Villa Alamar

FACILITY EVALUATION REPORT

This report details a complaint investigation regarding allegations of inappropriate resident restraint. The investigation found that the facility has a documented 'No Restraint' policy, and staff interviewed were knowledgeable about and appeared to adhere to this policy. Overall, the allegation was deemed Unsubstantiated.

The facility underwent an unannounced required Annual Inspection. The inspection covered the physical environment, accommodations, and operational areas. No deficiencies were noted during the visit, and the report confirms that the facility is in good repair and meets required standards.

COMPLAINT INVESTIGATION REPORT

The inspection identified one critical deficiency related to staff criminal record clearance, which poses an immediate safety risk. All other areas reviewed, including kitchen, common areas, and resident rooms, were found to be in good condition and compliant with regulations. The facility was otherwise found to be operating safely and maintaining appropriate standards.

This was a Case Management - Incident visit to investigate a self-reported incident of alleged physical contact between a caregiver and a resident. The primary finding relates to the delayed reporting of the incident, which occurred on 03/12/2023 but was not reported to the administrator until 03/15/2023. Further investigation is required by the licensing analysts.

The facility underwent a 1-year infection control annual visit. The report details that the facility has comprehensive plans and protocols in place for infection control, including screening, PPE usage, and isolation procedures. No deficiencies were observed during the visit, and all infection control protocols are reported as being followed.

The inspection was an unannounced continuance of an Annual Inspection and Infection Control visit. The facility was generally observed to be clean and well-maintained, with appropriate amenities for residents. However, two deficiencies were cited, both related to staff association and criminal record clearance, which pose immediate safety risks.