Resident rights
Cited in 7 reports, with 7 deficiencies in total.
Mar 19, 2026Feb 12, 2026Nov 18, 2025Aug 20, 2025Aug 7, 2025May 15, 2025Aug 1, 2024
COMMONS AT DALLAS RANCH, THE
4751 DALLAS RANCH ROAD, Antioch CA 94531
123 bedsLatest official report Aug 11, 2026Licensed
Additional info
- Telephone
- (925) 754-7772
- Licensee
- DALLAS RANCH MSL LLC; MSL COMMUNITY MANAGEMENT LLC
- Administrator
- R
- Contact
- R
- License first date
- Aug 23, 2017
- License effective date
- Aug 23, 2017
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 40 Type B deficiencies for this facility.
- Most recent inspection
- Aug 11, 2026
- Most recent deficiency
- Mar 19, 2026
3 later reports, from Aug 4, 2026 through Aug 11, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 35 Contra Costa County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 52 reports for this facility: 14 inspections, 38 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 40 Type B deficiencies.
6 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 14
- Recorded deficiencies
- 43
- Type A deficiencies
- 3
- Type B deficiencies
- 40
- Substantiated complaints
- 22
- Repeated topics
- 4
More than the typical 9
2 in the last 12 months
Well above the typical 7
5 in the last 12 months
More than the typical 1
0 in the last 12 months
Well above the typical 4
5 in the last 12 months
Well above the typical 1
3 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Medication handling and storage
Cited in 6 reports, with 7 deficiencies in total.
May 15, 2025Jan 22, 2025Jan 22, 2025Aug 15, 2024Oct 25, 2023Oct 25, 2023
Medical and dental care
Cited in 3 reports, with 3 deficiencies in total.
Basic services and supervision
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 3 visits
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(12)
- Regulation authority
- CCR
What the official deficiency says
Residents in all residential care facilities for the elderly shall have all of the following personal rights: (12) To wear their own clothes; to keep and use their own personal possessions, including their toilet articles; and to keep and be allowed to spend their own money. This requirement was not met as evidenced by staff locking residents’ toiletries/personal hygiene items which posed a potential health & safety risk to residents in care.
Official plan of correction
By POC due date, ED agrees to allow memory care residents to keep and use their toiletries/personal hygiene items in their apartments. ED agrees to secure doctors' orders for each memory care resident who is not able to keep and use their own toiletries in accordance with Section 87468.1(a)(12).
Deadline recorded: Apr 13, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 13, 2026
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs This requirement was not met as evidenced by staff failing to timely administer residents’ medications which posed a potential health & safety risk to resident in care.
Official plan of correction
By POC due date, ALD agrees to complete and submit in-service staff retraining certifications on residents’ timely medication administration by an accredited CCLD vendor in compliance with Section 87468.2(a)(4) regulation.
Deadline recorded: Mar 16, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 16, 2026
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by staff failing to timely assist resident with blood pressure checks which posed a potential health & safety risk to resident in care.
Official plan of correction
By POC due date, ADM agrees to complete and submit in-service staff retraining certifications on residents’ medical care by an accredited CCLD vendor in compliance with Section 87465(a)(1) regulation.
Deadline recorded: Mar 16, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 16, 2026
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not met as evidenced by staff failing to timely follow up with residents’ primary care physician to timely discontinue and/or administer refilled medications which posed a potential health & safety risk to resident in care.
Official plan of correction
By POC due date, ADM agrees to complete and submit in-service staff retraining certifications on residents’ proper medication administration by an accredited CCLD vendor in compliance with Section 87466 regulation.
Deadline recorded: Mar 16, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 16, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Mar 19, 2026 · Control 15-AS-20250919081605
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Mar 19, 2026 · Control 15-AS-20250919081605
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(4)
- Regulation authority
- CCR
What the official deficiency says
To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs... This requirement was not met as evidenced by staff failing to respond to resident’s call button in a timely manner which posed a potential health & safety risk to residents in care.
Official plan of correction
Deficiency corrected on 09/19/25. Administrator completed in-service retraining of all staff on timely responding to resident’s call button in compliance with Title 22 Section 87468.2 regulations.
Deadline recorded: Nov 18, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 18, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs This requirement was not met as evidenced by staff failing to timely process residents' insurance invoices for reimbursements which posed a potential health & safety risk to client in care.
Official plan of correction
Deficiency corrected during visit. ADM has communicated with the insurance companies of the six residents on 08/18/25 and has given documentation for immediate reimbursements to residents.
Deadline recorded: Aug 20, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 20, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(1)
- Regulation authority
- CCR
What the official deficiency says
To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by staff failing to ensure resident’s medical information is confidential which posed a potential health & safety risk to client in care.
Official plan of correction
By POC due date, ADM agrees to complete and submit in-service staff retraining certifications on residents’ personal rights by an accredited CCLD vendor in compliance with Section 87468.2(a)(1) regulation.
Deadline recorded: Sep 5, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 5, 2025
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by staff administering unauthorized medication to a resident which posed a potential health & safety risk to resident in care.
Official plan of correction
Executive Director agrees to complete and submit to CCLD in-service staff re-training certifications on proper administration of medications in compliance with Section 87465 regulations.
Deadline recorded: May 30, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 30, 2025
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468
- Regulation authority
- CCR
What the official deficiency says
To have their records and personal information remain confidential and to approve their release, except as authorized by law This requirement was not met as evidenced by staff publicly disclosing resident's personal information which posed a potential health & safety risk to residents in care.
Official plan of correction
Executive Director agreed to complete and submit to CCLD in-service staff retraining certifications on personal rights of residents in compliance with Section 87468.2 regulations.
Deadline recorded: May 30, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 30, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 4 unsubstantiated · 0 unfounded · 2 cited
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(e)(7)
- Regulation authority
- CCR
What the official deficiency says
Delayed egress devices shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents, including staff needed to escort residents who need supervision to leave the facility. This requirement was not met as evidenced by staff do not ensure adequate supervision is provided resulting in residents eloping from the facility which posed a potential health & safety risk to residents in care
Official plan of correction
Plan of Correction (POC) completed on 01/22/25. DHS submitted copies of staff re-training on Care of Persons with Dementia dated 10/16/24 in compliance with Title 22 Section 87705 regulations
Deadline recorded: Jan 22, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 22, 2025
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication This requirement was not met as evidenced by staff failing to lock memory care medication room which posed a potential health & safety risk to residents in care
Official plan of correction
Plan of Correction (POC) completed on 01/22/25. DHS submitted copies of staff re-training dated 09/19/24 & 09/29/24 on proper medication management in compliance with Title 22 Section 87465 regulations.
Deadline recorded: Jan 22, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 22, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(1)
- Regulation authority
- CCR
What the official deficiency says
There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication when the physician should be contacted for a medication reevaluation. This requirement was not met as evidenced by staff mismanaged resident’s medication which posed a potential health & safety risk to residents in care.
Official plan of correction
Plan of Correction (POC) completed on 01/22/25. ED submitted copies of staff re-training dated 09/19/24 & 09/29/24 to CCL on proper medication management in compliance with Title 22 Section 87465 regulation
Deadline recorded: Jan 22, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 22, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. This requirement was not met as evidenced by staff left resident on floor for an extended period of time which posed a potential health & safety risk to residents in care.
Official plan of correction
By POC due date, DHS agrees to submit to CCL completed staff in-service retraining on proper care and supervison of residents in compliance with Title 22 Section 87466 regulations.
Deadline recorded: Jan 23, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Jan 23, 2025
Deficiency Dismissed Type B 01/23/2025 Section Cited CCR 87466
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Sep 25, 2024 · Control 15-AS-20230516162748
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Complaint investigation finding was amended to unsubstantiated. Deficiency removed 09/05/24.
Official plan of correction
Complaint investigation finding was amended to unsubstantiated. Deficiency removed 09/05/24.
Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 5, 2024
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87413(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Complaint investigation finding was amended to unsubstantiated. Deficiency removed on 09/05/24.
Official plan of correction
Complaint investigation finding was amended to unsubstantiated. Deficiency removed on 09/05/24
Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 5, 2024
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.2(c)
- Regulation authority
- HSC
What the official deficiency says
Complaint investigation finding was amended to unsubstantiated Deficiency removed on 09/05/24
Official plan of correction
Complaint investigation finding was amended to unsubstantiated. Deficiency was removed on 09/05/24
Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 5, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(1)
- Regulation authority
- CCR
What the official deficiency says
) Facility staff shall contact the resident's physician prior to each dose, describe the resident's symptoms, and receive direction to assist the resident in self-administration of that dose of medication This requirement was not met as evidenced by staff did not ensure medication was dispensed as prescribed which posed a potential health & safety risk to residents in care
Official plan of correction
Deficiency cleared during visit. Administrator completed in-service retraining of all staff on incidental medical care in compliance with Title 22 Section 87465 regulations on May 2023.
Deadline recorded: Aug 15, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Aug 15, 2024
Correction deadline recordedDeadline Aug 15, 2024
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(3)
- Regulation authority
- CCR
What the official deficiency says
A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response This requirement was not met as evidenced by staff did not ensure medication records were properly maintained which posed a potential health & safety risk to residents in care.
Official plan of correction
Deficiency cleared during visit. Administrator completed in-service retraining of all staff on incidental medical care in compliance with Title 22 Section 87465 regulations on May 2023.
Deadline recorded: Aug 15, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Aug 15, 2024
Correction deadline recordedDeadline Aug 15, 2024
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by bed bug infestation in memory care which posed a potential health and safety risk to residents in care.
Official plan of correction
Deficiency cleared during visit. On 08/07/24, ED submitted to LPA a written beg bug treatment schedule with exterminator company to resolve re-infestation issue in memory care dated 08/05/24.
Deadline recorded: Aug 7, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Aug 7, 2024
Correction deadline recordedDeadline Aug 7, 2024
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(d)(3)
- Regulation authority
- CCR
What the official deficiency says
All persons shall be protected against hazards within the facility. This requirement was not met as evidenced by presence of pest in the memory care areas which posed a potential health & safety risk to residents in care
Official plan of correction
Deficiency cleared during visit. LPA confirmed with staff (ED, S1) that the mice infestation was resolved by plugging the holes in the memory care kitchen and resident's unit on July 30, 2024.
Deadline recorded: Aug 7, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Aug 7, 2024
Correction deadline recordedDeadline Aug 7, 2024
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 5 unsubstantiated · 0 unfounded · 2 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(3)
- Regulation authority
- CCR
What the official deficiency says
A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response.. This requirement was not met as evidenced by staff mismanaging resident’s medication which posed a potential health & safety risk to residents in care
Official plan of correction
Deficiency corrected during visit. Administrator completed in-service retraining of all staff on medication administration in compliance with Title 22 Section 87465 regulations
Deadline recorded: Oct 25, 2023. A deadline is not proof that correction was completed.
Corrective action observedRecorded in report dated Oct 25, 2023
Correction deadline recordedDeadline Oct 25, 2023
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(1)
- Regulation authority
- CCR
What the official deficiency says
Facility staff shall contact the resident's physician prior to each dose, describe the resident's symptoms, and receive direction to assist the resident in self-administration of that dose of medication. This requirement was not met as evidenced by staff not timely ordering medication refills which posed a potential health & safety risk to residents in care
Official plan of correction
Deficiency corrected during visit. Administrator completed in-service retraining of all staff on incidental medical care in compliance with Title 22 Section 87465 regulations.
Deadline recorded: Oct 25, 2023. A deadline is not proof that correction was completed.
Corrective action observedRecorded in report dated Oct 25, 2023
Correction deadline recordedDeadline Oct 25, 2023
Complaint
Allegations2 substantiated · 5 unsubstantiated · 0 unfounded · 2 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
Once ordered by the physician the medication is given according to the physician's directions... This requirement was not met as evidenced by staff mismanaging resident’s medication which posed a potential health & safety risk to residents in care.
Official plan of correction
Deficiency corrected during visit. Administrator completed in-service retraining of all staff on medication administration in August 2022 in compliance with Title 22 Section 87465 regulations.
Deadline recorded: Oct 25, 2023. A deadline is not proof that correction was completed.
Corrective action observedRecorded in report dated Oct 25, 2023
Correction deadline recordedDeadline Oct 25, 2023
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(3)
- Regulation authority
- CCR
What the official deficiency says
Each container shall carry all of the information specified in (6)(A) through (E) below plus expiration date and number of refills. This requirement was not met as evidenced by staff not timely ordering medication refills which posed a potential health & safety risk to residents in care.
Official plan of correction
Deficiency corrected during visit. Administrator completed in-service retraining of all staff on medication refills in August 2022 in compliance with Title 22 Section 87465 regulations.
Deadline recorded: Oct 25, 2023. A deadline is not proof that correction was completed.
Corrective action observedRecorded in report dated Oct 25, 2023
Correction deadline recordedDeadline Oct 25, 2023
Complaint
Allegations3 substantiated · 4 unsubstantiated · 0 unfounded · 3 cited
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(4)
- Regulation authority
- CCR
What the official deficiency says
(4) “There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal.” This requirement was not met as evidenced by staff failing to assist residents hygiene needs which posed a potential health & safety risk to residents in care.
Official plan of correction
Deficiency corrected on 09/22/22. ED conducted an internal investigation and terminated 3 staff due to neglect of duties and violation of company regulations. In-service staff retraining on residents’ care and supervision were conducted in August and September 2022.
Deadline recorded: Feb 17, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 17, 2023
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(1)
- Regulation authority
- CCR
What the official deficiency says
To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance…” This requirement was not met as evidenced by staff did not ensure resident had clean clothing which posed a potential health & safety risk to resident in care
Official plan of correction
Deficiency corrected on 09/22/22. ED conducted an internal investigation and terminated 3 staff due to neglect of duties and violation of company regulations. In-service staff retraining on residents’ care and supervision were conducted in August and September 2022.
Deadline recorded: Feb 17, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 17, 2023
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.” This requirement was not met as evidenced by resident left in soiled clothing for an extended period of time which posed a potential health & safety risk to resident in care
Official plan of correction
Deficiency corrected on 09/22/22. ED conducted an internal investigation and terminated 3 staff due to neglect of duties and violation of company regulations. In-service staff retraining on residents’ care and supervision were conducted in August and September 2022.
Deadline recorded: Feb 17, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 17, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times.... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not cleaning R3's room which poses a potential health and safety risk to the persons in care.
Official plan of correction
Executive Director (ED) has agreed to conduct training for housekeeping staff regarding cleaning all resident's room and to document resident refusals. ED will submit training log and materials to CCLD by POC date.
Deadline recorded: Jan 23, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities...(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient… This requirement is not met as evidenced by: Based on records reviewed, facility staff failed to respond to R1 & R2’s pendant call for assistance in a timely manner which poses a potential risk to the health and safety of resident under care.
Official plan of correction
Staff stated that staff training will be conducted about the facility’s protocol on pendant call response and submit proof of training to CCL by POC date,
Deadline recorded: Jan 20, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 20, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... This requirement was not met as evidenced by short staffing which posed a potential health & safety risk to residents in care
Official plan of correction
By POC due date, IHD agreed to complete and submit to CCLD plan of correction for short staffing at the facility.
Deadline recorded: Jan 20, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Jan 20, 2023
Deficiency Dismissed Type B 01/20/2023 Section Cited CCR 87411(a)
Plan of correction recorded
Correction deadline recordedDeadline Jan 20, 2023
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication… This requirement was not met as evidenced by staff mishandling resident's medication which posed an immediate health & safety risk to resident in care.
Official plan of correction
Deficiency corrected on 09/22/22. ED conducted an internal investigation and terminated 3 staff due to neglect of duties and violation of company regulations. In-service staff retraining on residents’ incidental medical and dental care was conducted in August and September 2022.
Deadline recorded: Dec 29, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Dec 29, 2022
Deficiency Dismissed Type A 12/29/2022 Section Cited CCR 87465(e)
Plan of correction recorded
Correction deadline recordedDeadline Dec 29, 2022
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(1)
- Regulation authority
- CCR
What the official deficiency says
There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication when the physician should be contacted for a medication reevaluation... This requirement was not met as evidenced by staff failing to timely seek medical attention to resident which posed an immediate health & safety risk to resident in care.
Official plan of correction
Deficiency corrected on 09/22/22. ED conducted an internal investigation and terminated 3 staff for neglect of duties and violation of company policies. In-service staff retraining on mandatory reporting requirements was conducted in August and September 2022.
Deadline recorded: Dec 29, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Dec 29, 2022
Deficiency Dismissed Type A 12/29/2022 Section Cited CCR 87465(c)(1)
Plan of correction recorded
Correction deadline recordedDeadline Dec 29, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations4 substantiated · 1 unsubstantiated · 0 unfounded · 4 cited
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.2(c)
- Regulation authority
- HSC
What the official deficiency says
(c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care. This requirement was not met as evidenced by staff failing to provide basic services which posed a potential health & safety risk to residents in care
Official plan of correction
By POC due date, administrator agreed to complete and submit to CCLD a copy of in-service staff retraining certifications by an approved CCLD vendor on assistance with activities of daily living in compliance with Title 22 Health & Safety Code Section 1569.2
Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 2, 2022
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87413(a)(1)
- Regulation authority
- CCR
What the official deficiency says
When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks This requirement was not met as evidenced by insufficient staff which posed a potential health & safety risk to residents in care.
Official plan of correction
By POC due date, administrator agreed to complete and submit to CCLD a copy of updated personnel record showing sufficient staff working in each shift as well as copies of staff retraining certifications by an approved CCLD vendor on proper care and supervision of residents in compliance with Title 22 Section 87411 regulations.
Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 2, 2022
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by staff failing to assist residents with incontinence care which posed a potential health & safety risk to residents in care.
Official plan of correction
By POC due date, administrator agreed to complete and submit to CCLD a copy of in-service staff retraining certifications by an approved CCLD vendor on managing incontinence in compliance with Title 22 Section 87625 regulations.
Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 2, 2022
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(b)
- Regulation authority
- CCR
What the official deficiency says
If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication This requirement was not met as evidenced by staff failing to administer residents' medications as prescribed which posed a potential health & safety risk to residents in care.
Official plan of correction
By POC due date, administrator agreed to complete and submit to CCLD a copy of in-service staff retraining certifications by an approved CCLD vendor on incidental medical and dental care in compliance with Title 22 Section 87465 regulations.
Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 2, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs This requirement was not met as evidenced by insufficient staff which posed a potential health & safety risk to residents in care
Official plan of correction
By POC due date, administrator agreed to complete and submit to CCLD a copy of updated personnel record showing sufficient staff working in each shift as well as copies of staff retraining certifications by an approved CCLD vendor on proper care and supervision of residents in compliance with Title 22 Section 87411 regulations.
Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 2, 2022
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 1 unfounded · 3 cited
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 80065(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs. This requirement was not met as evidenced by resident sustaining a fractured back while in care which posed an immediate health & safety risk to resident in care
Official plan of correction
A $500 immediate civil penalty is assessed on this day for violation which resulted in the serious injury of R1. Civil penalty determination related to serious bodily injury is pending. By POC due date, Administrator agreed to submit to CCLD proof of in-service staff retraining on Hoyer Lifts and proper safety transfer techniques. Deficiency cleared during visit, Administrator submitted copy of staff retraining on proper use of Hoyer lift on 04/29/22.
Deadline recorded: Apr 29, 2022. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Apr 29, 2022
Plan of correction recorded
Correction deadline recordedDeadline Apr 29, 2022
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(g)
- Regulation authority
- CCR
What the official deficiency says
Medical & Dental Care The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis… This requirement was not met as evidenced by staff not seeking timely medical attention for the resident which posed a potential health & safety risk to resident in care
Official plan of correction
By POC due date, Administrator agrees to submit to CCLD proof of In service staff retraining on calling 911 and report changes in condition to resident’s primary physician, authorized representative in a timely manner.
Deadline recorded: May 29, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 29, 2022
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by staff not assisting residents with their ADLs in a timely manner which posed a potential health & safety risk to residents in care
Official plan of correction
By POC due date, Administrator agrees to hire additional staff with proper training to ensure residents’ needs are timely met. Administrator will submit to CCLD proof of updated Personnel Record (LIC500) showing sufficient staff to meet residents’ care and supervision needs
Deadline recorded: May 29, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 29, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care. This requirement was not met as evidenced by staff failing to meet residents needs which posed a potential health & safety risk to residents in care
Official plan of correction
By POC due date, Administrator agrees to submit to CCLD proof that there is sufficient staffing with completed training to meet residents’ care needs.
Deadline recorded: May 29, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 29, 2022
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology