Granvida Senior Living and Memory Care

Type of visit: Required - 1 Year

At 8:40am on 06/23/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with Administrator, Nithi Narasappa, announced who he is and the reason for the visit. Administrator and LPA conducted a physical tour of the facility. This facility has seventy resident rooms, fifty five assisted living rooms have their own on suite bathrooms and fifteen memory care rooms have shared bathrooms. There are two outdoor patios with shading and seating for activities and visitors. Two dining areas, one large facility dining and a smaller privet dining room. The main lobby has additional room for indoor activities, there is a gym, arts and crafts room, and a television room for residents. LPA conducted a physical inspection of sample rooms and noted all rooms have licensing required furniture and linin. LPA noted that fire extinguishers are placed throughout the facility all primed and in the green that were inspected. LPA noted that Low Voltage Solutions Inc. conducted an annual fire inspection on 10/30/2025 indicating visual and functional test as normal. LPA noted that the facility is clean and in good repair with all exits and hallways free of obstruction. LPA noted that the kitchen has at least two days of perishable and at least 7 days of non perishable foods on hand for 83 resident and staff. LPA noted and tested assorted water temperatures throughout the facility to be within regulation requirements. LPA reviewed Emergency Disaster Plan, Infection Control Plan, sample staff and resident files. LPA reviewed all facility personnel have background clearance and noted one employee not present on Guardian Roster, and one "In Progress" on Guardian Roster who were on facility schedule, citation issued (87355(e)). Administrator and LPA conducted a full review of annual care tools. LPA noted that there were no additional violations or citations on the annual control tools. LPA cited for 2 personnel not properly cleared Exit interview, report read, appeal rights and report providedthe state’s words, verbatim · CDSS document, Jun 23, 2026

Type of visit: Case Management - Incident

At 11:30am on 02/13/2026, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to conduct a case management visit based on a cross report SOC341 from the facility dated 02/12/2026, alleging that a Staff (S1) struck a resident (R1) in the arm. LPA met with Community Business Director, Delilah Kelly (CBD), announced who he is and the reason for the visit. CBD and LPA contacted Administrator, Nithi Narasappa by phone and informed her of the reason for the visit, and verified that CBD was authorized to sign this report. LPA conducted interviews of staff and noted that the facility internal investigation is currently on going and S1 is currently on unpaid administrative leave pending completion of the internal investigation. LPA collected the current copies of the partial internal investigation that included pictures of R1. LPA additionally, requested documentation of S1 training and background clearance, Resident Appraisals Needs and Serviced Plan, Pre admissions appraisal, physicians report (LIC602) and family contact information. LPA also requested a facility staff contact information and a staff schedule for February 2026. LPA may request more documentation and conduct interviews as needed. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Feb 13, 2026

Type of visit: Required - 1 Year

At 8:00am on 07/15/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with Interim Administrator, Nithi Narasappa, announced who he is and the reason for the visit. Administrator and LPA conducted a physical tour of the facility. This facility has seventy resident rooms, fifty five assisted living rooms have their own on suite bathrooms and fifteen memory care rooms have shared bathrooms. There are two outdoor patios with shading and seating for activities and visitors. Two dining areas, one large facility dining and a smaller privet dining room. The main lobby has additional room for indoor activities, there is a gym, arts and crafts room, and a television room for residents. LPA conducted a physical inspection of sample rooms and noted all rooms have licensing required furniture and linin. LPA noted that fire extinguishers are placed throughout the facility all primed and in the green that were inspected. LPA noted that Low Voltage Solutions Inc. conducted an annual fire inspection on 10/29/2024 indicating visual and functional test as normal. LPA noted that the facility is clean and in good repair with all exits and hallways free of obstruction. LPA noted that the kitchen has at least two days of perishable and at least 7 days of non perishable foods on hand for 83 resident and staff. LPA noted and tested assorted water temperatures throughout the facility to be within regulation requirements. LPA reviewed Emergency Disaster Plan, Infection Control Plan, sample staff and resident files. LPA verified all facility personnel have background clearances. LPA noted no violations or citations were issued as a result of the facility physical inspection. Administrator and LPA conducted a full review of annual care tools. LPA noted that there were no violations or citations on the annual control tools. LPA note that no citations issued as a result of full annual inspection. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Jul 15, 2025

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff are not implementing proper infection control practices at the facility.

Licensing Program Analyst (LPA) Rankin conducted a 10-day complaint visit to the facility above. LPA met with the new administrator, Charles Eusey, and explained the purpose of the visit. Allegation: Staff are not implementing proper infection control practices at the facility LPA requested and received the following documents: Current Infection Control Plan dated 12/10/22, Infection Control Training documents from July 2024 to current, Staff Roster with notation of staff who have been sick with flu like symptoms the month of January, and Resident roster with notation of residents who have been sick with flu like symptoms during the month of January. Continued on 9099-C Unsubstantiated Continuation Page 2 LPA toured the facility during the interviews. LPA observed the Memory Care (MC) unit, the Assisted Living (AL) halls on floor 1 and 2, dining facilities, activity room, art room, and lobby visiting area. All areas are spacious and allow for staff and residents to be spread out within their comfort level. LPA also went to the basement storage area, where the following PPE was observed gowns, gloves, masks, and booties. LPA interviewed 3 residents. LPA interviewed Resident #1 (R1) and Resident #2 (R2). Interview was done in the lobby visiting area. R1 stated R1 had been sick for about 3 days, with diarrhea, R1 stated they did not participate in bingo or the activities for a couple of days, but they were feeling better. R2 stated they had not been sick, nor did they know of anyone else who had been sick with the exception of R1. Both residents thought that staff had been coming to work sick because they saw staff wearing masks about 1 – 2 weeks ago, they were unsure of the timeline, but knew it was more recent. Resident #3 (R3) was interviewed by the LPA in their private living room. When LPA stated they were there regarding a concern of an outbreak of an illness, R3, with wide eyes stated “this is the first I’ve heard of there being one.” R3 stated they participate in all lunches and dinners as well as bingo. LPA asked if there had been residents missing from these activities, R3 stated there is always 1 or 2 because they have things going on, but nothing out of the ordinary, and they did not observe any staff or residents in any of these areas to be ill. R3 stated staff do a great job of showing up to clean and support their needs, there are no complaints from R3. LPA interviewed 5 staff and the administrator. Interview with Staff #1, #2, and #3 were done in the lobby, the visiting area, and in the dining room. All 3 staff indicated about a week or 2 ago there was some residents who were ill. All 3 stated they thought there were 4 – 8 residents who were ill with diarrhea and vomiting. S1 and S2 stated they observed that the cross over from MC and AL ceased for about a weeks’ time. S2 stated they did know of 2 – 3 staff who were sick, but only for a few days. S1 and S3 are not aware of any staff being sick. Staff were asked to wear masks and increase use of gloves. S1 stated there are disposable utensils and plates if needed for residents. Staff #4 (S4) was interviewed in the MC unit. S4 assists with staffing, S4 stated about 2 weeks ago they did have 5 residents in MC who were ill about the same time. Increase cleaning was done, separation of MC residents from AL residents was done as soon as they realized a couple of residents were sick. Isolation as much as could be done in the MC area was done to prevent other MC residents from getting ill. Only the 5 residents were ill. The caregivers were staffed so they didn’t work in AL and MC. Increase Continued 9099-C Continuation - Page 3 cleaning was done in the restroom areas, the residents’ rooms, and in the common area of the MC. S4 stated that some residents expressed concern that something was happening due to staff wearing masks. Residents were told that staff are being cautious to keep residents from getting ill. Staff were not wearing masks due to their own illness. Disposable plates and silverware were used for residents in MC during this time. Staff #5 (S5) was interviewed in the MC. They mainly work in MC and stated they worked hard to keep areas clean and dispose of anything that could have been contaminated. S5 stated meals for those residents who were ill were served on disposable plates. Tables were cleaned more regularly, and gloves were swapped out more and used for all services, including serving meals. S5 who works directly in care giving state they had enough PPE and felt secure that if needed management would have provided more items. LPA inquired with the administrator regarding next steps if they had an outbreak. Administrator explained their process which was in line with Title 22 regulations. Next steps would have been for residents to isolate, dining and activities would have been closed, visiting would have been stopped or screened, and reporting to Community Care Licensing as well as Public Health would have been initiated. Administrator stated no residents were transferred out due to diarrhea or vomiting and at this time, to his knowledge, no other resident or staff is exhibiting these symptoms. Part of the Reporting Parties concern was a staff member had been hired, had gotten ill, and had passed away recently, but Administrator confirmed that a staff member had an expected death in the family, which was unrelated to any current illness in the facility during the month of January. LPA reviewed the facilities Infection Control Plan and discussed with administrator. Although the allegation may have happened, there is not a preponderance of evidence, based on interviews with residents, staff, and records obtained, to prove the alleged violation occurred; therefore, the allegation is unsubstantiated. Exit interview conducted, copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Jan 31, 2025 · control 29-AS-20250124113053

Type of visit: Case Management - Incident

On 07/26/2024, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced case management-Incident visit. LPA met with Administrator Eric Terrill and announced the purpose of the visit. The Licensing Agency received Incident Reports from the Licensee dated 06/12/2024, 06/19/2024, and 07/14/2024 regarding three (3) elopements from the facility within an approximately one (1) month period by Resident #1 (R1) in which the following was stated to have occurred: On 06/12/2024, R1 eloped from the facility through the front door of the Memory Care Unit. Facility Staff responded immediately and R1 was redirected back into the facility. R1 appeared agitated and PRN medications were administered upon return to the facility. On 06/19/2024, R1 again eloped from the facility and Staff were notified due to a wandering transmitter alert at the Memory Care Unit courtyard fence. Staff were unable to locate R1 at the time of elopement at 12:32am and subsequently called 911 as well as filed a missing persons report with Law Enforcement. R1 was found at 12:57am by Law Enforcement with a laceration on their forehead and transported to the hospital Emergency Room (ER). R1 was returned to the facility with a follow up treatment plan to have an assessment of the PRN medication for R1 by R1’s primary care physician (PCP) and facility Staff to increase additional supervision of R1. On 07/14/2024, R1 again eloped from the Memory Care Unit of the facility. Staff responded to the functional alarm system alert at the Memory Care Unit gate, but R1 was already on the front lawn of the facility by the time staff arrived. R1 was redirected back into the Memory Care Unit of the facility, and both the relative of R1 as well as the PCP for R1 were notified. This incident report indicates that the care plan for R1 has been updated to reflect the wandering and elopement behaviors. A citation and civil penalty is issued for repeated elopements from R1 on 6/12/2024, 6/19/2024, and 7/14/2024. The 6/19/2024 elopement caused injury to R1 and law enforcement response to missing persons report, which posed an immediate health and safety risk to residents in care. Exit interview conducted. A copy of the report was issued to the facility.the state’s words, verbatim · CDSS document, Jul 26, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(k)(8) · Plan of correction due date: Jul 29, 2024

87705(k)(8) Care of Persons with Dementia (k)...Requirements must be met…licensee to utilize delayed egress devices on exterior doors or perimeter fence gates: (8) Delayed egress...not substitute for trained staff...numbers meet...supervision needs of all residents... This requirement was not met as evidenced by: Based on record review and interview Licensee failed to have trained staff in sufficient numbers to supervise R1 to address multiple elopements by R1 causing injury on 6/19/24, which posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 26, 2024

Plan of correction: The licensee will submit a written plan describing how they will ensure protocols for residents who require additional supervision while in care and the update of resident care plans to reflect wandering/elopement behaviors. Submit proof to CCL by 7/29/2024.

Type of visit: Required - 1 Year

On 07/26/2024 Licensing Program Analyst (LPA) Brian Phillips arrived at the facility unannounced for an unscheduled visit to conduct a required annual facility site inspection visit at the facility above. When the LPA arrived, they were greeted by Administrator Eric Terrill and informed them of the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. This is a Residential Care Facility for the Elderly (RCFE) with an approved Fire Clearance for 83 residents. The age range in the facility is 60 years of age and older. The facility is approved for 83 non-ambulatory residents, of which 3 residents can be bedridden. KITCHEN: The LPA inspected the kitchen/food service area and observed that knives/sharp instruments are stored in the kitchen are inaccessible to residents. Kitchen appliances were in operable condition and looked clean/in good repair. The LPA observed perishable items in good condition, with proper expiration dates precluding the perishable items from expiring. The facility has a sufficient supply of perishable and non-perishable food, which would last 7 days. Additional perishable food items were maintained on a shelf and/or an extra freezer. The hot water temperature was measured in the kitchen at an appropriate temperature as per the regulation. Heating devices such as stoves are inaccessible to residents, as are sharps/other items that could constitute a danger to residents. The kitchen was clean and sanitary, with covered trash cans and operating ventilation systems. No toxic substances are stored in any food preparation or storage area, and all cleaning supplies for the kitchen are kept in a separate area than the food supplies. The freezer and refrigerator were both in the appropriate temperate Fahrenheit. There is enough tableware and utensils for all residents living in the facility, and enough equipment for the storage, preparation, and service of food. COMMON AREAS: At the time of the visit, living room and dining room were observed to be appropriately furnished, with all furniture in good condition. There is a fireplace in the living room, which is covered and inaccessible. The facility maintained a comfortable temperature. Continued on 809-C Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were fully charged and were last serviced annually. The LPA observed required postings throughout the common space including Resident Personal Rights and Resident Council Rights. There are activity supplies and equipment, including reading materials for the residents. There is a piano in the living room of the facility in good repair and operating condition, which was being played at the time of the inspection. There is a "Movie Theater" room for residents to gather and watch movies together. All window screens were in good repair. There is appropriate lighting in the common areas of the facility. All passageways through the common areas of the facility were free of obstruction, and all stairways are well-lit with sturdy hand railings/stair chair accessibility devices. As the facility has more than 16 residents and is multiple stories, there is a signal system in place which was functional at the time of the inspection by the LPA. OUTSIDE/LAUNDRY/MISCELLANEOUS: The facility has outdoor activity spaces, and is enclosed by a fence with self-closing latches and/or gates or walls. There are 2 side gates from the facility which are delayed egress self-closing. Auditory devices are in place to monitor exits, if exiting presents a hazard to any resident. There are also 5 areas of the facility monitored by video surveillance cameras including the main front door, Delivery door, dining patio, and both delayed egress self-closing gates. Outdoor activity spaces and the dining patio for residents are equipped with furniture for resident use. All outdoor areas with stairways, inclines, ramps, or open porches have accessibility ramps for residents, are well-lit, and have hand railings/grab bars. There were no bodies of water noted. This is a facility with over 16 residents, therefore there is a designated laundry room where cleaning products are stored, which is kept locked. The laundry room is accessible through a staff only section of the facility down the stairs from the common areas of the facility. There was emergency food and water in a storage room/area which was observed to be in good condition. Cleaning supplies, disinfectants, and other items that could pose a danger to residents are kept in areas inaccessible to residents. There is a first aid kit that includes sterile dressings, bandages, thermometers, scissors, tweezers, and a first aid manual. The vehicles used to transport residents are in safe operating condition with appropriate insurance information. BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There are 70 designated resident rooms in the facility, differing between shared units with 2 beds per room, and individual units with 1 bed per room. Each closet in all the resident rooms has extra pillows, clean/fresh linens, and appropriate incontinence materials if applicable for any resident. Continued on 809-C The resident bedrooms are big enough for all beds, furniture, and any resident assisting device such as a wheelchair or a walker. Each room has at the least a chair, night stand, chest of drawers, and sufficient lighting. The mattresses and pillows in each resident room are flame retardant, and if applicable, resident rooms with security measures on windows have at least one window with an approved safety release to allow emergency evacuation. RESTROOMS: The facility restrooms were sanitized and in operating condition while the LPA toured the facility. There are non-private restrooms in the common areas of the facility as well as private restrooms in the resident’s bedrooms. All restrooms inspected had assisting equipment for residents including grab bars and/or non-skid surfaces. The bathrooms were sufficiently stocked with soap, paper towels, and additional supplies; towels and washcloths are not shared. The hot water temperature was measured in the restrooms at the appropriate degrees Fahrenheit as per the regulations. There is at least 1 toilet and sink for each 6 residents, and at least 1 bathtub/shower for each 10 residents. Nightlights are installed in the hallways outside of the common area restrooms. RECORDS: The facility keeps confidential storage of personnel records and resident records on-site at the facility. Personnel records reviews were reviewed for, but not limited to LIC 501 personnel records, LIC 503 health assessments with Tuberculosis (TB) test results, Personnel Action Notice, Job Description with date of employment, LIC 9052 Employee Rights, LIC 508 criminal record Statements, criminal record clearances, first aid/CPR certification that is not expired, and the appropriate training. All staff member personnel records had appropriate documentation with no expired training. The administrator has an active administrator certificate that expires 01/26/2024. Resident records were reviewed for LIC 603 Pre-Admission/Placement appraisals, LIC 602 Physicians Reports, Consent Forms, Personal Rights for Residents, LIC 601 Emergency Information, LIC605A Release of Medical Information, PRN Authorization, Needs and Services Plan (ANS), Resident Assessments, Mini-Mental State Exam (MMSE) for residents with dementia, Self-management of medications if applicable, Medication Orders, Medication Logs, Advance Directives, Conservatorship Documentation, and Physician Orders for Life-Sustaining Treatment (POLST). All resident records reviewed by the LPA had the appropriate documentation with no missing or incomplete information. MEDICATIONS: The facility maintains a locked centralized storage area for resident medications on 2 separate floors. There is a locked room upstairs on the 2nd floor for the residents of the facility not in the memory care unit. This locked room is entered by electronic numerical password. Inside the room there is a locked cart with the centrally stored medications for residents. Continued on 809-C The cart itself is also locked, within the medication cart there is a drawer for narcotic medications that is also locked for extra safety. The memory care unit has the exact same structure, but maintains a locked centralized storage area for memory care resident medications on the 1st floor memory care unit. The LPA observed the centrally stored medications as well as the Centrally Stored Medication and Destruction Record for both areas. INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening and a sanitation station. The staff members will keep up signs that promote good hand hygiene and symptoms of COVID. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate, with a current Infection Control Plan in place signed by the administrator. FACILITY DOCUMENTATION: There are required postings throughout the facility, including emergency exiting plans with necessary telephone numbers. The facility keeps hard copies of the LIC 200 Application for an RCFE, LIC 215 Applicant Information LIC 308, LIC 400 Affidavit Regarding Client/Resident Cash Resources, LIC 401 Monthly Operating Statement, LIC 402 Surety Bond, LIC 401(a) Supplemental Financial Information, LIC 403 Balance Sheet, LIC 404 Financial Information Release and Verification, LIC 500 Personnel Report, LIC 501 Personnel Record, LIC 503 Health Screening Report, LIC 610E Emergency Disaster Plan for Residential Care Facilities For the Elderly, LIC 9282 Residential Infection Control Plan, LIC 999 Facility Sketch, and the Rental Agreement signed and dated 04/01/2023 with a copy of Cashier’s Check. The facility additionally has a Plan of Operation, Control of Property, The Job Description for Each Staff Position, Personnel Policy, In-Service Training for Staff, Facility Program Description, Rules of Discipline/Personal Rights, Admission Agreement for Residents, Sample Food Menu, Theft & Loss Policy, Neighborhood Complaint Policy, Hazard Assessment, and Job Description for the Administrator. The facility has on file a Dementia Care Plan document as well as Hospice Care Waiver. No deficiencies cited. Exit interview conducted. A copy of the report was issued to the facility.the state’s words, verbatim · CDSS document, Jul 26, 2024