The Villa

The facility was inspected and found to have multiple deficiencies across several areas. Critical (Type A) deficiencies included improper hot water temperatures and unsecured cleaning chemicals. Non-compliance was also noted regarding staff health records, required annual training, and resident medical documentation.

This report details a Complaint Investigation conducted regarding allegations of staff handling a resident roughly. The investigation found that there was not a preponderance of evidence to prove the alleged violation(s), resulting in the allegation being unsubstantiated. No specific deficiencies were cited in the report.

The facility underwent a required annual inspection conducted by LPA Tena Herrera. The physical plant, infection control, and general operational areas were found to be compliant. However, a deficiency was noted regarding staff training, specifically that two employees had expired first-aid certificates.

The facility underwent an unannounced Required - 1 year visit. The inspection noted several positive observations, including operable smoke and CO detectors, sufficient supplies, and clean, operational bathrooms. No deficiencies were cited in this report.

This report details a complaint investigation conducted on August 4, 2023, regarding allegations such as resident injury, lack of timely medical care, restraints, moldy food, and failure to report incidents. Based on the review of records and interviews, the investigation found no preponderance of evidence to substantiate any of the alleged violations.

This report details a Complaint Investigation conducted on June 27, 2023, regarding allegations such as unexplained injuries, falls, soiled diapers, and staff conduct. After reviewing records and interviewing staff and residents, the investigation concluded that there was not a preponderance of evidence to prove the alleged violations, resulting in the allegations being unsubstantiated.

The inspection identified three deficiencies, including one Type A citation regarding the disabled auditory alarm at the main entrance, which presents an immediate safety risk. Additionally, there were Type B citations concerning the lack of mattress pads on resident beds and improper use of resident rooms for non-resident purposes. The facility was otherwise observed to have sufficient supplies and documentation for some areas.

COMPLAINT INVESTIGATION REPORT