Del Monte Assisted Living & Memory Care - Stockton

    517 E Fulton St, Stockton, CA 95204
    • Assisted Living
    • Memory Care

    Warm staff, clean, dependable care

    I'm pleased with this facility-warm, attentive staff who go above and beyond, spotless and well-maintained common areas and rooms, nutritious meals, engaging activities, pet therapy, secure grounds and good on-site medical services. It feels home-like and dependable; I'd recommend it.

    Current/former 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
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.33·(85)

    Overall rating

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

      4.3
    • Staff

      4.3
    • Meals

      3.9
    • Amenities

      4.2
    • Value

      4.0

    Pros

    • Compassionate, attentive caregiving staff
    • Clean, well-maintained interior and grounds
    • Engaging, thoughtfully curated activities program
    • Nutritious, well-prepared meals with dietary attention
    • Memory-care expertise with secured units
    • Onsite medical and therapy services (wound care, X-ray, PCP, podiatry)
    • Home-like, welcoming atmosphere
    • Responsive leadership with owner/director involvement
    • Bilingual (Spanish-friendly) staff
    • Large rooms and protected outdoor walking areas
    • Strong workplace culture and staff engagement
    • Personalized care plans and dignity-focused approach

    Cons

    • Inconsistent family communication and callback responsiveness
    • Staffing instability and frequent personnel changes
    • Gaps in medication-administration controls
    • Unreliable meal-service timing and delivery
    • Variability in staff professionalism and training
    • Security and package/mail handling weaknesses
    • Emergency-response and clinical-incident notification gaps
    • Inconsistent sanitation and odor-control in some areas
    • Uneven resident engagement and atmosphere across units

    Summary of reviews

    Del Monte Assisted Living & Memory Care presents a mixed but largely favorable profile. Many families and visitors describe a warm, home-like environment with staff who are compassionate, attentive, and personally engaged. The facility is frequently described as clean and well-maintained, with renovated, hotel-like public spaces, large rooms, and protected outdoor walking areas. Leadership and owner involvement are notable positives for prospective families who value visible management presence.

    Care quality is highlighted by consistent comments about attentive caregivers, individualized care planning, and a dignity-focused approach. The site offers memory-care expertise and secured units, and several reviews mention robust onsite clinical services (wound care, X-rays, primary care access, podiatry), which can simplify medical coordination. At the same time, reviewers have raised operational concerns that affect perceived reliability: communication with families is uneven at times, and some described delays or lack of callbacks. Staffing instability and frequent personnel changes were cited as contributing factors to variability in daily care continuity.

    Dining and activities are commonly cited strengths. Multiple reviewers praise nutritious, well-prepared meals, attention to dietary needs, and a pleasant dining atmosphere. The activities program is characterized as lively and thoughtfully curated, with opportunities such as bingo, piano, outings, pet therapy, and memory-focused programming that many residents enjoy. However, there are intermittent complaints about meal delivery timing and occasional lapses in dining service that suggest operational inconsistency.

    Facility operations show both strengths and weaknesses. Housekeeping and maintenance appear to be strong overall, supporting a clean and welcoming environment, though some comments point to localized sanitation or odor-control issues. Security features and memory-care protections are present, but reviewers noted concerns about package/mail handling and personal-item security. A subset of reviews raises issues with emergency-response practices and family notification following clinical incidents, indicating opportunities to strengthen incident protocols and communication workflows.

    Staffing and management are polarizing areas. Many reviews emphasize a caring, family-like staff culture and strong leadership involvement; others describe variability in staff training, professionalism, and language compatibility. Bilingual staff are an asset for Spanish-speaking families, but inconsistent staff performance and turnover have been linked to negative experiences. Prospective families should ask about current staff-to-resident ratios, staff training programs, and the facility’s communication protocols for clinical events and family updates.

    In summary, Del Monte offers tangible strengths: compassionate caregiving, active social programming, onsite medical services, and a generally well-maintained, home-like setting. The principal operational risks to assess in a tour or meeting are consistency — specifically in communication, staffing continuity, medication and meal-service processes, and personal-item security. Asking targeted questions about incident response, staffing stability, and daily service workflows will help families weigh the facility’s documented strengths against the operational variability noted in some reviews.

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    Location

    Map showing location of Del Monte Assisted Living & Memory Care - Stockton

    Del Monte Assisted Living & Memory Care - Stockton is located at 517 E Fulton St, Stockton, CA, 95204.

    About Del Monte Assisted Living & Memory Care - Stockton

    Our Lady Perpetual Help Care Home is a residential care home situated in a quiet, welcoming neighborhood of Stockton, California. Designed to foster both comfort and community, this care home offers seniors a spacious and beautiful group living setting that encourages socialization, engagement, and a true sense of belonging. The tranquil atmosphere of the area is complemented by serene waterfronts and regular opportunities for residents to participate in local events, making daily life both relaxing and stimulating. The home is dedicated to providing seniors with a high standard of care that addresses each individual’s unique needs while ensuring their overall well-being in a supportive environment.

    The compassionate and attentive staff at Our Lady Perpetual Help Care Home are available around the clock, focused on creating a comfortable, safe, and secure environment for each resident. Their unwavering commitment ensures that seniors receive not only personalized medical and physical support, but also emotional encouragement and companionship. Meals at the care home are thoughtfully prepared to be nutritious, delicious, and made with high-quality ingredients, delighting residents with a menu that balances both enjoyment and dietary needs.

    At Our Lady Perpetual Help Care Home, residents are encouraged to engage in a variety of activities that promote social, physical, and mental stimulation. The home actively fosters a lively and interactive environment, helping seniors create lasting friendships while participating in enriching programs. Room options are tailored to individual preferences and needs, offering both one-bedroom and semi-private accommodations. The facility’s goal is to ensure that every resident feels at home, valued, and empowered to lead a fulfilling life, supported by a caring team and meaningful daily experiences.

    The culture at Our Lady Perpetual Help Care Home centers on friendliness and warmth. Each day, staff strive to cultivate an atmosphere filled with kindness, joy, and respect, not only among residents but also extending to visitors and the broader community. Whether providing memory care or general residential care, the home remains dedicated to fostering a nurturing environment where every individual is treated with the utmost dignity and compassion.

    People often ask...

    Del Monte Assisted Living & Memory Care - Stockton offers competitive pricing, with rates starting at a cost of $3,299 per month.

    Del Monte Assisted Living & Memory Care - Stockton offers assisted living, memory care, and board and care.

    There are 15 photos of Del Monte Assisted Living & Memory Care - Stockton on Mirador.

    The full address for this community is 517 E Fulton St, Stockton, CA 95204.

    No, Del Monte Assisted Living & Memory Care - Stockton 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 number392700993
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity158 residents
    LicenseeA1 DEL MONTE INC.
    EffectiveJuly 1st, 2021
    View the official license record

    Inspection Reports

    235

    Reports

    90

    Type A Citations

    76

    Type B Citations

    75

    Complaints

    7

    Years

    21 Apr 2026Inspection
    Identified and discussed allegations regarding modifications, medication records, buildings and grounds, food service, and levels of care. No deficiencies were cited.
    02 Apr 2026Inspection
    Identified a deficiency for alterations made without a building permit and noted a safety risk from moving a memory care door to create additional non-memory care spaces.
    • Type A87305(a)
    02 Apr 2026Complaint
    Investigated complaints about staff care and resident safety; reviewed daily care records and spoke with residents and staff, concluding some allegations lacked evidence while others were addressed through documented interventions.
    20 Oct 2025Complaint
    Investigated a complaint that staff unlawfully evicted a resident. Found that the resident smoked in a room while on oxygen, was sent to the ER for treatment, and later discharged to a higher level of care after an eviction letter was issued.
    22 Sept 2025Complaint
    Investigated a complaint alleging staff neglect resulted in injuries to a resident, interference with visitations, and mishandling; findings showed ongoing fall-prevention support and clarified visiting arrangements, with no evidence of mishandling.
    01 Jul 2025Inspection
    Observed no deficiencies and noted safety measures in place with medications securely stored.
    05 Jun 2025Complaint
    Investigated the allegation that staff did not prevent a resident from being physically assaulted, did not assist with timely needs, did not safeguard personal belongings, and did not assist with grooming. The record showed no witnesses to the assault and noted inventory discrepancies for some items.
    05 Mar 2025Complaint
    Investigated allegations that staff did not meet residents' dietary needs, did not provide adequate care, and did not safeguard personal belongings. Interviews and records were reviewed.
    15 Nov 2024Complaint
    Investigated a complaint about a resident's skin condition and related infection-control concerns, plus a report that a change in condition was not communicated to a responsible party. Found that the rash could not be confirmed as scabies and there was not enough evidence of infection-control violations or failure to inform the responsible party.
    23 Oct 2024Inspection
    Investigated a medical emergency involving a resident who left unassisted and was struck by a vehicle in a hit-and-run, which led to the resident's death; no deficiencies were cited.
    14 Oct 2024Inspection
    Identified a prior deficiency related to room access and entry to the shower/bathroom area that was cleared.
    • Type A87307(a)(2)(c)
    03 Oct 2024Complaint
    Investigated a complaint about transportation for residents. Found that transportation was provided for medical and dental appointments, though the bus was temporarily out of service due to vandalism, and arrangements were being made to meet transportation needs.
    03 Oct 2024Complaint
    Investigated bed bug allegation and found that same-day treatments were completed and residents stayed out of treated areas during treatment.
    24 Sept 2024Inspection
    Identified that a resident with a Stage 3 wound received on-site wound care from external providers and that the Power of Attorney was informed.
    28 Aug 2024Complaint
    Found several allegations about staff handling residents, medication timing, diapering, laundry, and mold; all were determined to be unsubstantiated.
    11 Jul 2024Inspection
    Observed a follow-up on a 7/9/2024 incident, with a request for additional documentation and record review.
    18 Jun 2024Inspection
    Observed hot water in a resident bathroom at 122 degrees, outside the 105–120 range; advisory given. Fire safety equipment was current and medications were securely stored; no deficiencies cited.
    07 Jun 2024Complaint
    Identified an ongoing bedbug infestation and related maintenance issues; investigation also addressed scabies treatment and medication record practices.
    • Type B87303(a)
    09 May 2024Complaint
    Found that staff training met requirements and medications were administered by trained personnel; monthly menus were followed with alternatives when items ran out.
    • Type A87411
    • Type A87465(d)
    01 May 2024Complaint
    Investigated allegations about the resident's death, privacy, supervision, and cleanliness; records showed the death was due to medical complications rather than neglect, a privacy issue was identified, calls were answered in a timely manner, and cleanliness concerns could not be established.
    • Type B87307(a)(2)(c)
    11 Apr 2024Inspection
    Verified that previously cited Title 22 deficiencies were cleared during an unannounced follow-up visit.
    • Type B87468.1
    • Type B87468.2(a)(4)
    27 Mar 2024Complaint
    Investigated an allegation of financial abuse toward a prior resident; records showed a transfer from the resident's account followed by a refund, and additional payments to unrelated individuals, with no evidence supporting the abuse claim.
    25 Mar 2024Complaint
    Investigated two complaints about staff response times and meal temperatures. Found calls were answered within 5 to 15 minutes and kitchen temperatures met regulatory requirements, while resident experiences varied regarding meal warmth.
    05 Mar 2024Inspection
    Investigated a self-reported incident in which a resident had an altercation with a roommate, leading to an ER visit; police were notified and the resident was moved to another room.
    29 Jan 2024Complaint
    Investigated the allegation of unlawful eviction; records showed the resident signed a voluntary departure notice in October 2023 and left the facility, with signatures matching the admission agreement.
    24 Jan 2024Complaint
    Investigated several complaints about resident safety and care at the site, including an incident where a door struck a resident, call buttons were not accessible, residents were left in soiled diapers, medications were not administered as prescribed, a fall occurred due to insufficient supervision, and a bed was left in disrepair.
    • Type A87468.1
    • Type A87468.2(a)(4)(a)
    12 Jan 2024Complaint
    Investigated the death allegation and found it unfounded after review of the death certificate and supporting medical records.
    07 Dec 2023Inspection
    Identified an allegation of sexual assault and notified authorities. The investigation is ongoing and no deficiencies were issued.
    05 Dec 2023Inspection
    Identified that residents' money handling and safeguarding procedures were not included in the plan of operation, and the administrator's knowledge of applicable laws was not demonstrated.
    • Type B87208(a)(9)
    • Type B87405(d)(2)
    05 Dec 2023Complaint
    Investigated allegations that staff violated residents' personal rights, made inappropriate comments toward residents, interfered with residents' financial affairs, and threatened eviction; no corroborated evidence supported these allegations.
    20 Nov 2023Inspection
    Found compliance with health and safety standards; no deficiencies were cited.
    03 Nov 2023Complaint
    Investigated four specific complaints about room cleanliness, personal property, toilet paper provision, and food access; observations showed regular room cleaning, residents' personal items accounted for, toilet paper provided, and meals available to residents.
    06 Sept 2023Complaint
    Identified bed bugs were present in a room between 8/24 and 8/30. Residents were relocated and pest control treatment began after concerns were raised.
    • Type B87303(a)
    21 Aug 2023Complaint
    Investigated an allegation of illegal eviction of a resident; concluded it was unfounded.
    15 Aug 2023Inspection
    Observed an increasing volume of 9-1-1 calls from June to August 2023 and discussed using non-emergency resources to meet resident needs.
    15 Aug 2023Inspection
    Observed no deficiencies and identified compliance with Title 22 standards during a quarterly health and safety check.
    15 Aug 2023Complaint
    Investigated two complaints regarding timely response to a resident's condition and restroom cleanliness; found no evidence of issues.
    15 Aug 2023Complaint
    Investigated the allegation that head lice spread was not prevented; found no corroborated evidence of head lice during or after residency.
    04 Aug 2023Inspection
    Investigated reports of resident-to-resident altercations; no citations were issued.
    12 Jul 2023Inspection
    Identified a memory care door relocation completed without updated fire clearance or a building permit, and the door alarm was malfunctioning, posing safety risks.
    • Type A87203
    • Type A87202(a)
    • Type A87305(a)
    • Type A87405(h)(5)
    20 Jun 2023Inspection
    Observed that health screenings for five of eleven staff files were completed more than seven days after hire, posing potential health and safety risks to residents.
    • Type B87411(f)
    08 Jun 2023Complaint
    Investigated the allegation that staff abandoned a resident at the hospital; found no evidence to support the claim.
    17 May 2023Complaint
    Found no evidence to support the six allegations, including issues with medication timing, unprescribed medications, responding to requests, showering, cleaning, or answering phones.
    17 May 2023Complaint
    Investigated allegations of issues with belongings, extension cords, phone calls, communication, and accessibility; found no evidence to support the allegations.
    17 May 2023Inspection
    Investigated incidents involving residents pushing and hair-pulling, disruptive behavior, an arm scratch, and an altercation; staff intervened.
    17 May 2023Complaint
    Investigated four allegations about privacy during phone calls, resident's mattress comfort, dietary restrictions, and adherence to an admission agreement; found no evidence to support the concerns.
    10 May 2023Complaint
    Investigated two complaints about showering and resident needs. Showers were provided on the established schedule and no evidence showed unmet needs due to noise.
    05 May 2023Inspection
    Observed that an eviction notice issued on 4-17-23 was not sent to the licensing agency within five days. Found isolation PPE available and used for a resident diagnosed with scabies during the visit.
    • Type B87224(f)
    07 Apr 2023Complaint
    Determined three specific allegations - bathing residents, toilet paper availability, and food service - lacked sufficient evidence. No citations were issued.
    07 Apr 2023Complaint
    Found no corroborating evidence that a resident remained in soiled clothing for an extended period. Storage space for residents' personal possessions was adequate.
    24 Mar 2023Complaint
    Investigated two issues: a window seal remained in disrepair for about 2-3 weeks. A photograph of a medication bottle was sent to the wrong recipient, exposing private medical information.
    • Type B87303(a)
    • Type B87468.2(a)(2)
    24 Mar 2023Inspection
    Identified an incident on 2-28-23 where a resident left the building without staff knowing their whereabouts and returned later with local law enforcement. A civil penalty was issued for the incident.
    • Type A1569.312(d)
    24 Mar 2023Complaint
    Identified a strong odor around room 107 and a used diaper on the floor near the resident's bed, indicating odor and unsanitary conditions.
    • Type B87625(b)(3)
    • Type B87303(a)
    02 Feb 2023Inspection
    Identified multiple resident incidents from mid-November 2022 to late January 2023, including a medication error with a double dose of Lasix, aggressive behavior by a memory-care resident, and several falls with some requiring hospital visits; there were also wounds requiring medical follow-up and ongoing monitoring.
    • Type B87465(a)(4)
    02 Feb 2023Inspection
    Observed no deficiencies and compliance with health and safety standards.
    06 Dec 2022Complaint
    Investigated an allegation that a staff member stole and forged the resident's checks; found insufficient evidence to prove involvement.
    04 Nov 2022Inspection
    Identified that a resident sustained an unwitnessed fall without injury on 10-29-22 and staff called for a lift assist; the resident refused hospital transport.
    04 Nov 2022Inspection
    Investigated a health and safety issue involving a resident hospitalized for thrombosis and diagnosed with scabies; no additional cases were identified.
    14 Oct 2022Inspection
    Identified a resident-caused incident on 9-10-22 that damaged a ceiling sprinkler, caused water damage and alarms, and briefly affected the air conditioning. Memory care residents were relocated temporarily with supervision, temperatures monitored, and meals continued normally.
    14 Oct 2022Complaint
    Investigated complaints about meal service, COVID precautions, supervision, staff interaction, residents' clothing, odors, pests, and possible scabies. The investigation included interviews, observations, and record reviews.
    14 Oct 2022Inspection
    Observed an incident where one resident slapped another three times over the television volume; residents were separated and a police report and incident report were filed.
    14 Oct 2022Inspection
    Observed overall compliance with safety and care standards, with adequate supplies, clean surroundings, and infection control in place.
    26 Aug 2022Inspection
    Identified absence of supervision when a resident eloped and was not located for several hours.
    • Type A1569.312(d)
    10 Aug 2022Complaint
    Investigated an allegation that residents' visitors were denied entry; found that some visitors were not permitted during visiting hours.
    • Type B87468.1(a)(11)
    10 Aug 2022Inspection
    Observed staff spoke to a resident in a demeaning manner and questioned how the resident spent their money, implying drug use without evidence.
    • Type B87468.1(a)(1)
    • Type B87405(d)(5)
    10 Aug 2022Complaint
    Observed unsanitary and disrepair conditions in residents' rooms, including dirt, debris, and insects. Noted concerns about safeguarding residents' belongings.
    • Type B87303(a)
    28 Jul 2022Complaint
    Investigated a complaint that a resident did not receive a copy of the admission agreement. Found the resident had received a copy on 6-20-22.
    28 Jul 2022Complaint
    Investigated allegations that there were disrepair conditions and that staff did not meet residents' needs. Findings showed the room window could be opened, the air conditioning worked, a bathroom fan issue was repaired the same day, and staff addressed residents' care needs in a timely manner.
    25 Jul 2022Inspection
    Investigated the allegation that dental hygiene was not provided and foot care was not provided to a resident.
    • Type B87465(a)(1)
    • Type B87465(a)(2)
    12 Jul 2022Inspection
    Found no deficiencies during the visit. Observed appropriate safety, sanitation, and infection control measures.
    12 Jul 2022Inspection
    Observed a licensing analyst review two resident death reports and related documentation during an unannounced case management visit; interviews were conducted and no deficiencies were issued.
    12 Jul 2022Inspection
    Observed no deficiencies and overall compliance with health and safety standards during the visit. Adequate food supply, sanitation, and emergency preparedness were noted across areas inspected.
    20 Jun 2022Complaint
    Investigated the allegation that staff did not ensure residents were adequately fed; found that adequate food items and amounts were provided and residents' blood sugars remained stable from 5/30/22 to 6/3/22.
    17 Jun 2022Inspection
    Investigated attempts to locate a former resident's chart; licensee did not provide the chart upon request and did not retain original or photographic records for three years.
    • Type B87468.2(d)
    • Type B87468.2(e)
    17 Jun 2022Complaint
    Investigated a complaint about care during a COVID-19 outbreak, including delayed medical treatment, failure to notify a relative of a diagnosis, and unqualified staff supervising residents.
    • Type A87464(f)(1)
    • Type A87411(a)
    • Type A87211(a)(1)(D)
    17 Jun 2022Complaint
    Investigated the allegation of overcharging a resident. Found insufficient evidence to prove overcharging.
    10 Jun 2022Inspection
    Identified a suspected flu outbreak among multiple residents on 6-5-22 and found that it was not reported to licensing within 24 hours.
    • Type B87468.2(a)(2)
    10 Jun 2022Complaint
    Investigated a complaint about illness outbreak and temperature. Determined that several residents had flu-like symptoms and that temperature readings met regulatory requirements.
    02 May 2022Inspection
    Identified ongoing concerns about eviction processes, residents' personal rights during room entries, and the functionality of the signal system; no deficiencies were cited during this visit.
    22 Apr 2022Complaint
    Investigated allegations about a resident's death, timely response, and COVID-19 guideline adherence. Found that appropriate care and COVID precautions were followed.
    22 Apr 2022Inspection
    Observed ongoing setup of a new resident signal system, with a technician attempting to program it and a 4/29/22 deadline to have it functional. No deficiencies were observed at the time.
    22 Apr 2022Inspection
    Observed a case management visit addressing eviction letters sent to residents and review of admission agreements and related policies. No deficiencies were cited during the visit.
    08 Apr 2022Complaint
    Investigated two medication-related allegations: a resident's blood pressure medication was not given as ordered and the physician was not notified about the discrepancy.
    • Type A87465(e)
    • Type A87465(a)(1)
    08 Apr 2022Inspection
    Found that on 4-3-22 two residents engaged in an action in the memory care unit; staff reported it to licensing, ombudsman, and local law enforcement; no deficiencies were noted.
    08 Apr 2022Inspection
    Identified a citation regarding the signal system after an internet outage distorted it; hand-held bells were used and parts were on order with expected restoration within about a week.
    16 Mar 2022Complaint
    Investigated that a resident did not receive a prescribed blood pressure medication for over three weeks because of a discrepancy between the physician's order and the bottle label.
    • Type A87465(a)(4)
    • Type A87405(h)(5)
    14 Mar 2022Inspection
    Identified that a resident with dementia exited the premises unattended and returned the next morning; safety measures for wandering residents were not adequate.
    • Type A87705(b)(2)
    • Type A87208
    14 Mar 2022Inspection
    Found that searches of resident rooms were conducted on 2-8-22 due to suspected drug use and a house rule violation; eviction notices were issued to two residents and later rescinded after department review, while others did not receive eviction notices. No deficiencies were cited.
    14 Mar 2022Inspection
    Identified a planned conversion of the downstairs unit to memory care and hospice, with notices provided to residents about potential room changes and relocation options; bed capacity would not change.
    08 Mar 2022Inspection
    Identified that a resident did not receive prescribed blood pressure medication for about three weeks, and the incident was not reported to the licensing agency.
    • Type B87211(a)(1)(D)
    08 Mar 2022Complaint
    Investigated a complaint alleging a resident's privacy was not protected and that services paid for were not provided; found residents had access to a working television and privacy practices were followed.
    08 Mar 2022Inspection
    Identified that the signal system did not function in eight resident rooms, preventing staff from being alerted to resident needs.
    23 Feb 2022Complaint
    Identified that a rate increase notice did not meet the 60-day written notice requirements and lacked required details.
    • Type B1569.655(a)
    09 Feb 2022Inspection
    Identified an incident of suspected abuse from 1-4-22 that was not reported to local law enforcement and ombudsman within 24 hours.
    • Type B87211(c)
    24 Jan 2022Inspection
    Identified an incident involving two male residents that required separation; incident documentation was reviewed, residents were interviewed, and health and safety measures were observed.
    19 Jan 2022Complaint
    Investigated the allegation that COVID-19 precautions were not followed; interviews and observations showed PPE provided and precautions being followed.
    06 Jan 2022Inspection
    Identified staffing and supervision concerns and delays in incident reporting to responsible parties.
    • Type A87413(a)(1)
    • Type A87411(a)
    • Type B80061(b)(1)(D)
    • Type B87211(a)(1)(B)
    • Type B87468.1(a)(9)
    • Type B87463(a)
    21 Dec 2021Inspection
    Identified that an earlier allegation was amended to reference a different regulation and the civil penalty was removed.
    • Type A87411(a)
    21 Dec 2021Inspection
    Found that incident reports were reviewed promptly, charts updated, and staffing levels were adequate; no deficiencies were cited.
    09 Dec 2021Complaint
    Identified deficiencies related to a resident fall with injuries, failure to notify the responsible party, and failure to update the resident appraisal; inadequate staffing coverage was also noted.
    • Type A87411(a)
    • Type B87211(a)(1)(B)
    • Type B87463(a)
    • Type B87468.1(a)(9)
    09 Dec 2021Inspection
    Identified that a resident’s physician’s report was not obtained and was absent from the chart.
    30 Nov 2021Inspection
    Observed that two residents maintain a mutual friendship with private visits and shared activities without interference from staff; no deficiencies were cited.
    23 Nov 2021Inspection
    Identified failures to timely report incident events to the licensing agency within seven days.
    • Type B87468.2(b)(1)(D)
    05 Nov 2021Inspection
    Observed that recent fall incidents were reviewed and no deficiencies were cited.
    06 Oct 2021Inspection
    Found no deficiencies and observed appropriate safety, sanitation, and infection control measures during the visit.
    13 Sept 2021Inspection
    Observed that a designated staff member began screening visitors and recording temperatures upon entry; no deficiencies were found.
    08 Sept 2021Complaint
    Investigated a complaint and found that staff did not provide lift assistance to a resident and residents were left unattended during emergency responses.
    • Type A87413(a)(1)
    • Type B80078(a)
    03 Sept 2021Inspection
    Identified that two hospitalizations on 8/5/21 and 8/7/21 were not reported to licensing in a timely manner.
    • Type B80061(b)(1)(D)
    30 Jul 2021Inspection
    Observed that staff on duty met residents' needs across shifts, and meals were sufficient and of good quality with requests for menu variety. The home was clean, sanitary, and well maintained, and no deficiencies were observed.
    23 Jul 2021Inspection
    Identified an amendment to licensing findings after a complaint investigation, including corrections to deficiency coding.
    20 Jul 2021Complaint
    Investigated allegations about care and supervision, incontinent care needs, meals, incident reporting, and safety accommodations; findings showed no evidence to support the concerns.
    07 Jul 2021Complaint
    Identified lack of care and supervision and incontinence care not provided for residents during the night shift due to insufficient staff.
    • Type A87413(a)(1)(a)
    • Type B87464(f)(1)(f)
    07 Jul 2021Inspection
    Identified that an eviction notice for a resident lacked required components such as the eviction date, resources, appeal rights, and the required statutory statement.
    • Type B87224(d)
    30 Jun 2021Inspection
    Verified that the memory care delayed egress system was functioning after service, and no deficiencies were identified.
    30 Jun 2021Inspection
    Found the memory care delayed egress system was serviced and functioning. No deficiencies were identified.
    29 Jun 2021Inspection
    Observed safe living conditions with functioning systems and adequate staffing; no deficiencies were found.
    28 Jun 2021Inspection
    Identified a memory care delayed egress door that did not alarm during testing, posing immediate safety and resident rights risks.
    • Type A87465.6(a)(1)
    27 Jun 2021Inspection
    Observed staff on duty and residents engaged in activities during an unannounced visit; no deficiencies observed under health and safety rules.
    26 Jun 2021Inspection
    Observed no deficiencies and adequate staffing during an unannounced health check. Memory care areas and dining room were under construction.
    25 Jun 2021Inspection
    Observed adequate staffing and food supplies with functioning systems; no deficiencies were found.
    24 Jun 2021Inspection
    Observed staff on duty and updated call monitoring and communications; renovations and system improvements were completed, and no health and safety deficiencies were observed.
    23 Jun 2021Inspection
    Observed safety and health concerns, including missed medications, bed bugs not yet treated, and nonworking phone lines, along with inadequate incident reporting.
    • Type A87468.2(a)(5)
    • Type B87465.1(a)
    • Type B87468.2(a)(1)
    • Type B87211
    22 Jun 2021Inspection
    Observed staff on duty, residents dining, and adequate staffing; no deficiencies were found.
    21 Jun 2021Inspection
    Observed no deficiencies; safety and health standards were met during the visit.
    20 Jun 2021Inspection
    Observed six air conditioners set at 70 degrees and room temperatures ranging from 78 to 80 degrees, with staff on duty for the day shift. No deficiencies were observed.
    19 Jun 2021Inspection
    Observed no deficiencies or citations during the health check.
    18 Jun 2021Inspection
    Identified an unknown unassociated employee residing in a resident room without criminal background clearance, creating an immediate safety risk. Also observed a broken thermostat and HVAC concerns affecting resident comfort.
    • Type A87355(e)(1)
    17 Jun 2021Inspection
    Observed adequate safety measures, ample food supplies, appropriate staffing, and functioning climate control; no deficiencies were observed.
    16 Jun 2021Inspection
    Observed a well-maintained environment with adequate temperature control, food supplies, and staffing; no deficiencies were observed.
    15 Jun 2021Inspection
    Observed no deficiencies under Title 22 health and safety rules and regulations. Temperatures in the dining area and memory care were within the required range, and food supplies and staffing were maintained.
    14 Jun 2021Inspection
    Observed residents eating meals and receiving medications with staff on site; no deficiencies were cited.
    12 Jun 2021Inspection
    Identified that there was no administrator of record on file, posing an immediate health and safety risk to residents.
    • Type A87468.2(a)
    11 Jun 2021Inspection
    Found that there was no administrator of record on file, creating a potential health and safety risk to residents.
    • Type B87405(a)
    10 Jun 2021Complaint
    Investigated allegations of a resident's death, a resident not receiving prescribed dialysis, and delays in returning phone calls. A COVID outbreak occurred, and care failures were noted during the event.
    • Type A87468.1(a)(2)
    • Type A87465(a)(2)
    • Type A87411(a)
    • Type A87463(a)
    10 Jun 2021Inspection
    Observed safe temperatures, adequate food supplies, and sufficient staff; no deficiencies were cited.
    09 Jun 2021Complaint
    Identified that staffing was not sufficient to provide appropriate care and supervision, leading to a resident fall.
    • Type A87411(a)
    09 Jun 2021Inspection
    Found no deficiencies during a health and safety review.
    08 Jun 2021Inspection
    Observed residents received meals and medications with staff present; no deficiencies cited.
    07 Jun 2021Complaint
    Investigated a complaint that a refund was not issued to the resident's responsible person after the resident's death.
    • Type B1569.652(c)(c)
    07 Jun 2021Inspection
    Found conditions within the required safety ranges and no deficiencies observed.
    06 Jun 2021Inspection
    Observed indoor temperatures around 83–85°F in several areas with cooling units in use. Meals and staffing were adequate, and no deficiencies were identified.
    05 Jun 2021Inspection
    Observed staff on duty, food available, and cooling measures in place; no deficiencies found.
    04 Jun 2021Inspection
    Observed safe temperatures, adequate staffing, and on-site food supplies during a health and safety check; no deficiencies were identified.
    03 Jun 2021Inspection
    Found that the main air conditioning unit had not worked for about 30 days; ten portable units were used and a long-term solution was pursued, with temperatures around 79°F. No deficiencies were identified.
    02 Jun 2021Inspection
    Observed health and safety measures in place, with sufficient food, staffing, and clean resident areas; no deficiencies found.
    01 Jun 2021Inspection
    Conducted a case management health and safety check. Found no deficiencies cited under Title 22 regulations.
    31 May 2021Inspection
    Observed staff on duty with residents dining; temperatures in several areas reached 81–85 degrees despite six air conditioners running. A request was submitted to secure three additional cooling units expected to be delivered on 6/1/2021; meals and snacks were available, and the day shift included 11 staff members.
    30 May 2021Inspection
    Observed cleaning supplies and disinfectants stored in an unlocked housekeeping closet, posing immediate safety risk to residents; the outdoor gate to the memory care patio was unlocked and lacking a working self-closing latch, allowing access.
    • Type A87468.2(f)(2)
    • Type A87468.2(h)
    29 May 2021Inspection
    Observed staff on duty with residents dining; a hospice resident had just passed away and the room was secured. Verified staffing levels and food supply as adequate.
    28 May 2021Inspection
    Observed no deficiencies during a health and safety review, with food storage and safety measures in place.
    27 May 2021Inspection
    Identified that the main air conditioning unit had been nonfunctional for about 30 days, with six portable units in use, and that the temperature throughout the home measured 78°F. Food supplies were adequate, meal preparation followed the posted menu, and no deficiencies were identified.
    26 May 2021Inspection
    Observed that the main air conditioning unit was not working for about 30 days. Portable units were brought in to cool the space, and the temperature reached about 78 degrees Fahrenheit.
    • Type A87303(a)
    14 May 2021Inspection
    Identified that after a resident fall, 9-1-1 was not called and timely medical attention was not provided; a resident did not receive medications from May 1 to May 4.
    • Type A87465(g)
    • Type A87465(5)
    11 May 2021Inspection
    Identified the need for a lease-back agreement due to a property sale and the CHOW process, with repairs to be completed after closing. Noted that a health screening for the new administrator and an update to the LIC-200 form were required.
    04 May 2021Inspection
    Confirmed that the applicant and administrator understood licensing requirements and completed COMP II.
    30 Apr 2021Inspection
    Identified multiple health and safety deficiencies during a case management visit, including hot water temperatures in the medication room above safe levels and nonfunctional air conditioning. Also noted water damage at the entry, doors that did not fully close, and security concerns in the memory care unit.
    • Type A87303(e)(3)
    • Type A87303(a)
    30 Apr 2021Inspection
    Observed several safety and maintenance deficiencies during a prelicensing visit. Issues included nonfunctional air conditioning, door closers that did not work, delayed egress doors, and high hot water temperatures.
    28 Apr 2021Inspection
    Investigated a resident injury involving a heavy door that closed quickly; observed the door was heavy and closed rapidly, posing safety risks to residents.
    27 Apr 2021Complaint
    Investigated allegation that staff do not communicate effectively; identified communication problems affecting residents' needs and failure to notify responsible parties about changes in residents' conditions.
    • Type A87466
    • Type B87303(a)
    27 Apr 2021Complaint
    Found gaps in fall risk notification, bathing and personal care, safeguarding personal property, and communication with families.
    • Type A87466
    • Type A87464(d)
    • Type B87464(f)(4)
    • Type B87218(a)
    27 Apr 2021Complaint
    Identified that phones were not in working order and transportation for medical appointments was not arranged, resulting in missed dialysis appointments for a resident.
    • Type A87465(a)(2)
    • Type B87303(a)
    27 Apr 2021Complaint
    Identified that a resident did not have a copy of the admission agreement upon admission, staff were unavailable to residents' concerns and basic needs, weekly housekeeping was not provided, and several medications were not administered as ordered.
    • Type A87465(a)(5)
    • Type A87464(f)(1)
    • Type B87507(e)
    • Type B87464(d)
    20 Apr 2021Inspection
    Found 54 residents on site with 4 in isolation and no active COVID-19 cases. Noted new staffing and transportation changes—two new medical technologists and a driver hired, and a contracted transportation company—along with PPE stocked and in use.
    14 Apr 2021Inspection
    Identified multiple safety and health concerns, including gaps in COVID-19 mitigation, evacuation equipment not meeting requirements, and inadequate assistance with residents' medications.
    • Type A87468.1
    • Type A1569.695(f)(1)
    • Type A87465
    08 Apr 2021Complaint
    Found the allegation that staff could not use proper precautions because they weren’t notified of the resident’s condition to be unfounded. The resident had shingles; PPE was provided, and the resident was sent to the hospital for a leg procedure and died.
    08 Apr 2021Inspection
    Observed appropriate health and safety precautions with PPE and sanitation; no deficiencies cited.
    02 Apr 2021Inspection
    Found the air conditioning pump broken, leaving indoor temperatures potentially uncomfortable and posing safety risks for residents.
    • Type B87303
    01 Apr 2021Inspection
    Identified deficiencies involving residents' rights: a locked medication cart led to late and missed doses, and the phone system malfunction blocked timely resident calls.
    • Type A87468.1(a)(2)
    • Type B87468.1(a)
    26 Mar 2021Inspection
    Identified an ongoing COVID-19 outbreak with 50 residents testing positive (35 cleared, 4 in higher care, 8 deaths; 7 in isolation as PUI) and 6 hospice residents; vaccination records were being verified. Noted missing records and several infection-control gaps, including use of personal phones for resident communication, PPE handling, and posted signage.
    24 Mar 2021Inspection
    Identified a bed bug infestation in multiple rooms and ongoing COVID-19 cases among residents. Staffing and maintenance concerns were discussed.
    • Type B87303
    22 Mar 2021Inspection
    Identified inadequate food supplies (less than seven days of nonperishables and less than two days of perishables) and missing 'Oxygen in Use' signage in use areas.
    • Type A87555
    • Type A87618
    19 Mar 2021Inspection
    Identified a COVID-19 outbreak with many residents testing positive and several deaths. Observed infection control measures, vaccination status, entry screening, and some room readiness issues.
    12 Mar 2021Inspection
    Found 63 residents in total, with 53 on site; 50 tested positive, 35 cleared, 5 in higher care, 8 deaths, and 7 under isolation as a person of interest. Noted ongoing management updates and routine care concerns.
    11 Mar 2021Inspection
    Identified a case management visit documenting 62 residents (52 on site), with 7 in isolation and 50 testing positive (35 cleared, 5 in higher care, 8 deaths). Observed isolation rooms, visitor and staff screening practices, and related logs, along with a noted kitchen plumbing issue and other areas needing attention.
    10 Mar 2021Inspection
    Identified a COVID-19 outbreak with many residents infected, several deaths, and some in isolation, while others had recovered. An exit interview was conducted.
    09 Mar 2021Inspection
    Identified ongoing COVID-19 concerns at the site, including 8 residents in isolation and 50 positive cases (35 cleared, 6 at higher care, 8 deaths). Noted that two PUI residents left the building without signing out, and observed PPE use and cleaning-supply issues among staff.
    08 Mar 2021Inspection
    Investigated an incident in which two residents did not receive their 8pm medications as prescribed, posing a health and safety risk.
    • Type A87465
    08 Mar 2021Inspection
    Identified a significant COVID-19 outbreak with a census of 62 residents (53 on site), 50 positive cases (35 cleared, 5 in higher care, 8 deaths) and 5 isolated as persons of interest. Noted a weekend blackout causing power loss to part of the site for about 1.5 hours and to the entire site for about 1.5 hours.
    05 Mar 2021Inspection
    Found a COVID-19 outbreak at the home, with 63 residents (53 on-site), 5 under isolation as PUI, and 50 positives (35 cleared, 8 deaths, 6 in higher care); a second round of negative results occurred for many residents and staff, PPE was stocked and signs posted, and 1:1 care was in place outside a room in some areas.
    04 Mar 2021Complaint
    Investigated a resident's lack of a working hoyer lift and necessary equipment for transfers and incontinence care. The findings showed unsafe conditions due to missing equipment.
    • Type A87468(a)(2)
    03 Mar 2021Inspection
    Identified ongoing care and staffing concerns during a telehealth case-management visit, with a census of 73 residents (55 on site) and a request for hospice notes. Several residents refused medical assessments or walked away and were escorted back, the regional office awaited five incident reports, a bed bug inspection found an additional infested room with treatment planned, and staffing changes including cross-training and a recent departure of the infection preventionist.
    02 Mar 2021Inspection
    Identified extensive safety and care deficiencies, including fire safety noncompliance, unsecured chemicals, improper medication storage and labeling, and maintenance issues.
    • Type A87203
    • Type A87705
    • Type A87555
    • Type A87465
    • Type A87464
    • Type A87303
    • Type A1569.58(a)(2)
    • Type B87625
    • Type B87303
    02 Mar 2021Inspection
    Identified multiple safety and care issues, including unsecured medications, improper medication storage, incomplete resident and staff records, and various maintenance and PPE concerns. Not approved for licensure at this time.
    01 Mar 2021Inspection
    Found safety and personal rights concerns, including inadequate furnishings in one resident's room and staff not consistently wearing masks. Observed gaps in COVID-19 mitigation practices and infection-control measures.
    • Type A87468.1
    • Type AHSC 1569.58(a)(2)
    • Type B87307
    24 Feb 2021Inspection
    Observed hot water temperatures exceeded the allowed range and resident call systems were not functioning in multiple rooms, creating safety concerns.
    • Type A87303(e)(2)
    23 Feb 2021Inspection
    Identified significant health and safety issues, including a sewage backup in the kitchen, pest problems, overdue fire safety inspections, and gaps in medical care planning.
    • Type A87555(27)
    • Type A87203
    • Type B87465
    • Type B87303(a)
    23 Feb 2021Inspection
    Confirmed completion of COMP II and understanding of licensing requirements and program areas including operation, staff qualifications, training, grievances, food service, and medication management.
    22 Feb 2021Inspection
    Confirmed understanding of license type, client/resident populations, program, staff qualifications and responsibilities, and staff training during COMP II.
    19 Feb 2021Inspection
    Reviewed an unannounced case management visit and identified health and safety concerns, including missing toiletries in memory care rooms, staff smoking outside near the area, a water-damaged lobby ceiling, and residents with positive COVID-19 status or awaiting reappraisal by the medical director.
    18 Feb 2021Inspection
    Identified one new COVID-positive case and ongoing case management with hospice care and resident reappraisals by a newly appointed medical director. Observed several safety and maintenance concerns, including restrooms out of order, locked kitchen areas, and a fire suppression system last serviced in 2020.
    17 Feb 2021Inspection
    Found ongoing COVID-19 activity with 48 on-site residents positive or in quarantine, including several on hospice and in decline, while 17 residents tested on 2/17 had results pending. Noted PPE and cleaning practices were in place but with gaps and maintenance concerns such as broken cabinets and unsecured areas.
    16 Feb 2021Inspection
    Identified an ongoing COVID-19 outbreak with 48 active cases on site, 26 recovered, and 7 deaths among a 73 census (55 on site). Medical reappraisal of residents was underway by a new medical director, with 17 LIC602s completed this week and additional reappraisals planned.
    10 Feb 2021Complaint
    Investigated an allegation that the site was not financially solvent and found evidence of overdue payments and large liabilities. The situation involved a planned sale and raised concerns about resources to continue operations.
    • Type B87213
    10 Feb 2021Inspection
    Identified safety and care deficiencies related to resident monitoring, personal rights, and building conditions. Specific issues included missing oxygen in-use signs, lack of planned activities for residents, improper cleaning chemical storage, and water-damaged ceilings.
    • Type A87468.1
    • Type A87618(b)(3)(B)
    • Type A80087(a)
    • Type A87411(a)
    • Type B87219(f)
    10 Feb 2021Inspection
    Found ongoing concerns about COVID-19 infection control and related support while discussing the sale of each site; a current resident roster with responsible party contacts was requested by 2/16/2021, and an exit interview was conducted.
    08 Feb 2021Inspection
    Found records incomplete and line lists missing current testing data, with many residents and staff testing positive for COVID-19 and multiple hospitalizations and deaths. Observed staffing shortages, with no designated staff to care for positive residents and many staff not reporting to work or planning to leave.
    06 Feb 2021Inspection
    Identified a continuing COVID-19 outbreak with recent positive tests and ongoing monitoring of residents and staff. Reported staffing changes, PPE shortages, and ongoing infection-control oversight, with coordination of transport and vaccination scheduling.
    05 Feb 2021Inspection
    Identified infection-control deficiencies and inadequate masking, screening, and sanitation, indicating ongoing safety concerns for residents.
    • Type AHSC 1569.58(a)(2)
    • Type A87405(d)
    • Type B87411(a)
    • Type B80087(a)
    22 Jan 2021Inspection
    Identified multiple infection-control deficiencies and failure to report a positive resident case during a coronavirus outbreak, including PPE shortages, unsanitary rooms, and missing hygiene supplies.
    • Type AHSC 1569.58(a)(2)
    07 Jan 2021Inspection
    Found staff wore PPE and followed proper donning and doffing; signage and hand sanitizer were available. Access was limited to essential personnel due to positive cases and communal activities were paused; no deficiencies were observed.
    06 Jan 2021Inspection
    Identified unsafe PPE practices and sanitation issues in the COVID and memory care areas, with inconsistent isolation signage and activities halted.
    • Type A87468.1
    • Type A80087
    • Type B87219(f)
    07 Dec 2020Complaint
    Investigated the allegation that staff did not administer prescribed medications to a resident; documentation showed medications were not given as prescribed and related records were incomplete.
    • Type A87465(c)(2)
    • Type B87465(h)(6)(A)
    • Type B87506(b)(8)
    25 Nov 2020Complaint
    Investigated a complaint that staffing did not meet residents' needs and identified a deficiency related to arranging transportation for a resident.
    • Type B87464(f)(6)(f)
    25 Nov 2020Complaint
    Investigated allegations that staff did not assist with transportation, did not notice a change in the resident's condition, and did not assist with hygiene or keep clothing clean, with delays in medical communication.
    • Type B87466
    • Type B87625(b)(3)(b)
    25 Nov 2020Complaint
    Investigated the allegation; conducted interviews and reviewed records; no preponderance of evidence to prove or disprove its occurrence.
    28 Oct 2020Complaint
    Found that interviews with the administrator, residents, and staff did not support the allegation; a tele-visit observed a resident’s door open and secured to the wall by a doorstop wedge, and there was not a preponderance of evidence to prove the violation occurred, so the allegation is unsubstantiated.
    28 Oct 2020Complaint
    Investigated the eviction-related allegation of increased verbal aggression and physical altercations between a resident and staff, reviewed care plans, and noted a bruise on the resident that staff could not explain. Found the eviction letter did not include specific facts to support the eviction, such as date, place, witnesses, and circumstances.
    28 Oct 2020Inspection
    Identified abuse of a resident with dementia by a staff member on 9/12/2020 during kitchen assistance, observed by two other staff; internal review led to the staff member's voluntary separation.
    28 Oct 2020Inspection
    Reviewed discussions on change of ownership, leaseback and purchase arrangements, closure planning, eviction notices, retention and limitations, and the ALWP; the licensee agreed to provide eviction notices to residents and their responsible parties, notify ALWP of the sale, share the closure plan, and furnish a leaseback agreement between the new owners and the current licensee.
    28 Oct 2020Inspection
    Investigated and found that a resident did not receive several prescribed medications between September 26 and 28, 2020, per the Medication Assistance Record. Identified a deficiency in medication administration for that period.
    12 Oct 2020Complaint
    Found insufficient evidence to prove or disprove the allegation that staff stole medication; interviews and reviews of resident medication files did not support the claim.
    05 Oct 2020Complaint
    Investigated the allegation of a questionable death; found insufficient evidence to prove it. Interviews and record reviews showed no evidence to support the allegation.
    02 Oct 2020Inspection
    Identified ongoing telephone system problems at the care setting that prevented some calls from reaching staff, with families reporting missed calls and voicemail backlogs.
    01 Oct 2020Inspection
    Identified an allegation of solvency problems due to unpaid vendor bills and PG&E costs; noted an auditor’s document request, potential ownership changes being explored, and safety measures like separating residents by COVID status and using PPE.
    01 Oct 2020Inspection
    Found multiple health and safety concerns, including unlocked medications, strong odors, unlabelled dirty clothing, and a non-working memory care air conditioner. Residents reported marijuana use in common areas and a staff member tested positive for Covid with no clear plan to reduce exposure; outdated service plans and missing orientation training were identified.
    15 Sept 2020Inspection
    Found a resident with a bandaged shin during a tele-visit, and the administrator discussed the wound status. The administrator was to send discharge documentation from the 9/3/2020 hospital visit, along with skin checks and home health notes dated 9/1/2020 to present.
    03 Sept 2020Inspection
    Identified health and safety deficiencies, including no updated medical assessment for a resident with dementia and a lack of follow-up wound care after hospital discharge. Also noted incomplete narcotic destruction records and missing details (dates and pharmacy) in the central medication storage log.
    01 Sept 2020Inspection
    Identified that a staff member held a resident's hands and wrist during a diaper change, causing discoloration. The staff member resigned shortly after the incident.
    • Type A80072(a)(1)
    25 Jun 2020Complaint
    Investigated whether resident 1's allegation of a specific incident occurred; findings showed insufficient evidence to confirm or deny the claim.
    19 May 2020Inspection
    Identified that a resident developed a rash suspected to be scabies, leading to precautions such as isolation and monitoring, with no other residents affected.
    04 May 2020Complaint
    Investigated whether the air conditioning system was functioning properly; found all units operational and maintained at comfortable temperatures.
    24 Apr 2020Complaint
    Investigated sexual misconduct between two residents, revealing staff failed to follow the residents’ care plans and adequately address safety concerns, leading to the finding that the allegation was substantiated.
    • Type A1569.58(a)(2)
    • Type A
    05 Mar 2020Inspection
    Reviewed issues related to personal rights, basic needs, eviction notices, care, financial concerns, medical care, and reporting requirements during an informal meeting addressing prior citations.
    • Type A87466
    • Type B87224(d)
    04 Mar 2020Complaint
    Reviewed the case involving missing personal items after resident 1's stay, with evidence indicating some items were not returned to the family and their whereabouts are unknown; these findings support the allegation of missing belongings.
    • Type B87466
    • Type B87625(b)(3)
    21 Feb 2020Complaint
    Investigated an incident where a resident had red marks on her face, confirming that staff failed to report an injury and an alleged scratching incident; also identified issues with water damage not reported and inadequate call systems in memory care.
    • Type A87468.1
    • Type A80087
    • Type B87219(f)
    14 Feb 2020Inspection
    Reviewed concerns regarding resident rights, care services, staffing ratios, and record keeping following prior complaint inspections, leading to discussions on compliance and facility improvements.
    13 Feb 2020Inspection
    Reviewed staff records and identified 15 staff members with criminal background clearances who were not associated with the facility, resulting in a cited deficiency and civil penalties.
    • Type B87464(f)(6)
    11 Feb 2020Inspection
    Reviewed resident files and interviewed staff regarding a resident who left the facility unassisted and has not returned, while police follow up on her whereabouts; no deficiencies identified.
    27 Jan 2020Inspection
    Reviewed a facility's compliance with health, safety, and staffing regulations during an unannounced annual inspection, noticed adequate precautions and conditions but identified one deficiency related to TB testing for staff.
    • Type A
    23 Jan 2020Inspection
    Reviewed a resident incident involving a minor burn, with follow-up medical care and safety issues observed, including hot water temperature exceeding safe levels.
    • Type A87468.1
    06 Jan 2020Inspection
    Reviewed resident files and found that one resident’s admission agreement was not signed by the resident, responsible party, or facility representative. Noted a deficiency related to this issue during the visit.
    • Type B
    17 Dec 2019Inspection
    Confirmed that a resident left the facility without signing out, requiring higher-level care and refusing medication, with behaviors such as yelling reported; additional time was needed to complete the case management review.
    • Type A
    • Type A87101(c)(3)
    • Type A87405
    05 Dec 2019Inspection
    Reviewed medication and documentation issues, including missing or incomplete medical records, discrepancies in resident behavior reports, and unavailability of prescribed medications. Found deficiencies related to resident care records and medication management.
    21 Nov 2019Inspection
    Identified that the resident needed a higher level of care and had been bedridden since 2018, but the facility failed to issue a timely eviction notice, and it was found to be in violation of fire clearance requirements due to the resident’s status.
    15 Oct 2019Inspection
    Identified deficiencies related to inadequate emergency evacuation plans and lack of proper clearance for a bedridden resident, with civil penalties to be assessed later.
    • Type B87465(a)
    • Type B87458
    • Type B

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