Facility Evaluation Report

An Informal Conference was conducted today in the Sacramento Regional Office via Webex. The purpose of this informal conference meeting is to discuss the high volume of deficiencies/complaints/inability to remain in substantial compliance with the regulations/or specific incidents that has occurred within the last 2 years. Present in the meeting is Licensing Program Manager (LPM) Stephenie Doub, Licensing Program Analyst (LPA)Arlene Garcia, and Sara Mackedsy Executive Director (ED), Zachary Butcher District Director of Operations (DDO), and Kadijatu Barrie District Nurse (DN) of Brookdale Tracy. The informal conference process was explained during this meeting.

The facility was licensed on 04/26/2006, may serve up to 180 residents age 60 and older. Fire Clearance allows 137 nonambulatory, 31 ambulatory and 12 bedridden. Hospice Waiver allows a maximum of 10 residents. Since licensure the facility has been cited 16 Type A violations which includes a substantiated complaint. Current Census Memory Care: 28

DDO stated facility has been through transition with management. Facility had been experiencing concerns and issues with previous ED. Currently, they facility is going through a process to recovery of rebuilding staffing and operational best practices. The facility brought in Interim Operational Manager, Pamela Bradley and Interim LVN, Sarah Archuleta Weaver while looking for newly appointed ED Sara Mackensey.