Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
CARLTON PLAZA OF ELK GROVE
6915 ELK GROVE BLVD., Elk Grove CA 95758
180 bedsLatest official report Jul 21, 2026Licensed
Additional info
- Telephone
- (916) 714-2404
- Licensee
- CARLTON SENIOR LIVING, LLC
- Administrator
- JENNELL REVERA
- Contact
- JENNELL REVERA
- License first date
- Aug 7, 2015
- License effective date
- Aug 7, 2015
- District office
- SACRAMENTO SOUTH ASC · (916) 263-4700
- Regional office
- 27
- Clients served
- 935 - ELDERLY
Summary
The available records show 16 Type A and 8 Type B deficiencies for this facility.
- Most recent inspection
- Jul 21, 2026
- Most recent deficiency
- Oct 9, 2025
2 later reports, from Jul 21, 2026 through Jul 21, 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 29 reports for this facility: 16 inspections, 12 complaint investigations, and 1 licensing or administrative record.
Those records contain 16 Type A and 8 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 16
- Recorded deficiencies
- 24
- Type A deficiencies
- 16
- Type B deficiencies
- 8
- Substantiated complaints
- 8
- Repeated topics
- 3
More than the typical 12
2 in the last 12 months
Well above the typical 8
2 in the last 12 months
Well above the typical 4
1 in the last 12 months
More than the typical 5
1 in the last 12 months
Well above the typical 3
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.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Staffing, personnel, and training
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
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
" (4) The licensee shall assist residents with self-administered medications as needed. " This requirement was not met as evidenced by: Based on interviews and record review, a resident (R1) did not receive their regularly prescribed medication for more than six days, which poses an immediate health, safety, and/or personal rights risk.
Official plan of correction
Licensee agrees to notify LPA Moleski of a planned training date regarding medication order transcriptions by POC due date. vincent.moleski@dss.ca.gov
Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 10, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
“(a) The facility shall be clean, safe, sanitary and in good repair at all times…” This requirement was not met as evidenced by: Based on interviews and record review, a resident’s room was not safe or sanitary, which poses an immediate health and safety risk.
Official plan of correction
Licensee agrees to schedule out a staff training regarding pet care requirements. Licensee agrees to provide LPA Moleski with a date or dates for this scheduled training by POC due date, and further agrees to provide LPA Moleski with a copy of a staff sign-in sheet after the training. vincent.moleski@dss.ca.gov
Deadline recorded: Dec 31, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 31, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.153
- Regulation authority
- HSC
What the official deficiency says
" A theft and loss program shall be implemented by the residential care facilities for the elderly within 90 days after January 1, 1989. The program shall include all of the following [subsections (a) through (m)]. " This requirement was not met as evidenced by: Based on observation, interviews, and record reviews, all required elements of the theft and loss program per 1569.153(a)-(m) were not implemented, which poses a potential health, safety, and personal rights risk.
Official plan of correction
Licensee agrees to update theft and loss policies and procedures and to provide LPA Moleski updated documentation when completed. vincent.moleski@dss.ca.gov
Deadline recorded: Jun 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements: " Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. " This requirement was not met as evidenced by: Based on record review and interviews, there are not a sufficient number of staff at this facility to answer resident calls in a timely manner, which poses a potential health and safety risk.
Official plan of correction
Licensee agrees to conduct a staff training regarding call response procedures. Licensee agrees to submit a plan to address staffing needs. Licensee agrees to email LPA Moleski a copy of the staff training sign-in sheet and the above mentioned written plan. vincent.moleski@dss.ca.gov
Deadline recorded: Oct 20, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 20, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87470(b)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
“PPE shall be removed and discarded in the nearest appropriate waste receptacle with a tight-fitting cover immediately upon completing a task.” This was not met based on LPA interviews with staff members.
Official plan of correction
Administrator will conduct staff training on proper disposal of PPE.
Deadline recorded: Apr 20, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 20, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care. (d) If the resident is unable to determine his/her own need for a...nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff..., shall be permitted to assist the resident with self-administration provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Based on interview and record review, a Quetiapine as needed medication for R1 is missing 22 pills from original container filled on 7/17/21 with no record from staff to indicate when medication was given, dosage taken, and R1s response to medication. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to conduct medication training for all appropriate staff. Training to include but not be limited to: medication documentation, physician’s orders, assisting residents with self-administration of medication. Training date to be submitted to LPA by POC due date. Proof of completed training to be submitted to LPA within 2 days of full completion. Full completion date shall not exceed 14 days from today’s date of 5-16-22. Licensee to conduct a full medication audit for memory care residents including but not limited to medication orders with matching medication log sheets and central storage records, medication counts, and accompanying medication documentations. Date of audit start to be submitted to LPA by POC due date and completed audit results to be submitted to LPA within 2 days of full completion. Full completion date shall not exceed 14 days from today’s date of 5-16-22.
Deadline recorded: May 17, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 17, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 6 unsubstantiated · 0 unfounded · 1 cited
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87628(b)(4)
- Regulation authority
- CCR
What the official deficiency says
87628(b)(4) Diabetes. (b)In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (4) Providing modified diets as prescribed by a resident's physician as specified in Section 87555(b)(7). This requirement is not met as evidenced by: Based on interview, R1 was provided a maple syrup product by staff which was not low or sugar free and inconsistent with R1’s modified diet physician's order. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee will read regulation 87628 and submit a signed declaration of understanding to LPA by POC due date. Licensee will submit a plan which ensures residents with modified diets are receiving such diets as appropriate. Plan to be submitted to LPA by POC due date.
Deadline recorded: May 26, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 5 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
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. The licensee shall assist residents with self administered medications as needed. This regulation was not met as evidenced by based on LPA’s interviews and a review of the facility records, this facility did not ensure that the correct medication was administered to R1 on 5-27-21 and 9-26-21. R1 received the wrong medication and dosage on each date.
Official plan of correction
The facility will provide medication training for both medical technicians from 5-27-21 and 9-26-21 dates. Both Medical technicians have attended the medication trainging on 10-19-2021.
Deadline recorded: Oct 28, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 28, 2021
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