Acacia Villas

FACILITY EVALUATION REPORT

This report details two separate complaint investigations conducted on 01/22/2026. The first allegation regarding emotional abuse was found to be Unfounded. The second allegation concerning failure to follow the care plan was found to be Unsubstantiated. No deficiencies were cited in the report.

This report details the findings of a complaint investigation regarding staff failing to prevent a resident from falling multiple times. The investigation concluded that there was not a preponderance of evidence to prove or refute the allegation, resulting in an 'Unsubstantiated' finding. No specific deficiencies were cited in the report.

This unannounced Case Management – Incident inspection was conducted to follow up on a self-reported incident. The primary finding relates to the failure to properly document changes in resident condition. Specifically, the facility did not update the resident's appraisal following a stroke to reflect the necessary fall prevention plan.

This unannounced inspection was conducted to perform a health and safety check and follow up on a self-reported incident. The inspector noted that the facility appeared clean and organized, and observed adequate supplies of food and necessary utilities. No deficiencies were cited during this review.

The unannounced annual inspection found several areas of compliance, including clean kitchen operations, proper fire safety equipment, and adequate resident room conditions. However, two deficiencies were noted: the administrator's certification was expired, and the facility must submit a complete copy of its commercial insurance policy by a specified date.

This report details an investigation into a complaint alleging that a resident was not receiving showers. The investigation found that the complaint was unfounded, meaning the allegation was false or without reasonable basis. No deficiencies were cited in this report.

This unannounced Case Management – Incident inspection was conducted to follow up on a self-reported incident regarding a resident elopement. While the facility was observed to be clean and organized with adequate supplies, deficiencies were cited related to supervision protocols. Specifically, the report notes failures in providing adequate supervision during the resident's elopement, citing CCR 87464(f)(1).