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    $6,362 – 8,270/month
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    Gardena Retirement Center

    14741 Vermont Ave, Gardena, CA, 90247
    3.8 · 10 reviews
    • Independent living
    • Assisted living
    • Memory care
    For pricing and availability(510) 508-4507
    For the front desk(310) 327-4091

    Pricing

    $6,362+/moSemi-privateAssisted Living
    $7,634+/mo1 BedroomAssisted Living
    $8,270+/moStudioAssisted Living

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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

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    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

    3.80 · 10 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1

    • Care

      3.8

    • Staff

      3.8

    • Meals

      3.6

    • Building

      3.9

    • Value

      3.5

    Location

    Map showing location of Gardena Retirement Center

    About Gardena Retirement Center

    Gardena Retirement Center is a licensed assisted living community that opened in 2011, and the state of California gave it license number 197607366, so you know they're following official rules, and they're around local places like Harbor UCLA Medical Center and CVS Pharmacy, which makes things a little easier if you need extra services. You'll see they offer both assisted living and memory care, with help for seniors starting at age 60 and extra support for people who have dementia or mild cognitive problems, along with a tailored dementia program for those who need it, so folks get care that fits what they need. Staff are on-site 24 hours a day and help with bathing, dressing, toileting, medication, diabetes, incontinence, transferring, and grooming-plus there's on-site nurses for 12-16 hours a day and help with arranging medical appointments or working with outside health agencies if your doctor asks for it. Each room, whether it's private or shared, comes with its own bathroom, an intercom system, and you can pick furnished or unfurnished, and most of the rooms let you go right out to a balcony or a courtyard if you want a little fresh air, and they also let you bring pets like cats or dogs.

    There's regular daily housekeeping and weekly laundry, and the center's got personal options like mail and newspaper delivery, and residents get three meals a day with snacks, plus special Japanese lunches five days a week, and if you need a hand with your diet, there's dietary management with a nutritionist looking things over. Whether you're into morning coffee, weekly bingo, movie nights, or arts and crafts, they run quite a few social and cultural programs-language classes, exercises, outings in the area, resident-led activities, and daily events scheduled to get everyone moving and talking. The building itself has several dining rooms, a TV lounge, an activity room, a game room, a well-stocked library, a beauty salon, and barbershop, and even a wellness room, and if you step outside there's a quiet courtyard, walking paths, and gardens to help relax or stretch your legs a little. Elevator access makes getting around easier and there's plenty of parking for residents and visitors coming by, with visiting hours from 9 in the morning till 9 at night.

    The staff cleans common areas every day and uses hand sanitizer and masks, and since COVID-19, they've taken steps to keep people safer, following guidance from CMS, CDPH, and CDC-so there might be times when visitors are limited. This place also supports the Assisted Living Waiver Program (ALWP) for those using Medi-Cal, and for folks who only need to stay short-term, respite care is available with a seven-day minimum in either private or semi-private rooms. You can expect in-house visits from a range of medical specialists, like general doctors, internists, a podiatrist, psychiatrist, ophthalmologist, or dentist if needed, and caregivers quickly respond through a 24-hour call system in each room. Gardena Retirement Center aims to help people keep as much independence as possible while making sure daily needs are met, and you'll find the atmosphere feels open, friendly, and supportive.

    People often ask...

    State of California Inspection Reports

    146

    Inspections

    8

    Type A Citations

    34

    Type B Citations

    6

    Years of reports

    07 Apr 2025
    Found staff and resident files in order, with liability insurance and bond documents on file; no deficiencies were issued. Found bedrooms, bathrooms, and common areas clean and well-lit, with call buttons functioning, safety equipment in place and recently inspected, and water temperatures within a safe range.
    • § 9058
    14 Feb 2025
    Found insufficient evidence to prove the allegation that a resident sustained multiple unexplained bruises; no deficiencies were cited.
    29 Jan 2025
    Investigated the allegations that staff prevented visitors, did not allow residents to receive phone calls, and did not safeguard residents’ belongings; found residents could have visitors and receive phone calls, and belongings were generally safeguarded, with no evidence to support a violation.
    13 Nov 2024
    Found that a resident developed pressure injuries while in care, with stage 2 and stage 3 wounds noted after hospital transfer; staff were aware of the injuries but did not consistently treat them or obtain medical evaluation, and no wound care orders were found during the relevant period. A $500 immediate civil penalty was assessed, with enhanced penalties pending.
    • § 87468.2(8)
    • § 87465(a)(1)
    08 Jul 2024
    Investigated five allegations: 1) Staff did not allow visitors to visit residents; 2) Staff did not supply hygiene products to residents; 3) Staff did not provide food to residents; 4) Staff hit residents; 5) Staff were not assisting residents in the shower. Found no evidence to support these allegations after interviews, observations, and records review.
    05 Jun 2024
    Found that a resident was not treated with dignity by staff, with reports of bullying after the resident requested to report to police and staff discussing personal matters in front of others, compromising confidentiality.
    • § 87468.1(a)(1)
    05 Jun 2024
    Investigated two allegations: visitation interference and an unexplained bruise on a resident. Found insufficient evidence to prove or disprove either allegation.
    23 May 2024
    Found that the allegation of lack of supervision resulting in a physical altercation between residents could not be proven or disproven, and the allegation is unsubstantiated.
    01 May 2024
    Investigated the allegation that staff refused to provide a resident with medications and found that the resident's blood pressure medication was not provided when requested, supported by packs in the med room and daily medication records. Investigated the allegation that staff do not treat residents with dignity and respect; interviews indicated residents were treated respectfully and no evidence of disrespect was observed.
    • § 87468.1(a)(16)
    01 May 2024
    Confirmed staff refused to provide resident with medications, but found no evidence of staff disrespecting residents.
    18 Apr 2024
    Confirmed that resident had phone access restricted due to making prank calls to the police department.
    • § 87468.2(8)
    • § 87465(a)(1)
    18 Apr 2024
    Found that staff prevented a resident from making or receiving private phone calls by taking the phone and unplugging the landline; some residents reported that calls were handled at the front desk.
    • § 85072(b)(9)
    11 Apr 2024
    Investigated four allegations about ID theft, missed medical appointments, medication administration, and residents’ contact with family. Found insufficient evidence to determine whether these events occurred.
    25 Mar 2024
    Investigated the allegation of illegal eviction and determined there was not sufficient evidence to prove whether it occurred.
    25 Mar 2024
    Confirmed no deficiencies during the inspection.
    25 Mar 2024
    Found no deficiencies during the unannounced annual visit; observed 96 residents, 54 bedrooms, clean and well-maintained living areas, proper medication storage, functioning safety systems, adequate food supply, and an up-to-date disaster drill.
    18 Mar 2024
    Investigated the claim that staff did not release a resident's personal items upon discharge and found insufficient evidence to support it.
    • § 85072(b)(9)
    18 Mar 2024
    Investigated the claim that staff did not release a resident’s personal belongings after discharge. Interviews with staff and residents and review of records revealed no clear evidence to support the claim; most staff said belongings could be released, and residents described varying experiences.
    26 Feb 2024
    Found no sufficient evidence to corroborate that a resident was left unattended in a wheelchair outside for an extended period. Found no sufficient evidence to corroborate that staff did not meet residents’ needs, with interviews indicating residents’ needs were met and policies regarding smoking and wheelchair use were considered.
    26 Feb 2024
    Confirmed allegations of staff leaving a resident unattended and not meeting resident needs were found to be unsubstantiated based on interviews and observations.
    07 Feb 2024
    Investigated allegations of failure to arrange medical care and failure to dispense prescribed medications but did not find enough evidence to support the claims.
    • § 87468.1(a)(16)
    07 Feb 2024
    Found insufficient evidence to prove the allegation that staff did not arrange for medical care as needed and the allegation that staff did not dispense medications as prescribed.
    18 Jan 2024
    Staff at the facility were found to have withheld a resident's personal mobility device, against the program rules.
    18 Jan 2024
    Found that staff withheld a resident's personal mobility device. Identified that the mobility-aid rules were not approved, and interviews indicated several residents lacked wheelchairs while staff stated devices were not allowed.
    • § 80072(a)(2)
    11 Jan 2024
    Investigated allegations that staff prevented a resident from leaving, did not ensure medical appointments, provided inadequate meals, left a resident’s room in disrepair, and mismanaged resident funds. Found insufficient evidence to corroborate these allegations.
    11 Jan 2024
    Reviewed allegations of inadequate care, including preventing a resident from leaving, ensuring attendance at medical appointments, providing adequate meals, maintaining room conditions, and mismanaging funds, and determined no sufficient evidence to support any allegations.
    • § 87468.1(a)(1)
    06 Dec 2023
    Visited to investigate reports of residents drinking excessively, resulting in violations of their personal rights.
    06 Dec 2023
    Identified violations of residents' rights related to alcohol incidents: one resident was made to sit outside until sober, and another resident's room was checked for alcohol and the resident confined to their room. Deficiencies were noted.
    • § 87468.1(a)(3)
    30 Oct 2023
    Allegation of lack of supervision leading to physical altercation between residents on a specific date was found to be unsubstantiated.
    • § 80072(a)(2)
    30 Oct 2023
    Investigated; found insufficient evidence to prove the allegation that lack of supervision led to a resident-on-resident physical altercation. The incident occurred on 10/4/23 around 5am, staff intervened, with one resident transported to a hospital and another treated on-site; interviews with residents and staff yielded mixed accounts.
    29 Sept 2023
    Reviewed allegations including staff dispensing unprescribed medications, denying private family visits, and not allowing residents to keep personal possessions; insufficient evidence found to confirm any violations occurred.
    29 Sept 2023
    Identified that the allegation that staff dispensed medications not prescribed to a resident had insufficient evidence and was unsubstantiated. Identified that the allegations that residents were not allowed private visits with family and that residents were not allowed to keep their own personal possessions had insufficient evidence and were unsubstantiated.
    29 Sept 2023
    Found insufficient evidence to support the allegation that staff did not assist residents. Interviews with staff and residents indicated that help was provided when requested, and no deficiencies were cited.
    08 Sept 2023
    Reviewed inspection report regarding a 30-day eviction notice issued to a resident. Belongings were still in the room during the inspection.
    08 Sept 2023
    Investigated an eviction-related allegation about a 30-day notice for a resident; found the resident’s belongings remained in the room and collected copies of eviction notices and balances due.
    14 Aug 2023
    Investigated three allegations; found insufficient evidence that staff stole a resident's identification card or threatened residents, and found no evidence that staff interfered with visitation. Additionally determined that no deficiencies were observed.
    14 Aug 2023
    Investigated allegations of theft, interference with visitation, and threats to residents, but found insufficient evidence to substantiate any of the claims.
    26 Jul 2023
    Investigated multiple allegations, including staff not responding to residents' calls for assistance, not safeguarding belongings, restricting phone calls, and refusing visitors. Found insufficient evidence to substantiate any of the claims, leaving all allegations unproven.
    26 Jul 2023
    Investigated Allegation 1: staff not responding to residents' calls for assistance; Allegation 2: staff not safeguarding residents' belongings; Allegation 3: staff not allowing residents' personal phone calls; Allegation 4: staff not allowing visitors; found insufficient evidence to support each allegation. No deficiencies were cited.
    19 Jul 2023
    Found a 30‑day eviction notice for a resident and observed that the resident's belongings remained in room 32, with no name plate.
    19 Jul 2023
    Confirmed observation of resident's belongings still in room after receiving 30 day Eviction Notice.
    16 Jun 2023
    Confirmed that the allegation of unlawful eviction was unsubstantiated after interviews and documentation review.
    16 Jun 2023
    Investigated the allegation of unlawful eviction and found no evidence that the eviction occurred after interviews, observations, and records review. No eviction notices were found in the resident's file; the resident remained listed on the roster with belongings present in the room.
    14 Apr 2023
    Confirmed no deficiencies found during inspection of the facility housing elderly non-ambulatory adults, meeting all required regulations and practices for sanitation, safety, and resident care.
    • § 87468.1(a)(3)
    14 Apr 2023
    Found no deficiencies after an unannounced annual inspection; infection control measures, safety practices, and recordkeeping were in order, with operable fire safety equipment and appropriate temperatures.
    30 Mar 2023
    Confirmed lack of safe environment for resident, as resident was observed walking in driveway during delivery truck activity.
    30 Mar 2023
    Identified safety concerns due to a resident pacing in the driveway while a delivery truck backed into the area, creating potential harm; supported by interviews and record reviews.
    • § 87303(a)
    15 Mar 2023
    Confirmed illegal eviction due to non-payment of rent.
    15 Mar 2023
    Identified illegal eviction after the administrator issued a 30-day eviction notice for nonpayment of rent but did not forward a copy to licensing within 5 days.
    • § 87224(f)
    24 Feb 2023
    Investigated an allegation of unlawful eviction, but insufficient evidence was found to support the claim. No deficiencies were observed during the visit.
    24 Feb 2023
    Found the unlawful eviction allegation not established after reviewing documents and interviewing staff. The resident's belongings remained in the room and no eviction notice was issued, while medical records indicated a higher level of care and wound care was required that could not be provided at that time, with return possible only after medical clearance.
    19 Dec 2022
    Found evidence supporting allegations of resident sustaining unexplained injury and staff not seeking timely medical care, leading to substantiation based on record reviews and interviews.
    19 Dec 2022
    Found that a resident sustained an unexplained injury while in care. Found that staff did not seek medical care promptly after discovering the wound.
    • § 87466
    • § 87411(d)(5)
    13 Dec 2022
    Confirmed allegation of Unlawful Eviction at the facility was unsubstantiated.
    13 Dec 2022
    Found insufficient evidence to prove the allegation of unlawful eviction. Evidence from observations and interviews showed the resident was present in their room after hospitalization and no eviction notices were found in the records.
    09 Nov 2022
    Investigated allegations that staff retained a resident requiring a higher level of care and found insufficient evidence to support the claim. Concluded no deficiencies were identified, and an exit interview occurred.
    09 Nov 2022
    Investigated the allegation that staff retained a resident who requires a higher level of care; interviews with staff and residents indicated the resident received a safe, comfortable environment with appropriate care and supervision, including weekly doctor visits. There was not enough evidence to support the allegation.
    06 Oct 2022
    Identified a safety concern where a resident with a walker repeatedly paced the driveway as a truck backed in. Interviews and records showed others paced or walked in the driveway to smoke, and several residents have confusion or disorientation, supporting the safety concerns.
    • § 87303(a)
    06 Oct 2022
    Confirmed that residents were observed walking in the driveway and one resident appeared disoriented, substantiating the allegation of potential safety risk.
    08 Aug 2022
    Found no preponderance of evidence to support the following allegations: staff left residents in soiled diapers; staff did not answer call bells timely; staff did not meet residents’ hygiene needs; staff left residents in bed; staff did not provide lunch; staff were rough with residents; staff did not assist residents; and there was insufficient staffing.
    08 Aug 2022
    Confirmed multiple allegations of mistreatment and neglect at the facility were investigated, but there was not enough evidence to prove they occurred.
    27 Jun 2022
    Found insufficient evidence to support the following six allegations: medications not administered as prescribed, inadequate assistance with incontinence care, residents not allowed to keep personal care items in rooms, inadequate masking for staff and residents, failure to follow universal precautions, and limiting toilet paper use.
    27 Jun 2022
    Found no evidence to support allegations involving medication administration, incontinence care, personal care items, masks, universal precautions, or limited toilet paper use.
    16 Jun 2022
    Found no evidence to support the allegation that COVID-19 protocols were not followed, based on interviews, observations, and review of mitigation measures.
    16 Jun 2022
    Confirmed that COVID-19 protocols were being followed at the facility.
    07 Jun 2022
    Confirmed allegations of illegal eviction and retaliation were not supported by evidence, and were therefore unsubstantiated.
    • § 87224(f)
    07 Jun 2022
    Found the allegation that residents were not provided a comfortable environment was not supported by the evidence; staff and residents described the environment as comfortable, and music from personal devices was not disturbing others.
    07 Jun 2022
    Found the allegation that a resident was illegally evicted to be unsubstantial; found the allegation that staff retaliated against a resident to be unsubstantial.
    31 May 2022
    Confirmed no evidence of COVID-19 prevention violations or residents being confined to their bedrooms.
    31 May 2022
    Investigated two specific allegations: staff administered an unprescribed medication to a resident; the site had bed bugs. Found no evidence to support either allegation.
    31 May 2022
    Found no evidence to support the allegations that staff did not seek timely medical attention for a resident in care or that staff refused to let a resident back in; the allegations are unsubstantiated.
    31 May 2022
    Found no clear evidence to support the allegation that staff did not prevent the spread of COVID-19 or that residents were confined to their bedrooms.
    27 May 2022
    Investigated an allegation of a resident sustaining burns while in care, with findings showing the resident independently managed bathing routines and took responsibility for the incident, leaving the claim unsubstantiated due to insufficient evidence.
    27 May 2022
    Determined that the allegation that a resident sustained burns while in care involved hot water; the resident was independent and did not request staff assistance with bathing. There was not a preponderance of evidence to prove the allegation, so it was unsubstantiated.
    26 May 2022
    Found that the preponderance of evidence did not prove the allegation that staff failed to provide adequate activities. Interviews and observations showed activities were offered, residents were encouraged to participate, and daily activity calendars were in place.
    26 May 2022
    Investigated the allegation that staff were not providing adequate activities to residents; determined there was not enough evidence to prove or disprove the claim.
    • § 87303(a)
    23 May 2022
    Investigated allegation that staff did not prevent a resident from disturbing another... found not enough evidence to prove the allegation, though it may have occurred.
    23 May 2022
    Investigated the allegation that residents were allowed to work and shadow staff. Found that some residents shadowed staff or helped with simple tasks without pay, but there wasn’t enough evidence to prove that residents were performing work or that a policy violation occurred.
    23 May 2022
    Investigated allegation of residents working and assisting staff without proper clearance; determined insufficient evidence to prove allegation.
    19 May 2022
    Investigated an allegation that a resident’s Trust Fund was financially abused while in care. Found insufficient evidence to prove the allegation or to prove it did not happen.
    19 May 2022
    Found infection-control measures were in place, including screening for visitors, staff, and residents; sanitizing stations, staff wearing masks, a 60-day supply of PPE, posted posters, and reviewed temperature logs, with no deficiencies identified.
    19 May 2022
    Found that the call button triggers alerts at the front desk, who immediately intercoms residents and notifies caregivers via a two-way radio; staff reported immediate responses with wait times typically 5–15 minutes when needed. Interviewed residents and staff, including one resident who had not used the button, found no call-button response concerns, so the allegation that staff did not respond in a timely manner was not supported by the evidence.
    19 May 2022
    Investigated allegations that staff did not respond to residents' call buttons in a timely manner; found insufficient evidence to confirm these claims.
    12 May 2022
    Investigated the allegation that staff speak inappropriately to or about residents and found insufficient evidence to support it, with interviews indicating that staff communicate in a friendly and helpful manner.
    12 May 2022
    Investigated the allegation that staff spoke inappropriately to residents; however, there was insufficient evidence to confirm or deny the claim.
    • § 87466
    • § 87411(d)(5)
    04 May 2022
    Identified and reviewed concerns at the center, including an unmanned front desk allowing a resident with dementia to wander and a backdoor alarm that was disabled. Also noted an inappropriate staff remark to a resident, a heat request denial, and a resident being prevented from installing a television in their room.
    • § 87705(b)(2)
    • § 87463(a)
    • § 87705(j)
    04 May 2022
    Confirmed inadequate supervision leading to a resident leaving the facility and verified inappropriate staff response to a resident's cold room complaint.
    13 Apr 2022
    Determined that the allegation that residents were not afforded a comfortable accommodation was not supported by a preponderance of evidence, and the allegation that staff did not ensure residents were taking universal precautions was likewise not supported.
    13 Apr 2022
    Investigated allegations that residents lacked comfortable accommodations and that staff did not ensure residents followed universal precautions. Neither allegation had enough evidence to be confirmed or disproven.
    12 Apr 2022
    Found that staff did not adequately supervise residents in care, based on video footage showing an unsupervised child in common areas and pushing a resident’s wheelchair, corroborated by resident and witness accounts.
    • § 87468.1(a)(2)
    12 Apr 2022
    Confirmed inadequate supervision of residents in care.
    11 Apr 2022
    Investigated allegation that a resident was not provided an appointment to see an onsite nurse; however, no preponderance of evidence found to prove or disprove the claim, leaving it unsubstantiated.
    11 Apr 2022
    Investigated the allegation that a resident was not provided an appointment to see the onsite nurse; found no evidence that access to nurse or doctor services was denied, and the allegation is unsubstantiated.
    25 Mar 2022
    Confirmed that a mat was in disrepair and posed a potential safety hazard at the facility. Residents and staff had differing opinions on the responsiveness of maintenance and satisfaction with the facility.
    25 Mar 2022
    Identified a rubber mat with curled edges near the glass doors exiting to the garden that could cause a trip, creating a safety hazard.
    • § 80087
    21 Mar 2022
    Investigated the allegation of inadequate staffing and the allegation that activities were not provided. Interviews and observations indicated staffing was adequate and residents participated in activities.
    21 Mar 2022
    Investigated allegations of inadequate staffing and lack of resident activities; neither allegation was substantiated as sufficient evidence was not found during the inspection.
    11 Mar 2022
    Found water temperatures started at 144.5F, and in four rooms later ranged from 130.2F to 135.9F.
    • §
    11 Mar 2022
    Confirmed deficiencies with water temperature levels during a recent visit.
    • § 80087
    10 Mar 2022
    Investigated the allegation that smoke alarms were in disrepair and found insufficient evidence to support the claim.
    10 Mar 2022
    Found insufficient evidence to support the allegations that COVID-19 guidelines were not followed, that eviction occurred, or that retaliation against a resident took place.
    10 Mar 2022
    Confirmed allegations of not following COVID-19 guidelines and illegally evicting residents were unsubstantiated. Allegations of facility retaliating against residents were also unsubstantiated.
    08 Mar 2022
    Found that the allegation of a leaking pipe outside the building leaking feces was not supported by evidence. Interviews with residents and staff did not establish an ongoing plumbing problem.
    08 Mar 2022
    Investigated three specific allegations—transportation to medical appointments not being provided, a resident being bitten by bugs, and inadequate bathing or grooming—and found no evidence to support these claims.
    08 Mar 2022
    Found evidence that one resident harassed another, based on witness statements, a video, and interviews. Found that the other allegations about admitting higher-need residents, restraining residents, not providing activities, and not answering phones or call buttons were not supported by interviews and records.
    • § 87468.1(a)(3)
    08 Mar 2022
    Confirmed that there was no evidence of a leaking pipe at the facility after conducting interviews and reviewing plumbing repair documents.
    17 Feb 2022
    Found no evidence to support the allegation that staff did not administer medication to a resident; records showed no missed or refused evening medications in February, and staff and residents indicated medications were given or appropriately declined.
    17 Feb 2022
    Investigated an allegation regarding staff failing to administer medication to a resident, but found insufficient evidence to support the claim, resulting in the allegation being unsubstantiated.
    21 Jan 2022
    Found that residents were not assisted with transportation to medical appointments as required by the admission agreement. Found that required postings were not displayed in public view.
    • § 87113
    • § 87465(a)(2)
    21 Jan 2022
    Found no evidence that staff failed to respond to residents’ call buttons in a timely manner. Interviews with staff and residents and video review indicated calls were answered via intercom and by staff, with all resident room call buttons operable.
    21 Jan 2022
    Confirmed that the facility did not assist residents with transportation to medical appointments as per the admission agreement policy, and found that required postings were not in public view.
    05 Jan 2022
    Identified that four staff members lacked current CPR/First Aid training during an unannounced visit by a licensing program analyst.
    05 Jan 2022
    Found that several staff did not have current CPR/First Aid training. Identified deficiencies under state regulations and spoke with the administrator.
    • §
    21 Dec 2021
    Found no sufficient evidence to support the allegation that staff handled a resident in a rough manner, and no sufficient evidence to support the allegation that a resident is harassed by another resident.
    21 Dec 2021
    Investigated six specific allegations: staff failing to meet residents' needs, a resident wandering away, staff speaking to residents inappropriately, inadequate food service, unsafe or uncomfortable environment, and front door was broken. Found no evidence to support these six specific allegations.
    21 Dec 2021
    Confirmed that staff provided adequate activities, residents did not wander away, staff did not speak inappropriately, food service was satisfactory, and environment was safe and comfortable, and the facility door was not broken.
    03 Dec 2021
    Investigated the allegation of illegal eviction; found insufficient evidence to prove it, leaving the allegation unsubstantiated. The resident was not evicted and can return after discharge from the medical facility.
    03 Dec 2021
    Investigated a complaint regarding illegal eviction; insufficient evidence found to support the allegation.
    • § 87411(a)
    19 Oct 2021
    Found no persuasive evidence to prove the two allegations: that residents' meals were late and that a resident's bed was in disrepair. Interviews with staff and residents and on-site checks indicated meals were timely and beds were in good condition.
    19 Oct 2021
    Identified harassment by one resident toward another, supported by witness statements and video evidence.
    • § 87468.1(a)(3)
    19 Oct 2021
    Investigated two allegations: residents' meals being late and beds being in disrepair. Found insufficient evidence to support either claim.
    • §
    15 Sept 2021
    Confirmed allegations of malnourishment, sexual abuse, physical abuse, medication errors, and hygiene neglect were not substantiated after interviews and record reviews were conducted.
    15 Sept 2021
    Found no evidence to support the five allegations—malnutrition, sexual abuse, physical abuse, incorrect medication, and unmet hygiene needs—after reviewing records and interviewing residents and staff.
    25 Aug 2021
    Interviews and inspections regarding allegations of staff actions at a care facility did not find enough evidence to support the claims.
    25 Aug 2021
    Found no evidence that toilets were out of order or that the elevator was faulty. Interviews with residents and staff indicated bathrooms and the elevator were functioning properly.
    25 Aug 2021
    Found no evidence to support the allegations that staff interfered with residents’ hygiene, withheld medications, stopped transportation, provided uncomfortable accommodations, threatened eviction, or failed to supervise residents. Interviews and observations showed residents had access to some supplies and transportation through multiple means, OTC medications generally required a doctor's order, and supervision appeared adequate.
    05 Aug 2021
    Found insufficient staffing to meet residents' needs. For the other allegations—missed medical appointments, transportation refusals, and lack of hygiene supplies—interviews and records showed no clear evidence.
    • § 87411(a)
    05 Aug 2021
    Found no sufficient evidence to support the allegations that admissions agreements were not followed and that a resident was not allowed to smoke. Confirmed by interviews with residents and staff that smoking is allowed only in designated areas and that room arrangements generally reflect what residents pay.
    05 Aug 2021
    Identified that a resident fell multiple times in one day and was transported by ambulance for evaluation after checks for injuries. Found not enough evidence that staff failed to seek medical attention in a timely manner.
    • § 87468.1(a)(2)
    05 Aug 2021
    Confirmed insufficient staffing levels to meet residents' needs.
    • § 87468.1(a)(3)
    20 Jul 2021
    Investigated allegations of staff interfering with residents' daily living functions and not treating residents with dignity; found no substantial evidence to support the claims.
    20 Jul 2021
    Found insufficient evidence to prove the allegation that staff interfered with residents' daily living functions. Found insufficient evidence to prove the allegation that residents were not accorded dignity in their relationships with staff.
    08 Jun 2021
    Investigated an incident reported on 6/4/2021; interviewed the administrator, staff, and residents, and obtained full files for two residents and one staff member. Additional analysis of the records and follow-up interviews were required, and no deficiencies were identified at that time.
    08 Jun 2021
    Conducted an unannounced visit regarding a reported incident, interviewed relevant individuals, and collected records for further investigation, with no deficiencies cited at the time.
    25 May 2021
    Investigated the allegation that food quality or quantity was insufficient and found insufficient evidence to prove or disprove the claim.
    25 May 2021
    Found not enough evidence to prove the claim that meals were of poor quality or insufficient quantity. Menu variety, observed portions, and input from residents and staff showed meals were served with adequate portions.
    24 Sept 2020
    Investigated a complaint about a resident, obtaining information through a video interview with the administrator due to COVID-19 precautions and completing a follow-up telephone exit interview.
    24 Sept 2020
    Reviewed a current complaint and conducted an interview with the administrator regarding a specific resident.
    • § 87468.1(a)(3)
    28 Aug 2020
    Found that the allegations that staff are not meeting residents' care needs, not responding to call buttons in a timely manner, and not maintaining residents' hygiene needs were not supported by a preponderance of evidence. An exit interview with the administrator was conducted.
    28 Aug 2020
    Investigated complaints regarding staff meeting care needs, responding to call buttons, and maintaining residents' hygiene; all allegations were determined to lack sufficient evidence to be proven valid or invalid. Exit interview conducted with the administrator.
    24 Feb 2020
    Investigated complaint of urine odor and care inadequacies; determined insufficient evidence to support claims regarding strong urine odor and unmet resident care needs.
    15 Feb 2020
    Investigators found that allegations of smoking and noise issues at the facility could not be proven, as there was not enough evidence to support the claims. No deficiencies were identified during the visit.
    13 Jan 2020
    Interviews with staff and residents did not find enough evidence to support the allegation of a physical altercation resulting in injury, and no deficiencies were cited in the report.
    20 Dec 2019
    Confirmed allegations were investigated, but insufficient evidence was found to support any violations. No deficiencies were cited during the inspection.
    25 Oct 2019
    Interviews and observations did not find enough evidence to support the allegation of staff mistreatment, so the allegation was deemed unsubstantiated.
    08 Oct 2019
    Confirmed stove in disrepair, but unsubstantiated staff yelling allegations.

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