Atria San Juan

Allegation investigated: Facility staff did not follow resident's admission agreement Facility staff did not shower resident as needed Facility staff handled resident in a rough manner Facility staff did not ensure resident had clean bed linens Facility staff did not respond to resident's calls for assistance in a timely manner

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegations listed above. LPA met with Executive Director James Craddock and explained the reason for the visit. The investigation into the allegation, facility staff did not follow resident's admission agreement, revealed the following. It was reported that facility did not check on Resident 1 (R1) every 2 hours, did not escort resident to breakfast, lunch and dinner, and assist R1 with toileting and dressing. A review of R1's care plan shows R1 did not require assistance with toileting. R1's care plan shows R1 was not on 2 hour checks. As of July 22, 2025 R1 was put on hourly checks due to agitation and wandering. 4 out of 4 staff reported that R1 was helped with dressing daily but sometimes refused to change their clothes. R1's care plan shows R1 required escorting to all meals, breakfast, lunch and dinner. 4 out of 4 staff reported that R1 was athe state’s words, verbatim · CDSS document, Jun 4, 2026 · control 22-AS-20250728090508

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 refused to provide lift assistance to residents in care

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Executive Director James Craddock and explained the reason for the visit. The investigation into the allegation, staff refused to provide lift assistance to residents in care, revealed the following. It was reported that residents fell on March 30, 2026, and April 11, 2026, there were no injuries and 911 was called only to provide lift services for both residents. A review records show, on March 30, 2026, Resident 1 (R1) fell and 911 was called by staff. The special incident report (SIR) dated March 30, 2026, shows R1 fell at around 5:15 am and staff called 911. Staff reported it was unknown if the resident hit their head so 911 was called. The SIR states that the family was notified and refused transport of R1 to the hospital. R1's responsible party verified this report. The paramedics assisted the resthe state’s words, verbatim · CDSS document, Apr 22, 2026 · control 22-AS-20260414154752

Allegation investigated: Resident was malnourished while in care. Resident is not accorded privacy during visits. Staff did not safeguard resident's personal items. Facility is not providing activities for residents.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegations listed above. LPA met with Community Business Director, Christian Woollard, and explained the reason for the visit. The investigation into the allegation, facility is not providing activities for residents revealed the following. It was reported that the activities on the activities calendar are not conducted. Resident 1 (R1) resides in memory care. The activities calendar shows activities every day of the week for assisted living and memory care. The memory care director reported that they have music activities where residents can listen to music or they can bowl with plastic pins, and they have card games for the residents. Witness 1 (W1) reported that no activities are conducted, but no other details were provided. LPA observed that during the initial 10-day visit bingo was being conducted and residents were sitting 6 feet apart fromthe state’s words, verbatim · CDSS document, Sep 23, 2025 · control 22-AS-20210621132714

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: Facility failed to provide resident's records to authorized representative.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Executive Director (ED) Sabrina Priesman and explained the reason for the visit. LPA and ED Priesman toured the facility. The investigation into the allegation, facility failed to provide resident's records to authorized representative revealed the following. The ED reported that Resident 1 (R1) has never lived at the facility. A review of facility records shows R1 was never a resident at the facility. The ED reported that no request was received regarding the request of records for R1. Based on the evidence gathered the allegation, facility failed to provide resident's records to authorized representative is deemed unfounded, meaning the allegation is false could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of the report provided. Unfoundedthe state’s words, verbatim · CDSS document, Dec 4, 2023 · control 22-AS-20231129103032

Allegation investigated: Illegal eviction Facility is not honoring admission agreement

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegations listed above. LPA met with Executive Director (ED) Sabrina Priesman and explained the reason for the visit. The investigation into the allegation, illegal eviction, revealed the following. It was reported that Resident 1 (R1) was being evicted by the facility, and the responsible party was told they must move R1 out of the facility. The Executive Director reported that no eviction notice was ever sent to R1 or their responsible party and no one was told they must move out of the facility. The Executive Director reported that R1's responsible party was informed that if they were not happy with the facility they could move out. R1's responsible party verified this information. R1 reported that no one has told them to move or provided them with an eviction notice. R1's responsible party reported they never received an eviction notithe state’s words, verbatim · CDSS document, Sep 21, 2023 · control 22-AS-20230913081439