COGIR OF FOLSOM

1801 EAST NATOMA STREET, Folsom CA 95630

Facility 345002909 · RESIDENTIAL CARE ELDERLY (740)

66 bedsLatest official report Jul 8, 2026Licensed

Additional info
Licensee
WELL CA WA TENANT LLC; COGIR MANAGEMENT USA INC
Administrator
CRUZ, ELIZABETH
Contact
CRUZ, ELIZABETH
License first date
Jun 1, 2022
License effective date
Jun 1, 2022
District office
SACRAMENTO NORTH ASC · (916) 263-4700
Regional office
59
Clients served
935 - ELDERLY

Summary

The available records show 7 Type A and 7 Type B deficiencies for this facility.

View enforcement record
Most recent inspection
Jun 18, 2026
Most recent deficiency
Jun 23, 2026

2 later reports, from Jul 8, 2026 through Jul 8, 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 49 reports for this facility: 16 inspections, 28 complaint investigations, and 5 licensing or administrative records.

Those records contain 7 Type A and 7 Type B deficiencies.

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

Official inspections
16

More than the typical 12

3 in the last 12 months

Recorded deficiencies
14

More than the typical 8

4 in the last 12 months

Type A deficiencies
7

More than the typical 4

2 in the last 12 months

Type B deficiencies
7

More than the typical 5

2 in the last 12 months

Substantiated complaints
11

Well above the typical 3

5 in the last 12 months

Repeated topics
3

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

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 3 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited

Incident reportingType B
Official classification
Type B
Official code
87211(a)(1)(A)
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. (A) Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure that resident (R1's) Death Report was provided to CCLD and R1's responsible party within seven (7) days of occurrence, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility shall submit a statement of understanding to LPA by the POC due date of 7/7/2026.

Deadline recorded: Jul 7, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 7, 2026
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 3 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 (R2, R3, R4, & R5) 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 provide an in-service training to all med techs regarding job duties to address medication management and submit to LPA by the POC due date of 4/6/26. Facility will also complete bi-weekly audits of all medications for the next two months and submit them to LPA. Facility requested an extension to complete training by 4/8/26.

Deadline recorded: Apr 6, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2026
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · investigated over 2 visits

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited

Basic services and supervisionType A
Official classification
Type A
Official code
87464(f)(1)
Regulation authority
CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision... This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the facility did not ensure staff were sufficient in number to provide care and supervision to residents, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will provide a statement of understanding and provide to LPA by POC due date of 2/4/26. ED, Liz Cruz, has provided LPA with 2 months of staff schedules indicating they ensure that AM and PM shifts have 3-4 caregivers and 1 med tech, and NOC shift has 2 caregivers and 1 med tech. ED informed LPA that the Health and Wellness Director will be taking over staff schedules in February 2026. Facility agrees to provide LPA with staff schedules for 2 months after Health and Wellness Director begins.

Deadline recorded: Feb 4, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 4, 2026
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 3 unsubstantiated · 2 unfounded

No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Complaint

Allegations1 substantiated · 1 unsubstantiated · 3 unfounded · 1 cited

Records and plan of operationType B
Official classification
Type B
Official code
87506(b)(9)
Regulation authority
CCR

What the official deficiency says

87506 Resident Records (b) Each resident’s record shall contain at least the following information: (9) Name, address and telephone number of physician and dentist to be called in an emergency. This requirement is not met by: Based on file review and interview, Licensee did not comply as R1's resident record did not have R1's updated medical physician information which R1 was transported to wrong emergency medical facility which poses a potential risk for resident in care.

Official plan of correction

Licensee is to submit a procedure of how facility will update residents medical information as needed to ensure resident records remain accurate. POC is due September 30, 2025. As a reminder, failure to correct by plan of correction due date may result to $100 per day until corrected.

Deadline recorded: Sep 30, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Sep 30, 2025
Correction not verified in available records
View official report
Complaint

Part of the complaint whose outcome is recorded on Mar 20, 2026 · Control 59-AS-20250623112243

No deficiencies recorded in this report
Inspection
Administrator qualificationsType B
Official classification
Type B
Official code
87405(d)(2)
Regulation authority
CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405... (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Based on interviews, Licensee did not comply to the section cited above as Executive Director knowingly failed to comply with criminal record regulations as well as failure to assist resident to ensure medications are given as prescribed, which poses a potential risk for residents in care.

Official plan of correction

Licensee is to submit a new LIC 200 to appoint a new Executive Director. POC due August 26, 2025. Additionally, an office meeting will be held to discuss this matter.

Deadline recorded: Aug 26, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Aug 26, 2025
Correction not verified in available records
View official report
Complaint

Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited

Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(g)(1)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption... This requirement is not met as evidenced by: Based on file review and interview, Licensee did not comply as S1 has been working at the facility since September 2024 when an exemption request has not been completed, which poses a potential risk for residents in care.

Official plan of correction

-S1 was immediately removed from schedule. S1 may not return until exemption has been granted. -Licensee is to conduct an audit of staff roster and file to ensure all individuals working at the facility has a clearance and/or exemption. POC due August 20, 2025

Deadline recorded: Aug 20, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Aug 20, 2025
Correction not verified in available records
View official report
Medical and dental careType B
Official classification
Type B
Official code
87465
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. The plan shall encourage routine medical and dental care and provide for assistance... (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on file review and medication audit, Licensee failed to comply as R1 was not administered one dose of pentoxifylline as prescribed, which poses a potential risk for resident in care.

Official plan of correction

Licensee is to conduct an in-service for medication technicians to ensure all residents are administered medications as prescribed by physicians. Proof of in-service is due on August 26, 2025

Deadline recorded: Aug 26, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Aug 26, 2025
Correction not verified in available records
View official report
Inspection
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 is not met as evidenced by: Based on file review, Licensee did not comply as incident report revealed R1 did not receive medications for more than 30 days which poses an immediate health and safety in care.

Official plan of correction

Licensee will conduct an in-service training for all medication technicians on properly notifying administrative team. Training is due by September 15, 2025. Licensee is to provide a training date to LPA by August 16, 2025.

Deadline recorded: Aug 16, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Aug 16, 2025
Correction not verified in available records
View official report
Inspection
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 (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 ...(D) Any incident which threatens the welfare, safety or health of any resident... This requirmenet is not met as evidenced by: Based on file review, Licensee did not comply as LPA received approximately 17 incident reports that exceed the seven days timeframe, which poses a potential risk for residnets in care.

Official plan of correction

Licensee is to submit a procedure to ensure how LIC624 incident reports will be submitted to Licensing in a timely manner. POC is due to LPA Yang by August 22, 2025.

Deadline recorded: Aug 22, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Aug 22, 2025
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded

Licensing and administrationType A
Official classification
Type A
Official code
1569.319(d)
Regulation authority
HSC

What the official deficiency says

§1569.312 Basic services requirements Every facility required to be licensed under this chapter shall provide at least the following basic services: (d) Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement is not met as evidenced by: Based on interview conducted, Licensee did not comply as R1 managed to escape out of the facility to the locked courtyard, unnoticed for hours by staff, which resulted to an injury, which poses an immediate health and safety risk for residents in care.

Official plan of correction

In-service training was conducted on June 10, 2025. Licensee is to update fire drill procedure to ensure staff complete head counts after fire drill completion. POC is due August 16, 2025.

Deadline recorded: Aug 16, 2025. A deadline is not proof that correction was completed.

Corrective action reported
Correction deadline recordedDeadline Aug 16, 2025
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 2 unfounded

No deficiencies recorded in this report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 4 unfounded · investigated over 2 visits

No deficiencies recorded in this report
Complaint

Allegations1 substantiated · 2 unsubstantiated · 1 unfounded · 1 cited

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

What the official deficiency says

87465 Incidental Medical and Dental Care (a) ... The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, 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 file review, Licensee did not comply to the section cited above as R1 was not administered medications as prescribed, which posed a potential health and safety risk for residents in care.

Official plan of correction

Licensee is to submit a plan on how facility will ensure residentsin care are receiving their medications as prescribed. This plan is to be submitted to LPA Yang by February 28, 2025..

Deadline recorded: Feb 28, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 28, 2025
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 3 unfounded

No deficiencies recorded in this report
Complaint

Part of the complaint whose outcome is recorded on Mar 12, 2025 · Control 59-AS-20240314145724

No deficiencies recorded in this report
Complaint

Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Resident rightsType A
Official classification
Type A
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 file review and interviews, Licensee did not comply with the section cited above as staff failed to follow protocol during the incident with R2, which poses an immediate health and safety risk for residents in care.

Official plan of correction

-Licensee is to conduct an audit to identitfy residents with combative behaviors and agitation. POC due within 24 hours on December 24, 2024. - Licensee is provide implementation in care plans for resident’s with aggressive behaviors and state how to ensure staff are aware of the care plans. -Licensee is to provide a training on intervention methods/skills for all staff (regardless of job duty and title) . Licensee is to provide LPA a copy of the training plan. Following information above due January 23, 2025.

Deadline recorded: Dec 24, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 24, 2024
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Food serviceType B
Official classification
Type B
Official code
87555(a)
Regulation authority
CCR

What the official deficiency says

87555 General Food Service Requirements (a) The total daily diet shall be of the quality...necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on kitchen inspection, Licensee did not comply with the section cited above as LPA observed two items in the pantry that was expired, which poses a potential health, safety, and personal rights violation to the residents in care.

Official plan of correction

Licensee is to submit a plan how to ensure residents in care are not given expired food. POC due to LPA Yang by due date of 10/04/2024.

Deadline recorded: Oct 4, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Oct 4, 2024
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Inspection
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... This requirement is not met as evidenced by: Based on interview, Licensee did not comply with the section cited above as S2 confirmed that S1 had informed R1 to stop pulling the call light, resulting to R1 being afraid to use call light, which poses an immediate health and safety risk for residents in care.

Official plan of correction

-S1 had been removed from scheduling/ termination. -Licensee will submit a compliance statement of the cited section by Friday July 26, 2024.

Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2024
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 2 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 0 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 · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 2 unfounded

No deficiencies recorded in this report
Licensing 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

Enforcement records

Revocation Action Pending

Pleading date: May 12, 2026 · Case closed: No

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