Cogir Of Rohnert Park

Allegation investigated: Medications are not provided to the residents as prescribed Due to lack of staffing, residents needs are not getting met timely Staff do not have required training

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 2/23/2026 at approximately 9:30am, and met with Interim Administrator, Omar Mendoza,and Tamra Richmond, Business Office Manager. Reporting party (RP) alleges "medications are not provided to the residents as prescribed", "due to lack of staffing, residents needs are not getting met timely", and "staff do not have required training". RP did not provide specific resident names with allegations. LPA reviewed staff files, resident files, facility files, including staff schedule, and conducted interviews with staff and other related parties. Per review of records, and interviews, the investigation revealed that the Interim Administrator is available on-site Monday and Tuesday 9am to 5pm, and Tuesday and Thursday 9am to 11am. Health & Wellness Director, and Nurses from other Cogir communities have come in as needed, to help support the facility. The licensee has hired a new Administrator who will be coming into the fthe state’s words, verbatim · CDSS document, Feb 23, 2026 · control 21-AS-20251209091547

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 toileting needs to resident Staff did not address residents' change in condition Staff did not seek needed medical attention for residents'

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 8/25/25 at approximately 9:45am, and met with the Administrator, Kelly Ording, LPA met with new Health & Wellness Director Reporting party alleges "staff did not provide toileting needs to resident, staff did not address residents' change in condition, staff did not seek needed medical attention for residents". LPA reviewed residents', R1 and R2, records, including care plan, progress notes, medication records, and medical documentation. LPA conducted interviews with staff, S1, S2, and S3, and other related parties, regarding allegations. LPA obtained copies of records. Investigation revealed R1 is able to communicate needs to staff, per medical assessment. Per file review of records, and interviews, resident R1's care needs for incontinence are being met by care staff and med-technicians. Continued on LIC9099C... Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 25, 2025 · control 21-AS-20250820140658

Allegation investigated: Staff are over-medicating the resident Staff leaves the resident soiled

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 8/14/2025 at approximately 10am, and met with the Administrator Kelly Ording. Reporting party alleges "staff are over-medicating the resident, and staff leaves the resident soiled". LPA reviewed facility records, including medication records, and MARs records. LPA reviewed resident's, R1, records, including care plan, hospice plan, and medication records/medication orders. LPA obtained copies as requested. Per staff file reviews, staff have required training, and fingerprint clearance as required. Investigation revealed that per LPA's review of medication records, MARs records, and interviews, the resident, R1, was provided their medication as prescribed. In review of hospice file there was no record of medications issues, of medications not being provided to R1 as ordered. Continued on LIC9099C... Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 14, 2025 · control 21-AS-20250721151111

Allegation investigated: Staff forced a resident to sit in the facility dining room. Medications are not provided to the resident as prescribed

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 8/14/2025 at approximately 10am, and met with the Administrator Kelly Ording. Reporting party alleges "staff forced a resident to sit in the facility dining room and medications are not provided to the resident as prescribed". LPA reviewed facility records, staff file, and resident, R1 & R2, files. LPA conducted interviews with staff and other related parties. Staff, S2, has required hiring documents, required fingerprint clearance, and required training, for caregiver/medication-technician, per file reviews. LPA obtained copies of requested records. Investigation revealed that per LPA's review of medication records, MARs records, and interviews, the residents, R1 and R2 are receiving their medications as prescribed. The investigation revealed that per conducted interviews, and review of records, there was no information obtained that resident is forced to sit in the dining room. Continued on LIC9099C.. Unsubstthe state’s words, verbatim · CDSS document, Aug 14, 2025 · control 21-AS-20250723170611

Allegation investigated: Unqualified adult providing residents' medications

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 7/29/25 at approximately 9:45am, and met with the Administrator, Kelly Ording, and Tamra Richmond, Business Office Manager. Reporting party alleges "unqualified adult providing residents' medications". LPA requested specific records regarding staff (S3); LPA requested a copy of the facility's policy regarding agency staff and/or private companions in the building. LPA requested documentation of staff S3's qualifications to work in the facility, staff/agency file documents, including medication training. Per interview with Administrator, staff S3 worked two shifts for the facility assisting residents with medications in July 2025; Administrator stated S3 worked previously at the facility, but now has their own staffing agency. LPA discussed the facility's responsibility in providing all care, assisted daily living needs (ADL's), to the residents' in the facility. Ensuring resident's current care needs are providthe state’s words, verbatim · CDSS document, Jul 29, 2025 · control 21-AS-20250707151553

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 is consuming alcohol and marijuana during shift

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 10/5/23 at approximately 2:10am, and met with the Administrator Jose Acumabig. LPA reviewed facility records, and five (5) staff files; All staff files had required records,including training records. LPA interviewed staff, S1, S2, S3, S4, S5, S7,and other related interested parties regarding the allegation. The investigation revealed that staff interviewed, by the LPA, denied observing any staff member drinking alcohol while on shift and/or smoking marijuana while on shift. Staff interviewed, by the LPA, all denied that they have drank alcohol and/or have smoked marijuana while on shift. The investigation revealed that there was differing information obtained from information provided to the Department regarding allegation. There was no information obtained that supported a violation had occurred. Based on LPAs observations, record reviews, interviews with staff, and information obtained from other related parthe state’s words, verbatim · CDSS document, Oct 5, 2023 · control 21-AS-20230728081936