Pricing ranges from
    $3,502 – 4,552/month

    Wagner Heights Residential

    2435 Wagner Heights Rd, Stockton, CA 95209
    • Assisted Living

    Friendly, clean, welcoming care community

    My parent moved in recently and I'm very thankful - the staff are friendly, attentive, and thoughtful, and the community is social with lots of activities. The place looks, smells, and feels fresh with new paint and furniture; rooms are roomy and clean, meals feel personalized, and mobility lifts/scooter access made settling in easy. Admissions and rehab were smooth and staff are responsive - overall a welcoming, well-cared-for home.

    Loved one of resident
    Jul 2026

    Pricing

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

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    Amenities

    Healthcare services

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

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

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

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.36·(22)

    Overall rating

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

      2.1
    • Staff

      2.7
    • Meals

      2.3
    • Amenities

      3.3
    • Value

      3.4

    Pros

    • Freshly renovated interiors and updated furnishings
    • Spacious resident rooms
    • Personalized meal options available
    • Accessible mobility supports (lifts and scooter access)
    • On-site amenities (beauty shop, exercise area, game and TV rooms)
    • Active, social activity program
    • Responsive and caring direct-care staff in many instances
    • Smooth admissions process and positive rehab experiences
    • Pleasant communal atmosphere

    Cons

    • Inconsistent staffing levels and coverage
    • Gaps in medication-order coordination and timely administration
    • Sanitation and incontinence-care handling concerns in some areas
    • Insufficient staff training for certain clinical tasks (e.g., catheter care, transfers)
    • Weak fall-prevention and transfer-safety practices
    • Unreliable phone and emergency-contact communication systems
    • Limited specialized-diet availability (including diabetic-friendly options)
    • Variable management responsiveness and empathy
    • Inconsistent infection-control implementation and visitor-restriction communication
    • Uneven overall care quality across units and shifts

    Summary of reviews

    Overall impression: Reviews present a mixed picture of Wagner Heights Residential, with clear strengths in facility updates, amenities, and activity programming alongside recurring operational weaknesses that affect care continuity and family communication. Several families praised recent renovations, roomy accommodations, accessible mobility supports, and an active social calendar; others described significant lapses in clinical practice, sanitation handling, and responsiveness.

    Care quality: Clinical concerns center on coordination of medical orders and timely medication administration, as well as skill gaps for some specific clinical tasks. Several accounts indicate delays in medication orders, issues with catheter care, and an incident requiring hospital care linked to fluid-balance concerns. There are also repeated notes about repositioning and toileting assistance delays and a reported fall risk tied to transfer practices and bed-height setups. These signal the need for stronger clinical protocols, fall-prevention measures, and targeted training for staff who perform transfers and incontinence-related care.

    Staff and management: Direct-care staff receive mixed assessments. Many reviewers describe caring, attentive caregivers who facilitate mobility and participate in activities, and some report positive rehab experiences and smooth admissions. At the same time, reviewers describe inconsistent staffing coverage, boundary and conduct concerns in individual interactions, and instances of rude or unhelpful phone reception. Management-level concerns include perceived unavailability, limited empathy in family communications, and a phone/caller-ID configuration that hinders contact from families. These items point to uneven supervisory oversight and opportunities to standardize communication expectations and staff training.

    Dining and nutrition: Dining impressions are varied. Some residents and families appreciate personalized meal service and enjoy the food; others report limited menu choices and a lack of diabetic-friendly options. The pattern suggests that while the kitchen can accommodate preferences for some residents, consistent availability of specialized diets and menu variety may be areas for improvement.

    Facilities and activities: The community provides multiple on-site amenities (beauty shop, exercise area, game and TV rooms) and accessible features such as lifts and scooter access. Several reviewers praised a pleasant, social atmosphere and noted recent aesthetic improvements that made the environment feel fresher. However, sanitation concerns and localized odor issues were reported in parts of the facility, and at least one account led staff to question conditions strongly enough to remove a resident. Infection-control events (a norovirus lockdown was mentioned) have occurred; communication and implementation during those events appears inconsistent based on family feedback.

    Notable patterns and takeaways: Strengths are concentrated in the renovated physical environment, amenity set, and an active community life supported by many compassionate caregivers. The most persistent concerns are operational: inconsistent staffing, gaps in clinical training and medication coordination, sanitation and incontinence-care handling issues, unreliable family communication channels, and variable management responsiveness. Prospective residents and families should verify current staffing patterns, clinical competency and training programs (especially for catheter care and transfers), infection-control protocols and communication practices, and menu accommodations for special diets before making a placement decision.

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    Location

    Map showing location of Wagner Heights Residential

    Wagner Heights Residential is located at 2435 Wagner Heights Rd, Stockton, CA, 95209.

    About Wagner Heights Residential

    Wagner Heights Residential in Stockton, California, serves people aged 55 and older and has room for up to 80 residents, offering different levels of care like assisted living, independent living, memory care, skilled nursing, and rehabilitation therapy, so folks can stay as their needs change. The staff includes visiting nurses, podiatrists, physical therapists, occupational therapists, and speech therapists, and they're around every day, all day for emergencies or health monitoring, plus they've got helpers for bathing, dressing, grooming, medication, and blood sugar checks, but they'll only monitor insulin, not give injections. Residents get housekeeping, laundry, and meals-there are vegetarian and special diet options, and meals get served restaurant-style, with guest meals and a choice of one to three meals a day, and there are two extra snack times.

    Rooms come furnished with bedding and private patios, and every room has an emergency call system, plus indoor and outdoor common spaces, a lounge with TV and DVD, patios with garden views, and the place sits near bus lines, parks, doctors, pharmacies, restaurants, and other things people might want. Amenities include beautician and barber services onsite, Wi-Fi, parking, scheduled transportation for doctor visits or errands, and the chance to smoke outdoors. Wagner Heights Residential runs activities like bingo, shopping, theater and casino trips, country drives, birthday parties, live entertainment, and games, along with devotional services held onsite and offsite, and there's a focus on keeping residents active and social, with group outings and daily programs.

    The staff also helps with non-ambulatory care and two-person transfers, and they support residents with bowel or bladder incontinence if they're able to manage it themselves. Memory care helps those with Alzheimer's or dementia, aiming to keep folks safe and reduce confusion or wandering, and the facility supports aging in place, meaning everything from independent living through hospice and respite care is an option, depending on what's needed. Wagner Heights will help with chores and has a 24-hour call system for help, plus medical and medication management, personalized care plans, and a nurse on duty for 12 to 16 hours each day. The environment's meant to be safe and welcoming for folks from all backgrounds, and there are patios off every room, a large garden area, tree-lined streets, and even lake views to enjoy. Wagner Heights Residential is licensed by the state and gets inspected by local government and other agencies, and while it doesn't take Medicare unless certified, it aims to support each resident's dignity, well-being, and highest abilities with a variety of services and activities right on site.

    People often ask...

    Wagner Heights Residential offers competitive pricing, with rates starting at a cost of $3,502 per month.

    Wagner Heights Residential offers assisted living.

    There are 31 photos of Wagner Heights Residential on Mirador.

    The full address for this community is 2435 Wagner Heights Rd, Stockton, CA 95209.

    No, Wagner Heights Residential 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 number392701576
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity80 residents
    LicenseeNARRAGANSETT BAY HOLDINGS, LLC
    EffectiveAugust 1st, 2025
    View the official license record

    Inspection Reports

    123

    Reports

    49

    Type A Citations

    47

    Type B Citations

    64

    Complaints

    7

    Years

    04 Jun 2026Complaint
    Investigated the cleanliness allegation and found no deficiencies.
    27 May 2026Complaint
    Investigated the allegation that staff discouraged a resident from using the call light and concluded there was no corroborated evidence to support it.
    20 May 2026Complaint
    Investigated complaints about staff behavior and found rude conduct toward residents, with a deficiency identified for inadequate resident rights training.
    • CCR 87468.1(a)(1)Personal Rights of Residents in All Facilities
    05 May 2026Complaint
    Investigated concerns about residents' dietary needs and interactions; found that staff did not consistently meet diabetic and low-salt dietary restrictions and redirected potential escalations during interactions.
    • Type B87555(b)(7)
    05 May 2026Complaint
    Investigated the allegation that staff did not allow a resident to attend religious meetings. Found the resident could watch the program and had access to a television in the room, with no evidence staff prevented attendance.
    05 May 2026Complaint
    Investigated two allegations: staff did not respond to residents' call buttons and staff cancelled residents' appointments. Evidence showed call lights were answered within minutes and appointment calendars showed no cancellations, with no corroboration found.
    22 Apr 2026Complaint
    Investigative findings showed that med techs assisted residents with insulin dosages on several occasions, including residents who could not determine their own dosage.
    • Type A87465(a)(4)
    • Type A87465
    24 Mar 2026Complaint
    Investigated and found that staff did not answer residents' call buttons in a timely manner.
    • Type B87464(f)(1)
    24 Mar 2026Complaint
    Found the allegation that staff did not maintain the resident's room in a sanitary condition. Found the allegation that staff did not ensure regular observation for changes in condition.
    11 Feb 2026Inspection
    Investigated a self-reported incident. Requested incident-related records and staff documentation; additional time was needed for follow-up.
    21 Jan 2026Complaint
    Identified that residents did not have adequate hygiene supplies, specifically body soap.
    • Type B87307(a)(3)
    21 Jan 2026Inspection
    Observed incident reports indicating a resident was burned and safety measures to prevent injury were not in place.
    • Type A87307(e)(1)
    21 Jan 2026Complaint
    Identified an allegation that staff did not prevent residents from fighting. Found no evidence to support the claim.
    15 Dec 2025Inspection
    Identified inadequate supervision that allowed a resident to elope from the premises on 12/06/2025. Licensing staff conducted a case management visit to review incident reports.
    • Type A87411(a)
    10 Dec 2025Complaint
    Investigated an allegation that staff did not follow a resident's medication orders.
    09 Dec 2025Complaint
    Investigated a complaint that staff did not ensure adequate planned activities for residents; the allegation was unfounded.
    09 Dec 2025Complaint
    Investigated the allegation that staff denied residents medical treatment and found no evidence to support it; residents were able to see a doctor as they wished.
    02 Dec 2025Complaint
    Found no evidence that staff failed to keep residents safe.
    02 Dec 2025Complaint
    Found no evidence to support the allegations that staff did not assist with transportation to attend church, did not allow access to personal belongings, did not safeguard mail, and did not allow travel into the community.
    02 Dec 2025Complaint
    Investigated the allegations that staff interfered with a resident's religious activities, threatened a resident, transported a resident unsafely, and did not safeguard medication. Investigators found no evidence to support these claims.
    29 Oct 2025Complaint
    Investigated the allegation that staff did not abide by the contract and found it unfounded.
    19 Sept 2025Complaint
    Investigated allegations that a resident did not receive showers as needed and that the resident's adult briefs were not changed, leaving the resident unclean and damp.
    • Type A87464(c)
    • Type B87463(3)(3)
    19 Sept 2025Complaint
    Investigated an allegation that the facility did not have an administrator; records showed an administrator started but documents were not received.
    • Type B87205(a)
    19 Sept 2025Complaint
    Investigated the allegation that staff did not prevent residents from engaging in inappropriate behaviors toward other residents. The inquiry occurred during an unannounced visit.
    19 Sept 2025Complaint
    Observed four hoyer lifts, with only three functioning, requiring use of another resident's lift to move residents. An interview indicated staff used a working lift to adjust residents.
    13 Aug 2025Complaint
    Investigated a complaint that residents were not kept at a comfortable temperature. Investigators could not prove the allegation.
    01 Jul 2025Inspection
    Identified readiness for change of ownership after inspecting resident units, common areas, and safety features. No hazards were observed.
    12 Jun 2025Inspection
    Verified applicant and administrator understood licensing requirements and completed the COMP II via a virtual interview.
    09 May 2025Inspection
    Investigated an incident involving a resident who was hospitalized for a foot issue. The resident later fell, resulting in a broken femur and moved to a skilled nursing facility on 04/22/2025.
    09 May 2025Inspection
    Observed an unannounced annual inspection with medications and chemicals secured, and adequate food supplies; census was 66 residents toward a capacity of 80.
    07 May 2025Inspection
    Identified immediate safety deficiencies in fire protection, oxygen storage, and fire clearance for nonambulatory residents.
    • Type A87203
    • Type A87618(b)(3)(E)
    • Type A87202(a)(1)
    23 Apr 2025Inspection
    Investigated a case management incident involving a resident; no deficiencies were found.
    03 Mar 2025Complaint
    Found no evidence to support the claim that the home was in disrepair. There was a heating unit issue noted.
    22 Jan 2025Complaint
    Investigated two specific concerns: staff did not provide adequate assistance to a resident and spoke inappropriately to a resident. A medication-management allegation was also reviewed.
    • Type B80072(a)(1)
    • Type B87464(f)(4)(f)
    11 Dec 2024Inspection
    Identified an incident involving a resident's colostomy bag leak that required hospitalization. Training on colostomy care was conducted, and no deficiencies were observed.
    11 Oct 2024Inspection
    Observed a case management visit noting safety measures for lifting residents, clean resident rooms and common areas, detectors in good repair, a stocked emergency food and water kit, and securely stored toxins and medications.
    11 Oct 2024Complaint
    Investigated the allegation that a resident sustained an unexplained fracture while in care; the allegation was unsubstantiated.
    11 Oct 2024Complaint
    Investigated the allegation that staff financially abused a resident and found insufficient evidence to support it.
    11 Oct 2024Complaint
    Concluded there was not a preponderance of evidence to support the allegations that staff denied medical treatment, refused to assist with food, and used resident money.
    13 Aug 2024Complaint
    Identified two allegations about medication distribution and blood pressure checks; information gathered did not support these allegations.
    13 Aug 2024Complaint
    Identified that the referenced resident did not reside on-site and lived in another building on the same property. No investigation was conducted into the related allegation.
    08 Jul 2024Inspection
    Observed a follow-up conference addressing care and supervision and medication logging; substantial compliance was maintained over the last 12 months, and quarterly visits were stopped.
    02 Jul 2024Inspection
    Investigated late incident reports and found six incidents were past the ten-day reporting period; training logs on reporting requirements were up to date.
    02 Jul 2024Inspection
    Reviewed maintenance logs, medication logs, incident reports, and resident medical assessments; MARs were signed and the narcotics log updated through July.
    26 Apr 2024Inspection
    Found ongoing compliance with safety and care standards during a routine annual visit. Observed proper chemical and medication storage, safe hot water temperature, adequate food supply, and appropriate posted notices.
    19 Apr 2024Inspection
    Observed that safety equipment and documentation appeared current, and staff and resident files were in order. Due to time restraints, the annual visit was not completed and a follow-up was planned.
    05 Apr 2024Inspection
    Observed an incident where two residents argued, one pulled the other from a wheelchair, causing both to fall. Staff separated them, 911 was called, and both refused treatment; no deficiencies observed.
    05 Apr 2024Inspection
    Observed an unannounced quarterly visit with updated documentation and improved records practices after reviewing logs and training records.
    05 Mar 2024Inspection
    Identified that an individual previously excluded from all locations was not currently employed at the site. Verified the exclusion and discharge letters, and confirmed the individual has not been present since 03/07/2023.
    17 Jan 2024Inspection
    Identified ongoing problems with medication logs and missing signatures, and noted multiple complaints and Type A citations in 2023.
    10 Jan 2024Inspection
    Observed improved documentation overall, but the narcotics log was missing three signatures for January.
    • Type B87465(a)(4)
    10 Jan 2024Complaint
    Reviewed complaints about hygiene, grooming, cleanliness, and linens; findings showed residents were cared for and conditions appeared clean.
    15 Nov 2023Complaint
    Investigated an eviction issue involving a resident. The responsible party was not notified of a 30-day eviction notice.
    • Type B87224(b)(3)
    15 Nov 2023Complaint
    Investigated the allegation that a resident was illegally evicted and found it unfounded.
    02 Nov 2023Inspection
    Investigated a complaint that a resident pushed another resident to the ground in front of staff; staff separated them and police were notified.
    04 Oct 2023Complaint
    Investigated two allegations: staff stole items from a resident's room and staff did not provide a comfortable temperature. The investigation could not determine whether these allegations occurred.
    04 Oct 2023Inspection
    Conducted a records review; resident service plans updated, MARs signed, and the medication room narcotics log signed.
    25 Sept 2023Inspection
    Observed an unannounced case management visit after a resident report; no deficiencies were observed and the resident was not present at the time.
    11 Sept 2023Complaint
    Found that the allegation that staff illegally evicted a resident was unfounded.
    17 Aug 2023Inspection
    Investigated a complaint about police involvement after a health and safety check reportedly went unanswered. The administrator explained the maintenance team called the police and no deficiencies were observed.
    05 Jul 2023Complaint
    Investigated complaints found safety and maintenance concerns including water damage, floors in disrepair, a call button in disrepair, and a sliding door in disrepair, plus residents not checked on promptly. Other concerns about temperature, pressuring for confidential information, and yard condition were unfounded.
    05 Jul 2023Inspection
    Investigated two power outages affecting residents; emergency lights remained on, fans provided, and residents were checked every 30 minutes; no deficiencies observed.
    29 Jun 2023Inspection
    Identified deficiencies related to care and supervision, incidental medical care, personal rights, maintenance and operation, and managed incontinence during a non-compliance conference.
    23 Jun 2023Inspection
    Observed the delivery of exclusion orders directing a staff member to leave all facilities and the administrator to leave the site; no citations were issued.
    20 Jun 2023Inspection
    Identified three incidents that led to hospitalizations and reviewed the residents' files and discharge orders, noting one resident remained hospitalized awaiting biopsy. No deficiencies were observed.
    08 Jun 2023Inspection
    Observed unsigned narcotics logs on multiple days and medication errors during night shifts; reviewed resident records showed updated service plans and MARs signed.
    04 May 2023Inspection
    Identified several health and safety deficiencies, including a fire clearance issue for non-ambulatory residents, a malfunctioning signal system, gaps in medication administration, and noticeable cleanliness, odor, mold, and maintenance concerns.
    • Type A87202(a)(1)
    • Type A87303(i)(1)(A)
    • Type A87465(a)(1)
    • Type A87303(a)(1)
    • Type A87303(e)(6)
    • Type A87307(a)(3)(B)
    • Type A87307(a)(3)(C)
    • Type A87307(d)(2)
    • Type B87303(a)(1)
    • Type B87303(e)(6)
    • Type B87307(a)(3)(B)
    • Type B87307(a)(3)(C)
    • Type B87307(d)(2)
    04 Apr 2023Inspection
    Identified two residents went AWOL from the site on 03/26/23 and 04/02/23; staff searched the grounds, activated 911, and Stockton Police located them nearby and returned them.
    21 Mar 2023Inspection
    Identified medication documentation errors, outdated Needs and Services Plan, and failure to report incidents to the department, impacting resident safety. Also noted concerns regarding administrator coverage.
    • Type A87612(a)(2)
    • Type A87463(c)
    • Type A87211(a)(1)
    • Type A87465(a)(1)
    • Type B87405(a)
    13 Dec 2022Inspection
    Identified medication documentation errors and missing annual assessments, including dementia-related medical records.
    • Type A87465(a)(1)
    • Type B87463(c)
    • Type B87705(c)(5)
    01 Dec 2022Inspection
    Identified two incidents in which a resident requested to go to the hospital due to pain; the resident was treated for impetigo, pruritic rash, and pneumonia, placed under quarantine, and the physician was notified.
    10 Nov 2022Inspection
    Observed that a Title 22 deficiency was cleared and compliance achieved.
    29 Sept 2022Inspection
    Identified missing Needs and Services Plans for six residents and the absence of an approved dementia program plan. Noted that annual medical assessments for residents with dementia were not documented.
    • Type B87763(c)
    • Type B87463(c)
    • Type B87705(c)(5)
    14 Sept 2022Inspection
    Conducted an unannounced case management visit to deliver amended complaint materials and civil-penalty paperwork. Met with the administrator and conducted an exit interview.
    13 Sept 2022Complaint
    Investigated and identified that medications and blood sugar checks were not consistently documented as administered. Bed linen supplies were inadequate for residents.
    • Type A87465(a)(4)
    • Type A87465(a)(1)
    • Type B87468.1(a)(2)
    13 Sept 2022Inspection
    Identified that a resident eloped from the facility on 9-2-22 and 9-12-22 without staff supervision, creating immediate health and safety risk.
    • Type A1569.312(d)
    13 Sept 2022Inspection
    Identified inconsistencies in medication log sheets, including insulin administration records missing initials and transcription discrepancies on another medication.
    • Type A87411(a)
    13 Sept 2022Complaint
    Investigated allegations found supervision lapse leading to a resident eloping and medications not being provided as prescribed; an additional allegation regarding incontinent supplies lacked sufficient evidence.
    06 Sept 2022Inspection
    Observed inadequate supervision, including a resident eloping, and a dementia diagnosis lacking an annual medical assessment; an outdated kitchen fire suppression system was noted, and an immediate civil penalty was assessed.
    • Type A1569.312(d)
    • Type ACCR87705(c)(5)
    • Type ACCR87203
    29 Aug 2022Inspection
    Identified multiple licensing citations related to reporting failures, elopement incidents, resident safety, and maintenance concerns.
    • Type A87211(a)(1)(B)
    • Type A87211(a)(1)
    • Type A87211(a)(1)(D)
    • Type A87458(b)(4)
    • Type A1569.312(d)
    • Type A87705(c)(5)
    • Type A87303(a)
    • Type A87468.1(a)(2)
    • Type A87468(c)
    • Type B87411(a)
    • Type B1569(a)(8)(B)
    • Type B87224(a)
    12 Aug 2022Inspection
    Identified that a resident eloped from the facility on 8/7/2022 and staff were unaware of the resident's whereabouts, creating a health and safety risk; an immediate civil penalty was assessed.
    • Type A1569.312(d)
    • Type B87705(c)(5)
    03 Aug 2022Inspection
    Identified that four residents eloped between May 7 and July 15, 2022, and staff were not aware of their general whereabouts. Licensing did not receive timely incident reports for these events, and a civil penalty of $250 was assessed.
    • Type A1569.312(d)
    • Type A87211(a)(1)(D)
    29 Jul 2022Complaint
    Determined that a 30-day eviction notice for a resident was issued but not submitted to the licensing agency within the required five days.
    • Type B87224(f)
    15 Jul 2022Inspection
    Identified that an addendum shortened eviction notice to less than 30 days, potentially risking health, safety, and resident rights.
    • Type B87224(a)
    15 Jul 2022Complaint
    Identified that a resident eloped from the site and staff were not aware of residents' general whereabouts; a staff member lacked required medication training; and the facility had peeling drywall in multiple areas.
    • Type A1569.312(d)
    • Type B1569.69(a)(8)(B)
    • Type BCCR 87303(a)
    24 Jun 2022Complaint
    Found that staffing was inadequate in the morning of May 22, 2022, resulting in only one caregiver until about 10:30 a.m. and delaying a scheduled medication pass.
    • Type B87411(a)
    24 Jun 2022Complaint
    Investigated two allegations: a resident left the premises without staff knowledge, and a resident reportedly fell and required hospital evaluation; evidence supported elopement but did not prove injury from the fall.
    • Type A87458(b)(4)
    • Type B87211(a)
    18 May 2022Complaint
    Identified staffing shortages on the morning shift on May 2, 2022, which delayed the morning medication pass.
    • Type B87411(a)
    10 May 2022Complaint
    Found that the allegations about odors, visitor screening, missing resident property, and residents leaving without staff notification were unsubstantiated. The concerns about the screen door and mini-blinds being in disrepair were unfounded.
    27 Apr 2022Inspection
    Observed no deficiencies during a case management visit conducted by Licensing staff.
    13 Apr 2022Complaint
    Identified failures to follow COVID-19 screening procedures and to post Residents' Rights and Ombudsman posters in view of residents.
    • Type B87468.1(a)(2)
    • Type B87468(c)
    06 Apr 2022Inspection
    Observed a case management visit addressing a resident eviction, with discussion of eviction regulations and coordination with the Ombudsman and family; no deficiencies were cited.
    18 Mar 2022Inspection
    Observed infection control procedures in place and no deficiencies cited; fire safety equipment and emergency plans appeared in compliance.
    10 Mar 2022Complaint
    Investigated allegations that residents were not assisted with medications in a timely manner, meals were not adequate, and laundry services were not provided. The evidence did not support these claims.
    04 Mar 2022Inspection
    Identified that a resident tested positive for an infectious disease on 2/28/22 and the incident was not reported to licensing.
    • Type B87211(a)(1)(B)
    • Type B87211(a)(2)
    16 Feb 2022Complaint
    Identified no evidence of a water leak or mold in the resident's room and insufficient evidence to support the allegation about safeguarding belongings.
    05 Jan 2022Inspection
    Investigated a complaint alleging bathroom flooring near the toilet was separated and unsecured, creating a potential safety risk.
    • Type B87303(a)
    10 Dec 2021Complaint
    Investigated whether a resident did not receive proper meal assistance; found insufficient evidence to prove the allegation.
    03 Dec 2021Complaint
    Identified insufficient overnight staff on a shift, leaving one of two scheduled workers unavailable and resulting in a resident needing a lift assist from the Fire Department after a fall.
    • Type B87415(a)(2)
    18 Nov 2021Complaint
    Identified scabies and bed bug issues affecting several residents.
    • Type B87468.1(a)(2)
    02 Nov 2021Complaint
    Identified a lapse in medication management when one prescribed medication was not ordered, not filled, and not available for a period, and MAR documentation was incomplete.
    • Type B87465(c)(2)
    18 Oct 2021Complaint
    Investigated allegations that a resident left the facility without staff supervision and that a resident was assaulted by a roommate. Also noted issues with a pre-placement assessment for a new admission.
    • Type B87458(b)(4)
    • Type B87457(a)(1)
    21 Sept 2021Inspection
    Identified that a positive infectious disease result was not reported to the department promptly; the lab detected a positive result on 9/2/21 but did not notify the facility until inquiry.
    17 May 2021Inspection
    Identified that a mitigation plan was prepared, safety systems were verified, and additional licensing documents were requested.
    21 Apr 2021Complaint
    Investigated three specific allegations—mail tampering, failure to provide wound bandages, and leaving the resident unattended in the shower—and found each unfounded.
    06 Apr 2021Complaint
    Identified medication administration errors and missing incident reporting, including residents going without prescribed medications.
    • Type A87405(a)(5)
    • Type A87465(a)(5)
    • Type B87211(a)(2)
    06 Apr 2021Complaint
    Investigated a complaint about resident care and medication management. Found that medications were not administered as prescribed, discharge follow-up for a resident was not completed, and residents' personal rights were not respected.
    • Type A87465(a)(5)
    • Type A80078(a)
    • Type A80072(a)(9)
    06 Apr 2021Complaint
    Investigated complaints about medication administration, follow-up on medical services, and resident dignity. Evidence in records and interviews showed missed or incorrect doses, improper storage of medications, and failure to follow discharge orders.
    25 Feb 2021Complaint
    Found illegal eviction allegation unsubstantiated.
    14 Dec 2020Inspection
    Updated the COVID-positive resident list with DOB and symptom details and added current location and ethnicity fields, with mass testing completed and results pending for all residents. Two residents were sent to the ER on separate dates; no incident report was submitted, an advisory on reporting requirements was issued, daily health and safety calls were scheduled, and requests were made for medical necessity transfers, orders, lab results, and emergency contact information for new positives.
    03 Nov 2020Complaint
    Investigated a complaint that the telephone line was not operating correctly, with calls dropping and lines going to a busy signal.
    • Type B87468.1(a)(9)(a)
    05 Oct 2020Complaint
    Investigated two specific allegations: that staff did not arrange medical care appropriate to the resident's conditions and needs, and that staff did not provide proper sleeping arrangements for the resident; both were unfounded.
    01 Oct 2020Complaint
    Found there was not enough evidence to prove that staff did not administer medications as prescribed by a physician. Found there was not enough evidence to prove that staff did not follow the resident’s pre-admission appraisal regarding body transfers or modified diet prescribed by a physician.
    28 Sept 2020Inspection
    Conducted an unannounced case management visit, explained to the administrator that the purpose was to interview staff about three open complaints, interviewed four staff across shifts, found no deficiencies, and conducted an exit interview with the administrator.
    27 Aug 2020Complaint
    Found that the temperature allegation did not have enough evidence, with thermostat readings ranging from 71 to 78 degrees and most residents reporting no temperature issues. Found that the insect allegation did not have enough evidence, as a few residents reported occasional insects and extermination services were performed; no deficiencies cited.
    16 Jun 2020Complaint
    Investigated four allegations: residents falling due to lack of supervision, medications not properly stored or administered, insufficient staffing to meet residents' needs, and unqualified or improperly trained staff. Determined that none of the allegations could be substantiated due to insufficient evidence.
    20 Apr 2020Complaint
    Confirmed complaint of unauthorized family member handling confidential records at the facility.
    • Type A87355(e)(1)
    • Type B87405(d)(2)
    11 Mar 2020Inspection
    Confirmed no deficiencies found during the inspection and all requirements were met.
    27 Jan 2020Inspection
    Visited facility unannounced for a case management visit in response to POC correction amend and print out. Conducted exit interview and provided 809 report and cleared POC report to the facility.
    23 Jan 2020Inspection
    Confirmed previous issues were resolved during a follow-up visit, and deficiencies observed in December had been corrected.
    12 Dec 2019Complaint
    Identified multiple deficiencies in the facility, including issues with light fixtures, ceilings, walls, vents, and appliances.
    • Type B87303(a)
    09 Dec 2019Inspection
    Identified deficiencies in personnel records and fingerprint clearance for the facility's new Administrator.
    • Type A1569.17(b)
    • Type B1569.17(b)
    21 Nov 2019Inspection
    Conducted case management visit, no deficiencies identified. New Executive Director/Administrator to start on 12/2/19.

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