DIGNITY MANOR SENIOR HOME

1828 SANTA ANA AVE., Clovis CA 93611

Facility 107209164 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jul 16, 2026Licensed

Additional info
Licensee
KOPACZ RESIDENTIAL CARE, INC.
Administrator
GAYNOR, DONTE
Contact
GAYNOR, DONTE
License first date
Sep 23, 2021
License effective date
Sep 23, 2021
District office
FRESNO RO · (559) 243-8080
Regional office
24
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A deficiency for this facility.

Most recent inspection
Jul 16, 2026
Most recent deficiency
Aug 23, 2024

3 later reports, from Mar 6, 2025 through Jul 16, 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 260 Fresno County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 7 reports for this facility: 5 inspections, 1 complaint investigation, and 1 licensing or administrative record.

Those records contain 1 Type A and 0 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

About the same as most this size

1 in the last 12 months

Recorded deficiencies
1

About the same as most this size

0 in the last 12 months

Type A deficiencies
1

Most this size have none

0 in the last 12 months

Type B deficiencies
0

Most this size also have none

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

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.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

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 report
Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(2)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation for Resident 1 (lic 811) Medication L-Thyroxine 50mcg, Dosage Instructions: 1 tablet by mouth 1 time daily. Medication count should be 52 tablets. LPA counted 48 tablets. Tablets were 4 short which poses an immediate health, safety or personal rights risk to persons in care. Also, Medication Mematine 10mg 1 tab by mouth 2 times daily. Medication count should be 89 tablets. LPA’s counted 76 tablets. Tablets were 13 short which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/06/2024 Plan of Correction Licensee agrees to have all staff retrained in Medication training and submit written documentation upon completion of training. Licensee agrees to count medications before distributing to resident upon fill date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report

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