Inspection Reports for
Belmont Village Senior Living San Jose

The complaint alleged that staff S1 hit resident R1 on September 1, 2025. Resident R1 declined to be interviewed. Staff interviews revealed conflicting accounts, with some stating S1 hit R1 in reaction to being hit by R1, while S1 denied hitting R1 and stated he/she only placed R1's hand down. Local law enforcement found no visible injury and resident had no complaint of pain. The allegation was ultimately unsubstantiated.

After interviews with staff, resident, and law enforcement, and review of records, the allegation that staff S1 hit resident R1 was found to be unsubstantiated due to lack of preponderance of evidence.

The facility was toured and inspected, including resident rooms, common areas, and kitchen. All safety equipment was current and functioning, resident and staff records were complete and up to date, and medication storage and records were properly maintained. No deficiencies were cited.

The inspection found that a water leak from a rooftop boiler water holding tank flooded laundry rooms on floors 2-7, elevator doors, and 11 resident apartments. The facility took immediate action to stop flooding, remove water, and dry affected areas. Fans and dehumidifiers were in use, and elevator control panels were damaged but manually operable. No residents were physically impacted, and no deficiencies were cited.

The complaint involved a resident (R1) who exited the memory care unit without staff knowledge due to an alarm not being reset. The resident was found by a visitor and escorted back. The facility took corrective actions including monitoring, care plan updates, and staff retraining. No injuries were noted and no deficiencies were cited.

The investigation found that the resident was able to exit due to staff mistakenly not resetting the delayed egress door alarm. No injuries occurred, and the resident was monitored for 72 hours with care plan updates and staff retraining on elopement prevention. No deficiencies were cited.

The resident exited the memory care unit due to staff mistakenly not resetting the delayed egress door alarm. No injuries occurred, and the resident was escorted back by a visitor. The facility retrained staff on elopement prevention and updated the resident's care plan. No deficiencies were cited.

The complaint included allegations that the facility did not respond to emergency pull cord signals in a timely manner, failed to provide medications when requested, did not provide contracted services, and did not change resident's urine bags. The investigation concluded these allegations were unsubstantiated.

The investigation found that all prescribed medications were given as prescribed, staff responded based on staffing and business demands, and services were met to the best of the facility's abilities. The allegations were determined to be unsubstantiated based on observations and evidence.

The visit was complaint-related based on a SOC341 report. The complaint was investigated, and no deficiencies were cited. S1 was terminated, family notified, and police involved.

The investigation found that staff member S1 grabbed resident R1's arms from behind for approximately 15 seconds, causing R1 to struggle. R1 showed no signs of injury and was unable to recall the incident. S1 was terminated following the incident, family members were informed, and police were notified. No deficiencies were cited.

The complaint involved an incident where staff S1 grabbed resident R1's arms. The complaint was investigated, substantiated by the termination of S1, and police notification. R1 denied being hurt by staff.

The investigation found that staff member S1 grabbed resident R1's arms from behind for approximately 15 seconds during breakfast, but R1 showed no signs of injury and was unable to recall the incident. S1 was terminated following the incident, family members were informed, and police were notified. No deficiencies were cited per California Code of Regulations, Title 22.

No deficiencies were cited during this unannounced case management visit. The immediate exclusion letter was handed to the Executive Director, who confirmed the staff member was not employed at the facility.

The facility was found to be in good repair with functioning safety equipment and adequate supplies. Resident and staff records were complete and up to date. No deficiencies were cited during this inspection.

The complaint involved an incident on 05/29/2024 where a staff member was observed assisting a resident roughly. The staff was suspended immediately and did not return to work. The facility notified the resident's family, Ombudsman, and local law enforcement. In-service training was conducted on elder abuse, mandated reporting, and the resident's care plan.

The investigation found that a staff member assisted a resident roughly, resulting in redness and scratches on the resident. The staff member was suspended and escorted out of the facility. No deficiencies were cited per California Code of Regulations, Title 22.

The complaint included allegations that a resident's hygiene needs were not met, medications were not given according to physician's instructions, lack of supervision led to resident wandering, and the facility charged for services not provided. After investigation, these allegations were found unsubstantiated due to insufficient evidence to prove occurrence.

The investigation found all allegations to be unsubstantiated after reviewing documents and conducting interviews. The facility followed care plans and policies regarding diaper changing and medication administration, implemented an action plan after a resident wandered off the building but remained on campus, and provided activity programs adjusted for COVID-19 guidelines.

The complaint was unsubstantiated after investigation. Allegations included inadequate cleaning, failure to communicate with authorized representatives about outings, and residents not wearing masks on outings. Interviews, file reviews, and observations did not support these claims.

The investigation found no evidence to substantiate the allegations. The facility's cleaning practices were adequate with weekly housekeeping and prompt response to requests. Residents are allowed to decide on participation in activities without prior family authorization. Masking was encouraged but not strictly required during events, and no COVID cases were reported from the event.

The complaint alleged that staff caused injury to a resident by grabbing the resident's arm and causing a bruise. The allegation was unsubstantiated after investigation, including interviews with staff and review of resident records and safety plans.

The investigation found that the resident (R1) with mixed dementia and aggressive behaviors was reported to have a bruise caused by a caregiver grabbing their arm. After interviews, record reviews, and safety plan verification, the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that a resident was molested by a suspected abuser who is a contracted staff member. The facility conducted an internal investigation, interviewed residents and family members, and provided staff training on mandated reporting. The complaint was not substantiated based on interviews and assessments.

The investigation found no signs or reports of inappropriate behavior between staff and residents. The suspected abuser was temporarily suspended and later returned to provide services. No deficiencies were cited.

The visit was triggered by an incident report of a resident eloping from the facility. The complaint was investigated and found to be unsubstantiated as no deficiencies were cited.

The resident was found by police and transported to the hospital with no injuries noted. The facility took appropriate steps including reassessment, evaluation, facility inspection, and staff training on elopement. No deficiencies were cited per California Code of Regulations, Title 22.

The resident who eloped was found by police and transported to the hospital with no injuries noted. The facility took appropriate steps including reassessment, inspection, and staff training on elopement. No deficiencies were cited.

No deficiencies were cited per California Code of Regulations, Title 22. The immediate exclusion letter was handed to the Director of Resident Care Services during the visit.

The complaint alleged failure by facility staff to seek timely medical attention resulting in a resident's untimely death. The allegation was investigated through record review and staff interviews and was found to be unsubstantiated.

The investigation found that the resident was taken to the hospital for treatment of right foot cellulitis and later passed away from the same condition. Interviews and record reviews indicated that the allegation was unsubstantiated as there was insufficient evidence to prove neglect by the facility.

No deficiencies were cited per California Code of Regulations, Title 22. An advisory note was provided regarding placing 20 second hand washing signs in common area restrooms. The facility demonstrated adequate infection control measures including symptom screening, PPE availability, and staff training.

The facility was found to be in compliance with infection control protocols, including universal symptom screening, PPE use, and COVID-19 prevention measures. No deficiencies were cited during the visit.

Recommendations were made to post hand washing signs in each resident's room and to include demonstration of donning and doffing PPE in staff PPE training.