Hillcrest Royale

This report details an investigation into complaints regarding resident hygiene and odors. The investigation included interviews and record reviews, but ultimately found insufficient evidence to prove the alleged violations. Therefore, the allegations were deemed unsubstantiated at this time.

The facility underwent a required annual evaluation visit conducted by the LPA. The inspection covered common areas, resident interviews, staff interviews, and a review of medical records and medication storage. Overall, the report indicates that the facility is in compliance with Title 22 regulations, and no citations were issued.

The facility was visited for an unannounced case management check following a reported smoke/fire incident. The LPA conducted a health and safety tour and found no immediate concerns during the visit. No citations were issued.

This report details a Complaint Investigation conducted regarding a physical altercation between two residents. The investigation found that while an incident occurred, there was insufficient evidence to prove the alleged violation, and the allegation was deemed Unsubstantiated. No deficiencies were cited during this visit.

This report details a complaint investigation regarding staff providing a comfortable room temperature for residents. The allegation was reviewed, and the department found no sufficient evidence to support the claim. Consequently, the allegation was deemed Unsubstantiated.

The inspection identified two deficiencies: one Type A citation regarding the absence of evacuation chairs in the stairwells, which presents an immediate safety risk. Additionally, a Type B citation was issued for insufficient documentation of current CPR and first aid certifications among staff members. The facility was advised of the required corrective actions and due dates.

The inspection revealed two critical deficiencies related to staff credentialing and medication administration. Specifically, seven staff members were found not to be properly associated with the facility, and one resident missed a scheduled dose of Digoxin. Immediate corrective action is required for both issues to ensure resident safety.

The facility underwent a continuation of its annual visit. The primary finding noted during the records review was that seven staff members require further record review. Due to time constraints, the inspection was incomplete and the LPA plans to return at a later date to finish the review.