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 complaint alleged that a staff member had inappropriate behavior with a resident. The allegation was unsubstantiated based on interviews with residents and staff, review of police and facility records, and observation. No evidence was found to prove the allegation occurred.

The investigation found the allegation unsubstantiated after interviews, record reviews, and observation. No staff matched the description provided, and no inappropriate behavior was observed or confirmed. The resident involved has a neurocognitive disorder and made inconsistent statements.

The complaint alleged inappropriate behavior by staff towards a resident. The allegation was unsubstantiated after investigation, indicating insufficient evidence to prove the allegation did or did not occur.

The investigation found the allegation unsubstantiated based on interviews, record reviews, and observations. No facility staff matched the description provided, and no inappropriate behavior was confirmed. The resident involved has a neurocognitive disorder and made inconsistent statements.

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 facility was found to be in good condition with no deficiencies cited. Resident rooms, common areas, and safety equipment were inspected and found compliant. Records for residents and staff were complete and up to date.

The water leak originated from a water holding tank on the roof, flooding laundry rooms on floors 2-7, elevator doors, 11 resident apartments, and the 1st floor lobby. Remediation efforts included water removal, drying, and manual elevator operation. No residents were physically impacted and 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 was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation found that while some cutlery and mugs had staining, dishwashers and substantial food supply were present, and dishes not meeting standards were usually replaced. The allegations were determined to be unsubstantiated based on observations and interviews.

The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred. Allegations included untimely emergency pull cord response, failure to provide medications, contracted services, and urine bag changes.

The investigation found that all prescribed medications were given as directed, urine bags were changed, and staff responded based on staffing and business demands. The allegations were determined to be unsubstantiated based on observations, interviews, and document reviews.

The complaint investigation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation found that dishwashers and substantial food supply were present, and although some cutlery and mugs had staining, this was not consistent across all items. The allegations were determined to be unsubstantiated based on observations and interviews.

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.

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

The facility was found to be in good condition with no deficiencies cited. Resident rooms, common areas, and safety equipment were inspected and found compliant. Records for residents and staff were complete and up to date.

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 involved an incident where staff (S1) was observed assisting resident (R1) roughly after a fall alert. The staff was suspended and removed from the facility. The facility notified the resident's family, Ombudsman, and law enforcement. In-service training was conducted on elder abuse and mandated reporting.

The investigation found that a staff member assisted a resident back to bed in a rough manner, resulting in redness and scratches on the resident. The staff member was immediately suspended and escorted out. No deficiencies were cited under 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 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. The investigation concluded these allegations were unsubstantiated.

The investigation found all allegations unsubstantiated after reviewing documents and conducting interviews. The facility provided care and services according to care plans and policies, administered medications as prescribed, implemented an action plan after a resident eloped, and adjusted activity programs due to COVID-19 guidelines.

The complaint involved allegations that a resident sustained an injury from a fall, staff did not ensure appropriate fluid intake, and staff did not follow medical orders. The investigation concluded the allegations were unsubstantiated.

The investigation found that although the resident sustained an injury from a fall and was dehydrated, the allegations were unsubstantiated due to lack of preponderance of evidence. Staff ensured hydration was offered, and only one medical order was in place which was followed after discharge.

The complaint alleged that staff did not protect a resident from physical abuse, specifically bruising that looked like finger marks and unauthorized locking of the resident's room by a private caregiver. The allegation was found unsubstantiated after interviews, record reviews, and monitoring.

The allegation that staff did not protect the resident from physical abuse was unsubstantiated. The investigation found that bruising on the resident was likely related to medication making the skin more prone to bruising, and the private caregiver involved was removed from care following the incident.

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 investigation was unsubstantiated. Allegations included resident injury from a fall, inadequate hydration, and failure to follow medical orders. Evidence showed continuous monitoring and staff assistance, but some failure to follow discharge paperwork instructions. No violations were substantiated.

The investigation found that the resident sustained a fall resulting in a head injury and hospitalization. Staff ensured hydration but failed to follow specific discharge instructions regarding monitoring fluid intake. The facility had only one medical order to hydrate the resident and keep track of intake. Overall, the allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not protect a resident from physical abuse, specifically bruising that looked like finger marks and unauthorized locking of the resident's room by a private caregiver. The allegation was found unsubstantiated after interviews, record reviews, and monitoring.

The investigation found that the allegation was unsubstantiated. Although bruising was reported on the resident, it was determined there was no preponderance of evidence to prove staff caused physical abuse. The private caregiver involved was removed from the resident's care and instructed not to lock the resident's room.

The complaint investigation was unsubstantiated. Allegations included inadequate cleaning, lack of communication about outings, and residents not wearing masks. Evidence did not support these claims.

The investigation found the allegations to be unsubstantiated after interviews, file reviews, and observations. Housekeeping was done weekly with additional cleaning upon request, no mold or dirt was found in the inspected room, residents have the right to decide on participation in activities without prior family authorization, and COVID protocols were followed with no reported infections 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 was unsubstantiated. Allegations included resident not being provided adequate food service and facility being in disrepair. After interviews, observations, and record reviews, no evidence supported the allegations.

The investigation found that the resident (R1) was provided food options consistent with their preferences and the facility menus offer extensive choices. The alleged facility disrepair regarding door locks was found to be corrected with no issues observed. Both allegations were unsubstantiated due to lack of evidence.

The complaint alleged that staff caused injury to a resident by grabbing the resident's arm and causing a bruise. The allegation was unsubstantiated based on interviews with staff and review of records, including a safety plan and medication list.

The investigation found the allegation unsubstantiated after interviews, record reviews, and information collection. The resident was noted to have dementia and aggressive behaviors, and no evidence was found to prove staff caused injury.

The complaint was unsubstantiated. Allegations included inadequate food service for a resident and facility disrepair. After interviews, observations, and record reviews, no evidence was found to support the allegations.

The investigation found that the resident had options for food preferences including sandwiches and salads, and the facility menus offered extensive choices. The door lock issue was resolved with the door closing properly and belongings intact. Both allegations were unsubstantiated due to lack 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 complaint alleged that resident R1 was molested by a suspected abuser (SA), a contracted staff member. The facility investigated, interviewed residents and family, and found no substantiation of inappropriate behavior. The SA was temporarily suspended and returned after the investigation. Staff received in-service training on mandated reporting.

The facility conducted an internal investigation and interviews with residents and family members found no signs or reports of inappropriate behavior. The suspected abuser, a contracted fitness center staff, was temporarily suspended but has since returned. 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.

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.

The complaint alleged that facility staff failed to seek timely medical attention for a resident, resulting in the resident's untimely death. The allegation was found to be unsubstantiated after investigation.

The investigation found the allegation to be unsubstantiated based on review of medical records, progress notes, and interviews with facility staff and the resident's responsible party. The resident was sent to the hospital when a change in condition was noted, and there was insufficient evidence to prove neglect.

No deficiencies were cited during the inspection. The facility demonstrated compliance with infection control regulations, including symptom screening, PPE availability, and staff training.

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.

The facility was found to have adequate infection control measures in place, including symptom screening, PPE supply, and COVID-19 prevention signage. 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.