Medical and dental care
Cited in 4 reports, with 4 deficiencies in total.
8484 MADISON AVE., Fair Oaks CA 95628
128 bedsLatest official report Jul 15, 2026Licensed
The available records show 9 Type A and 10 Type B deficiencies for this facility.
7 later reports, from Sep 29, 2025 through Jul 15, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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.
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 37 reports for this facility: 18 inspections, 17 complaint investigations, and 2 licensing or administrative records.
Those records contain 9 Type A and 10 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 12
5 in the last 12 months
Well above the typical 8
0 in the last 12 months
Well above the typical 4
0 in the last 12 months
Well above the typical 5
0 in the last 12 months
Well above the typical 3
0 in the last 12 months
Last 36 months
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.
Cited in 4 reports, with 4 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations0 substantiated · 1 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 1 unsubstantiated · 1 unfounded · 1 cited
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 counts and records reviewed, the facility did not ensure that residents R1, R2, R3, and R4 were receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.
Facility had a office meeting with Community Care Licensing and will continue to implement plan that was established during meeting. In-service will be conducted with med-techs, Health Services Director, Memory Care Director, and Resident Care Coordinator. Facility will submit time of training and training agenda by POC due date of 8/15/2025.
Deadline recorded: Aug 15, 2025. A deadline is not proof that correction was completed.
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited
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 except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure to contact 9-1-1 after R1 sustained falls with potential head injuries on two (2) occasions, which poses an immediate health, safety, and/or personal rights risk to the residents in care.
Facility will conduct an in-service with staff regarding 9-1-1 reporting protocols. Facility will submit information regarding in-service training, including date of training and materials, to LPA by POC due date of 8/8/2025.
Deadline recorded: Aug 8, 2025. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
87208 Plan of Operation (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. (...) This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure that there was adequate records ensuring staff were trained in Emergency and Disaster Plan in accordance with the facility's Plan of Operation, which poses a potential health, safety, and personal rights risk to the residents in care.
Facility will create a plan to address Emergency and Disaster Plan training which includes specifying objectives of training in Plan of Operation, documenting training in accordance with Title 22 personnel training, and ensuring all staff are actively participating in training. Plan will be submitted to LPA by POC due date.
Deadline recorded: Jun 27, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this report87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. (...) This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure that Administrator had an active Administrator certificate, which poses an potential health, safety, and personal rights risk to residents in care.
Facility will submit required paperwork to assign an individual with an active Administrator certificate as the facility's Administrator by POC due date of 6/03/2024.
Deadline recorded: Jun 3, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
87611 General Requirements for Allowable Health Conditions (e) In addition to Sections 87465(a) and 87464(d) the licensee shall ensure that the resident is cared for in accordance with the physician's orders and that the resident's medical needs are met. This requirement is not met as evidenced by: Based on interviews conducted, observations, and records reviewed, facility did not ensure that PRN order for R1's oxygen was followeed, which poses an immediate health, safety, and personal rights risk to the residents in care.
Facility will ensure that R1 has their oxygen when active or ambulating in the facility. A training regarding use of oxygen will be completed for staff. ED will complete a statement of understanding regarding 87611. Facility will submit statement of understanding, along with date and materials for staff training, to LPA by POC due date of 2/1/2024.
Deadline recorded: Feb 1, 2024. A deadline is not proof that correction was completed.
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
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 counts and records reviewed, the facility did not ensure that resident R1 was receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.
Facility will complete an inservice with staff regarding medication administration. Facility will also continue bi-weekly medication audits. Facility will submit to LPA information regarding in-service training and medication audit, including time and date of in-service and training material, by POC due date. A civil penalty of $250 is assessed for a repeated violation.
Deadline recorded: Oct 19, 2023. A deadline is not proof that correction was completed.
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, facility did not ensure that staff were wearing full PPE when working with residents on isolation for COVID-19, which poses a potential health, safety, and personal rights risk to the residents in care.
Facility will complete an inservice with staff on proper donning and doffing of PPE. Facility will submit training documents to LPA by POC due date. A civil penalty of $250 is assessed for a repeated violation.
Deadline recorded: Nov 2, 2023. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
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 counts and records reviewed, the facility did not ensure that resident R1 was receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.
Facility will have med-techs sign a statement of understanding of job duties to address medication management. Facility will complete bi-weekly audits of all medications. Facility will submit audit forms to LPA bi-weekly for the next two months. Facility will submit statements of understanding by POC due date of 9/21/23. A civil penalty of $250 is assessed for a repeated violation.
Deadline recorded: Sep 21, 2023. A deadline is not proof that correction was completed.
Allegations5 substantiated · 3 unsubstantiated · 0 unfounded · 3 cited
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 counts and records reviewed, the facility did not ensure that resident R1 was receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.
Facility will conduct an in-service with all Med-Techs on medication administration. Facility will also conduct a medcation audit to address current errors. Facility will submit to LPA information regarding in-service training and medication audit, including time and date of in-service and training material, by POC due date of 8/30/2023.
Deadline recorded: Aug 30, 2023. A deadline is not proof that correction was completed.
87618 Oxygen Administration - Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (B) " No Smoking-Oxygen in Use " signs shall be posted in the appropriate areas. This requirement is not met as evidenced by: Based on observations, the facility did not ensure that " No Smoking-Oxygen in Use " sign was posted on every apartment door with a resident using oxygen, which poses a potential health, safety, and personal rights risk to residents in care.
ED ensured that all apartments with residents using oxygen have " No Smoking-Oxygen in Use " signs on doors. ED will complete a statement of understanding regarding regulation 87618 and submit to department by POC due date of 9/13/2023.
Deadline recorded: Sep 13, 2023. A deadline is not proof that correction was completed.
§1569.625 Staff training; legislative findings; contents (b) (1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. (2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Based on records reviewed, facility did not ensure that staff were acquiring all required trainings per Health and Safety Code, which poses a potential health, safety, and personal rights risk to residents in care.
ED will follow-up with management group regarding required training indicated in Health and Safety Code and ensure staff complete required training. Facility will also complete a statement of understanding regarding Health and Safety Code §1569.625 and submit to LPA by POC due date of 9/13/2023. A civil penalty of $250 is assessed for a repeated violation.
Deadline recorded: Sep 13, 2023. A deadline is not proof that correction was completed.
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
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 interviews conducted and records reviewed, the facility did not ensure resident R1 received a shower chair timely to assist with providing incontinence care and shower assistance, which poses a potential health, safety, and personal rights risk to the residents in care.
Facility will complete a statement of understanding regarding regulation 87468.1. Facility will submit statement to LPA by POC due date of 9/13/23.
Deadline recorded: Sep 13, 2023. A deadline is not proof that correction was completed.
87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure resident R1 was receiving incontience care and shower assistance, which poses a potential health, safety, and personal rights risk to the residents in care.
Facility will conduct in-service training for staff regarding basic services and documentation. Facility will submit to LPA information regarding in-service training, including time and date of in-service and training material, by POC due date of 9/13/23.
Deadline recorded: Sep 13, 2023. A deadline is not proof that correction was completed.
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations4 substantiated · 4 unsubstantiated · 0 unfounded · 2 cited
87466 Observation of Resident - The licensee shall ensure that residents are regularly observed for changes in physical (...) functioning and that appropriate assistance is provided when such observation reveals unmet needs. (...) This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure resident R1 received proper care and assistance when pressure injuries were observed by staff, which poses an immediate health, safety, and personal rights risk to the residents in care.
Facility will conduct in-service training for staff regarding observation of residents. Facility will submit to LPA information regarding in-service training, including time and date of in-service and training material, by POC due date of 8/30/23. An immediate civil penalty of $500 was assessed today per Health and Safety Code § 1548 due to a violation that the department determines resulted in the injury or illness of a person in care.
Deadline recorded: Aug 30, 2023. A deadline is not proof that correction was completed.
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed (...): (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure resident R1 received medical attention regarding pressure injuries, resulting in the development of unstageable pressure injuries, which poses an immediate health, safety, and personal rights risk to the residents in care.
Facility will complete a statement of understanding regarding regulation 87465 and timely response for medical attention. Facility will submit statement to LPA by POC due date of 8/30/23.
Deadline recorded: Aug 30, 2023. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
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. This requirement is not met as evidenced by: Based interviews conducted and records reviewed, the facility did not ensure call buttons for residents were responded to in a timely manner, resulting in response times reaching as long as 42 minutes, which poses a potential health, safety, and personal rights risk to residents in care.
ED will ensure that call button system is correctly operating to ensure accurate response times. ED will conduct a training regarding proper call button clearance and response time management on before POC due date. ED will provide training materials and sign-in roster of those who attended to department by POC due date.
Deadline recorded: May 31, 2023. A deadline is not proof that correction was completed.
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: (2) Occurrences, such as epidemic outbreaks (...) which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement is not met as evidenced by: Based on interviews conducted, the facility did not ensure to report COVID-19 positive cases to CCLD within 24 hours, which poses a potential health, safety, and personal rights risk to residents in care.
Facility will complete a statement of understanding regarding regulation 87211. Facility will submit statement of understanding to LPA by POC due date of 10/21/2022.
Deadline recorded: Oct 21, 2022. A deadline is not proof that correction was completed.
Allegations3 substantiated · 0 unsubstantiated · 1 unfounded · 2 cited
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. This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the Licensee did not ensure that staff responded timely to resident's (R1) calls for assistance on the night of 4/20/2022- 4/221/2022 and on 5/10/2022 at 4:42 pm and 5:52 pm, which posed an immediately health and safety risk to residents in care.
Licensee/Administrator agree to conduct an in-service about timely responses to pagers and calls. Documentation of training agenda/attendees to be provided by 9/30/2022.
Deadline recorded: Sep 15, 2022. A deadline is not proof that correction was completed.
§1569.625 Staff training; legislative findings; contents b) (1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. (2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Based on documentation reviewed, the Licensee did not ensure that initial or annual training was current for (3) of (5) staff (S2. S3 and S5) whose records were reviewed on 9/13/2022, which poses a potential health and safety risk to residents in care.
Licensee/Administrator agree to ensure that all facility staff have current trainings as required by the Health and Safety Code. Documentation of trainings completed to be sent to the Department by 9/30/2022. Facility to coordinate with outside ambulance service to provide First Aid/CPR certifications for any staff that need the training.
Deadline recorded: Sep 30, 2022. A deadline is not proof that correction was completed.
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportCalifornia 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.
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