KWIK ELDERLY ESTATE

25615 STATE STREET, Loma Linda CA 92354

Facility 361881284 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Mar 4, 2026Licensed

Additional info
Licensee
MOODY ZEBEDEUS, NITA MANURIP
Administrator
ZEBEDEUS, MOODY
Contact
ZEBEDEUS, MOODY
License first date
Apr 21, 2022
License effective date
Apr 21, 2022
District office
SAN BERNARDINO ASC · (951) 248-2222
Regional office
56
Clients served
935 - ELDERLY

Summary

The available records show 2 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Mar 4, 2026
Most recent deficiency
Mar 4, 2026

No later report is available, so the records do not show what happened afterward.

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 229 San Bernardino County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 3 inspections, 0 complaint investigations, and 1 licensing or administrative record.

Those records contain 2 Type A and 5 Type B deficiencies.

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

Official inspections
3

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
7

Well above the typical 1

2 in the last 12 months

Type A deficiencies
2

Most this size have none

0 in the last 12 months

Type B deficiencies
5

More than the typical 1

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
2

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.

Fire safety and emergency preparedness

Cited in 2 reports, with 2 deficiencies in total.

Mar 4, 2026Mar 8, 2024

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(e)(2)
Regulation authority
HSC

What the official deficiency says

(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs observation and resident record reviews, the licensee did not comply with the section cited above in six (6) out of six (6) resident files (R1-R6) lacking the required appraisal of resident needs and services plan (LIC 625) which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/18/2026 Plan of Correction Licensee shall develop an appraisal of residents needs and services plan for each resident and provide a copy of each appraisal via email to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType B
Official classification
Type B
Official code
87465(c)(2)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs observation, staff interview, and resident record review, the licensee did not comply with the section cited above as R5 did not have an updated LIC 602 and/or MAR on file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/18/2026 Plan of Correction Licensee will provide an updated LIC 602 via email, indicating updated medication(s), if any, for R5 with a completed MAR as necessary by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

(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: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by not having refridgerated medication locked inaccessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction Adminstrator has relocated refigerated medication to refrigerator in the garage that is kept locked and inaccessible to residents in care.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above by facility did not maintain record of first aid/CPR training for staff #1 (S1), which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/05/2024 Plan of Correction The Licensee shall submit to the Licensing Agency proof of S1's first aid/CPR training by POC due date

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(a)
Regulation authority
CCR

What the official deficiency says

Medical assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA file review, the licensee did not comply with the section cited above by resident #1 (R1's) Physician's report was missing physician's signature; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/05/2024 Plan of Correction The Licensee shall submit to the Licensing Agency proof of signed report by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

Other Provisions (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above by the facility did not have record of a drill conducted with staff for review; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/05/2024 Plan of Correction The Licensee shall submit to the Licensing Agency documentation of a current emergency drill conducted with staff by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType A
Official classification
Type A
Official code
87559(b)(29)
Regulation authority
CCR

What the official deficiency says

(29) All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair and free of breaks, open seams, cracks or chips. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by range hood above stove was not maintained clean; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/11/2024 Plan of Correction The Licensee shall submit to the Licensing Agency proof of cleaned kitchen range hood by POC due date.

Plan of correction recorded
Correction not verified in available records
View official 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