Inspection Reports for Blossom Grove Alzheimer’s Special Care Center
11116 New Jersey St, Redlands, CA 92373, CA, 92373
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations determined to be unsubstantiated. The facility generally maintained safe conditions, proper staffing, and adequate infection control measures over time. The most recent report from October 28, 2025, cited two serious deficiencies related to personnel records, specifically missing health screenings and lack of current CPR/First Aid certification for staff, which posed immediate health and safety risks. Prior annual inspections were clean, indicating a recent decline in compliance with staff documentation requirements. Other issues raised in complaints were either unsubstantiated or minor, showing no clear pattern of ongoing problems.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
67% occupied
Based on a October 2025 inspection.
Census over time
Inspection Report
Annual Inspection
Census: 44
Capacity: 66
Deficiencies: 2
Date: Oct 28, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
The facility was found to be operating within approved capacity and in generally good condition with adequate staffing and supplies. However, two Type A deficiencies were cited related to personnel records: missing health screenings and lack of current CPR/First Aid certification for staff, posing immediate health and safety risks.
Deficiencies (2)
Personnel records did not include required health screenings for staff, posing an immediate health, safety, or personal rights risk to persons in care.
Staff on each shift did not have current CPR/First Aid certification, posing an immediate health, safety, or personal rights risk to persons in care.
Report Facts
Deficiencies cited: 2
Client files reviewed: 6
Staff files reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cristina R. Miller | Administrator | Met during inspection and recipient of report discussion |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
| Lavette Farlow | Licensing Program Analyst | Conducted inspection and signed report |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 66
Deficiencies: 0
Date: Jun 6, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff improperly transferred a resident resulting in the resident's death.
Complaint Details
The complaint alleged that staff improperly transferred a resident causing a fall, back fractures, and subsequent death about four months later. Interviews revealed a similar incident in 2018 involving Resident #1 who fell from an unlocked wheelchair, sustained fractures, was given medication, and later died. No medical or death records were obtained. Staff did not recall the incident due to its occurrence seven years prior. The allegation was unsubstantiated.
Findings
The investigation included interviews and records review. The allegation was unsubstantiated due to lack of sufficient evidence, as records and medical documentation were unavailable and staff did not recall the incident. The allegation may have happened but there was no preponderance of evidence to prove it.
Report Facts
Complaint received date: Feb 16, 2021
Number of staff interviews conducted: 2
Number of fractures sustained by Resident #1: 3
Resident #1 death date: Oct 10, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janira Arreola | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Cristina Miller | Director | Facility Director met with Licensing Program Analyst during investigation |
| Joel Esquivel | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 48
Capacity: 66
Deficiencies: 0
Date: Oct 23, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.
Findings
The facility was found to be operating within approved capacity and in safe, clean conditions with no deficiencies cited. All physical plant, food service, and care and supervision standards were met, and client and staff files were reviewed and found current.
Report Facts
Client files reviewed: 4
Staff files reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette Allen | Licensing Program Analyst | Conducted the inspection and signed the report |
| Christina Miller | Administrator | Facility representative met during inspection and received the report |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 66
Deficiencies: 0
Date: May 6, 2024
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that unqualified staff were administering insulin to residents.
Complaint Details
The complaint alleged unqualified staff administering insulin to residents. The allegation was investigated and found unsubstantiated based on staff interviews and documentation review.
Findings
The investigation found that insulin was administered only by medically qualified staff as documented in Medication Administration Records and staff records. Therefore, the allegation was deemed unsubstantiated.
Report Facts
Capacity: 66
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Brittany Butts | Resident Care Coordinator | Met with investigator and involved in investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 58
Capacity: 66
Deficiencies: 0
Date: Sep 22, 2023
Visit Reason
Licensing Program Analyst Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection.
Findings
The facility was inspected inside and out, including client bedrooms, bathrooms, kitchen, and safety features. The facility was found to be well maintained, with safe food storage, proper medication administration, and all client and staff records in order.
Report Facts
Client bedrooms inspected: 5
Client bathrooms inspected: 5
Hot water temperature range: 105
Hot water temperature range: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susiani Halim | Executive Director | Met with Licensing Program Analyst during the inspection and received the report |
| Magda Malcore | Licensing Program Analyst | Conducted the inspection visit |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 66
Deficiencies: 0
Date: Oct 19, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility did not correctly refund a resident.
Complaint Details
The complaint allegation that the facility did not correctly refund the resident was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Findings
After interviews, record review, and gathering evidence, it was determined that the resident's funds were refunded, and the allegation was deemed unfounded.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette Allen | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Susiani Halium | Administrator | Met with the Licensing Program Analyst during the investigation. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 49
Capacity: 66
Deficiencies: 0
Date: Jul 15, 2022
Visit Reason
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The inspection found no health or safety concerns and no deficiencies were cited. The facility demonstrated adequate infection control measures, including COVID-19 postings, hand hygiene supplies, symptom monitoring, and proper cleaning protocols.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susiani Halium | Administrator | Met during inspection and confirmed no COVID-19 cases/exposures. |
| Bernadette Allen | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Karen Clemons | Licensing Program Manager | Named in report header and signature section. |
Inspection Report
Annual Inspection
Census: 54
Capacity: 66
Deficiencies: 0
Date: Aug 23, 2021
Visit Reason
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
No health and safety concerns were observed during the inspection, and no deficiencies were cited. The facility demonstrated adequate infection control measures, sufficient PPE supplies, and proper staff training.
Report Facts
PPE supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susiani Halium | Administrator | Facility Administrator who confirmed no COVID-19 cases and was present during the inspection |
| Elecia Weathersby | Licensing Program Analyst | Conducted the inspection and made observations |
| Efren Malagon | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 49
Capacity: 66
Deficiencies: 0
Date: Jun 11, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff neglect contributed to a resident's death.
Complaint Details
The complaint alleged that staff neglect contributed to a resident's death. The investigation included interviews and medical record reviews. The allegation was found to be unsubstantiated due to lack of evidence linking neglect to the resident's death.
Findings
The investigation found that the resident was hospitalized from June 11, 2019 until their death on July 31, 2019, and a review of medical records did not indicate that the cause of death was related to neglect by the facility. The allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 66
Census: 49
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Mullen | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Susiani Halim | Executive Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 66
Deficiencies: 0
Date: Feb 23, 2021
Visit Reason
The Licensing Program Analyst conducted an unannounced health and safety tele-inspection to address concerns relating to complaint #18-AS-20200731095043.
Complaint Details
Complaint #18-AS-20200731095043 was investigated; no substantiated concerns were found.
Findings
No reports of concerns were received during resident interviews, and no health and safety concerns were observed at the time of the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the tele-inspection and discussed the purpose of the call. |
| Yndira Lepe | Health Service Director | Facility representative who spoke with the Licensing Program Analyst during the inspection. |
Report
August 20, 2025
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