Staffing, personnel, and training
Cited in 3 reports, with 3 deficiencies in total.
240 PALM AVE, Woodland CA 95695
100 bedsLatest official report Jul 10, 2026Licensed
The available records show 10 Type A deficiencies for this facility.
11 later reports, from Dec 12, 2024 through Jul 10, 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 4 Yolo County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 27 reports for this facility: 14 inspections, 11 complaint investigations, and 2 licensing or administrative records.
Those records contain 10 Type A and 0 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 7
3 in the last 12 months
Well above the typical 2
0 in the last 12 months
Well above the typical 2
0 in the last 12 months
Most this size also have none
0 in the last 12 months
Most this size have none
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 3 reports, with 3 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 2 unsubstantiated · 0 unfounded
87464 (f)(4)Basic Services. Basic services shall at a minimum include:...Personal assistance and care...such as dressing, eating, bathing.. .***Based on documents, this requirement not met as evidenced by: Shower Sheets indicate R1 was not showered as per Care Plan from 8/01/2024 through 10/10/2024.This poses an immediate risk to the health and personal rights of R1.
Administration to provide plan to provide training on the importance of showers by 11/27/24 and proof of refresher training to staff about the importance of showers by 12/05/2024.
Deadline recorded: Nov 26, 2024. A deadline is not proof that correction was completed.
Deficiency Dismissed Type A 11/26/2024 Section Cited CCR 87464(f)(4)
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded
87468.2Additional 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... shall have all of the following personal rights: (1)To have a reasonable level of personal privacy in accommodations... conversations, use of the Internet, and meetings of resident and family groups. This requirement is not met as evidenced by: Based on interview of R2 LPA found resident R2 and R3 were not allowed personal privacy due to resident R1 wandering about the facility and accessing their room on more than one occasion due to lack of supervision of the resident R1.
Administrator will submit a plan on how they will ensure that thorough assessments are completed prior to residents moving in, either permanently or as a respite, by completing all pre-assessments and interviews prior to new residents moving in. Administrator to submit plan to LPA by 11/27/2024.
Deadline recorded: Nov 26, 2024. A deadline is not proof that correction was completed.
Deficiency Dismissed Type A 11/26/2024 Section Cited CCR 87468.2(a)(1)
Personnel Requirements -General. (a) Facility personnel shall at all times be sufficient... provide the services necessary to meet resident needs***Based upon records reviewed and interviews conducted, this requirement has not been met as evidenced by: R2 states that on numerous occasions in the recent past, staff shortages resulted in call buttons not being answered timely; up to nearly an hour delay. This posed an immediate risk to the health and safety of residents in care.
**Amended*** Administration to provide a written plan that outlines protocols going forward that will guarantee that sufficient staff are on duty to ensure that all residents' needs are met timely. In addition, Administrator will provide proof that staff are trained adequately to ensure resident care needs are met timely. Plan to be submitted to CCL by POC date of 11/27/2024, and proof of training submitted by 12/04/2024 in order to clear the deficiency. This is an amendment of the original report to indicate civil penalty language** Civil penalty of $250 issued for repeat violation within a 12 month period for regulation87411(a).
Deadline recorded: Nov 26, 2024. A deadline is not proof that correction was completed.
Deficiency Dismissed Type A 11/26/2024 Section Cited CCR 87411(a)
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 0 unsubstantiated · 0 unfounded
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 in obtaining such care, by compliance with the following:(2)(2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which may be limited to the nearest available medical or dental facility which will meet the resident's need. In providing transportation the licensee shall do so directly or make arrangements for this service. This requirement was not met as evidenced by: Based on LPA’s interview with R1 the Administrator did not make arrangements or provideadequate transportation assistance for R1, which led to emergency treatment via ambulance.
Administrator to provide plan that will ensure resident transportation needs are met to CCL by 11/27/2024.
Deadline recorded: Nov 26, 2024. A deadline is not proof that correction was completed.
Deficiency Dismissed Type A 11/26/2024 Section Cited CCR 87465(a)(2)
87411Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs***Based upon records reviewed and interviews conducted, this requirement has not been met as evidenced by: A review of call bell records show that response times were delayed up to 1 hour. This poses an immediate risk to the health and safety of residents in care.
Administration to provide a written plan that outlines protocols going forward that will guarantee that sufficient staff are on duty to ensure that all residents' needs are met timely. Plan to be submitted to CCL by POC date of 11/27/2024 to clear the deficiency.
Deadline recorded: Nov 26, 2024. A deadline is not proof that correction was completed.
Deficiency Dismissed Type A 11/26/2024 Section Cited CCR 87411
1569.269(a)(6) (a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) 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 tas evidenced by:heir needs. This requirement is not met Based on 9/15/2024 and 9/20/2024 inspection LPA observed resident R4 and R5 had a wheelchairs and other furnsihings placed in front of their bed to prevent resident from being pulled out of bed by another resident. LPA went over resident personal right and explained staff must be sufficient to observe and meet residents needs. Staff pushed the wheelchair away during the inspections. The licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.
Facility to send in written plan on how they will meet regulation and meet resident R4's and R5's needs. Facility to send in proof of staff training. Plan of correction (POC) written statement due 9/23/2024 and proof of staff training due 9/27/2024. POC to be sent to CCL attention LPA Nakagawa by close of business
Deadline recorded: Sep 20, 2024. A deadline is not proof that correction was completed.
87465 Incidental Medical and Dental Care(a) A plan... shall be developed... The plan shall... 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 was not met as evidenced.by. Based on document review and interview with resident R1 Licensee did not comply with the section cited above. R1 did not receive medication as prescribed due to caregiver not verifying the correct resident or the right medication; and medication administration not being documented in MAR for R2 and R3. This poses an immediate health and safety risk to residents in care.
Administrator to conduct Medication Administration Training to medication technicians by 9/22/2024. Proof of training to be submitted to CCL, attention LPA Nakagawa by close of business 9/23/2024
Deadline recorded: Sep 20, 2024. A deadline is not proof that correction was completed.
87465(h)(2)Medical and Dental Care:(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines... not accessible to persons other than employees responsible for the supervision of the centrally stored medication... This is evidenced by : Based on LPA's observations medication room was unlocked with medications unsecured without staff present while Residents were having lunch which poses a potential health, safety or personal rights risk to persons in care.
Administrator to ensure medications are not accessible to residents by keeping Medication Room locked at all times. Administrator to submit in-service Training reviewing Regulation for all staff with the following information: A plan for immediate In-service Training date, In-service topic submitted by POC date of 6/5/2024 to LPA and Training Roster with signatures and job role to LPA by POC date of 6/11/2024.
Deadline recorded: Jun 4, 2024. A deadline is not proof that correction was completed.
87705(b)(2) Care of Persons with Dementia: (b) In addition to the requirements as specified in ....the needs of residents with dementia, including: (2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. This is evidence by: Based on LPAs observation, 4 out of 6 cabinets in Residents bathroom were unsecured with toxins, which poses an immediate health, safety or personal rights risk to persons in care.
Administrator to ensure all cabinets are functioning and ensure all employees have keys to the cabinets. Administrator to submit a statement stating corrections are being completed by POC due date of 6/5/2024. Administrator to review Regulation for all staff regarding Care of Persons with Dementia.
Deadline recorded: Jun 4, 2024. A deadline is not proof that correction was completed.
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
**Amended** Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs***Based upon records reviewed and interviews conducted, this requirement has not been met as evidenced by: A review of call bell records show that response times were delayed up to 1 hour. This posed an immediate risk to the health and safety of residents in care.
Administration to provide a written plan that outlines protocols going forward that will guarantee that sufficient staff are on duty to ensure that all residents' needs are met timely. Plan to be submitted to CCL by POC date of 04/26/2024 to clear the deficiency. This deficiency was amended.
Deadline recorded: Mar 21, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 2 unsubstantiated · 0 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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