Waters Edge Lodge

On 01/07/2026 at 11:30 AM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to conduct a Plan of Correction (POC) Visit. LPA met with Associate Administrator, Arin Sartain, and Administrator, Stephen Zimmerman. Zimmerman gave verbal authorization for Sartain to sign the report. On 12/17/2025, LPA P. Manalo and K. Nguyen conducted an annual inspection where the facility was cited for deficiency section 87412(a)(4) due on 12/29/2025. Administrator did not submit the proof of correction on the due date. During the visit, LPA reviewed the updated Personnel Report (LIC500). The following deficiency were cleared during the visit: 87412(a)(4). No deficiencies cited. Exit interview and a copy of this report provided.

Allegation: Staff do not ensure residents’ incontinent care needs are being met W1 alleged that R2 is often in a wet diaper when she comes on shift and that he smells of urine. LPA interviewed R2 in the dining room of the facility. R2 was in a good mood and enjoying his lunch. LPA observed R2 to be order free. LPA also toured R2’s apartment at the facility and observed a urinal by R2’s bedside and a pile of chucks at the foot of his bed. R2’s care plan states that R2 is a “Level 3” for incontinence care meaning his diaper is changed every 2 hours. LPA reviewed R2’s care notes which document that R2’s is receiving a high level of care on a daily basis. S2 stated that she reviews care plans to ensure that staff are following them as written. Allegation: Staff do not ensure residents’ bathing needs are being met W1 did not have any specific information on which residents she felt were not receiving their showers as needed. She felt most of the staff were lazy and not doing their jobs. S1 stated that all of the assisted living residents have shower schedules and staff document that they have given the resident their shower. S1 also stated that he is certain that if a resident did not get a shower as scheduled he would hear about it from the resident or their family and if a shower is missed it gets rescheduled. Allegation: Staff do not ensure facility is kept free of pets S1 stated that from time to time some apartments do have an issue with ants and when told about it S1 alerts the pest control company who come out and spray the affected apartment. In addition, the facility has a contract with the pest control company for regular and routine pest control. LPA toured apartments 112 and 262 and interviewed the residents residing in those apartments, R3 and R4. LPA did not observe any ants in either apartment. Both residents stated that they did have ants and that the facility handled the issue promptly. Both residents were happy with the service they received. This agency has investigated the above allegations. We have found that the complaint was 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 . Exit interview conducted, a copy of this report provided.

On 12/10/24, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Lauren Zimmerman Cook, Administrator and explained the purpose of the visit. LPA toured the facility including but not limited to residents’ apartments, bathrooms, activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. The hot water temperature in a hallway bathroom was measured at 107.2 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. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 8/28/24. Emergency Disaster Plan was last posted on 12/19/23. First aid kit was observed to be complete. LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 12/12/23 at 10:30 a.m.,Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Marie Ann Lagasca-Cruz and explained the purpose of the visit. The facility’s fire clearance was approved for 120 residents. LPA toured facility including but not limited to 5 resident apartments, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ bathrooms was measured at 107.5, 107.8 and 112.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 8/10/23. First aid kit was observed to be complete. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. Updated copies of the following document was requested for facility file and are to be submitted to CCL by 12/19/23: LIC 610E Emergency Disaster Plan No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 1/09/23 at 1:35 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct Infection Control Inspection. LPA met with David Ballerini, Director of Marketing and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility including but not limited to: front entrance, screening station, bathrooms, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPE maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 11/9/22 at 11:15AM, Licensing Program Analyst (LPA) C. Lin conducted an unannounced case management visit as a result of receiving residents from Grand Lake Gardens (GLG) and check on residents. LPA met with Marketing Director and explained the purpose of the visit. During visit, LPA obtained Waters Edge Lodge (WEL) staff schedules. Total of 2 residents from GLG are currently living in WEL. 1 resident discharged and moved to Piedmont Gardens on 11/7/22. LPA met with them again, they both stated safe in the facility. Supplies were adequate and staffing is stable. There was no imminent health/safety concerns on today's date. Exit interview conducted with Marketing Director and copy of this report provided.

On 11/2/22 at 3:05PM, Licensing Program Analyst (LPA) C. Lin conducted an unannounced case management visit as a result of receiving residents from Grand Lake Gardens (GLG) and check on residents. LPA met with Marketing Director and explained the purpose of the visit. During visit, LPA obtained Waters Edge Lodge (WEL) staff schedules. Total of 3 residents from GLG are currently living in WEL. LPA met with 1 resident who just moved in today and her family member stated that she was happy. Food, paper, PPE supplies were adequate. Exit interview conducted with Marketing Director and copy of this report provided.

On 10/28/22 at 2:40PM, Licensing Program Analyst (LPA) C. Lin conducted an unannounced case management visit as a result of receiving residents from Grand Lake Gardens (GLG) and check on residents. LPA met with Marketing Director and explained the purpose of the visit. During visit, LPA obtained Waters Edge Lodge (WEL) staff schedules. Total of 2 residents from GLG had moved in to WEL. LPA interviewed 2 residents who stated that they felt safe living at WEL and their needs were met. Food, paper, PPE supplies were adequate. There was no imminent health/safety concerns on today's date. Exit interview conducted with Marketing Director and copy of this report provided.