Merrill Gardens at Rockridge

Allegation investigated: Staff did not ensure that paper towels were made accessible to residents in care Facility is in disrepair

On 08/12/2026 at 4:10 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to deliver findings regarding the allegations above. LPA met with General Manager Niare Feaster and explained the purpose of the visit. During the course of the investigation, LPA toured the facility with S1 Allegation: Staff did not ensure that paper towels were made accessible to residents in care IInvestigation Findings: LPA observed two paper towel dispensers in both public restrooms supplied and operational. In each bathroom, the automatic paper towel dispenser is about 60 inches from the ground, the nonautomatic dispenser is about 35 inches from the ground. Both dispensers had paper towels and were easily accessible. Based on observations the above allegation is UNSUBSTANTIATED. Continued on LIC9099-C Unsubstantiated Continued on LIC9099-C Allegation: Facility is in disrepair The allegation is that the facility has an outdoor patio with loose tiles that shift when walked on, and that one of the facility’s automatic door opener buttons is non-operational. The tiles are outdoors and therefore affected by different air temperatures. When LPA toured the outdoor patio, LPA observed that none of the tiles were loose. S1 informed LPA that maintenance staff had addressed the issue, and secured the tiles so none of them rock when stepped on. LPA tried every automatic door opener in the facility and found all of them in working condition. The narrative also states that the toilet flush levers are installed on the wrong side of the toilets. LPA observed that all the flush levers are on the left side of the toilet and in working condition. Based on observations the above allegation is UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 12, 2026 · control 15-AS-20260601130308

Type of visit: Required - 1 Year

On 01/14/2026 at 01:00 PM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with General Manager Niare Feaster and explained the purpose of the visit. LPA toured the facility including but not limited to, bedrooms, bathrooms, multiple activity rooms, kitchen, and common area. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 120 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 11/12/2025 Emergency disaster drills are conducted monthly, with the last one conducted on 12/23/2025. First aid kit was observed to be complete. LPA reviewed five (5) resident records and six (6) staff records, all were complete. No deficiencies observed or cited during this visit. Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Jan 14, 2026

Type of visit: Case Management - Other

On 11/07/2025 at 01:50 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to deliver an Immediate Exclusion letter. LPA met with Garden House Director Eric Brown and explained the purpose of the visit. LPA provided a copy of an exclusion letter to Garden House Director Eric Brown. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 7, 2025

Allegation investigated: Facility dining room chairs are uncomfortable and unsafe.

On 10/30/2025 at 11:00 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regards to the allegation above. LPA met with Ariana Rodriguez Business Office Director and explained the purpose of the visit. Naire Feaster General Manager (GM) was called, and LPA spoke with Naire over the phone. During the course of the investigation, LPAs observed residents in the dining room while lunch was being served. LPA interviewed several residents and inspected the chairs in the dining room. LPA also spoke with staff regarding the chairs. Allegation: Facility dining room chairs are uncomfortable and unsafe. Investigation Findings: It was reported to the department that the facility has brought in new chairs that are not safe nor comfortable for residents in care. The chairs are reported to be too low and too deep for short residents, causing residents’ feet to not touch the ground. It was also reported that the chairs do not offer back support for taller residents. Continued on LIC9099-C Unsubstantiated Continued from LIC9099 Residents interviewed reported that there are three different chairs to choose from, with most residents reporting that the older chairs are the most comfortable. Some residents interviewed were okay with the newer orange chairs. All residents interviewed reported that the round chairs with green and tan fabric were uncomfortable. Staff in the facility reported that Corporate ordered that new chairs as part of a facility refresh, and that the older chairs are slowly being cycled out as the new ones come in. LPA spoke with Vice President of Operations Manager (VPOM) David Tamo via phone. VPOM informed LPA that although the new chairs have been purchased, the facility is committed to the comfort and safety of residents and will keep a dialogue with residents to ensure their comfort while they dine. LPA spoke with Naire Feaster General Manager (GM) on the phone about the chairs. GM informed LPA that the facility has, for now, held off removing all the older chairs, and will keep some of the old chairs to allow residents to get comfortable with the transition. GM is also committed to the comfort and safety of resident while they dine and will ensure that resident continue to have a choice as to which chair they use, and will ensure that staff make reasonable accommodations to residents while they dine. LPA observed residents during lunch service. All residents have a choice of where they sit, and which chair they use. Staff do not mandate where or when residents sit to dine or which chair a resident must use. Residents are always given a choice of chair to use, and staff make accommodations within reason. If a resident cannot use a particular chair, or finds a particular chair unsafe, staff will and do switch out the chair for a more appropriate one. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that the Facility dining room chairs are uncomfortable and unsafe is unsubstantiated. No deficiencies observed during visit.the state’s words, verbatim · CDSS document, Oct 30, 2025 · control 15-AS-20251028160113

Allegation investigated: Unqualifed staff are administering medication(s) to residents in care. Facility staff falsify documents/records.

On 10/24/2025 at 11:30AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver investigation findings to General Manager (GM) Niare Feaster and explained the purpose of the visit. Allegation: Unqualified staff are administering medication(s) to residents in care – Unsubstantiated During the course of the investigation, interviews were conducted with staff. On 6/29/2023 a random sample of 5 staff records are reviewed including but not limited to staff training records, medication administration records (MARs), and personnel files. The review showed that staff responsible for medication assistance had current medication training and were listed on the facility’s staff roster as authorized to assist residents with medication. No evidence was found indicating that unqualified or untrained staff administered medicines to residents. Report continues on LIC 9099C... Unsubstantiated Although the allegation may have occurred, there is not a preponderance of evidence to support that unqualified staff are administering medication(s) to residents in care. Therefore, the allegation is deemed unsubstantiated. Allegation: Facility staff falsify documents/records- Unsubstantiated During the course of investigation, interviews were conducted with facility staff, and reviewed facility records, including but not limited to staff schedules, medication logs, were reviewed for accuracy and consistency. No discrepancies or evidence of falsified documentation were identified. Records appeared to be properly maintained, accurate, and consistent with information obtained during interviews. Therefore, allegation is Unsubstantiated. Although the allegation may have occurred, there is not a preponderance of evidence to support that facility staff falsified documents or records. Therefore, the allegation is deemed unsubstantiated. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 24, 2025 · control 15-AS-20230626155421

Type of visit: Required - 1 Year

On 12/27/2024 at 09:00 AM, Licensing Program Analysts (LPA) D. Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with, Interim General Manager Aubrey Goo and explained the purpose of the visit. LPA toured the facility including but not limit to, bedrooms, bathrooms, multiple activity rooms, kitchen, and common area. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 119 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps are locked and inaccessible to residents in care. Fire extinguisher was last serviced on 11/16/2024. Emergency disaster drill are conducted monthly, last conducted on 11/20/2024. LPA reviewed five (5) resident records and five (5) staff records, all were complete. No deficiencies observed or cited during this visit. . Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Dec 27, 2024

Type of visit: Required - 1 Year

On 01/26/2024 at 12:10 pm Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA met with Administrator/General Manager, Anna Reddy and explained the purpose of the visit. Anna Reddy designated Tony Ibarra to sign off on the report. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the facility including but not limited to 6 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway was maintained at a comfortable temperature. The hot water temperature in a sample of residents’ shared bathroom were measured at 106.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. At 12:45 p.m., LPA reviewed 5 residents records. At 1:45 p.m., LPA reviewed 5 staff records and 5 of 5 are associated to the facility. LPA interviewed 5 staff and 5 residents. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 26, 2024