Redondo Beach Elderly Home

The unannounced case management visit identified critical deficiencies related to the monitoring of resident exits. Specifically, the auditory alert device was found to be intermittently turned off by staff, which presents an immediate and direct risk to the safety of residents at risk for elopement. Corrective action requires immediate and continuous activation of this safety device.

This report details the findings of a Complaint Investigation conducted on November 5, 2025, regarding an allegation that staff failed to inform the responsible party of a resident's change in condition. After reviewing records and interviewing staff and witnesses, the department found no evidence to support the allegation, resulting in an 'Unsubstantiated' finding.

This report details a complaint investigation regarding allegations of staff leaving residents unsupervised. The investigation reviewed multiple records and interviewed staff members. Based on the evidence gathered, the department found no evidence to support the allegation, resulting in an 'Unsubstantiated' finding.

The investigation found multiple deficiencies related to staff training and medication administration protocols. Specifically, the facility was cited for failing to meet initial training requirements for staff caring for 15 or fewer persons. Furthermore, a critical deficiency was noted regarding Staff #1 administering medication without completing the required six hours of hands-on training, posing a potential health risk.

The inspection identified one critical deficiency related to the care of a bedridden resident. Specifically, the facility was cited for not having the required fire clearance for Resident #5, who is bedridden and resides in an unapproved room. Immediate corrective action is required to relocate the resident and ensure all bedridden residents are in approved rooms.

The inspection was an unannounced, required annual visit conducted on January 30, 2025. The facility was generally found to be clean, with clear common areas and proper safety measures observed in resident rooms and bathrooms. The primary deficiency noted was the inability to review all required resident records due to time constraints.

This report details the findings of a complaint investigation regarding allegations of neglect, including dehydration, inadequate food/care, and lack of timely medical attention. All four allegations were reviewed, and based on staff interviews and record review, the investigator found insufficient evidence to substantiate any of the claims.

The facility underwent an unannounced required 1-year Annual Inspection focusing on Infection Control. The report indicates that the facility was found to be in compliance across all audited areas, including safety, sanitation, and medication storage. No deficiencies were cited during this inspection.