Resident rights
Cited in 6 reports, with 6 deficiencies in total.
Jan 14, 2026Jun 25, 2025Aug 22, 2024Jun 26, 2024Apr 26, 2024Nov 15, 2023
JASMIN TERRACE AT BAKERSFIELD
5400 STINE ROAD, Bakersfield CA 93313
99 bedsLatest official report Jan 14, 2026Licensed
Additional info
- Telephone
- (661) 398-8802
- Licensee
- CVVG MANAGEMENT LLC
- Administrator
- ELECO, RAMONA D.
- Contact
- ELECO, RAMONA D.
- License first date
- Jun 30, 2017
- License effective date
- Jun 30, 2017
- District office
- FRESNO RO · (559) 243-8080
- Regional office
- 24
- Clients served
- 935 - ELDERLY
Summary
The available records show 38 Type A and 58 Type B deficiencies for this facility.
- Most recent inspection
- Jan 14, 2026
- Most recent deficiency
- Jan 14, 2026
No later report is available, so the records do not show what happened afterward.
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 11 Kern 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 96 reports for this facility: 24 inspections, 71 complaint investigations, and 1 licensing or administrative record.
Those records contain 38 Type A and 58 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 24
- Recorded deficiencies
- 96
- Type A deficiencies
- 38
- Type B deficiencies
- 58
- Substantiated complaints
- 26
- Repeated topics
- 11
More than the typical 7
1 in the last 12 months
Well above the typical 11
4 in the last 12 months
Well above the typical 6
3 in the last 12 months
Well above the typical 5
1 in the last 12 months
Well above the typical 3
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.
Medical and dental care
Cited in 5 reports, with 10 deficiencies in total.
Jan 14, 2026Jun 18, 2024Jun 18, 2024Apr 26, 2024Nov 15, 2023
Health conditions and treatments
Cited in 3 reports, with 12 deficiencies in total.
Facility condition and maintenance
Cited in 3 reports, with 7 deficiencies in total.
Food service
Cited in 3 reports, with 4 deficiencies in total.
Admission, assessment, and eviction
Cited in 2 reports, with 3 deficiencies in total.
Medication handling and storage
Cited in 2 reports, with 3 deficiencies in total.
Basic services and supervision
Cited in 2 reports, with 2 deficiencies in total.
Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
Staffing, personnel, and training
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
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(a)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5) This requirement was not met as evidenced by:Licensee sent R1 to the hospital but did not allow R1 to return to the facility without following proper eviction processes which poses a potential health safety and or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to submit in writing the understanding of this regulation and how it will be met by POC due date 01/23/26
Deadline recorded: Jan 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) 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: (4) The licensee shall assist residents with self-administered medications as needed. This requrement was not met as evidenced by: Licensee did not administer R1's prescribed aspirin that was prescibed on 1/2/26 until 1/5/26, which poses an immediate health safety and or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to conduct a medication training and will schedule the training by POC due date 01/15/26. Once training is complete Licensee will submit proof of training.
Deadline recorded: Jan 15, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 15, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f)Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by licensee did not provide R1 care and supervision during a doctor visit on 10/10/25, which possess an immediate, health, safety, and or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to conduct care and supervision traning to ensure residents are provided care and supervision during appointments. Licensee agrees to submit date of training by POC due date of 12/03/2025 and will submit proof of training once training is completed.
Deadline recorded: Dec 3, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 3, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 7 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(7)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (b) The following food service requirements shall apply:(7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met as evidenced by: Licensee is not providing sugar free options for desert to meet the requirements of R4's specialized diet, which poses a potential health safety and or personal right risk to residents in care.
Official plan of correction
Plan of Correction: Licensee agrees to meet this regulation by providing foods the meet the needs of the specialized diets. LPA will clear via visit. POC cleared during visit.
Deadline recorded: Jul 24, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Jul 23, 2025
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2025
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (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 as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement was not met as evidenced by R1 continues to smoke in the facility, which poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee agrees to submit a plan on how this regulation will be met by POC due date 02/07/25
Deadline recorded: Feb 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 7, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by Licensee did not ensure Administrator spoke to R1 appropriately and respectfully which poses an immediate health safety and or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to conduct a staff training on personal rights by POC due date 09/15/24
Deadline recorded: Aug 23, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 23, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 9 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(3)(C)
- Regulation authority
- CCR
What the official deficiency says
(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited. This requirement was not met as evidenced by: Licensee had towels with large holes in the linen closet which poses a potential health safety and or personal rights risk to residents in care.
Official plan of correction
Plan of Correction Licensee agrees to remove and replace all towels/linens with holes. Licensee agrees to conduct a staff training on appropriate linen supplies by POC due date 08/30/24.
Deadline recorded: Aug 30, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 30, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Licensee did not ensure R1 did not smoke inside of the facility which poses an immediate health, safety and or personal rights risk to residents in care.
Official plan of correction
POC Licensee agrees to submit a plan in writing on how this regulation will be met by POC due date.
Deadline recorded: Jun 27, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 27, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations3 substantiated · 2 unsubstantiated · 0 unfounded · 3 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(g)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (g) 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 except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by Licensee did not call 911 when R1 fell and hit head on floor, which poses an immediate health safety and personal rights risk to residents in care.
Official plan of correction
Plan of Correction Licensee agrees to conduct a staff training on when to contact emergency services by POC due date 5/3/24. LIcensee agrees to submit training agenda and certificates of trained staff.
Deadline recorded: May 3, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 3, 2024
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by Licensee did not contact R1's authorized representative to inform R1's authorized representative R1 was hospitalized which poses a potential health, safety and or personal rights risk to residents in care.
Official plan of correction
Plan of Correction POC Licensee agrees to provide staff training on reporting procedures by POC due date 5/3/24. Licensee agrees to submit an agenda and certificates of trained staff by POC due date.
Deadline recorded: May 10, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 10, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87217(b)
- Regulation authority
- CCR
What the official deficiency says
87217 Safeguards for Resident Cash, Personal Property, and Valuables (b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. The licensee shall give the residents receipts for all such articles or cash resources. This requirement was not met as evidenced by Licensee did not safegaurd R1's property which poses a potential health safety and personal rights risk to residents in care.
Official plan of correction
Plan of Correction POC Licensee agrees to train staff on safeguarding residents property and procedures for when staff are notified property is missing by POC due5/10/24. Licensee agrees to submit agenda of training and certificates of staff trained
Deadline recorded: May 10, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 10, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 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
87303 Maintenance and Operation (a) 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: Licensee did not keep common shower and toilets free from mold which poses a potential health safety and or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to clean the entire facility having it free from dust, mold, any stains of bodily fluids by POC due date 04/1/24. LPA will return to facility to clear POC by visit. Civil Penalty was issued for repeat violation.
Deadline recorded: Apr 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 1, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(9)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (b) The following food service requirements shall apply: (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement was not met as evidenced by: Licensee did not provide warm meals to residents recieving food tray service to their rooms which poses a potential health safety and or personal rights risk to residents in care.
Official plan of correction
Plan of Correction: Licensee agrees to write a written statement on how this regulation will be met and will submit by POC due date of 1/19/24.
Deadline recorded: Jan 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 19, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 3 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
Allegations4 substantiated · 6 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Licensee did not ensure S1 treated R2 and R6 with dignity and respect, which poses an immediate health safety and or personal rights risk to residents in care.
Official plan of correction
Plan of Correction Licensee agrees to conduct a staff training on personal rights and will submit an agenda with sign in sheet by POC due date.
Deadline recorded: Dec 1, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 1, 2023
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) 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: (4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidenced by: Licensee did not administer medications on 7/31/23 for R2, R3 and R4, which poses an immediate health safety and/or personal rights risk to residents in care.
Official plan of correction
Plan of Correction Licensee agrees to conduct a medication training and submit agenda and sign in sheet by POC due date 12/1/23.
Deadline recorded: Dec 1, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 1, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (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 as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement was not met as evidenced by: Licensee did not respond to signal system for over an hour to assist C1, which poses an immediate health safety and or personal rights risk to clients in care.
Official plan of correction
Plan of Correction POC Licensee agrees to do staff training on meeting the clients needs and submit a plan for staffing to meet clients needs by POC due date
Deadline recorded: Sep 29, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 29, 2023
Correction not verified in available records
Complaint
Allegations3 substantiated · 7 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
87303(a) Maintenance and Operation - The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Based on observation, LPA and LPM observed the ice and juice machines with mold, which poses a potential health and safety concerns to the residents in care.
Official plan of correction
Plan of Correction POC Licensee agrees to clean the ice and juice machine by POC due date 09/1/23.
Deadline recorded: Sep 1, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 1, 2023
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.1(a)(1) Personal Rights of Residents in All Facilities- Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on observation, LPAs observed R1 left outside calling for help, which poses a potential health and safety concern.
Official plan of correction
Plan of Correction POC Licensee agrees to conduct training on personal rights by POC due date 09/01/23
Deadline recorded: Sep 1, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 1, 2023
Correction not verified in available records
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 · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 1 unsubstantiated · 1 unfounded · 2 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(b)(3)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (b) 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. (3) 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: Licensee did not log in MARS dates and times for PRN narcotic medications were being administered to R1 which poses an immediate health safety or personal rights risks to residents in care.
Official plan of correction
Plan of Correction POC Licensee agrees to conduct a PRN training for all medication technicians by the pharmacy by POC due date 09/15/23.
Deadline recorded: Aug 17, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 17, 2023
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)(14)
- Regulation authority
- CCR
What the official deficiency says
87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff (14) Current centrally stored medications as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met as evidenced by Licensee was logging R1's Buspirone medication as being given, yet medication had been discontinued since 2019 which poses a potential health safety and personal rights risk to residents in care.
Official plan of correction
Plan of Correction Poc Licensee agrees to submit a written plan to licensing on how this regulation will be met by POC due date 09/15/23.
Deadline recorded: Sep 15, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 15, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 8 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87616(a)(b)(1)(2)
- Regulation authority
- CCR
What the official deficiency says
87616 Exceptions for Health Conditions (a) As specified in Section 87209, Program Flexibility, the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means. (b) Written requests shall include, but are not limited to, the following: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition. (2) The licensee's plan for ensuring that the resident's health related needs can be met by the facility. This requirement was not met as evidenced by Licensee did not have or submit a restricted health care plan to licensing for approval for R1's restricted health condition which poses a potential Health, Safety or personal rights risk to the residents in care.
Official plan of correction
Plan of Correction POC Licensee agrees to submit a plan of care for R1's restricted health condition by POC due date.
Deadline recorded: May 8, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 8, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 2 unfounded · 2 cited
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87608 Postural Supports (a) Based on the individual's.... the facility shall provide assistance and care for the resident in those activities of daily living...postural supports may be used under the following conditions.(2) Postural supports shall be fastened or tied in a manner that permits quick release by the resident. This requirement was not met as evidenced by: Licensee did not ensure that R1's postural support lap belt permits quick release by the resident. R1's lap belt fastenes in the back of R1's wheelchair, R1 cannot reach it. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
AD has agreed to provide R1 with a self releasing lap belt and obtain a revised physician's order. AD will provide proof of the new belt and physician's order to CCLD via pictures and video via email by the due date.
Deadline recorded: Feb 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 16, 2023
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
87608 Postural Supports (a) …the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include….limiting the use of a resident's hands or feet. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care……. This requirement was not met as evidenced by: Licensee did not ensure that full bed rails were only used for residents receiving hospice. R1 has an order for half side rails. R1 was observed in bed will full bedrails in raised position. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
AD has agreed to have the full rails removed and half rails placed. AD will obtain a revised physician's order for the half rails. Proof of correction will be provided with pictures to be emailed to CCLD by the due date.
Deadline recorded: Feb 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 16, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.69(b)
- Regulation authority
- HSC
What the official deficiency says
§1569.69 Employees assisting residents with self-administration of medication; training requirements. (b) Each employee who received training...and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication related issues in each succeeding 12-month period. This requirement was not met as evidenced by LPAs interview with Administrator and records review of staff training show last medication training's for current staff were in 2019. If not corrected, this poses a potential risk to residents in care.
Official plan of correction
Administrator will provide and complete the required annual medication training for all staff assisting in medications by 02/20/2023. Administrator will send proof of training to LPA via email.
Deadline recorded: Feb 3, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 3, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 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
87303 Maintenance and Operation (a)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 evidence by LPA's observations in being that 3 of 6 rooms observed with shower not funtioning or not functioning properly. This is a potential personal rights, health or safety risk to residents in care.
Official plan of correction
Maintence to fix any and all showers not functioning and/or not functioning properly. Administrator to provide in-service for all staff. Administrator to provide a copy of training material and sign in sheet for training provided and a maintence log for corrections made. Administrator to submit to CCL by POC date.
Deadline recorded: Jan 27, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 27, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 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
Maintenance and Operation 87303(a) 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 is not met as evidenced by LPAs observation of facility doors stained with dirt, fly traps hanging over dining room tables and light fixtures surrounded with cobwebs and bugs.
Official plan of correction
Administrator will clean walls, light fixtures and doors. Administrator will paint hallways and doors to remove stains and submit proof of correction by way of pictures by POC date.
Deadline recorded: Oct 5, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 5, 2022
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(a)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
Infection Control Requirements 87470 (a) A licensee shall ensure that infection control practices are maintained as follows:(2)Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows:(B) Walls and window coverings... shall be dusted or cleaned on a regular schedule to ensure they are safe and sanitary or when they are visibly contaminated or soiled. Walls and window coverings in resident care areas shall be dusted or cleaned on a regular schedule to ensure they are safe and sanitary or when they are visibly contaminated or soiled. This requirement is not met as evidenced by LPAs observation of facility hallway walls that were stained with feces and bodily fluids.
Official plan of correction
Administrator will complete cleaning facility hallway and ceiling lights from cobwebs and bugs. Once done Administrator will notify CCLD when job is completed by 10/05/2022
Deadline recorded: Oct 5, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 5, 2022
Correction not verified in available records
Complaint
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
Maintenance and Operation (a)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 LPAs observation of holes in interior facility doors that lead to the outside and floor in the entrance of the facility was in disrepair.
Official plan of correction
Administrator will replace the 3 broken doors and provide pictures / receipts evidencing the new doors by POC date.
Deadline recorded: Oct 21, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 21, 2022
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(2)
- Regulation authority
- CCR
What the official deficiency says
Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities:(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met as evidenced by LPAs interviews with residents and LPAs observation of the auditory alarm system that is continuously beeping loudly throughout the facility. Interviews with residents state this is causing mental distress.
Official plan of correction
Administrator will submit a plan of action on how to address the loud beeping sounds of the call lights by POC date.
Deadline recorded: Oct 21, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 21, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded · 2 cited · investigated over 2 visits
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation 87303(a) 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 is not met as evidenced by LPAs observation of facility doors stained with dirt, fly traps hanging over dining room tables and light fixtures surrounded with cobwebs and bugs.
Official plan of correction
Administrator will clean walls, light fixtures and doors. Administrator will paint hallways and doors to remove stains and submit proof of correction by way of pictures by POC date.
Deadline recorded: Oct 5, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 5, 2022
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(a)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
Infection Control Requirements 87470 (a) A licensee shall ensure that infection control practices are maintained as follows:(2)Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows:(B) Walls and window coverings... shall be dusted or cleaned on a regular schedule to ensure they are safe and sanitary or when they are visibly contaminated or soiled. Walls and window coverings in resident care areas shall be dusted or cleaned on a regular schedule to ensure they are safe and sanitary or when they are visibly contaminated or soiled. This requirement is not met as evidenced by LPAs observation of facility hallway walls that were stained with feces and bodily fluids.
Official plan of correction
Administrator will complete cleaning facility hallway and ceiling lights from cobwebs and bugs. Once done Administrator will notify CCLD when job is completed by 10/05/2022
Deadline recorded: Oct 5, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 5, 2022
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Sep 21, 2022 · Control 24-AS-20220829110252
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
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 Aug 15, 2022 · Control 24-AS-20220729080056
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465(a)(4)A plan for incidental medical and dental care shall be developed by each facility. .....provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: A sample of the medication was conducted, and files reviewed. R1 and R2 medication's were reviewed and was found that medication was missed and or not properly handled.
Official plan of correction
A reconcile is completed for all the medications given on a daily basis. On a weekly basis administrator is reviewing/ reconciling all MARs/medication.
Deadline recorded: Aug 16, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 16, 2022
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(6)
- Regulation authority
- CCR
What the official deficiency says
87303(e)(6) (e)Water supplies and plumbing fixtures shall be maintained as follows: (6) Toilet, handwashing and bathing facilities shall be maintained in operating condition. This requirement was not met as evidenced by: Based on observation R1’s shower was not latching and staying closed.
Official plan of correction
Shower door latch was repaired during visit
Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.
Corrective action observedRecorded in report dated Aug 15, 2022
Correction deadline recordedDeadline Sep 2, 2022
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 2 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Feb 2, 2022 · Control 24-AS-20211202110000
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 4 unsubstantiated · 1 unfounded · 2 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(5)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care-The licensee shall assist residents with self administered medications as needed. MARS observed not maintained ensuring that residents are receiving assistance with rx as needed
Official plan of correction
Admin to submit plan to be submitted by due date that outline a plan with dates on how issue will be corrected, including staff training. Repeat Violation < 8/4/21 > Immediate Civil Penalty of $250 assessed.
Deadline recorded: Nov 23, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 23, 2021
Correction not verified in available records
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. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Cockroaches present in facility in resident rooms. Current Pest Control contract is insufficient to meet the facility need to control cockroaches.
Official plan of correction
Admin to review current Pest Control contract & to reassess current need of facility to control cockroaches. Copy of updated Pest Control contract to be submitted by due date. Repeat Violation < 8/26/21 > Immediate Civil Penalty of $250 assessed.
Deadline recorded: Dec 19, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 19, 2021
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(5)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care-The licensee shall assist residents with self-administered medications as needed. MARS observed not maintained ensuring that residents are receiving assistance with rx as needed.
Official plan of correction
Admin to submit plan by due date that outlined a plan with dates on how issue will be corrected, including staff training.
Deadline recorded: Nov 23, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 23, 2021
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87645(h)(2)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care-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. Variety of unidentified medications & vitamins observed in R1's room - not centrally stored or maintained in a locked location
Official plan of correction
Admin to remove all items that should be centrally stored from R1's room. Admin to submit plan by due date that outlined a plan with dates on how issue will be corrected, including staff training.
Deadline recorded: Nov 23, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 23, 2021
Correction not verified in available records
2 complaints have no published investigation report
The official record holds these complaints, but no investigation report was published for them. Their outcome is shown as the source recorded it.
- Dec 23, 2022 · Control 24-AS-20220927081109
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
- Aug 20, 2021 · Control 24-AS-20210803084904
Allegations0 substantiated · 0 unsubstantiated · 4 unfounded
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