Watermark At Napa Valley, The

Allegation investigated: Staff did not dispense medication to residents as prescribed. Licensee did not ensure staff administering medication to residents were appropriately trained. Staff did not adequately address a change in resident’s condition.

On 05/20/2025, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver complaint 21-AS-20250224164341 investigation findings regarding the above allegations and met with Cheryl Bautista, Resident Care Director. Reporting Party (RP) alleges that staff did not dispense medication to residents as prescribed, Licensee did not ensure staff administering medication to residents were appropriately trained, and staff did not adequately address a change in resident’s condition. LPA Florio conducted 10-day complaint investigation visit on 03/05/2025 and obtained documents, made observations, and conducted interviews. During this visit it was revealed through an interview with Staff 1 (S1) and record review that there were no orders received by the facility to stop Farxiga for Resident 1 (R1) prior to 01/17/2025. Continued on LIC9099C... Substantiatedthe state’s words, verbatim · CDSS document, May 20, 2025 · control 21-AS-20250224164341

Allegation investigated: Staff are not following infection control requirements

On 05/05/2025, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver complaint 21-AS-20250324142358 investigation findings regarding the above allegation and met with Grant Wegner, Executive Director. Reporting Party (RP) alleges that staff are not following infection control requirements. LPA Florio conducted 10-day complaint investigation visit on 03/27/2025 and obtained documents, made observations, and conducted an interview. Today, 05/05/2025, during facility visit, LPA toured the facility and observed numerous touchless hand sanitizing stations which were all tested and operational. Each was observed with a green light indicating fullness and contained hand sanitizing solution. LPA also inspected five restrooms which were all observed equipped with touchless soap dispensers, faucets, trash cans, and paper towel dispensers. LPA observed hand sanitizing solution and a supply of masks available to residents and guests at the front reception desk. Continued on Lthe state’s words, verbatim · CDSS document, May 5, 2025 · control 21-AS-20250324142358

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Lack of activities provided to memory care residents Resident records not maintained Facility not kept clean, safe and sanitary Resident hygiene needs not met

On 1/31/2024, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Administrator, Grant Wegner. LPA toured the facility, reviewed resident records and made observations. Complaint alleges a lack of activities provided to memory care residents. Upon a review of facility activity schedules and multiple facility tours of the memory care unit, LPA observed a wide variety of activities both stimulating and engaging with staff and other residents participating. Due to lack of corroborating evidence the allegations is found to be unsubstantiated. Complaint alleges resident records not maintained with resident's (R1) physician's report not updated in a timely manner. Upon review of R1's medical records, it was found R1 did require an annually updated physician's report. However, staff provided documentation that an attempt to contact R1's primary care provider to complete R1's assessment was comleted but hathe state’s words, verbatim · CDSS document, Jan 31, 2024 · control 21-AS-20240102152639

Allegation investigated: Resident eloped from facility

On 1/11/2024, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of initiating complaint investigation and was greeted by Administrator, Grant Wegner. LPA toured the facility, reviewed resident records and made observations during the visit. Complaint alleges resident (R1) eloped from the facility without facility staff knowledge. Based on a review of facility records, on 7/13/2022, resident R1 had eloped the facility memory care unit and found to be outside of the community for approximately 20 minutes before facility was notified. Based on record review and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. Appeal rights given. Substantiatedthe state’s words, verbatim · CDSS document, Jan 11, 2024 · control 21-AS-20240102152639

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not seek timely medical attention for a resident

Licensing Program Analysts Bertozzi and Rummonds arrived unannounced to deliver findings regarding the above allegation and met with Administrator, Grant Wegner. Staff did not seek timely medical attention for a resident – Complaint alleges that on 7/22/2023 resident had a fall where they initially didn't complain of pain but started to later in the day. When resident started complaining of pain, they were not assessed immediately and not given pain medication. Resident was assessed on the following shift and was sent to the hospital where they were diagnosed with a fracture. Per interviews and document review, resident had an observed fall on 7/27/2023 and was assessed but did not complain of pain. Review of progress notes indicates that resident complained of pain in an area unrelated to their fracture location and was given pain medication approximately 7 hours after their fall. Continued on LIC9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 25, 2023 · control 21-AS-20230815110123

Allegation investigated: Staff did not seek timely medical attention for a resident

Licensing Program Analysts Bertozzi and Rummonds arrived unannounced to deliver findings regarding the above allegation and met with Administrator, Grant Wegner. Staff did not seek timely medical attention for a resident – Complaint alleges that resident had a fall on 07/01/2023 and facility staff did not assess resident for injuries or seek medical attention despite resident complaining of pain. Per interviews and review of resident progress/chart notes, resident experienced a fall on 7/2/2023, was assessed and based on assessment, did not exhibit symptoms requiring them to be seen by a doctor. There was not a fall documented on 7/1/2023. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Nothe state’s words, verbatim · CDSS document, Aug 25, 2023 · control 21-AS-20230710103509

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.