Emerald Heights.

Residential Care Services Investigation Summary Report Provider/Facility: EMERALD HEIGHTS Provider Type: Assisted Living Facility License/Cert.#: 994 Compliance Determination #: 63713 Intake ID: 189961 Investigator: Michelle Yip Region/Unit #: RCS Region 2 / Unit D Investigation Date(s): 08/06/2025 through 08/25/2025 Complainant Contact Date(s): Allegation(s): 1. Physical Environment 2. Quality of Care/Treatment 3. Financial Exploitation 4. Resident/Patient/Client Rights Investigation Methods: Sample: Total residents: 50 Resident sample size: 7 Closed records sample size: 0 Observations: Identified resident Residents Resident rooms Apartment entry doors Staff to resident interactions Resident to resident interactions Interviews: Identified resident Identified staff Nursing staff Residents Maintenance staff Record Reviews: Medical records Incident investigation Resident Council meeting notes Disclosure of Services Facility policies and procedures Resident Move-in Agreement Investigation Summary: 1. and 2. Several named residents (NRs) reported the entry doors of their new apartments were unsafe. The NRs reported the entry doors being heavy, tight and closed too quickly. The NRs reported injuries that were a result of them opening their apartment door when they entered and exited their units. Facility interview showed that they implemented several interventions that addressed the issues, and This document was prepared by Residential Care Services for the Locator website. the residents’ concerns with the door were not yet resolved. Facility interview showed that they were unaware several residents were injured from operating their apartment doors. Facility failed to ensure the apartment entry doors were safely operated. See citation. Reporter reported the facility failed to install a barrier in the shower stall that prevented the water from coming out of the shower. Facility stated they had intervention in place that included the use of a long shower curtain. Facility stated that they addressed and resolved the affected resident's concern. There was insufficient evidence to substantiate a violation. 3. Reporter reported that the facility posted charges on durable medical equipment (such as a shower chair and a shower bench). Named Resident 1 (NR 1) interview showed that the facility charged them on durable medical equipment. Review of the facility's Disclosure of Services showed the facility did not provide bathing equipment or devices. Review of the facility's Move-in Agreement showed the price list of durable medical equipment. There was insufficient evidence to substantiate a violation. 4. Residents were unable to enter and exit their apartments freely and safely. (Refer to Allegation 1. See citation.) NR 1 reported their mailbox was installed at a height that was not accessible to them. NR 1 stated that their mails were partially inserted in the mailbox that violated their privacy. Observation showed the resident mailboxes were installed 45 inches above the floor outside each resident's apartment. Observation showed residents' mails were placed in the mailboxes. Facility stated they had intervention in place that addressed the issue. Facility stated their staff collected residents' mails and delivered the mails to each resident every day. There was insufficient evidence to substantiate a violation. Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A This document was prepared by Residential Care Services for the Locator website.

This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website.