The Palms at La Quinta

Allegation investigated: Staff do not answer the facility telephone.

Licensing Program Analyst (LPA) Mia Lankford conducted an unannounced visit to the facility to deliver findings regarding the listed allegations above. LPA met with the Executive Director, Kerry Tweedy, and discussed the findings. During the investigation, LPA conducted interviews with staff and residents, completed record reviews, and observations of the facility. On 5/11/2026, Community Care Licensing (CCL) received a complaint alleging that staff do not answer the facility telephone. It was reported that when Additional Witness contacted the facility on numerous occasions, but there was no answer or returned call. It was not advised of the time frame that the issued persisted. Information obtained from interview with Executive Director stated there was an incident where it was advised that medical personnel was unable to get a hold of a facility representative. It was advised that the facility was contacted around 12 AM and there was no answer for approximately five hours. Executive Director stated that it was acknowledged that one of the facility phones was inoperable and was Cont..9099C Unsubstantiated not transferring phone calls. When facility staff acknowledged the issue, another phone was ordered and all calls were transferred to Executive Director’s cell phone. It was stated that staff was able to answer calls using the operable phones. During the inspection, Executive Director called the facility phone from her personal phone to exhibit that both phones were operable. Information obtained from an interview with Maintenance Director did advise that one of the facility phones was inoperable, but another one was ordered and installed within a week. Information obtained from an interview with (R1), stated that medical personnel attempted to contact the facility in order to obtain information regarding prescriptions and patients. Based on LPA observation and interviews with staff and residents, although the allegation may have happened, the facility took appropriate action to rectify the concern, once acknowledged; therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report was provided to Executive Director, Kerry Tweedy.the state’s words, verbatim · CDSS document, Sep 30, 2026 · control 18-AS-20260511162829

Type of visit: Required - 1 Year

On 6/16/2026, Licensing Program Analyst, (LPA) Mia Lankford made an unannounced visit to the facility for the purpose of conducting an Annual inspection.. LPA met with Administrator Kerry Tweedy, who accompanied LPA for the inspection. The facility is a one structure, two story facility with 72 bedrooms in assisted living section and 31 bedrooms in memory care. LPA observed 10 client bedrooms. Seven had the the required bedding and furniture, such as, clean mattresses/linen, night stands, dressers, chairs, lighting, and emergency lighting. Three bedrooms were empty. Administrator stated that new residents are provided the option to bring their own furnishing and the facility will provide what the client cannot in furnishing. Administrator provided an example such as hospice clients who are provided a specific bed from their insurance providers. Client bathrooms and showers had clean appliances that were operating in safe and sanitary condition and had the grab bars in toilets and showers. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. The facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Sharps, such as knives and scissors, will be stored in the kitchen with the entrance to the kitchen be locked and not accessible to clients. A menu is posted and available for review by clients. Facility has 5 designated laundry areas that have locked cabinets for storing laundry chemicals. LPA observed various activity rooms in the facility, such as, a beauty shop, billiards area, movie room, chapel room, gym and designated areas for activity games. An activity calendar is available and maintained for clients. LPA observed a vehicle designated and available for the transportation needs of the clients. Cont..809C Cont. Client and personnel files will be locked in a file cabinet in the Business Director's office on the first floor. Client medication will be centrally stored and locked in two designated rooms in the first floor. The facility has no pool or any bodies of water. There is a courtyard and covered patio area with seating for clients. All passageways were free from obstruction. LPA observed fire extinguishers in the facility with the last service date of June 16,2026. The smoke detectors and carbon monoxide alarms were operational and recently tested by Riverside County Office of the Fire Marshall LPA observed the required postings of the emergency disaster plan, resident personal rights, complaint procedures, employee rights, visitation rights, facility sketch, and the Long-Term Care Ombudsman poster. Facility contains emergency supplies and first aid kits with the required items. The facility has working telephone for client use. LPA observed Administrator Certification on file with expiration date of 07/28/2028. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. LPA determined the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete and this facility has no issues or concerns. The facility has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Kerry Tweedy.the state’s words, verbatim · CDSS document, Jun 16, 2026

Allegation investigated: Staff does not ensure resident to have personal phone calls. Staff isolates resident.

Amended- On April 13, 2026, Licensing Program Analyst (LPA), Mia Lankford, conducted an unannounced visit to the facility to initiate the investigation into the allegations listed above. LPA met with Administrator, Kerry Tweedy and informed her of the purpose of LPA’s visit. During the course of the investigation, LPA conducted interviews with facility staff and residents and reviewed pertinent documentation. On April 6, 2026, Community Care Licensing (CCL), received a complaint investigation alleging that staff does not ensure resident is allowed to have personal phone calls and staff isolates resident. It was reported that Resident #1 is not allowed to receive phone calls from Resident #1’s daughter and Resident #1’s family is not allowing Resident #1 to have visitation from other family members. Information obtained interview with Administrator stated that Resident #1 is not placed at the facility. Administrator stated Resident #1 is placed in the independent living facility, which CCL does not have jurisdiction of. Information obtained from additional staff members corroborated the information. LPA conducted a review of the facility roster and confirmed that Resident #1 is not placed at the licensed facility. Based on the information obtained from interviews and a review of the client roster, it was determined that Resident #1 is not placed at the licensed facility. Due to CCL not having jurisdiction to investigate the allegations, the investigation is deemed unfounded. An exit interview was conducted. This report was discussed and provided to Administrator Kerry Tweedy. This is an amended version of the original report created on April 13, 2026. The findings were clarified and a new 9099 now supersedes it. Unfoundedthe state’s words, verbatim · CDSS document, Apr 13, 2026 · control 18-AS-20260406170821

Allegation investigated: Facility is not adhering to refund procedures in admission agreement.

Amended- On 4/13/2026, Licensing Program Analyst (LPA), Mia Lankford, conducted an unannounced visit to the facility to initiate the investigation into the allegations listed above, and to conduct a health and safety check. LPA met with Administrator Kerry Tweedy, and informed her the purpose of the LPA's visit. Based on interviews conducted, records reviewed, and observations made during the course of the investigation, and the facility own admission to sending the check out late without confirming if the check was cashed by the payee, the Department did obtain sufficient evidence to support the allegation, Therefore, the allegation is determined to be substantiated at this time. CCR 87507(5)(A)1 Facility policy concerning refunds including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident's death, pursuant to Health and SafetyCode section 1569.6527being cited on the attached LIC 9099D). An exit interview was conducted with Administrator, Kerry Tweedy, at the conclusion of the investigation. The findings of the complaint were discussed. The Administrator was provided with an opportunity to ask questions and verbalized understanding of the information. The Administrator was informed of the right to appeal any deficiency cited and was advised their appeal rights. Substantiatedthe state’s words, verbatim · CDSS document, Apr 13, 2026 · control 18-AS-20260320152920

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87507(5)(A)1 · Plan of correction due date: May 6, 2026

Amended- CCR 87507(5)(A)1 Facility policy concerning refunds including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident's death, pursuant to Health and SafetyCode section 1569.652 Based on the Administrator and Business Office Director own omission of sending the check out late to Beneficieary Julie Ross and the check was never cashed. The allegations were substantiated.the state’s words, verbatim · CDSS document, Apr 13, 2026

Plan of correction: The Administrator is going to send proof of the check being cut on 4/13/26 to LPA Mia Lankford's email and will send a copy of the signed acceptance for the check from Daughter Julie Ross by 4/27/2026

Allegation investigated: Staff did not ensure that hot water was made available at the facility

Licensing Program Analyst (LPA), Armando Perez conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Senior Resident Care Director Jennee Cunningham, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and witnesses and file reviews. On February 12, 2026, Community Care Licensing Division (CCLD), received a complaint alleging that facility staff did not ensure that hot water was made available at the facility. It was alleged facility did not have hot water for at least two days leading to concern that the kitchen was sanitizing dishware with cold water. An interview could not be conducted with Additional Witness 1 (AW1) due to complaint submitted anonymously. Interview with Senior Resident Care Director (SRCD) Jennee Cunningham revealed that an issue with the water heater was communicated to administration on February 11, 2026. SRCD further stated that the repair was completed on February 12, 2026, and confirmed that residents were kept informed throughout the process. Continued on LIC 9099-C. Unsubstantiated Interview with Maintenance Staff (S1) confirmed submitting a trouble ticket for the water heater repair on February 11, 2026, at approximately 2:40 PM. S1 reported that USA Drain & Plumbing Works completed the repair on February 12, 2026. S1 noted the repair took approximately six hours, and the system has been operating properly since completion. Interview with Staff 2 (S2) reported that the kitchen uses a steam appliance to clean and sanitize plates and utensils without relying on hot water from the water heater. S2 explained that the appliance is connected to a water line and contains internal coils that convert water into steam. S2 noted that the appliance operates independently of the water heater and confirmed that dishware sanitization was not affected by the reported water heater issue. Interview with 7 of 7 clients reported being notified the facility was experiencing issues with the water temperature inside the building. Furthermore, clients reported the repair was two days and felt it was taken care of in a timely manner. No further concerns were noted by the residents in regards to the water temperature. LPA conducted a tour of the facility to document water temperature readings in seven resident rooms and the kitchen. LPA observed seven of seven rooms measured between 107°F and 109°F. Additionally, the kitchen water temperature measured 135°F. LPA observed appropriate warming signs posted in the kitchen, and the temperatures were found to be within regulatory requirements. LPA reviewed facility records and obtained a trouble ticket and repair invoice, which corroborated SRCD’s statements regarding the timely resolution of the water heater issue. Additionally, a Special Incident Report was submitted to CCLD in compliance with reporting requirements. Based on interviews, research, and record review, the allegation that facility staff did not ensure that hot water was made available at the facility is deemed unsubstantiated. A finding that the complaint is unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to Senior Resident Care Director Jennee Cunningham.the state’s words, verbatim · CDSS document, Feb 17, 2026 · control 18-AS-20260212101717

Allegation investigated: Facility staff obtained power of attorney for a resident

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Business Office Director Lisa Stanford, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and witnesses, and file reviews. On October 28, 2025, Community Care Licensing Division (CCLD) received a complaint alleging that facility staff obtained power of attorney for a resident. It was alleged that Resident 1 (R1) appointed a staff member as Power of Attorney for medical decisions. Interview with Executive Director Roland Gandy revealed that the names provided do not match any current or former resident or staff member. Additionally, Staff 1 (S1) conducted a search of the facility’s database and confirmed that no current or former records match the names of R1 or the alleged staff member. Continued on LIC 9099-C. Unfounded Interview with Additional Witness 1 (AW1) confirmed that the address does not correspond to the facility where R1 resides. AW1 provided the correct address, further revealing that the additional information does not align with the current facility. A review of facility records, including visitor logs, resident and staff rosters, revealed no documented names matching the names reported. Based on interviews, research, and record review, the allegation that facility staff obtained power of attorney for a resident is unfounded. A finding that the allegation is unfounded meaning that the allegation was false, could not have happened, and/or is without a reasonable basis. Therefore, this complaint is dismissed. An exit interview was conducted. A copy of this report was provided to Business Office Director Lisa Stanford.the state’s words, verbatim · CDSS document, Nov 12, 2025 · control 18-AS-20251028113318

Type of visit: Prelicensing

Licensing Program Analyst, (LPA) Armando Perez made an announced visit to the facility for the purpose of conducting a pre-licensing inspection due to a change of ownership with residents in care. LPA met with Administrator Roland Gandy, who accompanied LPA for the inspection. Applicant has submitted an application for one hundred and twenty (120) non ambulatory residents. On February 21,2025, Riverside County Office of the Fire Marshall approved a fire clearance for the facility. The facility is a one structure, two story facility with 72 bedrooms in assisted living section and 31 bedrooms in memory care. LPA observed 10 client bedrooms. Seven had the the required bedding and furniture, such as, clean mattresses/linen, night stands, dressers, chairs, lighting, and emergency lighting. Three bedrooms were empty. Administrator stated that new residents are provided the option to bring their own furnishing and the facility will provide what the client cannot in furnishing. Administrator provided an example such as hospice clients who are provided a specific bed from their insurance providers. Client bathrooms and showers had clean appliances that were operating in safe and sanitary condition and had the grab bars in toilets and showers. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. The facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Sharps, such as knives and scissors, will be stored in the kitchen with the entrance to the kitchen be locked and not accessible to clients. A menu is posted and available for review by clients. Facility has 5 designated laundry areas that have locked cabinets for storing laundry chemicals. LPA observed various activity rooms in the facility, such as, a beauty shop, billiards area, movie room, chapel room, gym and designated areas for activity games. An activity calendar is available and maintained for clients. LPA observed a vehicle designated and available for the transportation needs of the clients. Continued on LIC809-C. The vehicle has the capacity to transport 12 clients and is ramp accessible. The vehicle is equipped with proper safety equipment and has valid registration until October 2025. Client and personnel files will be locked in a file cabinet in the Business Director's office on the first floor. Client medication will be centrally stored and locked in two designated rooms in the first floor. The facility has no pool or any bodies of water. There is a courtyard and covered patio area with seating for clients. All passageways were free from obstruction. LPA observed fire extinguishers in the facility with the last service date of December 12, 2024. The smoke detectors and carbon monoxide alarms were operational and recently tested by Riverside County Office of the Fire Marshall LPA observed the required postings of the emergency disaster plan, resident personal rights, complaint procedures, employee rights, visitation rights, facility sketch, and the Long-Term Care Ombudsman poster. Facility contains emergency supplies and first aid kits with the required items. The facility has working telephone for client use. LPA observed Administrator Certification on file with expiration date of 03/15/2027. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. LPA determined the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete and this facility has no issues or concerns. The facility has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Roland Gandy.the state’s words, verbatim · CDSS document, May 23, 2025