Marymount Villa Retirement Center

The inspection identified multiple deficiencies, including immediate safety hazards related to unsecured cleaning supplies and physical disrepair within the facility. Additionally, the water temperature in the shared bathrooms was found to be below the minimum required standard. Corrective actions are required for both immediate safety risks and general maintenance issues.

The inspection was a Case Management visit following an incident report regarding a resident elopement. Multiple deficiencies were cited, including two Type A violations related to immediate safety risks, such as inadequate supervision and failure to prevent elopement. Additionally, two Type B deficiencies were noted concerning general staffing levels and competency, which contributed to the safety lapse.

The case management visit identified two deficiencies related to resident rights and financial notices. Specifically, the facility was cited for failing to provide the mandatory 90-day written notice for a rate increase and for issuing an eviction notice without the required explanation regarding the resident's care needs.

The case management visit identified two deficiencies related to resident rights and financial notices. Specifically, the facility was cited for failing to provide the mandatory 90-day written notice for a rate increase and for issuing an eviction notice without the required explanation regarding the resident's care needs.

The case management visit identified two deficiencies related to resident rights and financial notices. Specifically, the facility was cited for failing to provide the mandatory 90-day written notice for a rate increase and for issuing an eviction notice without the required explanation regarding the resident's care needs.

The facility underwent an unannounced Case Management health and safety check on November 7, 2025. The LPA observed that lighting was adequate, bathrooms were equipped with necessary safety features, and there were sufficient supplies of food and medications were centrally stored and secured. No deficiencies were cited during this visit.

COMPLAINT INVESTIGATION REPORT

The unannounced Case Management visit on 10/14/2025 identified a significant deficiency related to wound care protocols. Specifically, the facility failed to secure necessary approvals for retaining a resident with unstageable wounds. This violation is classified as Type A due to the immediate risk posed to the resident's health and safety.