Inspection Reports for Belmont Village Senior Living Calabasas

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-01-17 regarding staff not ensuring a resident had oxygen when out of the room and not safeguarding resident's personal belongings, as well as allegations of staff not checking on a resident and mismanaging medication.

The investigation substantiated that staff did not ensure Resident #1 was on continuous oxygen when out of the room from 2025-01-09 to 2025-01-17 and did not safeguard the resident's personal belongings, specifically a lost portable oxygen cord. However, allegations that staff were not checking on the resident and mismanaging medication were found unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for allegations that staff did not ensure Resident #1 had oxygen when out of the room and did not safeguard the resident's personal belongings. The allegations that staff were not checking on the resident and mismanaging medication were unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-28 regarding billing errors and resident privacy concerns.

The investigation substantiated two allegations: the facility charged a resident for services not received and staff did not accord resident privacy by entering the resident's room without permission and removing medications. Two other allegations related to medication administration and following physician orders were unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for allegations that the facility charged a resident for services not received and that staff did not accord resident privacy. The allegations that staff did not ensure residents were provided medications as prescribed and that staff were not following physician orders were unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2024-03-19 that staff did not administer resident's medications as prescribed.

The investigation found that during the initial visit, Resident #1's medications were not properly administered as prescribed, with multiple tablets remaining beyond the expected usage. However, during the follow-up visit, no medication errors were observed. The allegation was substantiated based on the preponderance of evidence.

The complaint alleged that staff did not administer Resident #1's medications as prescribed. The allegation was substantiated based on medication review, observation, and record review.

The visit was an unannounced Case Management Annual Continuation inspection conducted to review compliance with licensing regulations, including personnel records, resident records, physical plant safety, and medication management.

The facility was found to be in compliance with all reviewed regulations, including personnel and resident records, physical plant safety, and medication storage and documentation. No deficiencies were cited during the inspection.

Unannounced complaint investigation visit conducted due to multiple allegations including failure to seek timely medical attention, inappropriate handling of residents, neglect, and violation of residents' rights.

After interviews, record reviews, and multiple attempts to contact the reporting party, all allegations were deemed unsubstantiated. No evidence of mistreatment, neglect, or retention of residents requiring higher level of care was found.

The complaint included allegations of failure to seek timely medical attention resulting in a questionable death, inappropriate handling causing bruising, neglect leading to pressure injuries and falls, failure to respond to calls for assistance, violation of personal rights, and retention of residents requiring higher care. The investigation found no substantiation for these allegations.

The inspection was a required annual unannounced visit conducted to ensure the facility's compliance with Title 22 Regulations and to check for health and safety hazards.

The facility was found to be clean, well-maintained, and in compliance with health and safety standards. No health and safety issues were observed during the visit, and resident rooms, common areas, restrooms, and kitchen were all in good condition with appropriate supplies and safety measures.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-03-01 regarding staff not meeting residents' laundry needs, falsifying care documents, failing to keep rooms free of trash, and not preventing residents from playing in their feces.

The investigation found insufficient evidence to substantiate any of the allegations. Observations, interviews, and record reviews indicated that laundry needs were met, rooms were maintained clean, care documentation was accurate, and residents were properly supervised and cared for regarding incontinence.

The complaint included allegations that staff did not meet a resident's laundry needs, falsified care documents, did not ensure rooms were free of trash, and did not prevent residents from playing in their feces. All allegations were found to be unsubstantiated based on observations, interviews with staff and residents, and record reviews.

The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations including staff not trained to meet residents’ incontinence needs, inappropriate handling of residents, inappropriate speech, lack of dignity and respect, unexplained bruises, unmet residents’ needs, inappropriate resident placement, and administrator's knowledge of laws and regulations.

All allegations except one were deemed unsubstantiated due to insufficient evidence based on interviews, record reviews, and observations. The only substantiated allegation was that residents were not receiving assistance timely due to staff lacking keys to access residents' rooms, posing a potential health and safety risk. A deficiency was cited related to this issue, but it was cleared due to implementation of a new FOB key system.

The complaint investigation was triggered by multiple allegations including staff not trained to meet residents’ incontinence needs, inappropriate handling and speech by staff, lack of dignity and respect, unexplained bruises, unmet residents’ needs, inappropriate resident placement, and administrator's knowledge of laws. Most allegations were unsubstantiated except for the allegation regarding residents not receiving timely assistance due to lack of keys.

The visit was an unannounced complaint investigation triggered by allegations that the facility illegally evicted a resident and did not issue a refund to a resident in care.

The investigation found insufficient evidence to substantiate the allegations. The resident was discharged to a higher level of care facility after evaluation, and the facility followed its admission agreement policies. Although the resident did not return, it was unclear if the facility refused return or if the family/hospital made the decision. The facility did issue a refund to the resident's responsible party despite not being required to do so.

The complaint involved two allegations: 1) Facility illegally evicted a resident in care, and 2) Facility did not issue a refund to a resident in care. Both allegations were deemed unsubstantiated due to insufficient evidence. The resident was discharged to a Skilled Nursing Facility after psychiatric hospitalization, and the facility admission agreement allowed termination under these circumstances. The facility issued a refund to the resident's responsible party toward the end of April or beginning of May 2024.

The inspection visit was conducted as an unannounced complaint investigation regarding allegations that staff were forcing residents into the shower while in care.

The investigation found no sufficient evidence to support the allegation that staff forced residents into showers. Interviews with residents and staff, as well as record reviews, indicated residents are not forced and have the right to refuse showers. The allegation was deemed unsubstantiated.

The complaint alleged that staff were forcing residents into the shower even if the resident screamed or refused. The allegation was investigated through interviews, document review, and facility tour. The complaint was found unsubstantiated.

The visit was an unannounced complaint investigation triggered by an allegation that staff did not ensure a resident was adequately fed following a physician's change in dietary orders.

The investigation found that facility staff consistently delivered pureed food to the resident, but the resident refused the meals. Hospice staff confirmed new dietary orders were followed and nutritional drinks were provided. The allegation was deemed unsubstantiated due to insufficient evidence that the resident was not adequately fed.

The complaint alleged that staff did not ensure a resident was adequately fed after a physician's dietary order change. The complaint was investigated and found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 02/14/2024 regarding neglect/lack of supervision, medication ordering delays, and failure to reassess a resident.

The investigation substantiated neglect/lack of supervision resulting in multiple falls and injuries to Resident #1, failure to ensure timely medication ordering, and failure to reassess the resident as necessary. Other allegations related to timely assistance, charging for services not rendered, call pendant supply, and incontinence care were unsubstantiated.

The complaint investigation was substantiated for neglect/lack of supervision causing multiple falls and injuries to Resident #1, failure to order medications timely, and failure to reassess the resident after falls. Other allegations including failure to provide timely assistance, charging for services not rendered, call pendant supply, and incontinence care were unsubstantiated due to insufficient evidence.

The visit was an unannounced Case Management - Deficiencies inspection conducted in conjunction with a complaint investigation (Complaint control # 29-AS-20240214112429). The purpose was to investigate the complaint and assess compliance with licensing requirements.

The investigation found that the facility failed to submit incident reports for multiple unwitnessed falls of Resident #1 that required hospital visits, and also failed to submit a hospice notification when the resident was placed on hospice care. These omissions posed potential health and safety risks to residents.

The visit was triggered by complaint control # 29-AS-20240214112429. The complaint was substantiated by findings of failure to report incidents and hospice placement as required.

The visit was conducted as an unannounced complaint investigation following an allegation that a resident sustained unexplained bruises.

The investigation found insufficient evidence to substantiate the allegation of unexplained bruising. The resident had dementia and behaviors that made observation difficult, and no violations or citations were issued.

The complaint alleged that Resident #1 sustained unexplained bruising. The investigation included interviews, record reviews, and observations. The bruising was noted but of unknown origin, and the resident refused full body observation. The allegation was deemed unsubstantiated due to insufficient evidence.

The visit was an unannounced required annual inspection to ensure the facility's compliance with health, safety, and Title 22 regulations.

The inspection found the facility generally clean and well-maintained with appropriate resident accommodations and safety measures. However, deficiencies were cited related to water temperature controls exceeding regulatory limits and incomplete or missing centrally stored medication records for six residents.

The visit was a Case Management incident investigation regarding an incident on 10/18/2023 involving Resident 1 who was admitted to the hospital with severe dehydration and sepsis.

Based on the information obtained, the resident's needs are being met according to the care plan and medical orders. No deficiencies were observed during the visit.

The visit was an unannounced Case Management - Other visit to discuss the community's current COVID-19 outbreak and address the facility staff's failure to follow reporting requirements related to the outbreak.

The facility was found not to be complying with local public health department reporting requirements for the COVID-19 outbreak, including failure to submit daily update reports and maintain a complete and regularly updated line list, posing potential health, safety, and personal rights risks to persons in care.

Licensing Program Analyst Ashley Smith arrived unannounced to conduct a required annual visit to ensure the facility is in compliance with Title 22 Regulations.

The facility was found to be in compliance with no health and safety hazards observed. Common areas, kitchen, outside areas, restrooms, and infection control measures were all adequate and well maintained. No deficiencies were cited.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 04/13/2022 regarding medical assistance timeliness, medication administration, and communication issues at Belmont Village Calabasas.

The investigation found insufficient evidence to substantiate the allegations that staff failed to provide timely medical assistance, did not assist with medication administration as prescribed, or failed to communicate with the resident's responsible parties. No deficiencies were cited.

The complaint involved three main allegations: 1) Staff did not provide medical assistance in a timely manner; 2) Resident was not provided medications as prescribed; 3) Staff did not provide communication to the resident's responsible parties. All allegations were deemed unsubstantiated based on the investigation.

An unannounced complaint investigation was conducted due to an allegation that staff did not provide a safe environment for a resident.

The investigation found that a resident was sent to the emergency room unaccompanied by staff on two occasions due to hospital COVID-19 policies preventing staff accompaniment. The allegation was deemed unsubstantiated due to insufficient evidence that staff failed to provide a safe environment.

The complaint alleged that staff failed to provide a safe environment for Resident #1 by sending the resident to the emergency room unaccompanied. The allegation was unsubstantiated after investigation.

The Licensing Program Analyst arrived unannounced to conduct a required annual visit with an emphasis on infection control practices and procedures.

The facility was found to be in compliance with Title 22 Regulations, with no health or safety hazards observed. Infection control practices, including PPE supply, cleaning protocols, and vaccination records, were adequate. No deficiencies were cited during the visit.

The inspection was conducted as an unannounced complaint investigation regarding allegations that memory care residents were being video-recorded with the Safely-U Monitoring system without their consent.

The investigation found that the SafelyYou system is used for fall detection and is monitored by artificial intelligence, not staff. Consent for video monitoring was obtained from residents' legally authorized representatives, and no evidence supported the allegation of unauthorized recording. The allegation was deemed unsubstantiated and no deficiencies were cited.

The complaint alleged that memory care residents were being video-recorded without their consent. The investigation concluded there was insufficient evidence to support this claim, as consent was obtained from the residents' legally authorized representatives. The allegation was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-12-14 regarding poisoning and financial abuse of a resident at Belmont Village Calabasas.

The investigation found insufficient evidence to support the allegations of poisoning and financial abuse of Resident #1. Interviews with the resident, staff, and conservator, as well as document reviews, did not substantiate the claims. No deficiencies were cited.

The complaint involved allegations that the facility was poisoning and financially abusing Resident #1. Both allegations were deemed unsubstantiated based on interviews and document reviews.

The visit was an unannounced Case Management - Incident inspection to follow up on an elopement incident involving Resident #1 (R1) who left the assisted living apartment unassisted, posing a safety risk.

The facility failed to ensure that Resident #1 did not leave the facility unassisted as required by the physician's report, resulting in an elopement and injury. The resident was later reassessed and moved to a secured Memory Care Unit.

The visit was triggered by a complaint regarding an elopement incident reported by the Executive Director on 4/9/2021 involving Resident #1 who was absent from their apartment on 4/8/2021 for 2-3 hours and sustained scratches.

The inspection was an unannounced complaint investigation triggered by an allegation of unlawful eviction of a resident.

The investigation found sufficient evidence to substantiate the allegation that the facility issued an unlawful eviction to Resident #1. The eviction notice did not explicitly state the violation of general policies as required and did not correlate to the facility's inability to meet the resident's needs.

The complaint investigation was substantiated. It was alleged and confirmed that the facility issued an unlawful eviction to Resident #1. The eviction notice did not explicitly state the violation of policies and did not justify the eviction based on the resident's needs.

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