Milan Villa Senior Living

This report details a complaint investigation concerning a questionable death of a resident. The investigation reviewed numerous records and conducted interviews with staff and residents. Ultimately, the allegation was found to be unsubstantiated due to a lack of preponderance of evidence.

This report details a complaint investigation concerning a questionable death of a resident. The investigation reviewed numerous records and conducted interviews with staff and residents. Ultimately, the allegation was found to be unsubstantiated due to a lack of preponderance of evidence.

The facility underwent a required annual inspection on November 14, 2025. The inspector noted that the facility was generally compliant, observing proper temperatures in the freezer and refrigerator, and noting the presence of safety equipment like grab bars and smoke detectors. No deficiencies were cited during this inspection.

This report details a complaint investigation conducted on March 19, 2025, regarding allegations of neglect (dehydration) and pressure injuries. The investigation found that the allegations were unsubstantiated, and the report explicitly states that no deficiencies are being cited on this date.

The facility was inspected on November 27, 2024, following a complaint received the previous day. The inspection covered common areas, kitchen, bathrooms, bedrooms, and the outdoor area. The report notes that the facility is clean, in good repair, and there were no imminent health or safety concerns observed during the visit.

The inspection revealed multiple deficiencies, including several Type A citations related to immediate health and safety risks. Key issues found were the lack of a bedridden fire clearance, uncleared staff, unsecured medications, and medication administration errors. The facility was also cited for missing admission agreements and outdated medical assessments.

The inspection was conducted as a Case Management follow-up regarding an incident report from 9/19/2024. The primary deficiency cited relates to the facility's failure to ensure the resident's safety and supervision, specifically when the resident was observed missing from the facility. The facility was required to submit a Plan of Correction (POC) to address this lapse in care.

The unannounced case management visit on 02/16/2024 revealed one significant deficiency. Specifically, unlocked medication and vitamins were found unsecured on the medication cart while residents were present. This finding constitutes an immediate health and safety risk requiring prompt correction.