Hawthorne Terrace Care Home, LLC

FACILITY EVALUATION REPORT

COMPLAINT INVESTIGATION REPORT

The facility underwent an unannounced Required – 1 Year Inspection on 11/24/2025. The report indicates that no deficiencies were cited based on observation and record review in accordance with the California Code of Regulations, Title 22. The facility was found to have adequate supplies, proper safety measures, and compliant medication management.

The report details an investigation into four allegations: staff preventing sleep, staff failing to prevent arguments, staff failing to prevent falls, and staff retaliation. For all allegations, the investigation found insufficient evidence to support the claims, resulting in all allegations being deemed 'Unsubstantiated.'

The inspection was an unannounced Required – 1 Year visit conducted on 10/10/2024. The facility was generally found to have adequate supplies and safety measures in place, such as stocked first aid kits and proper medication storage. However, deficiencies were cited regarding facility maintenance, specifically disrepair in closet doors and a bathroom sink.

This report details a Complaint Investigation conducted on 05/15/2024 regarding allegations of resident neglect (fall/fracture) and inadequate food provision. The investigation found that the allegations were unsubstantiated based on the evidence gathered from interviews and records review.

This report details a complaint investigation conducted on March 21, 2024, regarding allegations of staff behavior, resident arguments, falls, and retaliation. For all four allegations investigated, the findings were deemed 'Unsubstantiated' because the standard of proof (preponderance of evidence) was not met.

This report details a complaint investigation conducted on 03/14/2024 regarding allegations of medication dispensing issues and refusal to return personal belongings. All allegations were ultimately deemed 'Unsubstantiated' based on the investigation findings and interviews conducted.