Anaheim Villa

FACILITY EVALUATION REPORT

The facility underwent a required annual inspection and was found to be generally clean and safe, with positive observations regarding equipment function and chemical storage. However, one Type B deficiency was cited related to staff training compliance, specifically the failure to provide the required additional 20 hours of annual training.

The facility underwent an unannounced health and safety case management visit to follow up on planned air conditioning installation. The inspector observed that the installation was not impeding resident care or movement, and no immediate health or safety concerns were noted during the tour. Overall, the visit concluded with no deficiencies cited.

This report details the findings of a Complaint Investigation conducted on the facility. The investigation reviewed allegations regarding resident decision-making and inappropriate hospice service procurement. Based on the evidence gathered, the department determined that the allegations were unfounded.

The facility underwent an unannounced Case Management inspection. The analyst observed the facility and confirmed that the planned flooring renovations were in progress, with staff managing the process to maintain resident safety. No deficiencies were cited during this inspection.

The inspection was conducted as an unannounced annual review. Overall, the facility was observed to be clean, sanitary, and compliant in many areas, including furnishings and emergency supplies. However, a deficiency was noted regarding the documentation of PRN medication administration, which requires immediate corrective action.

This report details an investigation into a complaint alleging that staff did not meet the resident's needs. The investigation reviewed multiple incident reports and facility documentation regarding resident R1's falls. Ultimately, the department found that the allegation was Unsubstantiated due to a lack of evidence to prove or refute the alleged violation.

This was an unannounced Case Management visit prompted by an incident report regarding a resident leaving the facility unassisted. The primary deficiency cited relates to staff failure to redirect a resident with dementia who attempted to leave the premises. The facility was advised to conduct in-service training and submit documentation of this training by the Plan of Correction due date.