Country Living Senior Care

Allegation investigated: Facility staff did not provide adequate supervision, resulting in a resident eloping from the facility

Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday July 8, 2026 unannounced to conduct a complaint visit regarding the above allegation. LPA met with Administrator Maria and explained the purpose of the visit. LPA interviewed the Administrator regarding the allegation. LPA learned the following: On 6/28/2026 at approximately 1 am, R1 exited from the front door of the facility and proceeded to walk down the road. R1 was returned to the facility by a neighbor who was returning home. LPA learned that the front door alarm did not alert staff that it was opened. R1 is diagnosed with Dementia with no history of wandering. Based on the information detailed above, LPA finds the allegation to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited on 9099-D. Exit interview conducted. A copy of this report and appeal rights were provided. Substantiatedthe state’s words, verbatim · CDSS document, Jul 8, 2026 · control 59-AS-20260629084943

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(j) · Plan of correction due date: Jul 9, 2026

87705 Care of Persons with Dementia. (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement was not met as evidenced by: Based on interview conducted and documentation reviewed, the Licensee did not ensure that the front door had an audible working alarm which posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 8, 2026

Plan of correction: Administrator will submit a plan to LPA regarding monitoring and replacing door alarms to ensure all are working properly at all times.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday June 2, 2026, to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (4) and staff (2) files. Resident file contained the required paperwork. All staff files contained the required paperwork and training. LPA and Administrator Maria toured the facility together to ensure the health and safety of resident in care. The following areas were inspected: resident bedrooms, bathrooms, kitchen, laundry room, and backyard. Fire extinguishers had current inspection tags. Facility had a fully stocked first aid kit. All required postings were observed. All chemicals and knives were kept locked and inaccessible to residents. Water temperature was within the required range. LPA requested a copy of the current liability insurance. Exit interview conducted. No deficiencies cited. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jun 2, 2026

Type of visit: Required - 1 Year

On 07/17/25 Licensing Program Analyst (LPA) Graham Gunby arrived unannounced at the facility to conduct a required 1-year annual inspection. LPA met with Administrator, Maria Grozav, and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: resident rooms, bathrooms, kitchen, dining room, common areas, and back yard. LPA observed medications, cleaners, and sharps to be locked and inaccessible to residents. The residence was found to be clean, safe, sanitary and in good condition. LPA observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. LPA conducted a file review of four (4) resident files and two (2) staff files. Resident and staff files had all the required documents present in files. No deficiencies cited. Exit interview conducted and a copy of the report was emailed to Administrator.the state’s words, verbatim · CDSS document, Jul 17, 2025

Type of visit: Post Licensing

On 05/05/25 Licensing Program Analyst (LPA) Graham Gunby arrived unannounced at the facility to conduct a required post licensing inspection. LPA met with Administrator, Maria Grozav, and explained the purpose of the visit. LPA and Admin conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: resident rooms, bathrooms, kitchen, dining room, common areas, and back yard. LPA observed medications, cleaners, and sharps to be locked and inaccessible to residents. The residence was found to be clean, safe, sanitary and in good condition. LPA observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. LPA conducted a file review of four (4) resident files and two (2) staff files. Resident and staff files had all the required documents present in files. No deficiencies cited. Exit interview conducted and a copy of the report was emailed to Admin.the state’s words, verbatim · CDSS document, May 5, 2025

Allegation investigated: Facility did not follow medication orders.

On 01/10/25, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to deliver complaint findings for allegation listed above. LPA met with Administrator, Maria Grozav during today's visit and explained the purpose of the visit. The department conducted records review ,facility observations and interviews with staff and residents to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiated ***Report continued from 9099........... Allegation- Facility did not follow medication orders. Department conducted record review, facility’s observations and interviewed four residents and two staff members regarding this allegation. Four resident interviews reflected that staff were giving residents medications per their physician’s orders and there were no issues indicated. Two staff interviews indicated that staff were following physician’s orders and administering resident’s medications accordingly. Record review for medications management for December 2024 for two residents reflected that facility was administering resident’s medications per their physicians’ orders and keeping the required documentation per Regulations. Record review for resident, R1 who was admitted to facility on 12/01/24 reflected that R1 was sent to the ER two times between 12/01/24 -12/20/24 due to change in condition. It was learnt that each time R1 returned from hospital, there were medications adjustments by hospital staff and there were some medication errors which were by hospital staff but were addressed and corrected immediately once facility staff and R1s responsible party brought up to hospital staff and R1s physician. It was evaluated that facility was operating under RCFE guidelines and were managing R1s medications orders as ordered by R1s physician. Based on this gathered information, this allegation was found to be UNSUBSTANIATED. A finding that a complaint allegation is 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. Exit interview was conducted and copy of the report has been provided.the state’s words, verbatim · CDSS document, Jan 10, 2025 · control 59-AS-20241223133123

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday June 27, 2024 to complete an announced prelicensing visit. LPA received an updated fire clearance for the facility which states 'this facility has a complete secured perimeter equipped with an electric gate installed with fire department access key switch'. The facility appears to be in substantial compliance and ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted with Administrator and a copy of this report will be left at the facility.the state’s words, verbatim · CDSS document, Jun 27, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday June 18, 2024 to conduct an announced prelicensing visit. The Compliance and Regulatory Enforcement Tool was used during today's inspection. This facility has a fire clearance for 4 nonambulatory and 2 bedridden residents, with a total capacity of 6. Facility has all required postings in the entry way. LPA toured the facility with Administrator Maria. The following areas were inspected for compliance: kitchen, backyard, resident rooms, bathrooms, and common areas. Facility has current fire extinguishers and a full first aid kit. Medications are kept locked in a medication cart in the laundry room. Cleaning chemicals and knives/sharps are kept locked and inaccessible to residents. There is a gated pool in the backyard with a locked fence. Component III has been completed at this time. LPA observed the facility to have a secured perimeter which the recent fire inspection clearance does not show approval. LPA will work with the Central Applications Bureau so that the applicant is approved for a secured perimeter. An exit interview was conducted with Administrator and a copy of this report will be left at the facility.the state’s words, verbatim · CDSS document, Jun 18, 2024