Lodge At Piner Road, The

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 are not giving resident medications as prescribed Violation of resident's personal rights

Licensing Program Analyst (LPA) Alviso, conducted a complaint inspection, at approximately 9:45am on 1/12/26, and met with Eric Perry, Administrator, and Dori Elder, Resident Care Coordinator. Reporting party (RP) alleges that "staff are not giving resident medications as prescribed, and violation of resident's personal rights." LPA reviewed resident R1's records, including admission records, medical assessment, care plan, medication mars/medication log, Kaiser Dr's Orders, legal power of attorney (POA) paperwork, and legal court ordered "temporary restraining order" currently in effect. Interviews were conducted with staff, S1, S2, and S3, and interviews with other related parties. The investigation revealed that medications for resident, R1, are being provided as prescribed by the Physician; Medications are prescribed for specific health diagnosis of R1, and are being provided to them as ordered, per review of medication records. Continued on LIC9099C.. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 12, 2026 · control 21-AS-20251218115655

Allegation investigated: Facility staff did not ensure resident needs were being met Facility staff did not ensure resident was provided access to call button

Licensing Program Analyst (LPA) Alviso, conducted a complaint inspection, at approximately 10:45am on 12/8/2025, and met with Eric Perry, Administrator, and Dori Elder, Resident Care Coordinator. Reporting party (RP) alleges that "facility staff did not ensure resident needs were being met" and "facility staff did not ensure resident was provided access to call button." LPA reviewed resident R1's records, including admission records, medical assessment, care plan, and medications/Dr's Orders. LPA toured the facility. LPA requested copies of records; LPA was provided the requested copies during the inspection. LPA conducted interviews with staff, and other related parties. The investigation revealed that R1 had been declining slowly, and was being seen on 10/4/25 in the hospital for a rash; R1 returned to the facility on 10/4/25 with no discharge paperwork. Facility was unaware on 10/4/25 that while hospitalized, R1 had been accepted for hospice care by Providence Campusses. Hospice agethe state’s words, verbatim · CDSS document, Dec 8, 2025 · control 21-AS-20251007150201

Allegation investigated: Staff did not provide resident's medication as prescribed Staff mismanages resident's medications

Licensing Program Analyst (LPA) Alviso, conducted a complaint inspection, at approximately 10:45am on 12/8/2025, and met with Eric Perry, Administrator, and Dori Elder, Resident Care Coordinator. Reporting party (RP) alleges that "staff did not provide resident's medication as prescribed" and "staff mismanages resident's medications." RP was not able to provide any specific information on medications/prescribed medications. LPA reviewed resident R1's records, including admission records, medical assessment, care plan, medications/Dr's Orders, and documentation on incidents/progress notes. LPA requested copies of records; LPA was provided the requested copies during the inspection. LPA conducted interviews with staff, and other related parties. The investigation revealed that staff are providing R1's medications as prescribed. Per interviews and record reviews, R1's medications are documented as required, and signed off by staff when provided to the resident. Per interviews conducted withe state’s words, verbatim · CDSS document, Dec 8, 2025 · control 21-AS-20251204145622

Allegation investigated: Facility staff hit resident

Licensing Program Analyst (LPA) Alviso, conducted a complaint inspection, at approximately 10:00am on 12/2/2025, and met with Dori Elder, Resident Care Coordinator, and Monica Hernandez, Memory Care Coordinator. Reporting party alleges that "facility staff hit resident." There were no staff names, of who hit the resident, able to be provided with the allegation reported. LPA reviewed resident R1's records, including admission records, medical assessment, care plan, appraisal, medications/Dr's Orders, and resident incidents. LPA requested copies of records; LPA was provided the requested copies during the inspection. LPA conducted interviews with staff, and other related parties. The investigation revealed that R1 has a current care plan in place, all care needs listed, and updated medications list. R1 is escorted to all meals and activities as needed per care plan. R1 does have a responsible party that is involved, and visits regularly with R1. Continued on LIC9099C... Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 21-AS-20251125153312

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 do not provide resident's medications as prescribed

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 1/14/25 at approximately 10:00am, and met with Administrator Eric Perry. Reporting party alleged that "staff do not provide resident's medications as prescribed". LPA reviewed resident R1 & R2's records, including medication records. LPA obtained copies of requested records, including medication lists, Dr's Orders/signed orders by the Physician, and documentation by staff. LPA interviewed staff, and other related parties. The investigation revealed that a list of a medication was provided on 10/15/24 by resident's (R1) visiting Nurse, regarding a medication R1 was to be assisted with; The list had no Physician's signature as required, and there was no order prior for this medication from the Physician, per file review. The facility staff stated they needed a Doctor's order, a Physician's signature on the medication list being provided by the Nurse. Facility contacted Kaiser three times and had decided to go tothe state’s words, verbatim · CDSS document, Jan 14, 2025 · control 21-AS-20241105111834

Allegation investigated: Staff neglect resulted in a resident being hospitalized Staff neglect resulted in a resident sustaining a fracture while in care

Licensing Program Analyst (LPA) Alviso conducted a complaint investigation, on 6/20/24 at approximately 12:50pm, and met with Administrator Eric Perry. The reporting party (RP) alleges that "staff neglect resulted in a resident being hospitalized, and staff neglect resulted in a resident sustaining a fracture while in care." LPA reviewed records on resident, R1, conducted interviews with staff, and other related parties. The investigation revealed that R1 has a care plan in place; Care services are provided for incontinent care, frequent checks on the resident, a minimum of four (4) times every shift. R1 had an unwitnessed fall on 1/30/24 in their bedroom; Staff assessed and contacted 911 for emergency assistance for R1. R1 was hospitalized due to sustaining a fracture, and neededing surgery. R1 was admitted into skilled nursing care on 2/1/24, and discharged back to the facility on 4/12/24. Facility updated care plan to meet R1's current needs. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 20, 2024 · control 21-AS-20240430151506

Allegation investigated: Facility staff did not provide a comfortable environment for a resident Facility staff handled a resident(s) in a rough manner Facility staff did not communicate with a resident, and their family, due to a language barrier Facility staff did not keep accurate records on a resident Facility staff mismanaged a resident's medications

Licensing Program Analyst (LPA) Alviso conducted a complaint investigation, on 6/20/24 at approximately 12:50pm, and met with Administrator Eric Perry. The reporting party (RP) alleges that "facility staff did not provide a comfortable environment for a resident, facility staff handled a resident (s) in a rough manner, facility staff did not communicate with a resident, and their family, due to a language barrier, facility staff did not keep accurate records on a resident, and facility staff mismanaged a resident's medications." LPA reviewed records on resident(s), R1 & R2, conducted interviews with staff, and other related parties. The LPA also conducted an interview with Hospice Agency Director of Patient Services, to review case notes on the care and observations by hospice nurses/staff that were coming into the facility regularly to see R2. In review of allegations, interviews, and information obtained, there were no identified/named staff, no exact dates and time able to be providthe state’s words, verbatim · CDSS document, Jun 20, 2024 · control 21-AS-20240129113202

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 mismanaged resident’s medication

Licensing Program Analyst (LPA) Alviso, conducted a complaint inspection, at approximately 9:35am on 12/6/23, and met with Administrator Eric Perry. LPA reviewed resident records, including medication records, conducted interviews with staff, and other parties. The investigation revealed that resident(R3) didn't receive medications as prescribed by the Physician. Per record reviews, and staff (S1,S2) interviews, resident had a change in medication order on 8/1/23, but the medication continued to be provided to the resident three times a day (3xs a day) per the old order; The new Physician's order was to provide the medication at one pill a day to the resident. The medication ran out sooner then it should have. The facility purchased the medication and provided the medication to the resident per new order dosage instructions. The resident (R3) received their medication in error, one medication, from 8/1/23 through to 8/21/23. Continued on LIC9099C... Substantiatedthe state’s words, verbatim · CDSS document, Dec 6, 2023 · control 21-AS-20230828094126

Allegation investigated: Staff are not responding to resident's emergency pendant.

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, at approximately 2:00pm on 10/19/23, and met with Administrator Eric Perry. LPA reviewed resident records, facility call bell records, staff records, food service records, and inspected the food supply. LPA conducted interviews with staff, and other related parties. The investigation revealed that call bell report showed a pendant/call bell system event, R1's emergency alarm, that was set off showed elapsed time in response;This is a risk to the health and safety of a resident(s). This deficiency will be cited, 87303(i)(1)(2) - Maintenance and Operation. Facilities licensed for 16 or more... shall have a signal system which meets specified requirements, see LIC9099D. Based on record reviews, and interviews during this investigation, the allegation of "staff are not responding to resident's emergency pendant." is substantiated. The preponderance of evidence standard has been met, therefore the allegation is found tthe state’s words, verbatim · CDSS document, Oct 19, 2023 · control 21-AS-20230809142110