The Preserve at Woodland Hills

COMPLAINT INVESTIGATION REPORT

This report details a complaint investigation conducted on March 11, 2026, regarding allegations of staff preventing residents from receiving gifts and staff neglecting pressure ulcer prevention. Both allegations were reviewed through interviews and record examination and were ultimately deemed unsubstantiated.

The inspection was a Case Management – Health and Safety Check conducted on 11/24/2025. While no immediate health or safety concerns were observed during the physical tour, two Type B deficiencies were cited. These deficiencies relate to the failure to properly and timely notify required parties regarding the facility's receivership default.

The facility underwent an unannounced Case Management - Incident visit. The primary deficiencies noted relate to medication administration errors, specifically the improper administration of medications between residents and a failure in labeling/storage compliance for centrally stored medications. Both deficiencies are classified as Type B, indicating potential but not immediate, critical risk.

The facility underwent a Case Management - Annual Continuation visit. The review of staff records, infection control practices, and emergency disaster planning were all found to be adequate and in compliance with current requirements. No deficiencies were cited during this inspection.

The facility underwent a Case Management - Annual Continuation visit. The review of staff records, infection control practices, and emergency disaster planning were all found to be adequate and in compliance with current requirements. No deficiencies were cited during this inspection.

The inspection identified four deficiencies, all classified as Type A, indicating immediate risks to resident health and safety. Key issues include improper water temperatures in resident restrooms, lack of call systems in resident rooms/bathrooms, and instances of residents having access to prohibited items. Furthermore, staff response times to resident calls were cited as a significant safety concern.

This report details a complaint investigation conducted following an unannounced visit. The initial allegation regarding facility door safety was reviewed, and the findings concluded that the allegation was unsubstantiated due to lack of sufficient evidence to prove a violation occurred. No deficiencies were cited at this time.