Allara Senior Living

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 handles resident in a rough manner. Staff did not provide 60-day notice prior to rent increase.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegations mentioned. LPA met with Administrator Matt Ryan and explained the purpose of the visit. The investigation consisted of interviews with facility staff, outside parties, resident and records review. Regarding allegation staff handles resident in a rough manner, The evidence collected was insufficient to substantiate the allegation. Photographs taken by outside parties over time documented various bruises and scratch marks on R1’s arms and legs. According to care staff, R1 often sustained these injuries due to the way they moved around in their wheelchair and swinging arms behind it. Care staff reported that R1’s arms and legs sometimes got caught on their wheelchair, requiring assistance, and these incidents often led to marks and bruises. R1 stated they received good care at the facility and that everyone treated them well. R1 mentioned that all the marks on them were accthe state’s words, verbatim · CDSS document, May 22, 2025 · control 56-AS-20230927162154

Allegation investigated: Staff did not assist resident(s) with personal care

Licensing Program Analyst (LPA) LaVette Farlow arrived to facility to conduct a complaint investigation regarding the above allegation. LPA Farlow met with Executive Director Matt Ryan and explained the elements of the complaint. Regarding the allegation that Staff did not assist resident(s) with personal care. LPA interviewed eight (8) out of eight (8) staff and the interview reveal that staff are assisting residents with personal care. Inteview with S5, and S6 revealed that S8 is not assisting staff with resident in care or is not available to assist staff. LPA interviewed eleven (11) out of eleven (11) residents in care. Eleven out of eleven resident in care revealed that they did not have any concerns or issues with staff providing personal care. LPA interview revealed that 5 out of 11 resident needed assistance with showers, in and out of wheelchair, or in and out of bed. LPA's interview with those 5 residents in care stated that staff are very helpful and assistance them withoutthe state’s words, verbatim · CDSS document, Apr 24, 2025 · control 56-AS-20250422081702

Allegation investigated: Staff do not ensure that resident's personal belongings are safeguarded Staff do not ensure that residents' rooms are clean and sanitary Staff do not ensure that residents' incontinence needs are being met

Licensing Program Analyst (LPA) LaVette Farlow arrived to facility to conduct a complaint investigation regarding the above allegations. LPA Farlow met with Executive Director, Matt Ryan and explained the elements of the complaint. Allegation 1: Staff do not ensure that resident's personal belongings are safeguarded: Regarding the first allegation staff do not ensure that resident's personal belongings are safeguarded. LPA's investigation revealed that 11 out of 12 resident reported not having any issues or concerns with staff safeguarding their personal belongings. R1 reported that Staff 11 (S11), changed the way the mail was received and deliver and R1 did not give consent to the changes. Interview with S11 revealed the changes were made by the hospice company to ensure the residents items were secured and safeguarded. S11 also stated the staff that normally handle the mailing process was on leave. S11 stated R1 items were secured in my office. LPA interviewed 11 out of 11 staff regathe state’s words, verbatim · CDSS document, Apr 24, 2025 · control 56-AS-20250110144612

Allegation investigated: Personal rights Staff did not give medications according to physician's orders.

Licensed Program Analysts (LPA) Lavette Farlow, conducted an unannounced visit to the facility to conduct a investigation. LPA was granted entrance into the facility by front desk staff. LPA identified self to staff. LPA was escorted to private dinning room where I was introduce to the Interim Administration Ted Burgess and discussed the purpose of the visit. LPA conducted interviews with staff and residents, reviewed and obtained documents and did a walk-through of the facility. First allegation, Personal rights. LPA conducted interviews with staff, LPA asked staff if resident's personal rights were being violated, all indicated that no resident's personal rights are being violated. LPA asked if anyone had observed staff yelling at residents in care, and not treating residents with dignity and respect, all denied witnessing other staff violate residents in care and not treating them with dignity and respect or yelling at residents. LPA asked if staff violated residents privacy rightsthe state’s words, verbatim · CDSS document, Nov 5, 2024 · control 56-AS-20241029144831

Allegation investigated: Staff did not follow residents DNR

Licensed Program Analysts (LPA) Lavette Farlow, conducted an unannounced visit to the facility to conclude an investigation and deliver findings. LPA was granted entrance into the facility by staff. LPA identified self to staff and discussed the purpose of the visit. LPA was escorted to private dinning room where I was introduce to the Interim Administration Ted Burgess and discussed the purpose of the visit. During today's visit LPA conducted interviews with staff, reviewed and obtained documents and did a walk-through of the facility. First allegation, It is alleged that staff did not follow resident DNR orders (Do Not Resuscitate). Interviews with staff, witnesses, and upon reviewing of residents facility file revealed that R1 did have a DNR order at time of death dated 12/22/2023. It was also, revealed that staff did attempt CPR and to resuscitate resident in care. Substantiatedthe state’s words, verbatim · CDSS document, Nov 5, 2024 · control 56-AS-20240918154011

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 provide resident's records to authorized representative.

On 06/27/2024 at 09:30 AM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced at the facility to initiate and deliver findings for the mentioned allegation. LPA Brown was greeted and granted entry by a staff and LPA Brown met with Business Office Director Helen Jaquez. Executive Director (ED) Patricia Gustin was contacted and arrived during the visit. LPA Brown met with ED Gustin and LPA Brown informed ED Gustin of the purpose of the visit. The investigation was conducted by LPA Melody Brown. The investigation consisted of records review and interviews with relevant parties. The allegation indicates that Staff did not provide resident's records to authorized representative. LPA Brown obtained evidence to corroborate the allegation above. Interviews with Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3) all indicated that they submitted the documents requested to their legal department. S1 reported to LPA Brown that they submitted the complete file requested to their legal dethe state’s words, verbatim · CDSS document, Jun 27, 2024 · control 56-AS-20240621151145

Allegation investigated: Resident sustained an unexplained injury while in care Staff did not provide adequate care and supervision to a resident

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with Executive Director Patricia Gustin and explained the elements of the complaint. Regarding the allegation that resident sustained an unexplained injury while in care; Staff #1 (S1) interview reveal that resident #1 (R1), in question, was dressed in the AM and did not observe any injuries to R1 during S1's shift. Interview with staff #2 (S2) revealed the R1 is on blood thinners and is susceptible to bruising, but S2 did not observe any injuries to R1. R1 resided at the facility for approximately 31 hours and was not available for interview or observation for any injuries or the care received at the facility. ***continued on LIC 9099C*** Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 10, 2024 · control 56-AS-20240606103223

Allegation investigated: Facility Staff did not respond to resident's pendant in a timely manner. Staff left resident in soiled diapers for an extended period of time. Staff do not provide adequate food service to residents in care. Staff did not ensure that facility dishes were properly sanitized.

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Allara Senior Living Residential Care Facility for the Elderly to initiate a complaint investigation into the allegations listed above. LPA introduced self and stated purpose of the visit. LPA met with Patricia Gustin, Executive Director. Today's visit consisted of staff and resident interviews, a walk through of the facility and collection of pertinent documents. It is alleged that facility staff did not respond to resident's call pendant in a timely manner. Observations of the facility call light system revealed that when resident's trigger their call lights, caregivers and medication technicians are notified via pager system and respond by going to the residents room. Executive Director reports that the facility is fully staffed at this time. Also, frequently works with Resident Care Director to address all staffing. During interviews residents revealed that call lights are answered within a reasonable time frame. Accordthe state’s words, verbatim · CDSS document, Nov 30, 2023 · control 56-AS-20231121172525

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: Staff did not provide adequate supervision resulting in resident sustaining bruising.

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Allara Senior Living Facility unannounced to conduct a complaint investigation into the allegation listed above. LPA met with Administrator, Helen Jaquez. LPA introduced self and stated purpose of the visit. Administrator escorted LPA to the Memory Care Unit to meet with staff and the resident. It is alleged that facility staff did not provide adequate supervision resulting in resident sustaining injury. LPA walked through facility, interviewed staff, and collected pertinent documents. LPA observed that R1 resides inside of the facility's memory care unit. Staff interviews revealed that the facility uses staffing agencies to fill vacancies due to vacations or when staff cannot make their shift. This could be due to illness, family emergency, etc. The facility also care for residents who are on service with hospice services; which means hospice staff visit residents at the facility to provide care/services. The facility condthe state’s words, verbatim · CDSS document, Sep 27, 2023 · control 56-AS-20230922134949

Allegation investigated: Staff did not provide adequate supervision resulting in a resident sustaining an unexplained injury. Staff did not properly report an incident involving a resident while in care.

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Allara Senior Living Facility to initiate a complaint investigation into the allegations listed above. LPA introduced self an stated purpose of the visit. LPA was introduced to Ted Burgess, Administrator. LPA informed Administrator of the purpose of the visit and discussed elements of the allegations. During today's visit, LPA completed a walk through the facility, collected and reviewed documents, interviewed staff, residents and hospice agency staff. It is alleged that staff did not provide adequate supervision resulting in a resident sustaining an unexplained injury. The facility conducted an investigation of their own; all staff involved in the resident's care deny observing the bruise or having any knowledge of how or when it occurred. The hypothesis is that the resident may have inadvertently bruised themselves while having a behavioral episode. Staff schedule revealed that there are two or more caregivers on the resithe state’s words, verbatim · CDSS document, Aug 15, 2023 · control 56-AS-20230810143801