Vine Ridge Senior Living

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with acting Administrator, Carla Lua. Resident sustained an injury while in care. Per Reporting party, staff would leave spills on the floor, causing residents to slip and fall in the facility. The Reporting party stated that three weeks ago a resident (R1) had a bad fall in the bathroom due to one of the staff leaving them in the bathroom alone. R1 lost their balance and hit their head. The Reporting party acknowledged that medical treatment was provided immediately, and the resident was taken to the emergency room. Based on records review, on 6/24/24 the facility submitted an incident report notifying to the Department that on 6/20/24 at approximate 2pm, R1 had an unwitnessed fall and injury. Per incident report, staff found R1 on the restroom floor, they have notified 911 immediately and R1’s responsible party, R1 was transporteRead the full finding— CDSS inspection report, September 10, 2024 · control 21-AS-20240710150350

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with acting administrator Carla Lua. An allegation was received by the Department regarding facility did not have a certified administrator. Per Reporting Party, acting administrator was hired in December 2023 as the facility administrator and admitted to reporting party of not having an administrator certificate. The reporting party states acting administrator began taking their administrator classes earlier this year and is not sure if they have applied for the certificate. Based on records review, prior administrator has resigned in December 2023, new administrator’s first date was March 17, 2024. Although, the acting administrator do not have a current administrator certificate and is currently in the administrator certification section pending review list of the Department as of March 28, 2024, and application was received onRead the full finding— CDSS inspection report, July 11, 2024 · control 21-AS-20240507093626

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver findings from a complaint investigation conducted by the Department. LPA met with Executive Director Angie Smith. Complaint alleges that the facility overcharged a resident for services that they did not require because resident was not reassessed once facility staff observed resident’s care needs. Per review of Physician’s Report dated 7/8/2022, resident was unable to bathe, dress, toilet or groom themselves without assistance, was unable to manage their own medication or cash resources and was bedridden. Review of Admission Agreement Addendum A dated, 7/22/2022 outlines that resident would be charged for a Memory Care room and a level of care II. On 8/1/2022, an updated Addendum A was created, though not signed, indicating that resident would be... Continued on LIC 9099-C. SubstantiatedRead the full finding— CDSS inspection report, September 5, 2023 · control 21-AS-20230703100544

Licensing Program Analyst Bertozzi arrived unannounced to conduct a complaint investigation regarding the above complaint allegation and met with Administrator, Angie Smith. During visit LPA made observations, reviewed documents and conducted interviews. Facility is not following Covid protocols - Complaint alleges that facility staff are not wearing masks while in the facility. During this visit, LPA observed two of seven staff who did not have a mask on. LPA discussed observations with the Administrator who stated they would discuss with staff to ensure they are wearing masks. The allegation that facility is not following Covid protocols is Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.Read the full finding— CDSS inspection report, January 17, 2023 · control 21-AS-20230113121330

Licensing Program Analyst Bertozzi arrived unanounced to deliver findings regarding the above-mentioned allegations and met with Licensee, Larona Farnum and Administrator, Angie Smith. Facility removed resident's personal belongings without consent – Complaint alleges that someone came into a resident’s room and stole items from their room without asking permission or allowing the resident to be present. Missing items were described as food and drinks from the resident’s refrigerator and from a shelf next to the refrigerator. Staff interviews indicate that staff came into a resident’s room after reports that the room was not safe and sanitary. Per interviews, multiple trays were observed with food that were moldy, so trays and food were removed by staff. Review of the facility’s Admission Agreement states that for the safety and comfort of the resident, staff must be permitted to enter an apartment to perform basic personal and housekeeping services, respond to emergencies and make repRead the full finding— CDSS inspection report, October 11, 2022 · control 21-AS-20220922095430

Licensing Program Analyst Willis arrived unannounced to deliver findings regarding the above complaint allegations and met with Administrator, Rachael Lanham. During investigation LPA conducted interviews, made observations and reviewed records. Insufficient Staffing - Complaint alleges that facility has insufficient staffing to meet the needs of the residents. Review of the LIC500 showed that at least one Sunday had one caregiver and one Medication Technician scheduled for Memory Care and Assisted Living. Per interviews and review of schedules, staffing shortages have resulted in the Administrator having to cover caregiving duties, staff being scheduled for double shifts and some shifts having one caregiver and one Medication Technician responsible for activities of daily living for more than 20 residents which includes Memory Care residents who require more supervision. Continued on LIC9099C SubstantiatedRead the full finding— CDSS inspection report, August 30, 2022 · control 21-AS-20220816100641

Licensing Program Analyst Willis arrived unannouned to conduct an investigation regarding the above complaint allegation and met with Administrator, Rachael Lanham. Complaint alleges that the facility retaliated against a whisteblower by terminating their employment. Interview with facility staff alleges that three employees chose to terminate their employment by "walking off the job". LPA conducted additional interviews but was unable to confirm that a person was terminated because they were thought to be a whistleblower. A finding that the complaint allegation that facility retaliated agiainst whistleblower was unsubstantiated meaning that although the allegation may have happened there is not a preponderance of evidence to prove that the allegation occurred. NoRead the full finding— CDSS inspection report, August 30, 2022 · control 21-AS-20220822142153

Licensing Program Analyst Willis arrived unannounced to conduct an investigation regarding the above mentioned complaint allegations and met with Administrator, Rachael Lanham. Licensee, Larona Farnum was available by phone. LPA made observations, conducted interviews and reviewed files. Facility did not follow their Covid Mitigation Plan - Complaint alleges that facility had Covid + residents and staff in July 2022 and did not notify residents and their responsible parties. LPA confirmed through interviews that two residents and three staff tested positive for Covid in July 2022 and not all responsible parties or the Department of Public Health were notified. Interview also confirmed that facility did not test all staff and residents once there were confirmed positive staff and residents in the facility. Review of Special Incident Reports confirm that Community Care Licensing was not notified either. Continued on LIC9099C SubstantiatedRead the full finding— CDSS inspection report, August 19, 2022 · control 21-AS-20220816100641

Licensing Program Manager Willis arrived unannounced to deliver findings regarding the above mentioned complaint allegations and met with Administrator, Licensee, Larona Farnum and Acting Administrator, Rachael Lanham. During investigation LPA conducted interviews, reviewed documents and made observations. Facility failed to ensure resident's personal rights – Complaint alleges that a resident takes the clothes of other residents and wears them, and another resident lays down in other resident’s beds. Additionally, complaint alleges that resident hits other residents and staff. Three of four staff interviews identified two residents who go into other residents’ rooms and confirmed instances of resident’s taking other resident’s clothes and laying in other resident’s beds. Two of four interviewed staff indicated that they have observed resident, R1 hit other residents. Continued on LIC9099C SubstantiatedRead the full finding— CDSS inspection report, June 23, 2022 · control 21-AS-20220503151514

Licensing Program Analyst Willis arrived unannounced to conduct a complaint investigation regarding the above mentioned complaint allegation and met with Licensee, Larona Farnum and Acting Administrator, Rachael Lanham. Complaint alleges that the facility does not have a certified administrator. Administrator, David Uballez has recently left this facility to work in another facility owned by the Licensee. Licensee is currently completing the Change of Administrator paperwork for the current Acting Administrator, Rachael Lanham who is currently working full time at the facility. Licensee is also working in the facility two days per week to assist in the transition. Acting Administrator and Licensee have active Administrator Certificates. This agency has investigated the complaint alleging that facility Administrator is not qualified due to not having an administrator certificate. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happenRead the full finding— CDSS inspection report, May 4, 2022 · control 21-AS-20220425130618

Licensing Program Analyst Willis arrive unannounced to deliver findings regarding the above-mentioned compliant allegations and met with Acting Administrator, Lisa DiBartolo. Insufficient Staffing – Complaint alleges that staff is not sufficient enough to provide for resident’s care needs. Interviews indicated that one resident waited 45 minutes for staff assistance with getting dressed and another indicated that sometimes they do not get their shower timely as the facility is short staffed. Review of files revealed that at least twice per week there is one staff on the overnight shift for both Assisted Living and Memory Care. The allegation of Insufficient Staffing is Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.Read the full finding— CDSS inspection report, March 11, 2022 · control 21-AS-20220127123704