Medical and dental care
Cited in 4 reports, with 4 deficiencies in total.
ATWATER RESIDENTIAL CARE FACILITY
1691 JOE SILVA AVENUE, Atwater CA 95301
5 bedsLatest official report May 11, 2026Licensed
Additional info
- Telephone
- (209) 430-1688
- Licensee
- ABUNDANT RESIDENTIAL LIVING SERVICES, INC
- Administrator
- JOHNSON, JESSICA
- Contact
- JOHNSON, JESSICA
- License first date
- Apr 20, 2022
- License effective date
- Apr 20, 2022
- District office
- FRESNO RO · (559) 243-8080
- Regional office
- 24
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 28 Type A and 26 Type B deficiencies for this facility.
- Most recent inspection
- May 11, 2026
- Most recent deficiency
- May 11, 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 19 Merced County facilities licensed for 6 or fewer 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 32 reports for this facility: 20 inspections, 11 complaint investigations, and 1 licensing or administrative record.
Those records contain 28 Type A and 26 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 20
- Recorded deficiencies
- 54
- Type A deficiencies
- 28
- Type B deficiencies
- 26
- Substantiated complaints
- 10
- Repeated topics
- 8
More than the typical 10
1 in the last 12 months
Well above the typical 19
3 in the last 12 months
Well above the typical 8
0 in the last 12 months
Well above the typical 10
3 in the last 12 months
Well above the typical 5
0 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.
Admission, assessment, and eviction
Cited in 3 reports, with 4 deficiencies in total.
Licensing and administration
Cited in 3 reports, with 4 deficiencies in total.
Facility condition and maintenance
Cited in 3 reports, with 3 deficiencies in total.
Medication handling and storage
Cited in 3 reports, with 3 deficiencies in total.
Records and plan of operation
Cited in 3 reports, with 3 deficiencies in total.
Staffing, personnel, and training
Cited in 3 reports, with 3 deficiencies in total.
Health conditions and treatments
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
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. The following requirement has not been met as evidenced by: LPA's observed several goats along with some goat feces in the facility backyard, staff 1 stated the facility residents do not go in the backyard as there is several goats, which poses a potential, health, safety, or personal rights risk to residents in care.
Official plan of correction
Administrator will provide written plan on keeping facility patio clean, and submit to LPA by POC date of 12/26/2024
Deadline recorded: Dec 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 26, 2024
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- 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. The following requirement has not been met as evidenced by: Facility staff frequently called local fire staff to assist with lifitng, and moving facility residents, which poses a potential, health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will put a plan place to be in compliance with regulation 87411(a), and copy will be sent to LPA by POC due date of 01/25/24.
Deadline recorded: Jan 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 25, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)
- 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. The following requirement has not been met as evidenced by: Facility staff engaged in a verbal altercation with facility resident which poses a potential, health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will put a plan place to be in compliance with regulation 87468.1(a), and copy will be sent to LPA by POC due date of 01/25/24.
Deadline recorded: Jan 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 25, 2024
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87265(b)(3)
- Regulation authority
- CCR
What the official deficiency says
87265 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:87265 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.. The following requirement has not been as evidenced by: Based on interviews conducted facility residents are being left in urine soaked clothing for extended periods of time, which poses an immediate, health, safety, or personal rights risk to reisdents in care.
Official plan of correction
Licensee shall provide documentation and training on how staff will evaluate residents regularly to ensure skin breakdown is not occurring and submit proof to LPA Hurt by POC date 01/11/2024.
Deadline recorded: Jan 11, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 11, 2024
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87224(a)
- Regulation authority
- CCR
What the official deficiency says
87224Eviction 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. The following requirement has not been met as evidenced by: Resident 1 was not accepted back into the facility after a visit to the hospital on 12/17/23, which poses an immediate, health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will put a procedure in place to prevent future unlawful evictions, and copy will be sent to LPA by POC due date of 01/11/24.
Deadline recorded: Jan 11, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 11, 2024
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(a)(c)
- Regulation authority
- CCR
What the official deficiency says
87507 Admission Agreements (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. (c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission. The following requirement has not been met as evidenced by: Resident 1's Conservator was not provided Admission Agreement within 7 days of living at the facility which poses a potential, health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will put a procedure in place to be in compliance with regulation 87505(a)(c), and copy will be sent to LPA by POC due date of 01/24/24.
Deadline recorded: Jan 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 24, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(g)(3)(C)
- Regulation authority
- CCR
What the official deficiency says
Section 87507(g)(3)(C) Any fee that is charged prior to or after admission, shall be clearly specified. **This requirement was not met as evidenced by review of the admission agreement provided to RP, that did not specify a $1,355.00 holding fee.
Official plan of correction
Licensee will submit proof of refund of the $1,355.00 holding fee to the RP by 12/15/23 POC date.
Deadline recorded: Dec 15, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 15, 2023
Correction not verified in available records
Complaint
Allegations6 substantiated · 5 unsubstantiated · 1 unfounded · 5 cited
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.2
- 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. The following requirement has not been met as evidenced by: Resident 1 attacked several other facility residents which poses an immediate health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will provide training to all facility staff on Care and Supervision of residents, and provide proof to LPA by POC date of 10/26/2023.
Deadline recorded: Oct 26, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 26, 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. The following requirement has not been met as evidenced by: Resident 1's Centrally Stored Medication Log lists medications with no quantity which poses an immediate, health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will submit a plan documenting how she is going to ensure residents medications will be refilled, dispersed and provided to residents per physician’s orders by POC date.
Deadline recorded: Oct 26, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 26, 2023
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.657(a)
- Regulation authority
- HSC
What the official deficiency says
§1569.657 Rate increase due to change in level of resident care; notice (a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s represent ative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. The following requirement has not been met as evidenced by: Licensee did not provide Resident 1's responsible party a detailed written breakdown of services provided , and it is not clear when invoice was given, which poses a potential, health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will re submit invoice #100 to include a detailed explanation of additional services to provided at the new level of care and accompanying itemization of the charges to CCL by POC date of 10/24/2023.
Deadline recorded: Nov 9, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 9, 2023
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87265(b)(7)
- Regulation authority
- CCR
What the official deficiency says
87265 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (7) Ensuring that the condition of the skin exposed to urine and stool is evaluated regularly to ensure that skin breakdown is not occurring. The following requirement has not been met as evidenced by: Records, and photos document Resident 1's buttocks area was extremely red and irritated over a period of weeks, which poses an immediate, health, safety or personal rights risk to resident in care.
Official plan of correction
Licensee shall provide documentation and training on how staff will evaluate residents regularly to ensure skin breakdown is not occurring and submit proof to LPA Hurt by POC date 10/26/2023.
Deadline recorded: Oct 26, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 26, 2023
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(1)(D)
- Regulation authority
- CCR
What the official deficiency says
87211Reporting Requirements e 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. The following requirement has not been met as evidenced by: LPA reviewed records of incidents on 03/09/2023 that was not reported to State Licensing which poses a potential, health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will submit proof of regulation understanding to LPA Hurt by POC date of 11/02/2023.
Deadline recorded: Nov 2, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 2, 2023
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.69(2)(f)
- Regulation authority
- HSC
What the official deficiency says
§1569.69 Employees assisting residents with self-administration of medication; training requirements (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement was not met as evidenced by LPAs request for staff and resident files. Licensee was unable to provide files and proof of training at the time of visit. Interviews with staff reveal the required documented training was not conducted. If not corrected, This poses an immediate risk to the health and safety of residents in care.
Official plan of correction
Licensee will provide proof of staff training to LPA Hurt by 09/05/2023 POC date.
Deadline recorded: Sep 5, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 5, 2023
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(b)(1)
- Regulation authority
- CCR
What the official deficiency says
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any...other medical conditions which would preclude care of the person by the facility. This requirement was not met as evidenced by LPAs interview with Licensee and staff stating resident file is not available at the time of visit. Staff began employment on 08/30/23 at 4:30pm and does not currently have access to residents care plan which poses a potential health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee will provide Resident 1's file to LPA Hurt by 09/08/2023 POC date.
Deadline recorded: Sep 8, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 8, 2023
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. The following requirement has not been met as evidenced by: LPA's observed Staff 1 did not speak english, and was unable to communicate with Licensing staff, and facility residents, which poses an immediate health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to have staff present at all that can communicate with facility residents and send proof to LPA by POC date of 07/29/2023.
Deadline recorded: Jul 29, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2023
Correction not verified in available records
Records and plan of operationType A
- Official classification
- Type A
- Official code
- 87506(a)
- 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. The following requirement has not been met as evidenced by: Based on interviews with Licensee, Resident 1 does not have any records and non were provided at the time of Resident 1's admission, which poses an immediate health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to provide requested records for Resident 1 and send proof to LPA by 07/29/2023 POC date.
Deadline recorded: Jul 29, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(d)
- Regulation authority
- CCR
What the official deficiency says
(d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources. Based on records reviewed, the Licensee did not ensure that a proper pre-admission appraisal was completed prior to admitting R1. During interview, R1 stated that their needs were not met by the facilit staff. This results in a potential health and safety risk for residents in care.
Official plan of correction
Licensee agreed to write a statement which states they will conduct a proper pre-admission appraisal and needs and services plan for any resident admitted in the future and submit to CCLD by 4/7/2023.
Deadline recorded: Apr 7, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 7, 2023
Correction not verified in available records
Complaint
Allegations4 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(f)
- Regulation authority
- CCR
What the official deficiency says
87507((f)The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. The following requirement has not been met as evidenced by: The facility Administrator did not provide written notice of rate increase within two days as stated in signed facility Admissions Agreement, which poses a potential, health, safety or personal rights risk to residents in care.
Official plan of correction
Administrator Jessica Johnson will provide written Statement of Understanding of Regualtion 87507 (f) and submit to LPA Hurt by POC date of 03/14/2023.
Deadline recorded: Mar 14, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 14, 2023
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 1569.652(a)
- Regulation authority
- HSC
What the official deficiency says
Health and Safety Code section 1569.652 provides in part:(a) A residential care facility for the elderly shall not require advance notice for terminating an admission agreement upon the death of a resident. No fees shall accrue once all personal property belonging to the deceased resident is removed from the living unit. The following requirement has not been met as evidenced by: Resident 1's responsible party has not been refunded after passing on 11/12/2023 which poses a potential health, safety, or personal rights risk to residents in care.
Official plan of correction
Administrator Jessica Johnson will issue refund to Resident 1's responsible party for pro rated days after his passing and submit proof to LPA by POC date of 03/14/2023.
Deadline recorded: Mar 14, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 14, 2023
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(g)(A)
- Regulation authority
- CCR
What the official deficiency says
87507 Admission Agreement (g) Admission agreements shall specify the following:(1) Basic services, as defined in Section 87101(b), (A) Rate for all basic services which the facility is required to provide in order to obtain and maintain a license. Basic services rate(s), including: 1A comprehensive description of any items and services provided under a single fee, such as monthly fee for room, board and other items and services shall be listed. The following requirement has not been met as evidenced by: Administrator did not give detailed itemized description of fees until 14 days after change of condition and rate increase, which poses a potential, health, safety, or personal rights risk to residents in care.
Official plan of correction
Administrator Jessica Johnson will provide written Statement of Understanding of Regualtion 87507 (g)(A) and submit to LPA Hurt by POC date of 03/14/2023.
Deadline recorded: Mar 14, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 14, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(g)(5)(E)
- Regulation authority
- CCR
What the official deficiency says
(g) Admission agreements shall specify the following...(5) Refund conditions...(E) Preadmission fees shall be refunded according to the following conditions: 1. A 100 percent refund of a preadmission fee shall be provided to an applicant or the applicant’s representative if: a. The applicant decides not to enter the facility prior to the facility completing a preadmission appraisal...b. The licensee fails to provide full written disclosure of preadmission fee charges and refund conditions. This requirement was not met as evidenced by: Based on interviews and records review, the facility did not ensure 100 percent of the $500 admission fee was refunded to R1, which poses a potential health and safety risk to persons in care.
Official plan of correction
Licensee agrees to refund $500 to R1 by the POC due date and submit proof that refund was given to the Fresno CCL office. Licensee agreed to submit a signed written statement acknowledging that the Licensee will amend the facility admission agreement to include language regarding holding fees and the terms for refund and said language must be in accordance with section 87507.
Deadline recorded: Oct 14, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 14, 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