Hallmark North

Type of visit: Required - 1 Year

On May 15 2026, Licensing Program Analyst (LPA) Sarah Benson arrived at the facility for the purpose of conducting the annual inspection. LPA met Manager Shirley Robichaux at the facility to verify no residents are living at the facility. The facility is owned by Licensee, Quality Care Home, INC. LPA observed and was informed there were no longer any residents at Hallmark North. LPA was informed the licensee intends to keep the license open at this time and possibly serve additional residents at a later date. A copy of this report was provided to Manager Shirley Robichaux, to forward to Licensee. An exit interview was conducted, and a copy of the report was left with the manager. No deficiencies are being cited as a result of todays visit.the state’s words, verbatim · CDSS document, May 15, 2026

Allegation investigated: Medication management.

On 08/14/2025 at 1:45PM Licensing Program Analyst (LPA) Sarah Benson, conducted an unannounced visit and met with Facility Manager Michael Moodie. The purpose of this visit was to deliver complaint findings submitted on 4-3-25. During todays visit it was discovered no residents are in care at this time. The residents were moved to Westside Assisted Living and Redbud Care Home. During the complaint investigation staff interviews were attempted and the following documents were reviewed: staff schedules, staff list with telephone numbers, residents admission agreements, medical records, hospital visits, medication records, resident daily logs and incident reports. Continued on LIC9099C & LIC9099D Substantiated LPA attempted staff interviews multiple times with no success. Document review revealed, on 3-24-25 at 7:30PM staff reported R1’s 7:00AM medication was still in medication box and not given. Document review revealed on 3-25-25 R1’s 8:00PM medication was given at 8:00 AM. Document review revealed R1’s 8:00AM medication was given at 1:00PM. Document review revealed no incident reports were submitted to Licensing concerning medication errors in March 2025. Based on investigation observations, record review(s) and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal rights were explained and provided to the facility representative listed above and exit interview conducted. If any of the cited deficiencies are not corrected by the noted due date, civil penalties may be assessed.the state’s words, verbatim · CDSS document, Aug 14, 2025 · control 59-AS-20250403092452

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)4) · Plan of correction due date: Sep 15, 2025

Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as exidenced by: Based on observatin and interview of Staff the licensee did not ensure residents are received medicaion as prescribed. This poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Aug 14, 2025

Plan of correction: Administrator will have all staff administering medicaion receive training from a professional. Administrator will perform medicaion checks bi-weekly. Administrator will send a copy with staff signatures and topices covered to LPA.

Type of visit: Required - 1 Year

On July 17, 2025, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility for the purpose of conducting the annual inspection. Upon arrival, LPA attempted to make contact with staff at the front door however, there was no answer. LPA was contacted by Lovene Ferrell, staff at Westside Assisted Living, located across the street at 915 Hallmark Drive, Redding. Both facilities are owned by Licensee, Quality Care Home, INC. LPA was informed there were no longer any residents at Hallmark North. The licensee intends to keep the license open at this time and possibly serve additional residents at a later date. A copy of this report was provided to Lovene Farrell, Westside Assisted Living Caregiver, to forward to Licensee.the state’s words, verbatim · CDSS document, Jul 17, 2025

Allegation investigated: Personal Rights - Resident being sexually harrassed by another resident care.

On 11/06/2024 at 1:00 PM Licensing Program Analyst (LPA) Sarah Benson, conducted an unannounced visit and met with Edward Eric Stadnicki Care Giver. The purpose of this visit was to deliver complaint findings. During the complaint investigation staff and resident interviews were performed and the following documents were reviewed: staff list with telephone numbers, residents admission agreements, medical records, medication administration records, PRN medication records and incident reports. Continued on LIC9099-C Unsubstantiated Document review revealed, R1 chooses to walk to R2’s room. Documents reveal R1 chooses to spend time with R2. Documents reveal R1 gets anxious when unable to see R2. Documents reveal R1 has a new medication to treat this anxiety. Document review revealed staff redirect residents when found not in own room or when touching each other. During Staff interviews it was reported that R1 gets anxious when unable to see R2. Staff reported R1 has gone to R2 room and climbed in bed with R2. When staff ask R1 to return to their own room R1 gets anxious and refuses. Staff reported the doctor has ordered anxiety medication to help R1 with anxiety concerning this matter. During staff interviews all staff stated R1 says R2 is their boyfriend. During resident interviews R1 was asked how staff help them R1 stated the staff were nice to R1 and that she is “scared for their life.” When R1 was asked to tell more about being scared for her life R1 did not respond. When R1 was ask if anyone has done anything that bothers them, R1 responded no. When R1 was ask if R2 has done anything that bothers them they responded no. When R1 was ask if they felt safe R1 said “I do, no one has ever tried to hurt me or scare me.” It is noted that R1 has been diagnosed with dementia; however, appears to be able to vocalize what their needs are. Based on investigation, observations, and interviews R1 has been found in R2 bed hugging and staff has returned R1 to own bed. The facility is taking action to keep the residents apart and discourage any type of inappropriate touching of one another. The facility has taken steps to supervise the residents closer so that either party is not receiving unwanted advances. Staff have reported when bathing a resident, it takes about ten minutes and that “takes my attention away from the other residents.” During interviews it has been discovered that R1 has not reported or indicated to staff that anyone has inappropriate touched them. It has been determined the clients are friendly toward one another with some physical contact, however there are no signs of sexual harassment. It was discovered that R1 seeks out R2 by choice and is anxious when unable to see R2. The facility has offered to move the residents but both POA’s have declined. Based on the interviews conducted the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. No deficiencies cited. Exit interview conducted and a copy of the report was provided to Staff.the state’s words, verbatim · CDSS document, Nov 6, 2024 · control 59-AS-20241004083010

Allegation investigated: Medication Management.

On 5-17-24, at 1:45PM Sarah Benson, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 02/21/24. LPA Benson met with Audra Eneix Administrator, and explained the purpose of the visit. Interviews were conducted and the following documents were reviewed: staff list with telephone numbers, residents admission agreements, medical records, medication administration records, PRN records and incident reports. continued on 9099-C Substantiated Medication Management. Document review revealed that after moving to Hallmark North home, Seroquel and Ativan were added to resident’s (R1) medication administration log for agitation. During staff interviews, it was reported that a staff person gave the resident an Ativan medication, as the resident was combative. After not calming down and approximately 30-40 minutes later, the staff person gave another type of medication, which was Seroquel. It was stated that the Seroquel was an “as needed” type of medication to calm the resident. It was reported that the resident appeared to be kind of “spacey and a little bit out of it.” It was reported in the last five years only one other resident was this agitated. During witness interviews, it was reported that on 2-10-24 a witness observed the resident in a chair with what seemed to be unconscious state, with her head bent in a way that looked painful. The witness stated when the care staff were asked about the unresponsive condition of resident, the staff responded, "I gave her the medication I was told to give her." The witness couldn't get the resident to respond appropriately, so they took the resident to the hospital where resident was diagnosed as “Over medicated.” Witness reported concern of residents overall sedated condition while in care at the facility. Witness stated previous to living at the facility the resident had been walking one to two miles daily. During the investigation process, it was determined that the facility staff administered the medication as prescribed by the physician; however, when the resident was taken to the hospital it was reported she was over medicated. The staff did not respond with appropriate assistance when observing the resident slumped over and barely responsive. The allegation is substantiated. Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Exit interview conducted, a copy of the report, and appeal rights provided to administrator.the state’s words, verbatim · CDSS document, May 17, 2024 · control 59-AS-20240221141404

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87466 · Plan of correction due date: Jun 17, 2024

87466 The licensee shall ensure that residents are regularly observed for changes in physical, mental and emotional health and that appropriate assistance is provided...This requirement is not met as exidenced by: Based on observatin and interview of Staff the licensee did not ensure that 1 of 5 residents were regulary observed for changes in physical functioning and that appropriate assistance was provided. This poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, May 17, 2024

Plan of correction: Administrator shall have a training of this regulation for staff then contact LPA by POC due date of 6-17-24. Training of carestaff for administratration of medications (PRN) included. Training for carestaff for redirecting residents with behaviors.

Type of visit: Required - 1 Year

On 05/17/2024 at 11:30 AM Licensing Program Analyst (LPA) Sarah Benson arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Audra Eneix (cert #6043287740 exp.1-25-25) and explained the purpose of the visit. Administrator certificate is current. LPA Benson and administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to five (5) resident rooms, common areas, three (3) bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Staff and resident files were reviewed. Medications were also reviewed. Medication is locked in a locked closet. The common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The bathrooms were clean and in good repair. The kitchen was clean and in good repair. Cooking/dining equipment and utensils were present. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguisher fully charged. Smoke detectors are all operational. Hot water temperature measured within required Title 22 regulations of 105 degrees F and 120 degrees F. All employees requiring background checks are cleared. There is a schedule of activities planned for the clients. All required postings are displayed within the facility. A pools/bodies of water is on the premises with required fence and gate. No firearms are on premises. The last disaster drill was conducted and documented on 5-2-24, the facility has been conducting drills every 3 months. Exit interview conducted and copy of report was provided to administrator.the state’s words, verbatim · CDSS document, May 17, 2024