GRANITE BAY COUNTRYHOUSE LLC

8485 BARTON RD, Granite Bay CA 95746

Facility 312700033 · RESIDENTIAL CARE ELDERLY (740)

49 bedsLatest official report Apr 29, 2026Licensed

Additional info
Licensee
GRANITE BAY COUNTRYHOUSE LLC;AGEMARK MGMT LLC
Administrator
DAVID JR., RICKY
Contact
DAVID JR., RICKY
License first date
Oct 24, 2016
License effective date
Oct 24, 2016
District office
SACRAMENTO NORTH ASC · (916) 263-4700
Regional office
59
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 12 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Apr 29, 2026
Most recent deficiency
Apr 29, 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 5 Placer County facilities licensed for 16 to 49 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 29 reports for this facility: 10 inspections, 19 complaint investigations, and 0 licensing or administrative records.

Those records contain 12 Type A and 5 Type B deficiencies.

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

Official inspections
10

More than the typical 9

2 in the last 12 months

Recorded deficiencies
17

Well above the typical 6

2 in the last 12 months

Type A deficiencies
12

Well above the typical 2

1 in the last 12 months

Type B deficiencies
5

More than the typical 3

1 in the last 12 months

Substantiated complaints
7

Well above the typical 2

1 in the last 12 months

Repeated topics
1

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.

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

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 (...) by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on medication count and records reviewed, the facility did not ensure that residents (R1, R2, and R3) were receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility agrees to conduct bi-weekly audits of all medications for the next two months and submit audits to LPA. The facility will split the audits up by wing in the facility. The last week of audits will be conducted the week of 6/28/26. The facility has already provided LPA with copies of Med Tech training conducted the week of 3/23/26 as well as the medication audits concluded on 3/18/26.

Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Apr 30, 2026
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 7 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 4 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 3 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 2 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 7 unfounded

No deficiencies recorded in this report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Basic services and supervisionType A
Official classification
Type A
Official code
87466
Regulation authority
CCR

What the official deficiency says

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided... 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 is not met as evidenced by: Based on records review and interviews, facility staff did not monitor R1's feet which resulted in R1 being admitted to the hospital for septic shock and had a right lower extremity angioplasty and a right trans metatarsal amputation. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to conduct training with staff on ensuring staff are aware of each resident’s care needs in accordance with each individual care plans. Additionally, training shall include how staff document and communicate any changes in resident needs. Training shall be completed within 30 days of POC date. Licensee shall submit training dates and topics by POC and submit training completion ducmentation once training is completed.

Deadline recorded: Feb 16, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 16, 2024
Correction not verified in available records
View official report
Complaint

Allegations2 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations8 substantiated · 2 unsubstantiated · 0 unfounded · 8 cited · investigated over 2 visits

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

What the official deficiency says

87465 Incidental Medical and Dental Care (c)If the resident's physician . . . nonprescription PRN medication but can communicate his/her symptoms clearly, (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by R1's PRN medication begin given routinely at 7am 8/24 - 8/28/2023. This poses a direct threat to the health and safety of residents in care.

Official plan of correction

Facility to submit plan in regards to training staff for PRN medication regulations. Additionally, Facility will add auditing measures to ensure staff are following procedures.

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
View official report
Health conditions and treatmentsType A
Official classification
Type A
Official code
87625(b)(3)
Regulation authority
CCR

What the official deficiency says

Managed Incontinence (3) 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 R1's incontinence needs not being met as evidenced by soiled bedding and clothings. This poses a direct threat to the health and safety of residents in care.

Official plan of correction

Facility to submit date/time for training all staff in regards to incontinence needs being met.

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
View official report
Resident rightsType B
Official classification
Type B
Official code
87468.2(a)(2)
Regulation authority
CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (2) 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 R1's POA receiving paperwork for other residents (5). This poses an indirect threat to the health and safety of residents in care.

Official plan of correction

Facility to submit a statement of understanding in regards to keeping residents information confidential.

Deadline recorded: Dec 28, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 28, 2023
Correction not verified in available records
View official report
Resident rightsType B
Official classification
Type B
Official code
87468.2(a)(19)
Regulation authority
CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities 19) To have prompt access to review all of their records and to purchase photocopies of their records. . . . (2) business days and at a cost that does not exceed the community standard for photocopies. This requirement was not met as evidenced by R1's repeated attempts to obtain R1's file while took approximately 4 weeks. This poses an indirect threat to the health and safety of residents in care.

Official plan of correction

Facility to submit a statement of understanding regarding the timeline for residents to receive their documents.

Deadline recorded: Dec 28, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 28, 2023
Correction not verified in available records
View official report
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. . This requirement was not met as evidenced by R1's soiled incontinence products being left throughout the room. This poses an indirect threat to the health and safety of residents in care.

Official plan of correction

Facility to submit training records for staff regarding taking used incontinence products out of residents rooms, overall cleanliness etc.

Deadline recorded: Dec 28, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 28, 2023
Correction not verified in available records
View official report
Resident rightsType B
Official classification
Type B
Official code
87468.1(a)(8)
Regulation authority
CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidenced by R1's POA not being notified of 2 falls. This poses an indirect threat to the health and safety of residents in care.

Official plan of correction

Facility to submit training records for med techs and Department heads are calling POAs in regards to falls and change of conditions.

Deadline recorded: Dec 28, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 28, 2023
Correction not verified in available records
View official report
Complaint

Part of the complaint whose outcome is recorded on Dec 14, 2023 · Control 59-AS-20231003164146

Dementia careType A
Official classification
Type A
Official code
87705(c)(4)
Regulation authority
CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (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 R1's safety needs not being met which allowed them to sustain an unwitnessed falls with fractures. This poses an immediate threat to the health and safety to residents in care.

Official plan of correction

Facility to submit detailed plan of measures put into place of staff identifying unmet needs and how the facility will address it. Additonally, plan will detail meeting needs of wander risks.

Deadline recorded: Dec 7, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 7, 2023
Correction not verified in available records
View official report
Basic services and supervisionType A
Official classification
Type A
Official code
87466
Regulation authority
CCR

What the official deficiency says

87466 Observation of the Resident 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 the facility not providing R1 with appropriate safety measures as a fall risk. This poses an immediate threat to the health and safety to residents in care.

Official plan of correction

Facility will submit detailed plan on proactive measures once a fall risk is indentified.

Deadline recorded: Dec 7, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 7, 2023
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 3 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 5 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Complaint

Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited

Medical and dental careType A
Official classification
Type A
Official code
87465(g)
Regulation authority
CCR

What the official deficiency says

87465(g) - Incidental medical and dental care services - 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... This requirement is not met as evidenced by: Based on interviews and records review it was determined that R1 fell on 3/18/2022 and EMS was not contacted. R1 was not taken to the ER until 3/22/2022. R1 sustained bruising which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to conduct staff training on initiating emergency services and reporting requirements. Date of training shall be provided to LPA by 10/24/2022. Once training is completed, completion documentation and training topics to be provided to CCL.

Deadline recorded: Oct 24, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Oct 24, 2022
Correction not verified in available records
View official report
Dementia careType A
Official classification
Type A
Official code
87705(c)(4)
Regulation authority
CCR

What the official deficiency says

87705(c)(4) - Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (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 is not met as evidenced by: Based on interviews conducted and record reviewed, the Licensee did not ensure that resident (R1) was supervised according to the care plan which posed an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to conduct staff training on documenting and notification any residents change in conditions. Date of training shall be provided to LPA by 10/24/2022. Once training is completed, completion documentation and training topics to be provided to CCL.

Deadline recorded: Oct 24, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Oct 24, 2022
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 2 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 3 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations2 substantiated · 3 unsubstantiated · 8 unfounded · 2 cited

Medical and dental careType A
Official classification
Type A
Official code
87465(a)(4)
Regulation authority
CCR

What the official deficiency says

The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidence by: thru review of records and observation, it was learned that the facility did not have 2 medications for a resident that were ordered as a PRN (as needed) medication. If needed, they would not have been available

Official plan of correction

The facility will ensure that all medications that have been ordered by physician will be available in the facility for when they are needed. Facility has already initiated regular medication audits. ED will submit a plan for on-going monitoring of medications by 3/24/2021.

Deadline recorded: Mar 24, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Mar 24, 2022
Correction not verified in available records
View official report
Staffing, personnel, and trainingType A
Official classification
Type A
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 is not met as evidenced by: On 12/15/21 CCL staff witnessed 2 residents alone in the second floor dining area with no staff nearby. Both residents had food on the table. One resident was standing bent over the table and could potentially have fallen or choked on food with no staff nearby; the other could have potentially choked.

Official plan of correction

Facility will maintain adequate staffing to monitor residents and ensure safety. The facility has addressed this supervision issue by inviting second floor residents to spend time and eat on the first floor where there is more supervion available. ED will submit written plan of how resident monitoring will be addressed. Plan to be submitted by 3/24/22.

Deadline recorded: Mar 24, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Mar 24, 2022
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited

Medical and dental careType A
Official classification
Type A
Official code
87465(a)(5)
Regulation authority
CCR

What the official deficiency says

87465(a)(5)- Incidental Medical and Dental Care-The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation and record review the licensee did not provide medication prescribed by physician which poses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator agrees to conduct a training with all staff that handle medication. Training to include documentation, reviewing physician orders, and Extended Care Professional (ECP) for Electonic Health Records. Training provided to be sent into LPA by 9/2/2021.

Deadline recorded: Sep 1, 2021. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Sep 1, 2021
Correction not verified in available records
View official report
1 complaint has 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.

  • Oct 24, 2025 · Control 59-AS-20250516085218

    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