I lived here and appreciated the friendly, caring staff, accommodating management, and a reliable medication clerk - administration was attentive and proactively followed up. The clean, home-like atmosphere smelled great, meals and Friday bus service were convenient, the price was fair, I made good friends, and I 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
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
2.20·(25)
Overall rating
5
4
3
2
1
Care
2.8
Staff
3.0
Meals
2.0
Amenities
2.3
Value
2.5
Pros
Friendly, accommodating caregiving staff
Attentive administrative and managerial personnel
Consistent medication-administration support
Home-like, relaxed atmosphere for memory-impaired residents
On-site transportation service (weekly bus)
Meal accommodations available (individual tray service)
Relatively lower cost compared with higher-end facilities
Opportunities for resident social connections
Owner involvement and approachable leadership
Clean common areas reported by some families
Cons
Limited English-language staffing and communication supports
Gaps in clinical coordination with external healthcare providers
Inconsistent assistance with activities of daily living (feeding, transfers)
Weak infection-control practices and outbreak communication
High caregiver turnover and staffing instability
Maintenance and pest-control shortcomings
Insufficient safeguards for resident finances and personal property
Inconsistent meal quality and dining continuity
Limited daily activities and engagement programming
Variable management stability and administrative communication
Pricing not consistently aligned with service quality
Summary of reviews
Reviews indicate a facility with clear strengths in personal warmth and a home-like environment alongside several operational weaknesses that prospective families should evaluate closely.
Care and staff: Many families describe kind, helpful caregivers and an approachable administrative team; specific staff roles such as the medication clerk were singled out positively. At the same time reviewers raised consistent concerns about staffing stability — high caregiver turnover was noted — and about responsiveness for basic assistance (for example, help with feeding and transfers). There are also repeated comments about limited English-language staffing and difficulties coordinating with outside medical providers, which appear to have affected some families’ confidence in clinical oversight and follow-up care.
Dining and activities: Meal accommodations (such as individual tray service when a meal is missed) and routine transportation services (a weekly bus) are cited as useful features. However, there are ongoing concerns about inconsistent meal quality and interruptions to dining continuity, as well as a desire for more daily activities and engagement programming. For residents needing hands-on assistance at mealtimes, some families experienced gaps in support.
Facilities and sanitation: Accounts vary: several families praised cleanliness and a pleasant atmosphere, while others noted odor concerns, maintenance problems (including roof leaks), and pest-control concerns in some rooms. These contrasting reports suggest variability in facility upkeep across units. Families also raised issues with handling of residents’ personal belongings and laundry, indicating weaknesses in property controls that could merit direct administrative clarification.
Management, communication, and infection control: Management presence and an accommodating manager were seen as positives by some, but other reviewers described managerial transition and inconsistent administrative communication. Infection-control practices emerged as a significant pattern: reviewers described a COVID outbreak with delayed family notification and concerns about staff masking and vaccination status. Those events were associated with hospitalizations and prolonged health effects for some residents and financial impact for families, underscoring the need to clarify current infection-prevention policies and outbreak protocols.
Value and overall impression: The facility is often considered more affordable than higher-end alternatives and can provide a relaxed, social environment where residents make friendships and families find comfort. Conversely, questions about pricing relative to service reliability were raised by others. Experiences appear to vary widely between units and over time — some families would recommend the facility and recall positive memories, while others advise caution.
Practical guidance: Prospective residents and families should conduct an in-person tour and ask targeted questions about current staffing levels and turnover, English-language support, ADL assistance protocols (mealtimes and transfers), medication-administration controls, policies for resident finances and property, maintenance/pest-control procedures, infection-prevention measures (including staff vaccination and masking policies), and how the facility communicates with families and external healthcare providers. Doing so will help determine whether the facility’s positives align with an individual resident’s care needs and risk tolerance.
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Location
Santa Fe Assisted Living is located at 55425 Santa Fe Trl, Yucca Valley, CA, 92284.
About Santa Fe Assisted Living
Braswell's Santa Fe Assisted Living sits in Yucca Valley, California, offering a calm desert setting with easy access to main highways, and this is a place that's really focused on giving older adults a safe and supportive environment where they can get help with daily tasks like bathing, dressing, and managing their medicine, and folks who live here have choices when it comes to how they live because the community offers studio, one-bedroom, and semi-private apartments, all with large, private bathrooms that help people keep their independence, and if you want to bring a pet along, well, some are welcome since the place is pet-friendly, and everybody from staff to residents seems to be open and friendly, with staff available around the clock to help out with all sorts of needs, whether you need help getting from bed to a wheelchair, overseeing medicines, or even monitoring blood sugar levels, though they don't give insulin shots.
Braswell's provides a variety of services that make life easier and more comfortable, including three meals a day, laundry and housekeeping, beauty salon visits, and activities spread out through communal spaces like the craft room, TV room, a two-story lounge with a fireplace, and a fully enclosed patio with a springtime fountain, and you'll find that transportation is complimentary for trips to appointments or outings, and the staff can help with paying bills or support with paperwork if a resident or family needs it, plus there's advocacy for medical appointments and even power of attorney support available when needed.
The memory care wing is especially designed for people with Alzheimer's or other memory issues, giving them more support and safety along with individual care plans, and everyone has a chance to join in on social, educational, and arts activities meant to get folks together, keep minds sharp, and encourage gentle exercise, and with devotional services on and offsite, a piano in the common room, Wi-Fi and reading areas, as well as vegetarian and kosher food options, staff do their best to meet a wide range of needs and preferences for people 55 and older.
No smoking is allowed indoors, there's hospice care for residents who need end-of-life support, and meals are provided to save residents time and money, while the atmosphere encourages socializing in the dining areas or during indoor gatherings, with a friendly and joyful staff always around, keeping daily life running smoothly and respectfully, and families get support too, with ongoing help and clear updates about their loved ones' care. This is a licensed assisted living community, focused on comfort, safety, and supporting as much independence as possible for every resident in the peaceful Yucca Valley setting.
People often ask...
Santa Fe Assisted Living offers competitive pricing, with rates starting at a cost of $5,045 per month.
Santa Fe Assisted Living offers assisted living and memory care.
There are 1 photos of Santa Fe Assisted Living on Mirador.
The full address for this community is 55425 Santa Fe Trl, Yucca Valley, CA 92284.
No, Santa Fe Assisted Living does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.
Identified that a staff member verbally abused a resident during care. Other allegations—unexplained bruises, wrong medication, training, hygiene assistance, and leaving the resident in soiled diapers—were reviewed and not supported by the evidence.
Type B87413(a)(2)
25 Mar 2026Complaint
25 Mar 2026Complaint
Investigated allegations that staff spoke inappropriately to a resident and yelled at a resident, and that electricity in a resident's room was not in disrepair. Observations showed electricity functioning and interviews indicated no staff used inappropriate language or yelled at residents.
Type B87465(a)(2)
Type B87465(a)
25 Mar 2026Complaint
25 Mar 2026Complaint
Investigated allegations about feeding adequacy, safeguarding personal belongings, and hallway cleanliness; observed residents able to feed themselves, labeled clothing items, and clean memory care hallways.
16 Mar 2026Inspection
16 Mar 2026Inspection
Found a hand saw left unlocked and unattended in the dining room, posing an immediate risk to residents.
Type A87309(a)
16 Mar 2026Complaint
16 Mar 2026Complaint
Investigated the allegations that carpets in residents' bedrooms were not kept clean. Observed that several bedroom carpets were visibly soiled and one faucet leaked with the cold water side not functioning.
Type B87303(a)
16 Mar 2026Complaint
16 Mar 2026Complaint
Investigated a complaint alleging multiple care and safety issues, including dietary adequacy, snacks between meals, bathroom door repairs, intervention during resident altercations, safeguarding belongings, and responses to alleged kicking, yelling, or shower maintenance. The findings indicated these allegations were unsubstantiated.
12 Feb 2026Complaint
12 Feb 2026Complaint
Investigated the allegation that a resident's representative was not provided prompt access to resident records, and found the requested documents were not provided within the time allowed by regulation.
Type B87506(c)(1)
12 Feb 2026Complaint
12 Feb 2026Complaint
Found that staff did not provide the resident's records to the authorized representative within the time allowed by regulation.
Type B87506(c)(1)
11 Feb 2026Inspection
11 Feb 2026Inspection
Investigated allegation 56-AS-20260107125029 and collected information during an unannounced follow-up.
11 Feb 2026Inspection
11 Feb 2026Inspection
Investigated an incident in which a resident sustained an injury during an alleged altercation with a staff member; no deficiencies were cited.
04 Feb 2026Inspection
04 Feb 2026Inspection
Investigated a complaint alleging concerns about resident care and safety and interviewed staff and residents.
16 Jan 2026Complaint
16 Jan 2026Complaint
Investigated an allegation that staff neglect caused a resident's death. The findings showed a fall with head injury occurred, staff were short-staffed, and there wasn't a preponderance of evidence to prove the allegation.
09 Jan 2026Complaint
09 Jan 2026Complaint
Investigated a complaint about resident care and safety; findings showed all allegations were unsubstantiated.
15 Dec 2025Complaint
15 Dec 2025Complaint
Investigated five allegations about food service, menus, dietary needs, behaviors, and administrator hours; evidence showed staff provided adequate food service and menus, dietary needs were met, no inappropriate behaviors observed, and administrator hours were sufficient.
04 Nov 2025Inspection
04 Nov 2025Inspection
Investigated an incident in which a resident sustained an injury during an alleged altercation with a staff member.
04 Nov 2025Complaint
04 Nov 2025Complaint
Investigated allegations that staff engaged in inappropriate behavior in residents' presence and retaliated against a resident. Found no preponderance of evidence to prove the violations.
24 Oct 2025Complaint
24 Oct 2025Complaint
Investigated six allegations about medications, medication records, feeding assistance, scheduled activities, residents' clothing, and clean linens; findings did not establish violations.
03 Oct 2025Inspection
03 Oct 2025Inspection
Identified an immediate safety risk from unlocked kitchen knives and several deficiencies in staff training and resident admissions paperwork.
Type ACCR87309(a)
Type BCCR87411(c)(1)
Type BCCR87412(f)
Type BHSC1569.626(a)(2)
Type BCCR87507(c)
14 Jul 2025Inspection
14 Jul 2025Inspection
Identified missing documentation of bed bug treatment and/or inspection by an outside extermination company. Civil penalties were assessed for failure to provide the required documentation, with penalties accruing daily until proof of correction is received.
03 Jul 2025Complaint
03 Jul 2025Complaint
Investigated an allegation that bed bugs were not controlled; found bed bugs in several rooms and measures to control spread were not effective.
Type A87303(a)
03 Jul 2025Complaint
03 Jul 2025Complaint
Investigated the allegations that staff did not properly relocate a resident and withheld a resident's belongings; found insufficient evidence to prove the claims.
19 May 2025Complaint
19 May 2025Complaint
Identified staff financially abusing a resident, including attempts to open a credit account in the resident’s name and use of the resident's bank card.
Type A87468.2(a)(8)
19 May 2025Inspection
19 May 2025Inspection
Investigated complaint 56-AS-2025021414323.
09 May 2025Inspection
09 May 2025Inspection
Found that copies or originals of a discharged resident's records were not retained for three years. A civil penalty was assessed for repeating the violation within 12 months.
Type B87506(e)
17 Apr 2025Complaint
17 Apr 2025Complaint
Investigated two allegations: malodors in common areas and air conditioning problems. Interviews and observations showed no malodors in common areas and that the air conditioning operated properly.
11 Mar 2025Inspection
11 Mar 2025Inspection
Investigated a resident death and reviewed related documentation. Preliminary cause believed to be heart failure.
19 Feb 2025Inspection
19 Feb 2025Inspection
Identified that original resident records or photographic reproductions were not retained for three years after discharge.
Type B87506(e)
22 Jan 2025Complaint
22 Jan 2025Complaint
Investigated a complaint alleging staff did not meet residents' care plan needs and did not serve food healthfully. The allegations were unsubstantiated.
17 Jan 2025Complaint
17 Jan 2025Complaint
Investigated an allegation that staff did not provide adequate supervision resulting in a resident eloping and reviewed an allegation about wheelchair security and residents' hygiene needs.
Type A87468.2(a)(4)
21 Oct 2024Inspection
21 Oct 2024Inspection
Investigated the death of a resident who left the premises without adequate supervision and was struck by a vehicle.
Type A1569.269(a)(6)
Type A87466
Type A87463
Type A87461
21 Oct 2024Inspection
21 Oct 2024Inspection
Identified incidents that threatened residents' health and safety were not reported to licensing. Observed a strong odor and dirty floors in the memory care area.
Type B87211(a)
Type B87303(a)
23 Aug 2024Inspection
23 Aug 2024Inspection
Observed multiple health and safety deficiencies during the visit, including hot water temperatures above the allowed range in several bathrooms and roaches observed in a resident area. Also noted missing chair in a resident room, lack of an up-to-date activity plan, missing admissions agreements for multiple residents, an unsigned physician's report for a resident, and no current disaster drill on file.
Type A87303(a)
Type A87303(e)(2)
Type B87219(f)
Type B87506(a)
Type B87507(d)
Type BHSC1569.695(c)
21 Aug 2024Inspection
21 Aug 2024Inspection
Identified a storage safety issue when a Raid insecticide spray was found next to a resident's bed and was removed.
Type A87309(a)
21 Aug 2024Complaint
21 Aug 2024Complaint
Identified three allegations about transport to appointments, theft of a resident's phone, and lighting in resident rooms; interviews showed transportation occurred, one hallway light was non-working, and there was insufficient evidence to confirm the phone theft.
Type B87303(d)
02 Mar 2024Complaint
02 Mar 2024Complaint
Investigated complaints found that resident records were not current or complete; other allegations had insufficient evidence.
Type B87506(a)
Type B87458
11 Jan 2024Complaint
11 Jan 2024Complaint
Investigated an allegation that staff did not ensure a resident was bathed. Interviews and daily care logs indicated baths were not performed as scheduled.
Type A87464(f)(4)
28 Dec 2023Complaint
28 Dec 2023Complaint
Investigated an allegation that staff unlawfully evicted a resident. The resident was returned to a hospital and waited for a bed, with records indicating staff were to return the resident if behaviors persisted, and there was no evidence of unlawful eviction.
28 Dec 2023Inspection
28 Dec 2023Inspection
Identified an amended complaint investigation related to a complaint dated 09/25/2023. The administrator signed the amended document during a case-management interaction.
21 Dec 2023Complaint
21 Dec 2023Complaint
Investigated allegations that residents lacked a sufficient supply of medication, linen, or toiletries; the findings did not prove violations.
09 Dec 2023Inspection
09 Dec 2023Inspection
Identified that the administrator did not submit a Special Incident Report about an altercation between residents that led to hospital treatment, and did not provide timely written injury reports for incidents in June.
Type B87211(a)(1)(D)
09 Dec 2023Inspection
09 Dec 2023Inspection
Confirmed an unannounced visit to amend a prior complaint, during which corrections were reviewed and signed by the administrator.
21 Nov 2023Complaint
21 Nov 2023Complaint
Investigated an allegation that a resident developed food poisoning, that nutritious meals were not provided, and that pests were present; findings showed no preponderance of evidence to prove these concerns.
04 Oct 2023Complaint
04 Oct 2023Complaint
Identified that a resident’s medications were not dispensed per physician orders and a scheduled medical appointment was missed due to miscommunication.
Type B87465(e)
Type B87465(a)(1)
25 Sept 2023Complaint
25 Sept 2023Complaint
Investigated a complaint alleging that a resident sustained injuries due to lack of care and supervision by staff. Also alleged that staff did not ensure the resident received fluids to prevent dehydration per the written care plan.
19 Sept 2023Complaint
19 Sept 2023Complaint
Investigated allegations that staff stole medications and failed to provide proper shower assistance; observed missing medications and a lack of activities for residents due to staff on medical leave.
Type A87464(f)(2)
Type B87464(f)(7)
29 Aug 2023Complaint
29 Aug 2023Complaint
Investigated allegations of ceiling, floor, and lighting disrepair and a malodorous condition; found no ongoing issues.
23 Aug 2023Complaint
23 Aug 2023Complaint
Investigated allegations that staff left residents in soiled diapers for an extended period, bribed residents, and failed to provide a comfortable living environment, and that the premises were dirty, had pests, and floors were in disrepair.
23 Aug 2023Complaint
23 Aug 2023Complaint
Investigated allegations about supervision, air conditioning, and memory care door security; found air conditioning addressed and memory care doors secured during the visit.
09 Aug 2023Complaint
09 Aug 2023Complaint
Investigated allegation that a resident's medication was not refilled in a timely manner. Delays occurred between ordering and receipt, and there was no documented follow-up with the hospital and/or doctor.
Type A87464(f)(6)
09 Aug 2023Inspection
09 Aug 2023Inspection
Identified a deficiency for not providing follow-up medical care; the deficiency was cleared on follow-up, and a civil penalty was assessed.
01 Aug 2023Inspection
01 Aug 2023Inspection
Identified multiple deficiencies during a required annual review, including roaches in the kitchen, an outdoor area not fully enclose for dementia residents, missing admissions agreements for some residents, and staff health screenings not on file.
Type A87555(b)(27)
Type A87705(h)
Type A87411(f)
Type B87411(f)
Type B87506(b)(15)
Type B87507(c)
31 Jul 2023Inspection
31 Jul 2023Inspection
Identified staff worked without criminal background clearance and resident injuries were not promptly medically addressed or reported.
31 Jul 2023Complaint
31 Jul 2023Complaint
Investigated an allegation that staff hit a resident and another that residents were left in soiled diapers for extended periods. There was not enough evidence to corroborate either allegation.
07 Jul 2023Complaint
07 Jul 2023Complaint
Investigated allegations that staff could not communicate effectively with residents. Investigated also concerns that residents were not provided an adequate quantity of food, transportation assistance was not provided, residents were left in soiled diapers for long periods, a resident was left on the floor for an extended period, and staff spoke inappropriately to residents.
28 Jun 2023Complaint
28 Jun 2023Complaint
Investigated allegation that staff withheld residents' personal funds.
Type B87468.1(a)(3)
27 Jun 2023Complaint
27 Jun 2023Complaint
Investigated three complaints about a resident sustaining injuries, being left on the floor for an extended period, and staff sleeping on residents' beds.
22 May 2023Inspection
22 May 2023Inspection
Verified signatures on an amended complaint investigation report following a complaint.
26 Apr 2023Complaint
26 Apr 2023Complaint
Investigated the allegation that staff failed to ensure safe personal hygiene in the kitchen. Observations showed staff wore masks, gloves, and hair nets; no food was left out, and kitchen surfaces were clean, with resident interviews not indicating hygiene concerns.
03 Apr 2023Inspection
03 Apr 2023Inspection
Identified that a resident fall on 1/23/23 was not reported to licensing, and two staff health screenings were not verifiable.
Type B87412(f)
Type B87211(a)(1)(D)
03 Apr 2023Complaint
03 Apr 2023Complaint
Investigated allegations of mismanaged medication, unsafe environment, and untrained staff; interviews and records did not corroborate the allegations.
03 Apr 2023Complaint
03 Apr 2023Complaint
Found no evidence that staff hit a resident. One resident had an unwitnessed fall resulting in a minor injury; first aid was provided and an unusual incident report was filed.
13 Mar 2023Complaint
13 Mar 2023Complaint
Investigated a complaint alleging bed bugs and unsanitary conditions. Observations indicated no evidence of bed bugs and the premises appeared clean during the visit.
17 Feb 2023Complaint
17 Feb 2023Complaint
Investigated an allegation that a resident had multiple falls due to lack of supervision and an allegation that a staff member physically abused a resident causing injury. Found there was not a preponderance of evidence to prove the allegations.
26 Jan 2023Complaint
26 Jan 2023Complaint
Identified roaches throughout the site and found that exterminator recommendations to control pests were not implemented.
Type A87303(a)(c)
26 Jan 2023Complaint
26 Jan 2023Complaint
Investigated five allegations about staff actions and resident care; findings showed no evidence to support the alleged violations.
12 Jan 2023Inspection
12 Jan 2023Inspection
Identified failures to attach a staff member's criminal background clearance to the records and to ensure annual medical assessments and reappraisals for a resident with dementia. A civil penalty was assessed for the clearance issue.
Type A87355(e)(2)
Type A87705(c)(5)
12 Jan 2023Complaint
12 Jan 2023Complaint
Found that a resident sustained injuries after another resident attacked them, with evidence of staff neglect and insufficient supervision during overnight hours.
Type A87468.1(a)(3)
12 Jan 2023Inspection
12 Jan 2023Inspection
Identified that a staff member worked without criminal background clearance since 06/07/2021, creating immediate health and safety risk to residents.
Type A87355(e)(1)
09 Jan 2023Inspection
09 Jan 2023Inspection
Observed a clean kitchen with adequate food supplies and a heat-treatment method for bed bugs. Noted inconsistencies in medication records and MAR documentation.
23 Dec 2022Inspection
23 Dec 2022Inspection
Observed no health or safety hazards inside or outside, with sufficient staff present and adequate food supplies (three-day perishable, seven-day non-perishable) to meet residents' needs.
16 Nov 2022Complaint
16 Nov 2022Complaint
Investigated four allegations and concluded there was not a preponderance of evidence that any violation occurred.
07 Sept 2022Complaint
07 Sept 2022Complaint
Identified that air conditioning in common areas and the main kitchen was not working, causing uncomfortable temperatures based on resident and staff reports.
Type B87468.1(a)(2)
26 Aug 2022Complaint
26 Aug 2022Complaint
Investigated an allegation that residents did not receive activities; evidence showed no activities were provided. Also reviewed allegations about bruises and nutritional needs, but found no corroborating evidence of bruises or unmet nutrition.
Type B87705(c)(7)
09 Aug 2022Inspection
09 Aug 2022Inspection
Identified that a staff member worked for four months without required criminal background clearance and that the kitchen pantry contained expired food items.
Type A87355(e)(1)
Type B87555(b)(9)
09 Aug 2022Complaint
09 Aug 2022Complaint
Investigated a complaint that staff did not treat a resident with dignity and found insufficient evidence to prove the allegation.
01 Aug 2022Inspection
01 Aug 2022Inspection
Identified a deficiency in case management from a prior deficiency issued on 07/28/2022 during a follow-up visit.
28 Jul 2022Inspection
28 Jul 2022Inspection
Identified a pull button near a resident bed in disrepair and failure to report unwitnessed falls.
Type A87303(a)
Type B87211(a)
28 Jul 2022Complaint
28 Jul 2022Complaint
Investigated a complaint about incident reporting. Found evidence supporting improper reporting and not enough evidence of unlawful evictions.
Type B87705(b)(1)
Type B87208
12 Jul 2022Complaint
12 Jul 2022Complaint
Investigated allegations that staff engaged in inappropriate interactions in the presence of residents, did not treat residents with dignity, marijuana was smoked on the premises, medications were not administered as prescribed, and the environment was uncomfortable; concluded there was insufficient evidence.
25 Apr 2022Complaint
25 Apr 2022Complaint
Investigated concerns about staffing, call-button response, and resident care, including a reported death and toileting and bathing needs; found no evidence to support these allegations.
Type A87705(c)(4)
Type A87303(a)
Type B87705(b)(1)
25 Apr 2022Complaint
25 Apr 2022Complaint
Investigated five allegations about staff treatment and conduct. Found no corroborating evidence to support the claims.
25 Mar 2022Inspection
25 Mar 2022Inspection
Investigated a death report by conducting an unannounced visit, requesting medical and admission documents, and conducting an exit interview.
25 Feb 2022Complaint
25 Feb 2022Complaint
Identified lack of activities for residents, based on interviews with residents and staff. Also examined the allegation that residents were locked in their rooms; interviews indicated residents were not locked in and staff were not sleeping on duty.
Type B87705(c)(7)
02 Feb 2022Inspection
02 Feb 2022Inspection
Observed no imminent health and safety hazards related to the complaint 18-AS-20220128162918. Found sufficient food supplies and that residents' needs were met.
21 Jan 2022Inspection
21 Jan 2022Inspection
Observed no imminent health or safety concerns during a health and safety check. Sufficient staff and an adequate supply of food were available to meet residents' needs.
18 Jan 2022Complaint
18 Jan 2022Complaint
Investigated the allegation of lack of supervision resulting in a resident wandering away; interviews indicated the resident left while only two staff were on duty.
Type A87705(k)(8)
18 Jan 2022Inspection
18 Jan 2022Inspection
Investigated the death of a resident who was found unresponsive after a water leak near the room. No information indicated a lack of care or supervision.
14 Dec 2021Complaint
14 Dec 2021Complaint
Found staff wore PPE and there were adequate supplies. Pest control was performed monthly with no evidence of pests and residents and staff described premises as clean.
14 Dec 2021Complaint
14 Dec 2021Complaint
Investigated the allegation that staff did not wear masks and the allegation of a malodorous smell. Evidence did not establish either allegation, and both were unsubstantiated.
28 Oct 2021Complaint
28 Oct 2021Complaint
Found that the allegation that staff failed to meet the resident’s needs during two falls in February 2020 was not proven.
14 Oct 2021Inspection
14 Oct 2021Inspection
Observed robust infection-control measures, including a screening area, signage, hand hygiene supplies, PPE, and a designated lead for tracking COVID-19 cases, with plans for testing, isolation, and cleaning. No deficiencies were cited.
14 Oct 2021Complaint
14 Oct 2021Complaint
Investigated a complaint that staff did not follow proper COVID-19 protocols. Observations included temperature checks at entry, PPE provision and use, COVID-19 signage, hand sanitizers in common areas, and social distancing; no evidence to corroborate the allegation.
02 Aug 2021Complaint
02 Aug 2021Complaint
Found that the administrator was not present on the premises during normal working hours. Staff did not administer a resident's medications as prescribed.
Type A87465(a)(2)
Type B1569.618(a)
16 Jul 2021Complaint
16 Jul 2021Complaint
Identified a cockroach infestation, with pests observed in the kitchen area. Interviews and records did not support improper facility maintenance or mishandling residents' funds.
Type A1569.256(a)(5)
Type A1569.269(a)
14 Jun 2021Complaint
14 Jun 2021Complaint
Identified disrepair in the kitchen and plumbing with sewage leaks and lengthy repair delays. Found that a staff member did not treat a resident with dignity or respect in an incident involving ethnic remarks.
14 Jun 2021Complaint
14 Jun 2021Complaint
Identified that residents' personal records were not safeguarded, based on documents reviewed and interviews conducted.
14 Jun 2021Complaint
14 Jun 2021Complaint
Found a strong urine odor in resident bedrooms and hallways, especially in memory care, with reports of residents using closets as toilets, and noted ongoing staffing shortages with overtime and days when only one memory care staff member was on duty. Determined that several incidents were not reported to the licensing agency, including two falls and a staff injury in 2020.
14 Jun 2021Complaint
14 Jun 2021Complaint
Identified bed bugs in a dryer and on clothing; the allegation of inadequate food service could not be confirmed.
Type A1569.269(a)(5)
14 Jun 2021Complaint
14 Jun 2021Complaint
Investigated understaffing allegation and found ongoing staffing shortage with staff borrowed from a sister location to meet needs.
Type B80065(a)
14 Jun 2021Complaint
14 Jun 2021Complaint
Investigated cockroach activity in bathrooms and near sinks with pest control addressing the issue. Also reviewed feeding and diapering care for residents, including a directive to adjust portions for one resident, and routine checks, with no ongoing problems identified.
Type B1569.256(a)(5)
Type B1569.269
14 Jun 2021Complaint
14 Jun 2021Complaint
Investigated allegations that staff removed a resident's shower chair, preventing a shower, and that residents were fed rotten food; both were found unsubstantiated.
23 Feb 2021Inspection
23 Feb 2021Inspection
Identified significant staffing turnover since the December 2019 fire and a rise in incidents, with residents monitored and assessed individually. Identified possible ceiling mold, a nonfunctional heating/cooling system, bedrooms in poor condition, and bed bugs and roaches in some rooms.
08 Oct 2020Inspection
08 Oct 2020Inspection
Investigated an allegation that an employee yelled at a resident and tipped them in a wheelchair; the resident said the employee is not nice and yells, while the employee denied intentional harm. Deficiencies were identified.
27 Jul 2020Inspection
27 Jul 2020Inspection
Found adequate food and supplies for 50 residents, with meals prepared and stored properly and menus posted. Found clean, hazard-free rooms, a functioning emergency alert system with prompt responses, hot water around 110–113°F in three rooms, medications secured, and accessible fire extinguishers with shaded outdoor spaces in common areas.
30 Apr 2020Complaint
30 Apr 2020Complaint
Found that staff and residents adhered to universal precautions such as wearing masks and gloves, taking temperatures, practicing social distancing, and using hand washing stations; the allegation that staff were not following these precautions was unsubstantiated.
15 Apr 2020Inspection
15 Apr 2020Inspection
Confirmed that staff and residents were not consistently wearing masks, and a resident tested positive for COVID-19, with concerns about residents walking around sneezing and spreading the virus. Conducted a virtual inspection observing proper sanitation, posted signage, and staff adhering to PPE protocols.
Type A874119(a)
Type B87625(a)(3)
Type B87211(a)(2)
Type A87705(a)(2)
09 Mar 2020Inspection
09 Mar 2020Inspection
Investigated a fire caused by faulty electrical wiring in the ceiling, which led to the building being deemed unsafe and residents being relocated to alternative care sites.
Type B87468.1
Type B80087(a)
31 Jan 2020Complaint
31 Jan 2020Complaint
Investigated allegations that resident injuries were unexplained and staff failed to meet resident needs, both found unfounded; however, it was confirmed that staff did not administer medication as prescribed on a specific date.
Type A87465(a)(5)
27 Jan 2020Complaint
27 Jan 2020Complaint
Investigated the allegation that staff failed to administer medication and improperly managed resident behavior; found that staff ran out of medication, leaving a resident without prescribed medication for days, and also observed that staff appropriately monitored and attended to the resident's needs.
24 Dec 2019Complaint
24 Dec 2019Complaint
Found that the facility failed to follow the admission agreement regarding a resident’s belongings and refund of unused rent money.
Type B87506
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