Dementia care
Cited in 2 reports, with 2 deficiencies in total.
SUMMERSET LINCOLN ASSISTED LIVING AND MEMORY CARE
567 3RD STREET, Lincoln CA 95648
132 bedsLatest official report Jul 23, 2026Licensed
Additional info
- Telephone
- (916) 409-4150
- Licensee
- LINCOLN SUMMERSET ALMC LLC; CARE SENIOR MANAGEMENT
- Administrator
- MEGAN GALLAGHER
- Contact
- MEGAN GALLAGHER
- License first date
- Feb 17, 2017
- License effective date
- Feb 17, 2017
- District office
- SACRAMENTO NORTH ASC · (916) 263-4700
- Regional office
- 59
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 14 Type A and 7 Type B deficiencies for this facility.
- Most recent inspection
- May 20, 2026
- Most recent deficiency
- Jul 23, 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 22 Placer 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 34 reports for this facility: 10 inspections, 23 complaint investigations, and 1 licensing or administrative record.
Those records contain 14 Type A and 7 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 10
- Recorded deficiencies
- 21
- Type A deficiencies
- 14
- Type B deficiencies
- 7
- Substantiated complaints
- 8
- Repeated topics
- 1
More than the typical 9
3 in the last 12 months
Well above the typical 6
3 in the last 12 months
Well above the typical 2
3 in the last 12 months
More than the typical 3
0 in the last 12 months
Well above the typical 2
1 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 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. . . . (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by R1 being provided and consuming the medication for another resident. This poses a direct threat to the health and safety of residents in care.
Official plan of correction
Facility to submit plan regarding retraining med techs.
Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2026
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(5)
- 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. . . .(5) Facility staff, except those authorized by law, shall not administer injections . . .this requirement was not met as evidenced by med techs performing finger sticks for blood sugar checks. This poses a direct threat to the health and safety of residents in care.
Official plan of correction
Facility to submit inservice training to LPA regarding protocol and procedures for blood sugar checks.
Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2026
Correction not verified in available records
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 . . this requirement was not met as evidenced by staff not calling 911 once they began to have a serious change in condition. This poses a direct threat to the health and safety of residents in care.
Official plan of correction
Facility to submit plan to retrain all staff regarding policy on calling 911 in the event of an emergency.
Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 6 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
The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by:Based on interviews conducted and records reviewed, facility staff observed R1’s health declining on 12/18/2024. Although facility staff reached out to R1’s responsible party, facility staff did not reach out to R1’s primary physician until 12/24/2024 resulting in a delay in R1 obtaining proper medical care.
Official plan of correction
Licensee will complete a statement of understanding for regulation 87466. Licensee will also show proof for a planned trainning with staff. Licensee will email to LPA by POC due date, 12/19/2024.
Deadline recorded: Dec 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 19, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 7 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited
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 was not met as evidenced by R1 eloping from facility without staff knowledge. This posed a direct threat to the health and safety of resident in care.
Official plan of correction
Facility previously submitted staffing training for regarding elopment. This citation is cleared upon the visit.
Deadline recorded: Sep 27, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Sep 26, 2024
Correction deadline recordedDeadline Sep 27, 2024
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(f)
- Regulation authority
- CCR
What the official deficiency says
87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement is not met as evidenced by: facility billing for care services which were not rendered between the days of 7/8/2024 and 7/9/2024 including frequent checks (16 per shift) and redirecting regarding exit seeking behavior. This posed an indirect threat to the health and safety of resident in care.
Official plan of correction
Facility agrees to issue a refund for care and supervision for 7/8 and 7/9/2024.
Deadline recorded: Oct 3, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 3, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportLicensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations4 substantiated · 6 unsubstantiated · 0 unfounded · 4 cited
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. . . This requirement was not met as evidenced by R1 having a Dx of seizures and having repeated falls and wandering. This poses a direct threat to the health and safety of residents in care.
Official plan of correction
Administrator to submit plan regarding 1:1 and eviction procedures for residents who require additonal care and supervision outside of normal staffing.
Deadline recorded: Oct 11, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 11, 2023
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87629(b)(1)
- Regulation authority
- CCR
What the official deficiency says
87629 Injections (b) . . . the licensees who admit or retain residents who require injections shall be responsible for the following: (1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement was not met as evidenced by allowing an employee who did not have their nursing license administer insulin injections. This poses a direct threat to the health and safety of residents in care.
Official plan of correction
Administrator to submit nursing schedule including back-up plan if schedule nurse calls off.
Deadline recorded: Oct 11, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 11, 2023
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
87625 Managed Incontinence (b) . . .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. This requirement was not met as evidenced by R1 having repeated incontinence in clothing documented by nursing notes and photographs. This poses an indirect threat to the health and safety of residents in care.
Official plan of correction
Administrator to submit proof of training regarding incontinence care and cleanliness.
Deadline recorded: Oct 27, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 27, 2023
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87207
- Regulation authority
- CCR
What the official deficiency says
87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement was not met as evidenced by S2 signing the MAR regarding R2's insulin when they were not the one to administer the injection. This poses an indirect threat to the health and safety of residents in care.
Official plan of correction
Administrator to submit proof of training for care staff regarding documentation.
Deadline recorded: Oct 27, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 27, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations4 substantiated · 1 unsubstantiated · 0 unfounded · 4 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- Regulation authority
- HSC
What the official deficiency says
Personal Rights of Residents in All Facilities (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidence by S2 forcefully grabbing R1's hands while performing ADLs. This poses an immediate risk to the health and safety of resident in care.
Official plan of correction
Administrator agrees submit proof scheduled training regarding resident rights for staff.
Deadline recorded: Jun 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 16, 2023
Correction not verified in available records
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. This requirement was not met as evidenced by:based on interview and MAR document review, resident was not given medication as prescribed. This poses a direct risk to the health and safety of resident in care.
Official plan of correction
Administrator to schedule a training regarding medication requirements.
Deadline recorded: Jun 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 16, 2023
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)
- Regulation authority
- CCR
What the official deficiency says
Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports . . (1) A written report shall be submitted to the licensing agency at (D) Any incident which threatens the welfare, safety or health of any resident . . . This requirement was not met as evidnced by no SOC341 or LIC624 submitted to the Ombudsman or Licensing. This poses a potential risk to the health and safety of resident in care.
Official plan of correction
Administrator to schedule training with management regarding reporting requirements.
Deadline recorded: Jun 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 16, 2023
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87218(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Theft and Loss (2) A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost resident property at its current value. . . This requirement was not met as evidenced by R1's glasses and lower dentures were lost and R1's POA has not received reimbursement for the items. This poses a potential risk to the health and safety of resident in care.
Official plan of correction
Administrator agreed to work with the family to come to an agreement regarding replacing dentures while there is an open balance of over $5,000 on R1's account.
Deadline recorded: Jun 29, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 29, 2023
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 1 unfounded · 3 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical. . . . 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. This requirement was not met as evidenced by R1's POA and doctor not being notified of their catheter not draining. This poses an immediate risk to the health and safety of residents in care.
Official plan of correction
Facility to begin training for all staff regarding observation of resident requirements. Facility to complete by send LPA proof of training by end of day 6/19/2023.
Deadline recorded: Jun 19, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2023
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.312(e)
- Regulation authority
- HSC
What the official deficiency says
Basic services requirements (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement was not met as evidenced by R1 sustaining multiple falls. This poses a direct risk to the health and safety of resident in care.
Official plan of correction
Administrator agreed to submit a memo of understading regarding upholding the admission agreement by implementing a 1:1 when a resident is a danger to themselves or someone else.
Deadline recorded: Jun 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 16, 2023
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87623
- Regulation authority
- CCR
What the official deficiency says
87623 Indwelling Urinary Catheter (B) There shall be written documentation by an appropriately skilled professional outlining the instruction of the procedures delegated and the names of the facility staff who have been instructed. This requirement was not met as evidenced by no documentation of staff training related to R1 and their catheter care. This poses an indirect threat to the health and safety of resident in care.
Official plan of correction
The administrator agreed to submit a memo of understanding regarding the regulation.
Deadline recorded: Jun 29, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 29, 2023
Correction not verified in available records
Complaint
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 · 0 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 4 unsubstantiated · 0 unfounded · 3 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes. . . changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement was not met as evidenced by no communication between the facility and R1 regarding R1’s weight loss. This poses a direct threat to the health and safety of resident in care.
Official plan of correction
Administrator to meet with management 5/12/2023, in the morning. Administrator to schedule training with med techs, nurses, and floor staff on 5/22/2023.
Deadline recorded: May 12, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 12, 2023
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(d)(1)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, (1) Facility staff shall contact the resident's physician prior to each dose This requirement was not met as evidenced by no communication with R1’s physician prior to dispensing the PRN medication to R1. This poses a direct threat to the health and safety of resident in care.
Official plan of correction
Administrator to assign facility staff to review all PRN authorization forms and ensure that med techs are following signed order. Facility to ensure complaince by 5/22/2023.
Deadline recorded: May 12, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 12, 2023
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)(2)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (e) For every prescription and nonprescription PRN medication . . . physician's order and the label shall contain at least all of the following information (2) The exact dosage.This requirement was not met as evidenced by R1’s PRN medication stating to take ½ tablet (25mg) to 1 tablet (50mg) by mouth as needed for insomnia. This poses a direct threat to the health and safety of resident in care.
Official plan of correction
Administrator to submit plan by POC due date. Administrator to assigned staff to reveiw all MARS and ensure prescription label complaince by 5/22/2023.
Deadline recorded: May 12, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 12, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 10 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 80072(a)(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 is not met as evidenced by: Based on observation of staff, the facility staff are not wearing masks while inside of the facility, which poses a potential health and safety risk to residents in care.
Official plan of correction
Executive Director agrees to conduct in- service for all staff. ED is to review PIN 20-22-ASC and submit to CCL in writing that PIN was reviewed. Proof of in-service and review of PIN is to be submitted by POC due date, 3/16/2022.
Deadline recorded: Mar 16, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 16, 2022
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this 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.
- Nov 19, 2021 · Control 25-AS-20211102134854
Allegations0 substantiated · 0 unsubstantiated · 2 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