New Horizon Lodge, Inc.

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on February 19, 2021. LPA was greeted and granted entry into the facility and met with Administrator (AD) Jonathan Barrios. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility staff do not ensure that resident has clean water. Regarding the allegation the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and observed that there is a water filter located on the first floor. LPA observed that the water filter provides clean water. During the course of the interviews with residents, Resident 1 (R1) reported that she gets clean water. Per R2, she gets clean drinking water from the facility filter water. R3 reported that she always gets clean water. During the course of the interviews with staff, Staff 1 (S1) reported that the facRead the full finding— CDSS inspection report, September 3, 2025 · control 22-AS-20210219083848

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on May 26, 2021. LPA was greeted and granted entry into the facility and met with Administrator (AD) Jonathan Barrios. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility has pests issues. Regarding the allegation the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and did not observe pests in the facility. During the course of the interviews with residents, Resident 1 (R1) reported that she has never seen pests in the facility. Per R2, she has been living here for over two months and stated that she has not seen pests. R3 reported that she has never seen pests. Per R4, he has not seen pests. During the course of the interviews with staff, Staff 1 (S1) reported that she has never seen pests in the facility and reported thatRead the full finding— CDSS inspection report, September 3, 2025 · control 22-AS-20210526123651

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on July 20, 2021. LPA was greeted and granted entry into the facility and met with Administrator Jonathan Barrios. LPA explained the reason for the visit. This Department has investigated the complaint alleging that staff did not treat resident with dignity or respect. Regarding the allegation the following was revealed: During the course of the interviews with residents, Resident 1 (R1) reported that staff treat the residents with dignity and respect. Per R2, staff are respectful and stated that staff treat the residents with dignity and respect. R3 reported that staff treat the residents with dignity and respect. Per R4, staff treat him and all the residents with dignity and respect. During the course of the interviews with staff, Staff 1 (S1) reported that she has never being disrespectful to the residents and stated that staff treat the residentsRead the full finding— CDSS inspection report, September 3, 2025 · control 22-AS-20210720133631

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on December 10, 2021. LPA was greeted and granted entry into the facility and met with Administrator (AD) Jonathan Barrios. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility staff did not treat resident with dignity or respect. Regarding the allegation the following was revealed: During the course of the interviews with residents, Resident 1 (R1) reported that staff treat the residents with dignity and respect. Per R2, staff treat her with dignity and respect. R3 reported that staff treat the residents with dignity and respect. Per R4, this place is better than some places and reported that staff treat the residents with dignity and respect. During the course of the interviews with staff, Staff 1 (S1) reported that she has never observed staff being rude to the residents. During the course ofRead the full finding— CDSS inspection report, September 3, 2025 · control 22-AS-20211210110818

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the three allegations listed above. LPA was greeted and granted entry by facility front desk staff after introducing himself and stating the purpose of the visit. Administrator Glenn Goldsmith was present to assist with the visit and was presented with the allegations investigated. An initial investigation visit was conducted on July 16, 2021. During the visit, licensing staff conducted a tour of the interior and exterior portions of the facility and two resident and one staff interviews along with a review of resident records maintained at the facility. Additional records reviewed during the investigation. During the present visit, LPA requested and obtained the facility's current census and reviewed records for resident R1. CONTINUED ON FORM LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, February 21, 2025 · control 22-AS-20210708134637

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the three allegations listed above. LPA was greeted and granted entry by facility front desk staff after introducing himself and stating the purpose of the visit. Administrator Glenn Goldsmith arrived lated to assist with the visit and was presented with the allegations investigated. An initial investigation visit was conducted on April 29, 2024. During the visit, LPA requested, obtained and reviewed the facility's current census and employee roster. Records maintained at the facility for three residents were also requested and reviewed. LPA accompanied by facility staf reviewed the Medication Administration Records for all three residents and conducted an interview with the facility Wellness Director/LVN. During the present visit, LPA requested and obtained the facility's current census and reviewed resident records as wellRead the full finding— CDSS inspection report, February 21, 2025 · control 22-AS-20240424143446

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to this facility to deliver findings on the complaint 22-AS-20220621171421. Upon entry, LPA Haley was explained the reason for the visit. Please see findings below: Regarding the allegation: Facility is not addressing residen'ts multiple falls. During the initial 10 day visit on 6/27/22,LPA Haley interviewed Resident 1 (R1) who confirmed staff at New Horizon Lodge assist him while ambulating around the facility and make sure he's using his cane or wheelchair. During that visit LPA Haley interviewed two caregivers who confirmed they assist R1 with various activities during the day. Interviews with Administrator Glen Goldsmith and Assistant Administrator Sarah Zarate, revealed that R1 was taken to the hospital after falling 5/4/22, 5/26/22, & 6/19/22. Interviews with AD Goldsmith revealed R1 was being seen by a Home Health Nurse, and his responsible party (RP) was made aware of R1's falls. UnsubstantiatedRead the full finding— CDSS inspection report, September 27, 2022 · control 22-AS-20220621171421

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to this facility to deliver the findings for the investigation completed for the complaint filed last March 10. 2021 against this facility. LPA met with Administrator Glen Goldsmith. LPA stated the purpose of the visit; and discussed the following findings. On allegation that facility charged resident for service not received, the following are the findings. Per file review and interviews, facility offered weekly laundry services for personal clothing as an optional service for an additional fee. Per interviews, around the latter half of December 2020, facility staff in charge of the laundry service was out of the facility. Four of seven residents that subscribed for weekly laundry services observed stated that their laundry piled up and were left unattended for at least a week. Based on the above findings, the preponderance of the evidence standard has been met. Therefore, the above allegation is found SUBSTANTIATERead the full finding— CDSS inspection report, September 22, 2022 · control 22-AS-20210310124338

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to this facility to deliver the final report for the investigation completed for the complaint received last December 16, 2020 against this facility. LPA met with Administrator (AD) Glen Goldsmith and stated the purpose of this visit. LPA discussed the findings. On allegation that a resident is being mistreated by another resident while in care, based on observation, file review and interviews the following are the findings. Based June 29, 2020 Physician’s Report, Resident 1 had primary diagnosis of chronic obstructive pulmonary disease (COPD) and secondary diagnosis of a psychiatric disorder. R1 was determined to be able to follow instructions, able to communicate needs and able to leave facility unassisted. R1 was not determined to have inappropriate or aggressive behavior. Based on the observation log from January 2020 to January 2021, there had been about 13 recorded incidents wherein R1 was observed to have aggRead the full finding— CDSS inspection report, September 22, 2022 · control 22-AS-20201216111753

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to this facility to deliver the final report for the investigation completed for the complaint received last November 16, 2020 against this facility. LPA met with Administrator (AD) Glen Goldsmith and stated the purpose of this visit. On allegation that resident wandered away from the facility, based on observation, file review and interviews the following are the findings. Resident 1 (R1) had been living in the facility since April 2014. R1 was placed under conservatorship. On April 2016 Physician’s Report, R1 was diagnosed with Schizophrenia, Paranoid Type; and determined to have wandering behavior, and not able to leave the facility unassisted due to conservatorship. Based on October 17, 2019 Individual Service Plan, it indicated that under conservator care permission needed to step out the facility for home pass. Based on observation logs provided, May 8, 2020, R1 violated the house rule. R1 left facility to goRead the full finding— CDSS inspection report, September 22, 2022 · control 22-AS-20201116094344

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to this facility to deliver the final report for the investigation completed for the complaint filed last December 12, 2021 against this facility. LPA met with Administrator (AD) Glen Goldsmith and stated the purpose of this visit; and discussed the following findings. On allegation that staff failed to provide safe environment for the resident, the following are the findings. It was reported that one resident had verbal exchanges with two other residents in the facility; and was threatened to poison food in this facility. Based on interviews, witnesses stated that there had been no reported incident of food poisoning in the facility. Meals served to the residents are directly served from the kitchen and only served or handled by dining hall or kitchen staff. Residents were never permitted to assist or share meals with other residents while in the dining hall and during meal service. Thus, the above allegation was URead the full finding— CDSS inspection report, September 22, 2022 · control 22-AS-20211209161303