Ivy Park at San Marino

The visit was a Case Management review prompted by a complaint investigation. The primary deficiency cited relates to the failure to submit a required written report following an unwitnessed fall incident that occurred on 10/22/2025. This is classified as a Type B deficiency, requiring the facility to submit the report and implement corrective actions.

The visit was a Case Management review prompted by a complaint investigation. The primary deficiency cited relates to the failure to submit a required written report following an unwitnessed fall incident that occurred on 10/22/2025. This is classified as a Type B deficiency, requiring the facility to submit the report and implement corrective actions.

This report is a Complaint Investigation conducted on 10/16/2025, addressing three specific allegations. All three allegations—regarding failure to address changes in condition, call button functionality, and clean clothing—were ultimately found to be 'Unsubstantiated' based on the investigation findings. No immediate health or safety concerns were observed during the visit.

The facility underwent an unannounced Required - 1 year visit. The inspection covered infection control, operational requirements, and physical plant safety. No deficiencies were cited during this review.

The investigation was conducted following a complaint regarding the mismanagement of resident medication. The allegation was found to be SUBSTANTIATED based on record review and interviews. A Type A deficiency was cited concerning the failure to maintain necessary medications on site, which presents an immediate health and safety risk.

This report details a Complaint Investigation conducted regarding allegations that staff prevented a resident from communicating with family members. The investigation found no evidence to support the allegation, resulting in an 'Unsubstantiated' finding. No specific deficiencies were cited in the report.

This report details an investigation into two allegations: questionable death and failure to provide resident records. The investigation found insufficient evidence to corroborate either allegation, resulting in both being marked as 'Unsubstantiated.' No deficiencies were cited in this report.