Facility Evaluation Report
On 8-14-25 at 10:00am Licensing Program Analyst (LPA) Sarah Benson arrived at the facility unannounced to conduct a case management visit. LPA met with Administrator Tracy Lehner and explained the reason for the visit.
The department is following up on Incident Report (IR) submitted by the facility on 07-30-25 stating that resident, R1 had a fall resulting in a fractured left hip which was diagnosed on 7-30-25. Staff reported finding R1 on the ground at 8:55pm in the middle of her living room. Staff called EMS for an evaluation.
Staff reported sending R1 to the hospital. R1's doctor ordered lab work and X-RAY with results of fractured left hip. Department conducted interviews with the administrator and nurse regarding this incident.
No citations were issued per Title 22 Regulations.
Exit interview conducted and copy of the report given to Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction