Cottages At Palm Springs

Allegation investigated: Staff do not respond to call alert system in a timely manner

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Tammy Eddy, Executive Director, and informed them of the purpose of the LPA’s visit. The Department’s investigation involved interviews with staff and residents and review of records. On May 19, 2025, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that staff do not respond to call alert system in a timely manner. Information received indicated that Resident #1 (R1) pressed their call button for staff assistance, but no staff came to help. R1 then proceeded to walk out of the room and found a staff member who called 911 for R1. LPA conducted interviews with five (5) residents, all of whom stated that they have not had any problems receiving assistance from staff members when call button was pressed. Continued on LIC9099-C..... Unsubstantiatedthe state’s words, verbatim · CDSS document, May 21, 2026 · control 18-AS-20250519140735

Allegation investigated: Resident was issued an unlawful eviction

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Tammy Eddy, Executive Director, and informed them of the purpose of the LPA’s visit. The Department’s investigation involved interviews with staff and residents and review of records. On November 13, 2025, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that resident was issued an unlawful eviction. Information received indicated that Resident #1 (R1) received a 30-day eviction notice from the facility staff. LPA conducted an interview with R1's relevant party (RP) who stated that there was a misunderstanding about what 30-day eviction notice was about. RP also stated that R1 had financial issues to continue living at the facility. Continued on LIC9099-C.... Unsubstantiatedthe state’s words, verbatim · CDSS document, May 21, 2026 · control 18-AS-20251113141019

Allegation investigated: Facility staff refused to provide refunds

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to investigate the above allegation. LPA met with Tammy Eddy, Executive Director, and informed them of the purpose of the LPA’s visit. The Department’s investigation involved interviews with staff and review of records. On May 18, 2026, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that facility staff refused to provide refunds. Information received indicated that Resident #1 (R1) moved out, but staff refused to refund $3,000.00 community fee paid upfront. LPA conducted an interview with R1's relevant party (RP) who stated that the community fee should not have been collected before resident's assessment was completed. RP stated that the entire community fee must be refunded. LPA conducted records review and observed that R1 moved in on April 9, 2026 and moved out on May 08, 2026. Continued on LIC9099-C.... Unsubstantiatedthe state’s words, verbatim · CDSS document, May 20, 2026 · control 18-AS-20260518145900

Allegation investigated: Resident do not have a working television

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to investigate the above allegation. LPA met with Tammy Eddy, Executive Director, and informed them of the purpose of the LPA’s visit. The Department’s investigation involved interviews with staff and resident and review of records. On May 19, 2026, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that resident do not have a working television. Information received indicated that Resident #1 (R1) does not have a working television in their room. LPA conducted an interview with R1 who stated that R1's friends brought two (2) televisions and one of them worked fine. R1 stated that the television in their room worked without any problems. LPA conducted an interview with Staff #1 (S1) who stated that R1's friends brought wrong remote control, so R1 could not use the television. R1's friends brought a correct remote control later, and thethe state’s words, verbatim · CDSS document, May 20, 2026 · control 18-AS-20260519115653

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 had a physical altercation with a resident in care

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to initiate the investigation into the allegation listed above. The LPA met with Tammy Eddy, Executive Director, and informed them of the purpose of the LPA’s visit. On 02-12-2026, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that staff had a physical altercation with a resident in care. Information received indicated that Resident #1 (R1) displayed aggressive behavior toward Staff #1 (S1) and Staff #2 (S2) and rammed into S2. The incident occurred on 02-04-2026. Continued on LIC9099-C.... Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 17, 2026 · control 18-AS-20260212164222

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 neglect resulted in resident sustaining broken femur. Staff did not seek medical treatment for resident. Licensee did not notify POA of resident fall.

On 06/30/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegations noted above. LPA met with Tammy Eddy, Executive Director and explained the purpose of the visit and the elements of the allegations. The allegations were investigated, which consisted of interviews and records review. It was alleged staff neglect resulted in Resident 1 (R1) sustaining a broken femur. A review of R1’s Resident Assessment dated 09/30/2022 revealed R1 is a full assist with daily living, unable to walk, and uses a wheelchair. A review of R1’s Needs and Services Plan dated 06/28/2022, R1 is noted to be a fall risk, and a 2 person assist. Interviews revealed on 01/28/2023, R1 sustained an unwitnessed fall. R1 was observed on the floor in their room yelling in pain. Staff interviews further revealed, multiple staff responded to R1s room as they had heard someone from the room scream/yell in pain. Staff observed R1’s hospital bed to be inthe state’s words, verbatim · CDSS document, Jun 30, 2025 · control 18-AS-20230222155535

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 neglect resulted in a resident sustaining multiple pressure injuries.

On 05/07/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegation noted above. LPA met with Patricia Russell, Resident Services Director and explained the purpose of the visit and the elements of the allegation. The allegation was investigated, the investigation consisted of observations, interviews and records review. On 12/24/24 Community Care Licensing received a complaint alleging staff neglect resulted in a resident sustaining multiple pressure injuries. It was alleged that Resident #1 (R1) was observed to have multiple wounds and skin tears. Per a records review R1 received the following supports: Home Health, Hospice and services from a wound care specialist agency. The home health discharge assessment note completed on 12/23/24 notes for R1 to have seven (7) wounds. The wounds are noted as traumatic wounds located on their left forearm, right inner calf, upper right left exterior (LE), left ankle and leftthe state’s words, verbatim · CDSS document, May 7, 2025 · control 18-AS-20241224155906

Allegation investigated: Staff neglect resulted in a resident sustaining an unexplained injury while in care.

On 04/25/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegation noted above. LPA met with Tammy Eddy and explained the purpose of the visit and the elements of the allegation. The allegation was investigated, which consisted of observations, interviews and records review. On 07/25/23 Community Care Licensing received a complaint alleging staff neglect resulted in a resident sustaining an unexplained injury while in care. It was alleged that Resident #1 (R1) was observed to have a possible left femur fracture, as there was a bump on their left leg with swelling as well as a deformity to R1s left leg (hip). Information obtained from an interview conducted with facility Corporate Director of Dementia Services Melissa Polendo, denied R1 sustained any falls while at the facility. Additional staff interviews revealed R1 did not have wandering behaviors and would always ask for assistance. A records review of R1s narrathe state’s words, verbatim · CDSS document, Apr 25, 2025 · control 18-AS-20230725110331

Allegation investigated: Resident sustained an arm fracture due to neglect/lack of care & supervision Staff did not ensure toileting assistance was provided to resident in care Staff did not ensure medications were dispensed to residents as prescribed

On 02/28/25 Licensing Program Analyst, (LPA) Kathleen Banrasavong, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA met with Executive Director, Tammy Eddy and explained the purpose of the visit and the elements of the allegations. The investigation consisted of interviews with staff members and residents, records review, and medical record review. On 05/15/2024, Community Care Licensing received a complaint alleging Resident 1 (R1) sustained an arm fracture due to neglect/lack of care & supervision. It was alleged staff did not provide supervision to R1 while toileting, resulting in R1 falling and sustaining a fracture. R1 was first placed at Pacifica in November 2020. The facility’s Physician’s Report dated 11/08/20 indicates under Capacity for Self Care, R1 cannot care for their own toileting needs. The facility’s Needs and Services Plan dated 02/28/2024 states R1 is a fall risk and needs standby assist. It reads Rthe state’s words, verbatim · CDSS document, Feb 28, 2025 · control 18-AS-20240515085438

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 are not abiding to the admission agreement Staff do not provide adequate transportation for the residents scheduled appointments Staff did not timely repair the facility vehicle Staff do not ensure the resident laundry needs are being met

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced subsequent visit for additional investigation and met with Tammy Eddy, Executive Director. LPA informed them of the purpose of the visit. Throughout the investigation, LPA conducted resident and staff interviews, reviewed files, and records, and obtained supporting documentation to aid in determining the findings of the noted allegations. On December 24, 2024, Community Care Licensing (CCLD) received a complaint report with the following allegations. Allegation #1 - Staff are not abiding to the admission agreement. During the LPA’s initial 10-day visit on December 26, 2024, LPA’s review of admission agreement revealed that staff did not follow some of the basic services outlined in the admission agreement, such as the following. Staff did not provide transportation or make necessary arrangements for residents’ medical and dental needs. Staff did not ensure residents’ laundry needs were met in absence of laundry staff. LPthe state’s words, verbatim · CDSS document, Feb 21, 2025 · control 18-AS-20241224100529

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 do not ensure a safe and healthful environment by not assisting a resident with incontinence needs.

Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an unannounced visit to deliver finings for a complaint investigation pertaining to the listed allegation. LPA met with Executive Director, Tammy Eddy, where LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of observation, interviews with staff members and residents, and records review. On 09/08/2023, Community Care Licensing received a complaint alleging that Staff do not ensure a safe and healthful environment by not assisting a resident with incontinence needs. It was reported that Resident #1 (R1)’s were not attended to for over 20 hours on September 8th, 2023. Information obtained from additional witness stated that on September 8th, in the late afternoon, additional witness, came to visit R1 and their bedding and chucks were soaked. Additional witness stated it was unknown liquid, which may have consisted of urine or seepage from the water blister wound that R1 hathe state’s words, verbatim · CDSS document, Dec 27, 2023 · control 18-AS-20230908121201

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