Country Club Manor

The investigation found deficiencies related to medication administration documentation. Specifically, record reviews showed that documentation was incomplete or unusable, including vague reasons for medication refusals and missing PRN dispersal reasoning. The allegation regarding medication handling was substantiated, leading to a citation for inadequate documentation practices.

This report details a complaint investigation conducted following an unannounced visit. The allegation that staff were inappropriately locking facility doors was investigated, and the department found insufficient evidence to prove the violation. Consequently, no deficiencies were observed or cited at this time.

This report details an investigation into an allegation that a resident felt pressured to sign a payment plan. The investigation concluded that the allegation was Unsubstantiated, meaning there was not enough evidence to prove a violation occurred. No deficiencies were observed or cited during this review.

This was an unannounced annual visit conducted on 06/30/2025. The facility was toured, and various areas, including the kitchen, medication room, and resident areas, were reviewed. The report explicitly states that there were no deficiencies observed or cited during this visit.

The inspection report details findings from multiple allegations, resulting in three cited deficiencies. Two of the deficiencies are classified as Type A, indicating immediate health risks, related to resident assaults and lack of supervision. A Type B deficiency was also cited regarding failure to report incidents.

The inspection identified multiple deficiencies related to incident reporting and resident care documentation. Specifically, the facility failed to properly report and notify parties regarding an incident involving resident R1, and critically, the annual reappraisal for resident R2 was significantly overdue. The presence of Type A citations indicates immediate concerns regarding resident safety and compliance.

The facility underwent an unannounced annual required inspection and was found to be in compliance with Title 22 regulations. The inspector noted that resident rooms, common areas, and staff documentation were all satisfactory. No deficiencies were cited during the visit.

The complaint investigation substantiated allegations that staff were not providing residents with a comfortable environment. Two deficiencies were cited under CCR 87468.1(a)(2), one concerning general accommodations and another citing the immediate threat posed by disruptive resident behavior. The facility was found to have deficiencies requiring a formal Plan of Correction.