Cogir Of Turlock

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.

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 assistance in meeting residents necessary medical needs. Staff did not provide personal care and and assistance as needed by the resident which resulted in multiple falls and the care plan not being followed. Staff did not ensure reporting requirements were being followed Staff did not provide services necessary to meet resident needs such as cleaning and maintenance of buildings Staff did not provide care as needed for activities of daily living. Staff did not ensure residents bathing care needs were being met

On 03/27/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to deliver complaint findings. LPA Pascua met with Facility Designated Administrator (FDA), Jackie Hernandez and explained the purpose of the visit. Current census was 75. A brief interview with FDA Hernandez was conducted. Allegation: Staff did not provide assistance in meeting residents necessary medical needs. It was alleged that staff did not provide assistance in meeting residents necessary medical needs. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conducted with 5 staff members, it was denied that staff did not provide assistance in meeting residents necessary medical needs. An interview with the residents responsible party was also conducted in which it was reported that there has not been any issues with the facility providing assistance. Based on the information gathered, there is not sufficient ethe state’s words, verbatim · CDSS document, Mar 27, 2026 · control 27-AS-20250911091201

Allegation investigated: Staff did not inform resident's responsible party of incidents.

On 02/27/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to deliver complaint findings. LPA Pascua met with Facility Designated Administrator (FDA), Jackie Hernandez and explained the purpose of the visit. Current census was 77. A brief interview with FDA Hernandez was conducted. Staff did not inform resident's responsible party of incidents. It was alleged that the staff did not inform resident’s responsible party of incidents. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on conducted interviews, it was determined that on 05/26/2026 the facility reported an unwitnessed fall to the hospice agency. When asked whether the facility notified the resident’s responsible party of the fall, facility management stated that the hospice agency was informed and that it was the hospice agency’s responsibility to notify the responsible party. Substantiatedthe state’s words, verbatim · CDSS document, Feb 27, 2026 · control 27-AS-20250818101558

Allegation investigated: Staff provided a meal to resident that contained a known food allergen

On 1/29/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to deliver complaint findings. LPA was met by Facility Designated Administrator (FDA), Jackie Hernandez and explained the purpose of the visit. The purpose of this visit was deliver complaint findings for the allegations above. Current census was 77. It was alleged that facility staff served a resident a meal containing a known food allergen. During the investigation, the department conducted interviews and reviewed facility records. Based on interviews with facility staff, it was confirmed that on 11/26/2025, during lunch, a staff member observed S1 consuming clam chowder. Facility staff reported that they were notified by a family member that the resident had a shellfish allergy. Kitchen staff subsequently confirmed that the soup contained shellfish.A review of facility records revealed that on 07/30/2024, the resident’s dietary needs were updated. A communication notice reflecting thisthe state’s words, verbatim · CDSS document, Jan 29, 2026 · control 27-AS-20251202092711

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: Licensee did not ensure facility was maintained in good repair.

On 10/15/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the community to close a complaint. LPA Campbell met with Pa Vang, Health and Welness Director and explained the pupose of the visit. Regarding the allegation that the licensee did not ensure the facility was maintained in good repair, LPA Campbell interviewed staff and observed the areas of concern mentioned in the complaint. During visits on 07/13/2025 and 10/15/2025, LPA Campbell observed that the freezer was working and the temperature was at -1 degrees Fahrenheit. The ice machine chest was full and staff were seen providing ice water to residents during lunch. When LPA Campbell went into the kitchen on 10/15/2025, the temperature was comfortable and S1 reported that everything (AC, freezer and ice machine) was working. S2 described the repairs and work arounds that were made for the AC, freezer and ice machine so that staff and residents were not unduly impacted. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 15, 2025 · control 27-AS-20250717103628

Allegation investigated: Staff handled resident in a rough manner causing bruising.

Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to open a complaint. LPA Campbell met with Jackie Hernandez, Administrator and explained the purpose of the visit. Regarding the allegation that staff handled resident in a rough manner, causing bruising, LPA Campbell interviewed staff, reviewed incident reports and images of the injury. Of the staff interviewed, (Staff 1, S2, S3 and S4) none reported that they had observed any staff treat Resident 1 roughly. However, S4 stated that R1 has a history of falls because "they are very indepenedent". When LPA Campbell reviewed In house Incident Reports,it was found that there had been several minor falls without injury since 11/2024. S5 also reported that R1 has a tendency to hit his arms on the bedrails. When asked, R1 stated the bruises happened when someone may have bumped into him but they could provide no further details. Due to the above noted information, although the allegation may have happened or is valid, there isthe state’s words, verbatim · CDSS document, Sep 3, 2025 · control 27-AS-20250829082834

Allegation investigated: Staff are misusing the facility's keys Staff mishandled the residents medications Staff is verbally abusing the residents while in care Staff have inadequate records keeping for the residents

On 07/15/2025, LPA Campbell arrived to the facility unannounced to present findings for a complaint for the above allegations. LPA Campbell met with Jackie Hernandez and explained the purpose of the visit. Regarding the allegation that Staff are misusing the facility's keys, when interviewed, S1 and S3 recounted that keys are kept with the caregiver during their shift. Since they keep the keys with them, they both would have no issues entering a residents room to check on them. Neither caregiver reported problems having the keys in the past or currently. Regarding the allegation that staff mishandled the residents medications, when interviewed, Med Techs (S3 and S4) and Caregivers (S1 and S2) reported no issues. MAR for documents reviewed were found to be complete. When family members were contacted, (F1, F2 and F3) all reported no problems with medication being successfully given to family members. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 15, 2025 · control 27-AS-20250225091641

Allegation investigated: Staff did not ensure resident’s signaling equipment was maintained in operable condition.

Licensing Program Analyst Renee Campbell arrived to the facility unannounced to open a complaint. LPA Campbell met with Jackie Hernandez, Administrator and explained the purpose of the visit. Regarding the allegation that staff did not ensure resident’s signaling equipment was maintained in operable condition, LPA Campbell observed that notifications were not heard or responded to by staff. LPA Campbell observed that when R9 pulled their cord, the call was received by the Memory Care phone but could not be heard. When asked, S4 stated that they had been experiencing problems with the Memory Care phone receiving notifications from residents. Based on LPA’s observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiency is being cited on the attached 809-D during this visit. An exit intervthe state’s words, verbatim · CDSS document, Jul 15, 2025 · control 27-AS-20250709140117

Allegation investigated: Staff inappropriately solicited money from residents

On 06/26/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to present findings for a complaint. LPA Campbell met with Executive Director Jackie Hernandez and explained the purpose of the visit. Regarding the allegation that staff inappropriately solicited money from residents, when interviewed, the Executive Director stated solicitation is not allowed in the facility as stated in the Admission Agreement. LPA Campbell reviewed the newsletter provided by the community to residents and families requesting donations. According to the most recent admission agreement and/or handbook, staff are not allowed to request donations and this includes the Executive Director. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiency is being cited on the attached 809-D during this visit. An exit interview was conducted, and copies of the report and appeal rights left. Substantiatedthe state’s words, verbatim · CDSS document, Jun 26, 2025 · control 27-AS-20250123084448

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 inappropriately charging residents for food delivery

On 02/12/25, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to present findings for a complaint. LPA Campbell met with Executive Director Anthony Montellano and explained the purpose of the visit. Regarding the allegation that staff are inappropriately charging residents for food delivery, per the admission agreement, clients are not charged for tray service if they are ill. In the admission agreement Under the section titled, Residential Services in Subheading MEALS, Tray Service is offered as an optional service if a client is not ill for an additional fee. Resident #1(R1), R2 and R3 stated they had not been charged when receiving tray service when they were ill and had not ordered Tray Service otherwise. Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore this allegation is UNSUBSTANTIATED. Per California Code othe state’s words, verbatim · CDSS document, Mar 12, 2025 · control 27-AS-20250123084448

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 mismanaging resident's medication

On 03/14/24, Licensing Program Analyst Renee Campbell arrived unannounced to present findings for a complaint. LPA Campbell met with Tony Montellano, Executive Director and stated the purpose of the visit. Regarding the allegation that staff are mismanaging residents medication, F1 reported that R1 had observed several instances of missing or incorrect medication. However no missing medication was found on the eMAR. S2 admitted that no errors were found on the eMAR because when R1 would identify a med error, the Med Tech corrected the error immediately. Based on LPAs observation and interviews which were conducted and records reviewed, the preponderance of evidence standards has been met, therefore, the above allegation(s) is/are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited on the attached 9099D during this visit. Exit interview held, Appeal Rights discussed, Copy of report given. Substantiatedthe state’s words, verbatim · CDSS document, Mar 20, 2024 · control 27-AS-20231109083759

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 resident's authorized representative with resident's records

The allegation that staff did not provide residents authorized representatives with the resident’s records, has been found to be substantiated. During the initial complaint intake, it was stated that R1's MAR records were requested by resident representative after October of 2022. A document request via email on 10/18/23 and 10/25/23 came from a resident representative. In reply, Cogir stated in their October 25, 2023 email that they could not provide requested documents because they were archived with the prior owners of Cogir. All requested unredacted records were not received until 01/15/24 per a 01/15/24 email from the resident's representative. The request for records in October of 2023 was not completed in full until February of 2024 instead of the 2 days as required. As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence stathe state’s words, verbatim · CDSS document, Feb 16, 2024 · control 27-AS-20231109083759

Allegation investigated: Staff handled resident in a rough manner

Licensing Program Analyst (LPA) Renee Campbell and LPA Victoria Brown arrived unannounced to conduct an investigation of the above allegation on 09/27/2023 at 9:00 am. LPA’s Campbell and Brown met with Janet Johns, Assistant Executive Director, and explained the purpose of the visit. Regarding the Allegation, Staff handled resident in a rough manner, of the 6 staff and 4 residents interviewed, none stated that they had witnessed, experienced, or heard of any resident being treated in a rough or inappropriate manner. Based on interviews with a random amount of residents and staff the investigation revealed that there is no preponderace of evidence. Allegation is deemed UNSUBSTANTIATED. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, nothe state’s words, verbatim · CDSS document, Sep 27, 2023 · control 27-AS-20230922083607