Resident rights
Cited in 2 reports, with 3 deficiencies in total.
OAKWOOD MEADOWS ASSISTED LIVING
7241 Canelo Hills DR, Citrus Heights CA 956103115
78 bedsLatest official report Aug 20, 2026Licensed
Additional info
- Telephone
- (916) 722-2800
- Licensee
- MAKENA BAY, LLC
- Administrator
- TORGERSEN, DANIEL
- Contact
- TORGERSEN, DANIEL
- License first date
- Sep 26, 2024
- License effective date
- Sep 26, 2024
- District office
- SACRAMENTO NORTH ASC · (916) 263-4700
- Regional office
- 59
- Clients served
- 935 - ELDERLY
Summary
The available records show 4 Type A and 4 Type B deficiencies for this facility.
- Most recent inspection
- Aug 20, 2026
- Most recent deficiency
- Mar 25, 2026
5 later reports, from Apr 10, 2026 through Aug 20, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 48 Sacramento County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 30 reports for this facility: 14 inspections, 14 complaint investigations, and 2 licensing or administrative records.
Those records contain 4 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 14
- Recorded deficiencies
- 8
- Type A deficiencies
- 4
- Type B deficiencies
- 4
- Substantiated complaints
- 3
- Repeated topics
- 1
More than the typical 12
10 in the last 12 months
About the same as most this size
7 in the last 12 months
About the same as most this size
3 in the last 12 months
Fewer than the typical 5
4 in the last 12 months
About the same as most this size
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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87203
- Regulation authority
- CCR
What the official deficiency says
87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the Licensee did not ensure that all emergency exit doors remained free of any blockages on March 16, 2026 (9:45 am approx) when an inspection was conducted by a related agency, which posed an immediate health and safety risk to residents in care.
Official plan of correction
Licensee/Administrator agree to conduct a refresher training with all staff to ensure their understanding that emergency exit doors, or other exit doors, cannot be blocked, at any time. Since 2024 or earlier, front desk staff has been touring and checking all exit doors for operation at the start of each shift and will continue to do so. Documentation of training conveyed during today's inspection- will be held on April 2, 2026 (Mandatory All Staff). Documentation to be submitted lby April 3, 2026.
Deadline recorded: Mar 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 26, 2026
Correction not verified in available records
Complaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) 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. This requirement is not met as evidenced by: Based on interviews conducted, the Licensee did not ensure that all Med-Tech staff follow medication administration protcols, including ensuring residents take their medications when given to them, which poses an immediate risk to residents in care.
Official plan of correction
Licensee/Administrator agree to conduct an inservice training with all Med-Techs (am/pm and NOC) to go over protocols for medication administration. Documentation of scheduled trainingt due by Monday, Feb 23, 2026. Dccumentation of completed training due by March 5, 2026-
Deadline recorded: Feb 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 23, 2026
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on staff interviews, the Licensee did not ensure that shift change meetings and communications were occurring daily between staff, on/around October 2025, which posed a potential health and safety risk to residents in care.
Official plan of correction
Licensee/Administrator have since implemented shift change meeting notes due to some staff having to leave 15 mins early - Med-Techs, other staff will cover. The DON agrees to provide notes showing what form/s are being used by staff to prepare for shift change. Due by 3/6/26.
Deadline recorded: Mar 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2026
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.37
- Regulation authority
- HSC
What the official deficiency says
§1569.37 Whistle blowers; retaliation No licensee, or officer or employee of the licensee, shall discriminate or retaliate in any manner, including, but not limited to, eviction or threat of eviction, against any person receiving the services of the licensee’s residential care facility for the elderly, or against any employee of the licensee’s facility, on the basis, or for the reason that, the person or employee or any other person has initiated or participated in the filing of a complaint, grievance, or a request for inspection with the department pursuant to this chapter, or has initiated or participated in the filing of a complaint, grievance, or request for investigation with the appropriate local ombudsman, or with the state ombudsman recognized pursuant to Chapter 11 (commencing with Section 9700) of Division 8.5 of the Welfare and Institutions Code. This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the Licensee did not ensure that (S1) was not terminated, in part, due to speaking with the LPA, which posed a potential health and safety risk to residents in care.
Official plan of correction
Licensee/Administrator agree to implement a (30)-day performance review for any future new staff and concerns and corrective action will be documented. Staff can also express any concerns they may also at this time. Facility to provide a form to be used - due by 3/6/26.
Deadline recorded: Mar 6, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- 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: (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 is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that (R1) was not subjected to verbal and physical abuse by staff (S1), on September 1, 2025 (at approximately 6:15 am), which posed an immediate health and safety risk to residents in care.
Official plan of correction
Licensee/Administrator immediately completed an inservice with all staff on mandated reporting. (R1) completed (6) classes of de-escalation and appropriately dealing with behaviors related to Dementia. The DON will advise by tomorrow, 2/19/26,what additional training will be conducted.
Deadline recorded: Feb 19, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 19, 2026
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
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. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that the alleged incident reported to management, between (R1) and (S1) , on September 1, 2025, was timely reported to the Ombudsman's office and to CCLD,
Official plan of correction
Licensee/Administrator agree to read Regulation 87211 and submit a statement of understanding. Additionally, an In-Service training will be conducted with staff to review Abuse reporting requirements as stated on the SOC341A- Ombudsman training if possible. The DON indicated (R1's) family was notified and didn't express any concerns.
Deadline recorded: Mar 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 4, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 2 unsubstantiated · 2 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(5)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (b) The following food service requirements shall apply: (5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and food habits of residents. This requirement is not met as evidenced by: Based on interviews and documentation reviewed, the Licensee did not ensure that resident (R1) was served a vegetarian and healthy meal on January 17, 2025, per their personal preference, which posed a potential health and safety risk to residents in care. (R1) was served deep fried chicken strips, French fries, and cole slaw for lunch.
Official plan of correction
Licensee/Administrator agree to review the menu and ensure there is a vegetarian option listed for each meal. The Dietary Director will continue to reviewthe daily menu wih the Administrator, and DON, to ensure there is a balance of protein, carbs and vegetables/fruits served at each meal. Also consider serving cut up fruit and other snacks (cheeses, crackers) so residents can eat without difficulty. Documentation to be submitted by 10/28/25.
Deadline recorded: Oct 28, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 28, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 4 unfounded
No deficiencies recorded in this reportInspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
87309 Storage Space and Access (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the Licensee did not ensure that resident (R1) did not have access to a small paring knife, on/around May 13, 2025, which posed an immediate health and safety risk to residents in care.
Official plan of correction
The DON stated new code locks will be installed on the kitchen doors. Resident's family was spoken to about resident having a wrapped knife in their room. Staff training to be conducted how to use the new code locks and to ensure all staff are equipped to respond in this type of situation. Discuss with family members to regularly check residents' belongings are safe for the community. Documentation of training by 6/6/25.
Deadline recorded: May 23, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 23, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 11, 2025 · Control 59-AS-20250108113928
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
Allegations0 substantiated · 4 unsubstantiated · 1 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
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportLicensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology