Westwind Memory Care

Allegation investigated: Staff did not prevent resident from physically abusing residents resulting in injuries Staff inappropriately admitted a resident who doesn't meet the criteria of care for the facility

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to deliver the findings of the complaint investigation that was received by the Department on 07/08/2025. LPA met with Executive Director (ED) Steven Silacci. LPA stated the purpose of the visit. On 7/14/2025, the Department conducted the initial complaint investigation visit to the facility and interviewed 10 Staff (S1 to S10) and 4 Residents (R1 to R4). It was alleged that Resident R1 hit Resident R3’s glasses off his/her face in late June 2025. On 7/14/2025 LPA interviewed 4 Residents (R1 to R4). 3 Out of 4 residents stated he/she has not observed or has been involved in any altercations with another resident. Page 1 of 2 Unfoundedthe state’s words, verbatim · CDSS document, Dec 15, 2025 · control 26-AS-20250708105358

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 restricted resident's airway, resulting in resident losing consciousness

On 01/9/2025 the Department received a complaint alleging that staff restricted resident’s airway causing the resident to lose consciousness on 1/8/2025. It has been alleged that staff S7 pinched resident R1’s nose causing R1 to lose consciousness. On 1/10/2025, the Department investigated the alleged incident that occurred on 1/8/2025 wherein the incident involves a resident (referred to as R1), who was in an agitated state. R1 was having behaviors, while holding a statue of a crane, while screaming, yelling and moving toward staff in an aggressive manner at approximately 7AM. Staff members (referred to as S1 to S7) were able to intervene and deescalate situation and eventually, R1 remained calm and able to redirect by staff. Page 1 of 3 Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 20, 2025 · control 26-AS-20250109132853

Allegation investigated: Staff did not meet resident's hygiene needs Staff did not give resident medication as prescribed

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Steven Silacci, Administrator. On 08/25/2023, the Department received a complaint with the above allegations. On 09/01/2023, LPA Marrufo conducted an initial complaint investigation visit. The facility Resident Roster states resident R1 moved into the facility on 07/11/2023. LPA Marrufo obtained a copy of R1’s Service Plan. R1’s Service Plan states R1’s move-in date was 07/10/2023. R1’s Service Plan states R1 needs assistance with bathing two times per week. R1’s Service Plan states staff must monitor R1’s skin and provide hemorrhoid cream if R1 has skin irritation. See LIC9099-C pages for more information. Page 1 of 4. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 7, 2025 · control 26-AS-20230825133741

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 notify responsible party of resident's change in condition

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of staff did not notify responsible party of resident's change in condition, Reporting Party (RP) states that the facility's Nurse (S1), is falsifying resident's change in condition as an excuse to increase resident's rates for care. RP states that S1 completes the facility's in-house mental assessments for residents that have dementia. RP does not agree with the facility staff conducting in-house assessments regarding a resident's change in condition. RP states that resident assessments should only be conducted by a physician. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20210430142806

Allegation investigated: Facility staff not following doctor's orders

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of Facility staff not following doctor's orders, Reporting Party (RP) stated that the facility is not consistent with following through with doctor's orders. When the facility receives a doctor's order from the physician, it takes a long time for staff to log the information in the facility's system, and the Med Tech does not see the doctor's order for the resident. LPA interviewed ED and it was stated that once the facility receives the doctors orders through fax. It is immediately updated in the system. Medication rooms has the fax machine. Memory Care Manager, Med Techs, Directors are able to update the system once the orders are received. LPA is not able to reach RP due to the number provided was a wrong number. Based on interviews, the department has detethe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20210623095010

Allegation investigated: Facility is understaffed

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of Facility is understaffed, RP states there is only one night staff overseeing the whole facility of 30 residents. There have been no accidents or injuries yet. RP states nighttime is the highest risk for residents to get out of bed and possibly fall. According to the interview with ED, Private sitters are suggested when needed. Staffing right now is 4 caregivers per floor with 1 med tech for each floor for 26 residents. NOC shift has 2 caregivers per floor and 1 med tech for all floors. Based on interviews, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewed and copthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20210730131535

Allegation investigated: Staff neglected resident(s) in care. Staff not qualified. Facility is not providing quality food to residents.

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of Staff neglected resident(s) in care, RP stated that a caregiver reported to RP that he/she has witnessed that between 7am – 8am on 8/16/2021, a resident was found sleeping on the bedroom floor, with a blanket and a pillow, with clothes on. RP and caregiver are concerned because the last person who saw this resident was a staff member somewhere between 11 pm – midnight the evening before. LPA interviewed ED and WD (Wellness Director) both mentioned that status checks are done depending on the care plan of the residents. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20210817083410

Allegation investigated: Staff are not properly trained.

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of staff are not properly trained, RP stated that this facility has staff who lack training to care for residents with memory issues. RP states, staff are not engaging with residents as far as moving them around. RP states, staff are always on their cellphones and feels when the residents are not getting the attention needed, the resident’s health is declining. LPA Nguyen visited the facility on 10/11/2021 and it was observed that all staff were wearing masks. That physical distancing was encouraged among residents. All residents appeared clean and do not appear to be in any form of physical distress. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20211001164057

Allegation investigated: Staff does not communicate with authorized representative.

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of Staff does not communicate with authorized representative. Reporting Party (RP) stated that the staff memner (S1) does not communicate with family members via in person, telephone or email. LPA Heberle was able to interview ED & S1 and stated that there is communication between the residents responsible party. Both stated that There has been no changes to how staff update family members with changes in condition. Facility continues to have sit down meetings with families. ED also mentioned that Based on interviews & records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20220105114249

Allegation investigated: Facility is not training staff Facility staff are causing injury to residents through impoper lifting techniques

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation that Facility is not training staff & facility staff are causing injury to residents through improper lifting techniques, Reporting Party (RP) stated that the staff are not being trained how to lift the residents from the chairs and the beds and wheelchairs, and also how to sit them down. If they do train them, they are not watching to see. I think there is failure to train and check off on the staff. Based on records review, an in-service training was conducted regarding Proper Body Mechanics – Transfers held on 4/28/2022 and 7/20/2022 which was conducted by a physical therapist. Based on these records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegedthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20220811140211

Allegation investigated: Residents care plans are not regularly updated Staff are not conducting accurate assessments for the residents Staff are not abiding to the admission agreement Staff do not have planned activities fro the residents Staff behavior poses as a risk to residents while in care

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegations Residents care plans are not regularly updated, Staff are not abiding by admission agreements, Staff do not have planned activities that are suitable to resident needs, Staff are not being properly trained for residents with dementia, Staff are not providing adequate food service to the residents. LPA Donato tried to call RP, but RP is no longer available to be able to get more information on these allegations. LPA Heberle was able to interview the Activities Director (AD), and it was stated that there are 3 activities per day, one in the morning, afternoon, and evening. AD plans additional activities based off of personal likes profiles that are developed. AD puts on different music and shows based off of what residents requests. In the morning they do exercthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20220817163154

Allegation investigated: Facility did not ensure that residents had access to assistive devices while in care resulting in falls.

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of facility did not ensure that residents had access to assistive devices while in care resulting in falls, Reporting Party (RP) stated that Assistive devices not in place per care plan, or implemented timely, both resulting in resident falls. LPA interviewed the ED and it was mentioned that the facility has no bed alarms. All the residents needs are addressed in the care plan like constant status checks. LPA Heberle also interviewed 2 staff members. S1 stated that there's 4 staff on 2nd floor per shift and about 3 on the first floor per shift. Thinks that staff is very capable on how to lift and they always have enough people to assist residents as needed. Has definitely received adequate training, receives training that they are tested on monthly. Unsubstantthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20220823091905

Allegation investigated: Facility did not follow COVID-19 protocols.

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of Facility did not follow COVID-19 protocols, RP stated that they received a report from an unnamed caller that they upset at the facility's lack of response to a covid infection in the building. Caller states that the Health Services Director (HSD) was aware of a covid infection in the building but said they weren’t going to test the resident because they did not have symptoms. Caller reports that now staff have covid. LPA interviewed staff members and 4 out 4 stated that there are emergency kits placed outside the residents rooms who had covid and PPEs are provided to staff. S4 mentioned that they self test if they have symptoms and can't come back until they have a negative test. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20230216112023

Allegation investigated: Staff did not safeguard resident's personal items Staff did not provide resident with activities Staff did not respond to resident request for assistance in a timely manner

On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit. Regarding the allegation of staff did not safeguard resident's personal items, Reporting Party (RP) stated that R1s laundry was not individually washed as promised. RP states that other residents wore R1s clothing and were found rummaging in R1s belongings. LPA interviewed ED and mentioned that laundry is done seprately for each resident. Facility is a memory care facility, we are not able to lock the doors of residents bedrooms. Some residents wander around other residents rooms so we try to redirect them. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 26-AS-20220223151643

Allegation investigated: Facility staff were having inappropriate interactions in the presence of a resident. Staff did not report unusual incident to a resident's representative.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Parvendar Kaur, Wellness Director. On 08/15/2023, the Department received a complaint investigation with the above allegations. LPA Marrufo conducted an initial complaint investigation visit on 08/23/2023 and conducted an additional visit on 10/03/2023. During visit on 08/23/2023, LPA Marrufo interviewed 16 facility staff. 16 out of 16 staff stated to have not observed any inappropriate interactions On 08/23/2023, LPA Marrufo made a telephone call to staff S1 to conduct an interview, but S1 refused to be interviewed. See LIC9099-C for more information. Page 1 of 2. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 8, 2023 · control 26-AS-20230815113903

Allegation investigated: Facility mismanaged residents medications. Facility did not coordinate care with hospice agency.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Steven Silacci, Administrator. The Department received a complaint on 10/09/2020. The complaint made the following allegations: facility staff were not administering resident R1’s new order for Naproxen and order for Lorazepam; Resident R2 was found with morphine medication tablets on R2’s pillow and R2’s liquid Roxanol order had not been started; facility staff administered R3’s comfort pack medications without receiving an order from R3’s hospice agency; facility staff were unable to explain to R2’s hospice agency how much of the PRN Phenobarbital orders staff had administered to R2, causing difficulty for the hospice agency to appropriately titrate scheduled medication; facility staff did not conduct regular checks on R4 to ensure R4 was not ingesting and covered with R4’s own feces. See LIC9099-C for more information. Page 1 of 3. Substantiatedthe state’s words, verbatim · CDSS document, Oct 31, 2023 · control 26-AS-20201009161515

Allegation investigated: Staff are not sufficient in numbers or competency to meet resident's needs.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Steven Silacci. The Department received a complaint with the above allegation on 09/30/2020 and conducted an initial complaint visit on 10/12/2020. The Department conducted an additional complaint investigation visit on 08/23/2023. During visit on 08/23/2023, LPA Marrufo conducted interviews with Administrator Steven Silacci and requested to interview staff who were employed when the complaint allegation was reported, which was 09/2020. Administrator Silacci brought 7 staff, staff S1-S7, for LPA Marrufo to interview. Administrator Silacci and staff S1-S5 reported working with resident R1. However, staff S4 provided care to R1 but did not provide medications and S5 did not provide care to R1. See LIC9099-C for more information. Page 1 of 2. Unfoundedthe state’s words, verbatim · CDSS document, Oct 24, 2023 · control 26-AS-20200930112546