California · San Juan Capistrano

Capistrano Senior Living.

CCRC125 bedsDementia-trained staff(844) 375-0029
Facility · San Juan Capistrano
A 125-bed CCRC with 2 citations on file.
Licensed beds
125
Last inspection
Jan 2026
Last citation
Jun 2025
Operated by
Asrv Llc
Snapshot

A large home, reviewed on public record.

Peer Comparison

Compared to 24 California facilities with a similar number of beds.

CCRC · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.

Severity rank
35th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
43rd%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

FACILITY WATCH · FREE

Capistrano Senior Living has 2 citations on record. Know the moment anything changes.

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The Record

Citation history, plotted month by month.

2 deficiencies on record. Each bar is a month with a citation.

Peer median 1 · dashed
Last citation: JUN 2025. Compared against peer median (dashed).
peer median
JUN 2025
Jul 2024as of Jun 2026

Finding distribution

2 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G1
H
I
Sev 2
D1
E
F
Sev 1
A
B
C
The Rulebook

The rules that apply to this facility.

State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.

What dementia-care training must staff complete?22 CCR §87705 / HSC §1569.625
+
Plain language

Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.

Ask on tour

Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?

Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Capistrano Senior Living's record and state requirements.

01 /

The facility holds an active California license for 125 beds but has no inspections on record with CDSS — can you provide documentation showing when the most recent state inspection occurred and what the findings were?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

The facility is listed as a CCRC, but the memory-care designation is unconfirmed in state records — does the facility operate a dedicated memory-care unit, and if so, can you provide the written dementia-care program required by California Title 22 §87705?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

Zero complaints are on file with CDSS — can you walk families through the facility's internal complaint process and show how resident or family concerns are documented and resolved?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

Full Inspection Record

Every inspection visit, verbatim.

5 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

5
reports on file
2
total deficiencies
1
severe (Type A)
2026-01-29
Other Visit
No findings

Plain-language summary

A state inspector made an unannounced visit to this facility as part of an investigation into a complaint that was filed at another facility. The inspector met with a resident and the business office manager to gather information. No violations were found at this facility.

Read raw inspector notes

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a collateral visit to further the investigation into complaint # 22-AS-20260127083506 which was filed at another facility. LPA met with Business office manger Melissa Flores and explained the reason for the visit. LPA met with Resident 1 (R1) and explained the reason for the visit. LPA interviewed R1, thanked them for their time and ended the interview. An exit interview was conducted with Business office manger Melissa Flores and a copy of the report provided.

2025-12-11
Other Visit
No findings
Inspector · Joseph Alejandre

Plain-language summary

An investigation found no clear evidence of medication mismanagement or failure to provide medical care, though the investigation noted that a resident had to select their own doctor before prescriptions could be filled and there was a week's delay in scheduling home health visits after move-in. On November 5, 2024, the resident called for help early in the morning reporting breathing problems; staff responded and the resident indicated they had already called 911, after which they were hospitalized and did not return to the facility. The facility's call system records do not retain data long enough to verify the exact timeline of the resident's calls for assistance that morning.

Read raw inspector notes

R1 and their emergency contact never responded to requests for an interview. The Wellness Director reported that R1 did not agree to having a doctor until after their medication ran out. Facility staff reported that R1 had no reported issues from October 25, 2024 to November 4, 2024. Staff reported that until R1 picked a physician there was nothing they could do about having R1's prescriptions filled. Facility records show R1 had a doctor visit on October 31 and their doctor prescribed medications that day. The Wellness Director reported that R1 was advised to choose a doctor as soon as possible so any required care wouldn't be delayed. Staff reported that once prescribed all medications were issued as prescribed. A review of medication records show R1 was prescribed 23 medications after their appointment. None of the evidence gathered supports the allegation, therefore the allegation, facility mismanaged resident's medication, is deemed unsubstantiated, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. The investigation into the allegation, facility did not ensure that resident received medical care, revealed the following. It was reported that when R1 moved in they were told they would have home health visits and no home health visits were provided until a week after R1 moved into the facility. The Wellness Director reported that at the time of move in R1 had no doctor and once they had a doctor (R1 choose a doctor on October 31, 2024) a home health visit was scheduled for November 3, 2024. Facility records show R1 had a home health visit on November 3, 2024. The Wellness Director reported that R1 was advised to choose a doctor as soon as possible so any required care wouldn't be delayed. It was reported that on November 5, 2024, R1 repeatedly called for assistance and staff did not answer for 90 minutes. R1 and their emergency contact never responded to requests for an interview. Staff 1 reported that around 4:00 am, R1 requested assistance using the call system. Staff 1 reported they responded and saw R1 was having issues breathing. Staff 1 reported that they were going to call 911 but R1 reported they had already called 911. The facility call system only keeps records for one week and the records were no longer available at the time of the initial 10-day visit to begin the investigation. R1 was transported to the hospital. The Administrator reported that after R1 went to the hospital on November 5, 2024 they never returned to the facility. The Administrator reported that R1 did not return any calls to the facility. Based on the evidence gathered the allegation, facility did not ensure that resident received medical care , is deemed unsubstantiated, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.

2025-06-18
Other Visit
Type B · 1 finding

Plain-language summary

During the required annual inspection on an unannounced visit, inspectors found that the 114-room facility met most standards, including clean and properly supplied kitchen, safe water temperatures, operational emergency equipment, and secure medication storage, but cited the facility for staff lacking required training hours in postural supports, restricted health conditions, and hospice care. Inspectors toured resident rooms, the memory care unit with its outdoor patio and emergency exits, dining areas, and activity spaces where residents were participating in programs. The facility's administrator's certificate is valid through February 2027.

Type B
Verbatim citation text

Based on record review, the licensee did not comply with the section cited above in 5 out of staff files which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/03/2025 Plan of Correction 1 2 3 4 Licensee agrees to have all caregivers trained in compliance with the above regulation, 4 hours of training specific to postural supports, restricted health conditions and hospice care. Licensee to submit proof of training to LPA by the POC due date.

Read raw inspector notes

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Executive Director Bryan Hadley and explained the reason for the visit. Bryan Hadley's Administrator's certificate expires on February 3, 2027. Facility is a two story building with 114 resident rooms which includes a memory care unit. Facility is approved for delayed egress exits in the memory care unit. Facility is licensed for 125 non-ambulatory residents with a hospice waiver for 25. LPA and the Executive Director (ED) toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted in the main entrance. LPA and the ED toured the kitchen and dining room. LPA observed the kitchen is clean and organized. There is a two day supply of perishable food and a seven day supply of non-perishable food on-hand in the kitchen. The refrigerators and freezers were at the required temperatures. LPA observed temperature logs posted on the refrigerator. LPA observed a 3 day emergency food supply stored in a supply closet. LPA observed a 3 day emergency water supply stored outside next to the courtyard. There is a courtyard outside the dining room in assisted living. The courtyard has shaded seating to sit outside and a fountain. LPA and ED toured 10 resident rooms on the first and second floors. All resident rooms had the required furnishings and bed linens. All resident bathrooms were clean and operational. The hot water in the resident rooms inspected measured 111.0 degrees Fahrenheit to 116.9 degrees Fahrenheit. There is a library next to the dining room with games and puzzles and a TV room for residents. During the visit residents were participating in a music activity in the great room next to the library. LPA observed all the fire extinguishers throughout the facility were fully charged. The facility has 4 stairwells. LPA observed an emergency evacuation chair at the top of each stairwell. LPA observed the facility has a desktop computer with internet access for dedicated resident use in the activity room. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 The last emergency drill was conducted on April 25, 2025. LPA and ED toured the memory care unit. LPA observed the resident rooms in memory care had the required furnishings and bed linens. There is an outdoor patio/courtyard in memory care with shaded seating for residents to sit outside. There is a delayed egress exit in the memory care patio/courtyard. All of the delayed egress exits in memory care tested operational. LPA observed medications are kept secured in a medication cart that is locked in the medication room. The first aid kit in the medication room has all the required elements. LPA interviewed staff and residents. LPA reviewed 5 staff files. LPA observed all 5 staff had more than 20 hours of annual training but did not have 4 hours of training for postural supports, restricted health conditions and hospice care. No other discrepancies observed. The staff, whose files were reviewed and the staff who were interviewed are all background cleared and associated to the facility. LPA reviewed 10 resident files, no discrepancies observed. LPA inspected resident medications, no discrepancies observed. Deficiencies are being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report along with appeal rights was provided.

2024-12-09
Annual Compliance Visit
No findings
Inspector · Joseph Alejandre

Plain-language summary

A state inspector made an unannounced visit on December 9, 2024 to check on a resident's health and safety after receiving an incident report. The inspector toured the facility, met with the resident and staff, and found no safety hazards or health concerns. No violations were cited.

Read raw inspector notes

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit. LPA met with Memory Care Director Dannea Maurer and explained the reason for the visit. The Agency received an incident report on December 09, 2024 concerning the health and safety of Resident 1. LPA and Toured the facility. No obstacles or hazards observed. LPA met with Resident 1. No health or safety concerns noted. LPA interviewed staff. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.

2024-06-22
Other Visit
Type A · 1 finding
Inspector · Joseph Alejandre

Plain-language summary

During an unannounced annual inspection, the facility was found to be clean and well-maintained overall, with proper food storage, working safety equipment, and accessible amenities like libraries and outdoor patios for residents. However, one resident was found to be missing 2 of 12 prescribed medications, and a deficiency was cited for this discrepancy. The facility's administrator certificate expires in February 2025.

Type A22 CCR §87465(b)
Verbatim citation text · 22 CCR §87465(b)

Based on a review of Resident 1's medication and medication records, Resident 1 was missing 2 out of their 12 prescribed medications (Resident 1, was missing their MiraLax Packet 17 GM and Oxycodone HCI tablet 5 MG), the licensee did not comply with the section cited above in 1 out of 10 resident medications and records which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/24/2024 Plan of Correction 1 2 3 4 Licensee agrees to contact R1's pharmacy and physician to order the medications for R1 or discontinue the medications if so ordered by the physician. Licensee agrees to forward proof to LPA by POC due date.

Read raw inspector notes

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Executive Director Bryan Hadley and explained the reason for the visit. Bryan Hadley's Administrator's certificate expires on February 3, 2025. Facility is approved for delayed egress exits in the memory care unit. Facility is a two story building with 114 resident rooms which includes a memory care unit. LPA and the Executive Director (ED) toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted in the hallway next to the main entrance. LPA and the ED toured the kitchen and dining room. LPA observed the kitchen is clean and organized. There is a two day supply of perishable food and a seven day supply of non-perishable food on-hand in the kitchen. LPA observed that the refrigerators and the freezers had temperature logs posted on them. The refrigerators and freezers were at the required temperatures. LPA and ED toured 10 resident rooms on the first and second floors. All resident rooms had the required furnishings and bed linens. All resident bathrooms were clean and operational. The hot water in the resident rooms inspected measured 106.7 degrees Fahrenheit to 111.5 degrees Fahrenheit. There is a library next to the dining room with games and puzzles and a TV room for residents. There are fire extinguishers on each floor and all fire extinguishers are fully charged. The facility has 4 stairwells. LPA observed an emergency evacuation chair at the top of each stairwell. The last emergency disaster drill was conducted on June 12, 2024. LPA and ED toured the memory care unit. LPA observed the resident rooms in memory care had the required furnishings and bed linens. There is an outdoor patio in memory care with shaded seating for residents to sit outside. The delayed egress exits in memory care tested operational. The fire alarm/fire detection system was inspected and tested operational on June 6, 2024. LPA observed medications are kept secured in a medication cart that is locked in the medication room. LPA interviewed staff and residents. LPA reviewed 5 staff files with no discrepancies observed. All staff files reviewed had the required annual training. LPA reviewed 10 resident files, no discrepancies observed. LPA inspected resident medications. LPA observed that Resident 1 was missing 2 of their 12 prescribed medications. No other discrepancies observed. No obstacles or hazards were noted inside or outside of the facility. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Deficiencies are being cited per title 22 Division 6 of the California Code of Regulations on the attached LIC 809D. An exit interview was conducted with the Executive Director and a copy of the report provided along with appeal rights

8 older inspections from 2021 are not shown above.

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