FOREMOST RETIREMENT RESORT INC

Official classification

Type A

Official code

87411(g)

Regulation authority

CCR

What the official deficiency says

87411(g) Personnel Requirements-General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: This requirement was not met as evidenced by: Based on interviews and records review, the administrator did not comply with the section cited above by not having criminal background clearance for S1 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator statedthat she will obtain criminal background clearance for staff 1 (S1). Administrator stated that she will review the regulation cited and submit a statement of understanding to LPA via email by POC due date.

Deadline recorded: Aug 14, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(1)(3)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities 87468.1 (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons....(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 evidence by: Based on interviews, and review of records, the Licensee did not adhere to the regulation stated above for Resident #1, which poses an immediate Health, Safety, or Personal Rights risks to residents in care.

Official plan of correction

The Licensee has agreed to provide training on regulation: Personal Rights of Residents in All Facilities 87468.1 (a)(1)(3). The Licensee will provide LPA proof of the training that will be signed and dated by all staff by POC date 7/24/2026. In addition, the Licensee will provide LPA with status and or update pertaining to Residents #1 belongings.

Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(h)(1)

Regulation authority

CCR

What the official deficiency says

87405(d)(2) Administrator- Qualifications and Duties: (h) The administrator shall have the responsibility to:(1) Administer the facility in accordance with these regulations and established policy, program and budget. This requirement was not met as evidenced by: Based on observation, interview and records review, the former administrator did not comply with the section cited above by not being capable to administer the facility by following regulations which poses a potential health, safety and personnal rights risk to persons in care.

Official plan of correction

Administrator stated that the former administrator resigned on December 30, 2025. Administrator provided proof to LPA. POC cleared.

Deadline recorded: Jan 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

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. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the administrator did not comply with the section cited above by not addressing the broken tile on a resident's wall next to the sink, broken window screen, broken patio gate door, and not having the smoke and sprinkler annual inspection clearance report which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2026 Plan of Correction Administrator stated that she will correct the broken tile on the resident's wall next to the sink, broken window screen, broken patio gate door, and obtain the smoke and sprinkler annual inspection clearance report. Administrator will submit pictures as proof to LPA via email by POC due date.

Official classification

Type B

Official code

87303(e)(5)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the administrator did not comply with the section cited above by not having slip resistant mats in the residents showers which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2026 Plan of Correction Adminstrator stated that slip resistant mats will be purchased for all residents showers and proof will be sent to LPA via email by POC due date.

Official classification

Type B

Official code

87303(i)(2)

Regulation authority

CCR

What the official deficiency says

(i) Facilities shall have signal systems which shall meet the following criteria: (2) Facilities having more than one wing, floor or building shall be permitted to have a separate system in each, provided each meets the above criteria. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the administrator did not comply with the section cited above by not having working signal systems in each wing which poses potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/12/2026 Plan of Correction Administrator stated that she will have functioning signal systems in each wing for the residents and will send proof to LPA via email by POC due date.

Official classification

Type B

Official code

87307(a)(3)(C)

Regulation authority

CCR

What the official deficiency says

(C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the administrator did not comply with the section cited above by not having the quantity sufficient of linens to permit changing at least once per week for all residents which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2026 Plan of Correction Administrator stated that she will purchase the quantity of linens required by the regulation and submit proof to LPA via email by POC due date.

Official classification

Type B

Official code

87307(a)(3)(D)

Regulation authority

CCR

What the official deficiency says

(D) Hygiene items of general use such as soap and toilet paper. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the administrator did not comply with the section cited above by not having toilet paper and hand soap in many of the residents bathrooms which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2026 Plan of Correction Administrator stated that she will purchase toilet paper and hand soap and supply each resident's bathroom and send proof to LPA via email by POC due date.

Official classification

Type B

Official code

1569.618(a)

Regulation authority

HSC

What the official deficiency says

(a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours. A facility manager designated by the licensee with notice to the department, shall be responsible for the operation of the facility when the administrator is temporarily absent from the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the administrator did not comply with the section cited above by not being present during normal working hours which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/30/2026 Plan of Correction Administrator stated that she will be present during normal working hours of 8am-5pm and send a statement of understanding to LPA via email by POC due date.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above by not having personnel files complete with CPR training, TB testing, and personnel record which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/30/2026 Plan of Correction Administrator stated that she and the staff responsible of personnel records will submit a statement of understanding on the regulation cited and send proof to LPA via email by POC due date.

Official classification

Type B

Official code

87468(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the administrator did not comply with the section cited above by not posting the personal rights and complaint information accessible to all residents and visitors which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/30/2026 Plan of Correction Administrator stated that the personal rights and complaint information will be posted by POC due date and proof will be sent to LPA via email.

Official classification

Type B

Official code

87468.1(a)

Regulation authority

CCR

What the official deficiency says

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the administrator did not comply with the section cited above by not making sure that residents were aware of the menu options, activities schedule and phone usage with notices posted in the common area of each wing which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/30/2026 Plan of Correction Administrator stated that menu calendar, activities schedule and phone usage memo will be posted in each wing and proof will be sent to LPA via email by POC due date.

Official classification

Type B

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 is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the administrator did not comply with the section cited above by not having the resident's MARS completed with the required information per the medication label; MARS hainge the staff's initials after administering medication; and PRN medication inventory matching the MARS and physician's order which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2026 Plan of Correction Administrator stated that a third vendor will provide medication training to staff who assist with medication. Administrator stated that proof of training and a statement of understanding from her and the Medtech supervisor will be sent to the LPA via email by POC due date.

Official classification

Type B

Official code

87208(a)

Regulation authority

CCR

What the official deficiency says

87208(a) 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...contain the following: This requirement is not met as evidenced by: Based on observationns and records review, the administrator did not comply with the section cited above by not following the plan of operations by exceeding the 20% occupancy of residents under 60 which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

Licensee and Administrator stated that they will submit a plan to correct the deficiency cited by POC due date and email it to LPA.

Deadline recorded: Dec 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355(e)(2) Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall.. licensed facility:(2)Obtain a California clearance or a criminal record exemption as required by the Department or. This requirement is not met as evidenced by: Based on observation, interview and record review, the Administrator did not comply with the section cited above by not obtaining criminal background clearance for two staff which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

Business Manager stated that the two new hired staff will be removed from the schedule immediately. Business manager will provide a copy of the new schedule to LPA via email by POC due date.

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

Official classification

Type B

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

87355(e)(3) Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall.. licensed facility:(3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or. This requirement is not met as evidenced by: Based on observation, interview and record review, the Administrator did not comply with the section cited above by not obtaining criminal background clearance transfer request for one staff which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

Business Manager stated that the new hired staff will be removed from the schedule immediately and will submit documentation for a transfer clearance. Business manager will provide a copy of the new schedule to LPA via email by POC due date.

Deadline recorded: Oct 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211(a)(1) Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports.. 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.. of the case. This requirment is not met as evidenced by: Based on observations, interview and record review, the administrator did not comply with the section cited above by not reporting deaths and incidents that occurred recently which poses a potential health, safety and personnal rights risk to persons in care.

Official plan of correction

Administrator stated that she will create a log where either the Assistant Administrator or Business Manager confirm that incidents were reported from the previous day. Administrator will send a statement of understanding with her signature, assistant administrator signature and business mgr signature to LPA via email by POC due date.

Deadline recorded: Aug 7, 2025. A deadline is not proof that correction was completed.