Mountain Manor Senior Residence

The facility underwent a required 1-year, unannounced inspection. The inspection covered facility tours, review of supplies, and file checks for personnel and residents. The report explicitly states that no deficiencies were observed or cited during this inspection per Title 22 regulations.

The facility underwent a required 1-year, unannounced inspection. The inspection covered facility tours, review of supplies, and file checks for personnel and residents. The report explicitly states that no deficiencies were observed or cited during this inspection per Title 22 regulations.

The unannounced case management visit identified significant deficiencies related to resident safety and staffing levels following an incident where a resident left the facility unassisted. Specifically, the facility failed to meet staffing requirements and violated protocols regarding resident mobility restrictions. Immediate corrective action is required to ensure resident safety and appropriate supervision.

This report details the findings of a complaint investigation conducted on 01/10/2025. The allegation that staff inappropriately spoke to residents in care was reviewed and subsequently found to be UNFOUNDED. No deficiencies were cited in this report.

The case management visit was conducted following an incident involving a resident (R1) who experienced an unwitnessed fall and alleged sexual assault after being transported to the emergency room. The primary finding relates to the facility's notification process, as the LPA only learned of the alleged assault from the resident's discharge paperwork. Overall, the report indicates a need for improvement in timely communication of significant resident health events.

The facility underwent a required annual inspection on July 16, 2024. The inspector noted that the facility was fully staffed, and areas like the kitchen, medication carts, and laundry room were observed to be secure and properly managed. No deficiencies were observed during the visit.

The inspection was a case management visit following an incident report regarding a resident leaving the facility without proper supervision. Two deficiencies were cited, both classified as Type A, indicating immediate health and safety risks. The primary concerns relate to insufficient staffing levels and failure to maintain supervision protocols for a resident with documented limitations.

The facility underwent a Required Year Inspection and was toured for general health and safety. No immediate health, safety, or personal rights violations were observed during the tour. The primary deficiency noted was the expiration of the Administrator Certificate.