Twin Rivers at Natomas

This report details the findings of a complaint investigation conducted on the facility. The allegations regarding inappropriate staff/resident activity and medication mismanagement were investigated. Ultimately, the findings for both allegations were deemed unsubstantiated by the licensing analyst.

This report details an investigation into a complaint alleging that staff do not ensure residents receive nutritious meals. The investigation found that the allegation was unfounded. The facility confirmed that meals are provided three times daily, and alternative meals are offered if residents are still hungry.

The report details an unannounced Case Management visit conducted by the Licensing Program Analyst. The primary finding is an immediate exclusion order issued to an individual named S1, prohibiting them from any contact with clients or physical presence at the facility. No specific deficiency citations (Type A or Type B) were listed in the provided report content.

This report details a Complaint Investigation conducted on April 11, 2025, regarding an allegation of resident assault due to lack of supervision. The investigation found the allegation to be Unfounded based on file reviews and interviews. No deficiencies were cited in this report.

The case management visit identified deficiencies related to personnel screening. Specifically, the facility failed to ensure that an employee (S1) had the required criminal record clearance or exemption before working at the facility, which was cited as an immediate risk to residents. A civil penalty was assessed for this violation.

The inspection was a case management visit following an incident report concerning financial exploitation. The primary deficiency cited relates to the failure to protect residents from financial exploitation by staff. The facility was required to conduct mandatory Elder Abuse training for all staff.

The facility was visited for a case management review following an incident report. The report detailed an incident where a staff member allegedly spoke disrespectfully to a resident. Consequently, one deficiency was cited regarding the violation of residents' personal rights to dignity.

The facility underwent a Required-1 Year Inspection focusing on the infection control domain. The Licensing Program Analyst noted that no immediate health, safety, or personal rights violations were observed during the tour. The facility was found to be in substantial compliance at the time of the visit.