St. Timothy's Home

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: Licensee did not follow proper eviction protocols with resident in care.

On 05/26/2026, Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to open the complaint for this facility. Based on the information obtained, the allegation that the facility engaged in unsafe discharge practices, failed to coordinate continuity of care, and refused to accept R1 back into the facility is substantiated. The preponderance of evidence supports that the facility failed to follow required discharge and eviction procedures, failed to coordinate continuity of care, and refused to accept R1 back into the facility following ED evaluation. Therefore, the allegation is substantiated. A deficiency will be cited on the LIC 9099D page. Substantiatedthe state’s words, verbatim · CDSS document, May 26, 2026 · control 27-AS-20260522125335

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: Untiimely medical care resulted in sepsis

On 3-19-2026 at 1:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the allegation noted above. LPA met with staff 2 (S2) and explained the purpose of the visit. LPA contacted Administrator Maria Almendrala and explained the purpose of the visit. Administrator gave permission for S2 to sign in her absense. During the course of this investigation, LPA reviewed various facility file documentation including physician’s report, medication log sheets, and care notes regarding resident1 (R1). Additionally, LPA reviewed hospital visit records pertaining to R1, and conducted interview with staff1 (S1). Allegation: Untimely medical care resulted in sepsis. Based on documentation reviewed, it was revealed that on 10-14-2024, a facility care note reads: “Resident not feeling well, Administrator ask if she wants to see Doctor, she refused.” Additional care notes beyond this date did not indicate a follow up until 12-27-2024 which a care note states: “the state’s words, verbatim · CDSS document, Mar 19, 2026 · control 27-AS-20251003154007

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: Resident developed a pressure injury due to neglect. Facility didn't seek medical attention in a timely manner.

Unannounced complaint visit made out to this facility on 10/10/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility staff person, Avia Singh, who was briefly interviewed at this time. This LPA requested that this facility staff person go ahead and contact the facility designated Administrator, Maria Almendrala, to inform her that CCL was present at this time. This LPA was informed that the facility designated Administrator would not be able to be present for todays complaint visit and allowed the present facility staff person to accept all documents related to this complaint at this time. Current census was 5 residents. The purpose of this complaint visit was to deliver the findings of this investigation to this facility, and it's representative, at this time. Based on a review of the forms and documents related to this investigation, it was learned that R1 had several medical issues requiring care and supervision related to R1's mental and physical conditiothe state’s words, verbatim · CDSS document, Oct 10, 2025 · control 27-AS-20250610161834

Allegation investigated: Facility failed to disburse funds owed to the deceased's family.

Unannounced complaint visit made out to this facility on 07/17/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility caregiver, Nicole Golving, who was briefly interviewed at this time. This LPA requested that she go ahead and contact the facility designated Administrator to inform her that CCL was present at this time. It was learned that the facility designated Administrator, Maria Almendrala, was unable to be present at this time so this LPA would have to deliver and present all findings to the present facility staff person, Nicole Golving, at this time. Current census was 4 residents. The purpose of this visit was to deliver the findings of this complaint investigation to this facility, and it's representatives, at this time. Based on a review of the forms and documents retrieved during the course of this investigation, it was learned that R1 had passed away at this facility after having been a resident here for about a year. It was learned that R1the state’s words, verbatim · CDSS document, Jul 17, 2025 · control 27-AS-20250506095159

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: Licensee is financially abusing resident in care

On 10/23/2024 at 2:50pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver and discuss findings for the allegation noted above. LPA met with lead caregiver Dave Gorbon and explained the purpose of the visit. Administrator Maria Almendrala was not on site and gave permission via phone for lead caregiver to sign in her absence. During this investigation, LPA conducted interviews with Licensee (S1) and resident1 (R1). LPA also reviewed facility file documentation including needs and services plan, admissions agreement, and physician’s report all pertaining to R1. Additionally, LPA reviewed redacted financial documents submitted by Licensee. Allegation: Licensee is financially abusing resident in care. LPA conducted interviews and record reviews as noted above. Based on interviews and record reviews, it was determined that R1 was admitted to facility on 5/21/24, and a stopped payment for a check written by R1 for $2800 was initiated by R1’s bank shortly after adthe state’s words, verbatim · CDSS document, Oct 23, 2024 · control 27-AS-20240910134824

Allegation investigated: Facility did not retrieve a prescribed medication for a resident in care

On 3-19-24 at 2:27pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the complaint allegation noted above. LPA met with Administrator Maria Almendrala via phone and explained the purpose of the visit. Administrator gave permission for staff2 (S2) to sign paperwork in her absence. During this investigation LPA conducted interviews with two staff members and resident1 (R1). LPA also reviewed facility file documentation including care notes and medication log sheets for R1. Based on interviews, it was determined that R1 was to receive a prescribed antibiotic medication on 1-2-24 after a stay at the hospital. It was further determined through interviews that although facility staff verbalized attempts to retrieve the medication for R1, there was no evidence to prove such attempts were made by facility staff. {Cont. on 9099C} Substantiatedthe state’s words, verbatim · CDSS document, Mar 19, 2024 · control 27-AS-20240105132112

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