Oakwood Village, Inc.

LPA Tryon visited the facility on 6/19/2025 to continue work on the complaint. LPA met with ED Patty Uclaray. LPA toured the assisted living dining room and memory care dining room, viewed the noon meal, watched servers working, observed residents eating and spoke briefly with several residents, LPA also interviewed 3 kitchen staff. Over the course of visits. LPA has toured the dining areas, kitchen, dishwashing area, food storage, cooler/freezer, separate Ice cream freezer, staff dining area, outside hose area where rubber mats are washed down, spoken with ED, Director of Dining Services, 3 kitchen staff, and resdidents, reviewed documents. Regarding the allegation that staff are not properly addressing pest infestation, LPA spoke with ED, Dining Director and 3 kitchen staff. No one has witnessed bugs, rodents or pests in kitchen/food storage or dining areas. LPA toured these areas and did not see any pests, no "droppings" or other evidence of pests. The facility contracts with a pestRead the full finding— CDSS inspection report, June 19, 2025 · control 59-AS-20250604145853

Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Administrator Patty Uclaray to deliver findings for the above complaint allegations. During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: ***Report continued on 9099-C*** Unsubstantiated— CDSS inspection report, February 27, 2025 · control 59-AS-20250207144045

On 12/12/2024 LPA Tryon visited the facility to complete the complaint. On this date LPA met and spoke with resident involved. LPA has spoken with resident, Executive Director and staff. LPA learned that recently Resident R1 was discovered to have a bottle of Tylenol in room. LPA learned that R1 had purchased the medication, not being aware that any medications must be centrally logged, stored and locked in the medication room by staff, and that a doctor prescription is needed. When R1 became aware of this, the medication was given to staff, stored and locked, and a precription was obtained for the medication from the physician. Staff are now handling the medication and R1 receives it as needed. Since the facility was not previously made aware of the medication being present; it was turned over immediately, staff cannot violate resident rights by randomly searching through resident apartment or belongings without resident permission; and staff had no reason to suspect anything was therRead the full finding— CDSS inspection report, December 12, 2024 · control 59-AS-20241206144513

Licensing Program Analyst Todd Tryon visited the facility unannounced on 12/3/24 to deliver the findings of the investigation completed by the Department. The Department concluded that on June 1, 2024, at approximately 9:30 PM, Med-Tech S2 completed their shift after ensuring R1’s bed alarm was activated, a standard procedure given R1’s fall risk. At 11:30 PM, S1 discovered R1 on the floor during a routine room check but did not recall hearing the bed alarm. S1, who lacks medical training, assisted R1 to bed without informing any Med-Tech, administrative personnel, or family, as required by facility policy. According to the administrator, any unwitnessed fall must result in an immediate call to AMR, and notifications to Med-Tech staff, administration, and family members. R1’s family had, in coordination with the facility, implemented a care plan involving a bed alarm to prevent falls. However, on June 1, 2024, this bed alarm was apparently not working or was not turned on, potentiallyRead the full finding— CDSS inspection report, December 3, 2024 · control 59-AS-20240605153211

On 12/3/2024 LPA Tryon visited the facility to complete the complaint. LPA met with Administrator Patty Uclaray. During the course of the complaint LPA has Toured the facility including Memory Care unit, main dining room and kitchen, Memory Care dining room, snack areas in both Assisted Living and Memory Care, spoke with Admiistrator, Culinary Director, interviewed 5 staff and 2 residents from the memory care unit, observed an activity in Memory Care which included an art activity and snacks with 10 residents; observed activity in the assisted living side. Regarding the allegation that staff does not ensure sufficient activities are planned for memory care residents, LPA has observed activities, spoken with Administrator, Activity Director, 5 staff and 2 residents. and reviewed printed activity schedules. LPA found ongoing mulitple activities are scheduled. Staff and residents state that activities are offered. They also state that some residents choose to not participate, or may partiRead the full finding— CDSS inspection report, December 3, 2024 · control 59-AS-20241002115441

LPA Hiratsuka conducted the investigation into the allegation above. LPA Hiratsuka interviewed staff and reviewed resident records. This allegation was focused on residents who are not receiving showers as per their assigned schedule. Interviews with staff showed some staff have no issues giving showers to residents and some do. The staff have noted the residents who may be difficult to bathe are identified. Executive Director (ED) Patty Uclcray and Resident Care Director Jay James (RCD), both stated they are implementing new training techniques for the staff to have more consistency to be able to talk residents into taking showers instead of refusing. Shower logs show the residents who require assistance with showering sometimes refuse and sometimes accept but the residents do get showered. LPA unable to interview residents in question due to mental capacity Based on the above, LPA cannot prove or disprove because each side has their own version of events. Due to the information gatheRead the full finding— CDSS inspection report, October 10, 2024 · control 59-AS-20240710112435

LPA Hiratsuka conducted the investigation into the allegation above, LPA Hiratsuka interviewed staff and reviewed resident records. Interviews stated some residents have been left in soiled briefs for an undermined amount of time and some interviews stated residents have not. Some interviews state residents cannot be put on set schedules of when they need to urinate or defecate because residents do not have control of when they need to do those bodily functions. Residents who have heavier incontinence have been noted in their charts and are supposed to be checked more frequently. Some staff stated the residents are and some stated the residents are not. Some staff stated the residents are supposed to be changed prior to shift change and are not being changed. LPA unable to interview residents in question due to mental capacity. Based on the above, LPA cannot prove or disprove because each side has their own version of events. Due to the information gathered, LPA cannot determine the alRead the full finding— CDSS inspection report, October 10, 2024 · control 59-AS-20240722102908

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver compliant findings. LPA met with Patty Uclaray during today’s inspection. LPA investigated the allegation, “Staff do not keep the facility free from infestation”. LPA interviewed residents and staff and obtained facility documentation. Administrator stated there is construction occurring close by and so they have seen an increase in pests at the facility. Administrator stated they have a pest control company that comes to the facility several times a month to take care of any pest issues. LPA interviewed 4 residents in care in which they stated they do not see a pest issue at the facility. Continuation on 9099-C. UnfoundedRead the full finding— CDSS inspection report, September 26, 2024 · control 59-AS-20240729103359

LPA has met with and spoken with Directors, staff, reviewed documentation, toured the facility on at least 2 occasions. No specific examples were given regarding when medications may have been given incorrectly, other than “in the morning.” LPA has reviewed medication records and interviewed staff. Complaint details stated it was thought that staff may have given R1 a particular medication (Seroquel) in the morning causing issues. (The medication was prescribed for bedtime.) However, LPA finds no evidence that there were medication errors made or medications given at incorrect times in the care of resident R1. In addition, Oakwood Village uses a computerized medication system that only allows medications to be given at certain times, etc. LPA finds there is no basis for this allegation. Allegation is Unfounded. LPA has reviewed documentation including initial and updated assessments and spoken with staff. LPA learned that R1 liked to stay in bed in the morning and did not always want tRead the full finding— CDSS inspection report, May 25, 2023 · control 25-AS-20221122102314

LPA Tryon visited the facility on 5/25/2023 to complete the complaint. LPA met with Cathy Dustin and Mary Roberts. LPA has spoken with staff and witnesses, toured the facility on at least 2 occasions including dining room, kitchen, resident rooms, hallways, bathrooms, common areas and reviewed documentation. Regarding the allegation that staff failed to provide adequate food service, LPA has viewed meals on at least 2 occasions (plus muliple other times while at the facility in the past), visited the kitchen, reviewed menus. The food has always appeared to look appetizing and nutritious, sanitation in the kitchen appeared appropriate, clients spoken with briefly said food was good, and portions appeared plentiful. Food supplies in facility were adequate. At this time, there is no evidence to suggest that staff have failed to provide adequate food service. Allegation is UNFOUNDED. Regarding the allegation that the facility is unsanitary, LPA has toured the facility on several occasionsRead the full finding— CDSS inspection report, May 25, 2023 · control 25-AS-20221021111633

On 1/19/2022 LPA Tryon visited the facility to open the complaint. LPA met with ED John O'Brien. LPA reviewed documentation and spoke with staff. Regarding the allegation that facility staff are not administering medication in a timely manner, LPA reviewed MARS and chart notes. LPA found that one of the residents mentioned did miss a medication on 1/26/22 as allegated; but notes state that resident was out with family and that is why medication was missed. Others show medications as taken, so there is no way to prove any differently at this time. Allegation is unfounded. Regarding facility not assisting resident in a timely manner, the administration was not even aware of the mentioned resident having fallen; and there have been no injuries reported. Also, the time of response was given as 20 minutes as per resident, but there was no other proof of this. As well, response time was not necessarily unreasonable, and staff did in fact respond, to find resident had assisted self and was upRead the full finding— CDSS inspection report, January 19, 2023 · control 25-AS-20230110120506