Villa Bernardo

FACILITY EVALUATION REPORT

This report details an investigation into a complaint regarding staff withholding resident paperwork. The investigation found the allegation to be unfounded after reviewing records and interviewing personnel. No deficiencies were cited in this report.

The investigation substantiated allegations of neglect resulting in a resident's hospitalization due to an open wound with maggots. Multiple deficiencies were cited, including failure to maintain a care plan and failure to ensure timely medical attention for the resident's wounds. The presence of Type A citations indicates immediate health and safety risks requiring urgent corrective action.

The inspection identified three deficiencies across two different sections of the code. Two Type B deficiencies relate to the violation of residents' right to privacy due to the use of video monitoring with audio in private rooms. Additionally, one Type A deficiency was cited regarding the failure to verify the criminal record clearance for an associated staff member, posing an immediate risk.

The inspection identified three deficiencies: one Type A citation regarding the lack of documented quarterly emergency disaster drills, and two Type B citations concerning staff credentialing and association with the facility. The facility must address these issues, particularly the immediate risk posed by the lack of emergency drills, by the specified due dates.

The prelicensing inspection was conducted on 06/14/2023 for Villa Bernardo. The LPA observed that the facility was generally well-maintained, with appropriate linens, functional equipment, and safety measures in place. The facility was noted to be compliant with several key areas, although the applicant was tasked with submitting proof of non-perishable food purchases by 6/15/2023.