Kendall Guest Home 2

FACILITY EVALUATION REPORT

This report details an investigation into three allegations: sexual assault, bribing residents, and leaving residents in soiled clothing. The investigator found that there was not a preponderance of evidence to substantiate any of the allegations. All three allegations were ultimately deemed unsubstantiated.

This report details a complaint investigation conducted on February 19, 2026, regarding allegations of sexual assault, bribery, and neglect of soiled clothing. All three allegations were deemed unsubstantiated based on staff interviews and documentation review. The facility was found to be compliant with the allegations presented.

The investigation substantiated two allegations: medication mismanagement and failure to administer medication as prescribed. Deficiencies were cited under CCR 87465(a)(1) regarding incidental medical/dental care planning, and a second, more critical deficiency citing immediate health and safety risks related to medication administration errors.

The facility underwent an unannounced annual inspection on May 8, 2025. The inspection covered multiple domains, including Infection Control, Physical Plant, Staffing, and Resident Rights. Overall, the report indicates that no deficiencies were found during the visit.

COMPLAINT INVESTIGATION REPORT

The investigation found multiple allegations substantiated, leading to citations for deficiencies. Specifically, deficiencies were cited regarding resident dignity, privacy, and the facility's plan of operation. The report indicates that the facility must correct these issues by the specified due dates.

The facility underwent an unannounced annual inspection on May 14, 2024. The report indicates that the facility was found to be clean, safe, and sanitary, with no deficiencies cited during the visit. All reviewed areas, including records and safety protocols, appeared to be in compliance.