Inspection Reports for
Vienna at Santianna – Memory Care

The complaint was substantiated. The allegation was that staff did not ensure a resident's food was free of hazardous material due to metal pieces found in Resident 1's puree. The investigation included interviews, observations, and record reviews. A Plan of Correction was developed with the licensee.

The investigation substantiated that metal pieces were found in Resident 1's puree, posing a potential safety risk. The source of the metal was not conclusively identified, but precautionary measures were taken including discarding the metal fryer basket and replacing the blender blade. The resident remained at baseline with no signs of discomfort after the incident.

The visit was complaint-related due to a self-reported incident of Resident 1 eloping from the memory care unit. The deficiency was substantiated as the licensee did not meet the individual supervision needs of the resident.

Deficiencies were cited for failure to meet the individual supervision needs of Resident 1, posing a safety risk to one of 33 residents in care. A Plan of Correction was developed to address staffing, supervision, and training deficiencies.

The visit was complaint-related due to a self-reported medication error incident involving Resident 1. The deficiency was substantiated as staff failed to administer medication as ordered.

The inspection found that one resident did not receive medication according to the physician's directions, posing a potential health risk. Deficiencies were cited and a Plan of Correction was developed with the licensee.

The visit was complaint-related, triggered by an incident report about medication errors involving Resident #1. The complaint was substantiated with evidence of medication mismanagement and lack of required medical assessment.

The investigation found that staff did not assist Resident #1 with medication as prescribed, resulting in multiple patches being applied simultaneously. Additionally, the facility lacked a current medical assessment for the resident diagnosed with dementia. Two deficiencies were cited and plans of correction were developed.

The complaint investigation was triggered by allegations that staff did not allow residents access to their rooms and did not meet residents' basic needs. The first allegation was unsubstantiated, while the second was substantiated with evidence of insufficient staffing leading to delays in meal service and incontinence care.

The allegation that staff did not allow residents access to their rooms was unsubstantiated based on interviews, observations, and records review. However, the allegation that staff did not meet residents' basic needs due to low staffing was substantiated, with evidence of residents waiting long periods for meals and incontinence care.

The complaint investigation was substantiated. The licensee self-reported the suspected abuse. The investigation confirmed inappropriate sexual touching by Staff #1 of Resident #1. The licensee took corrective action by suspending and terminating Staff #1 but failed to meet all reporting requirements.

The investigation found that Staff #1 engaged in inappropriate sexual touching of Resident #1, who has dementia but was independent with toileting. The licensee suspended and terminated Staff #1 but failed to report the incident to local law enforcement within 24 hours and did not send a written incident report to the resident's responsible person within seven days. Three deficiencies were cited related to abuse prevention and reporting requirements.

The complaint alleged unlawful eviction of resident 1 due to ongoing disruptive behaviors by the resident's visitor. The allegation was substantiated based on interviews, records review, and regulatory standards.

The investigation substantiated that the facility unlawfully evicted resident 1 (R1) based on the disruptive behavior of R1's visitor, which is not supported by regulation. The licensee did not issue a lawful eviction notice to R1, posing a personal rights risk to residents in care.

Complaint investigation visit conducted; an unrelated deficiency was discovered. The incident involved a medication error with Resident 1, with no injuries reported but 911 was contacted. The deficiency was substantiated by interviews and records review.

The investigation revealed that the licensee failed to submit an incident report regarding a medication error involving Resident 1, posing a potential safety risk to all 150 residents in care.

The complaint was substantiated. The allegation was that the licensee did not issue a refund of pre-admission fees as required. Evidence showed the refund check was issued more than 30 calendar days after written notice of withdrawal was given.

The investigation substantiated that the facility failed to issue a refund of a $6,000 pre-admission fee within the required 30-day timeframe after the prospective client withdrew their application. A deficiency was cited and a plan of correction was developed with the Executive Director.