitchen, and storage areas during pre-licensing visit.
Type A87355(e)(2)
Type A87355(e)(1)
19 Dec 2019Inspection
19 Dec 2019Inspection
Confirmed successful completion of COMP II by the applicant/administrator during a telephone call with the analyst at CAB, with understanding demonstrated in various areas related to facility operation and compliance with regulations.
04 Oct 2019Inspection
04 Oct 2019Inspection
Identified deficiency during visit, new administrator appointed.
Type B
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