Inspection Reports for Landmark Villa

The inspection was an unannounced annual required inspection conducted by Licensing Program Analyst Delmundo to evaluate compliance with licensing requirements.

The facility was toured and inspected including common areas and resident apartments. Food supplies and safety equipment were found in compliance. Records for disaster drills and medication management were reviewed. No deficiencies were cited during this inspection.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2022-02-03 regarding allegations of pressure injuries, unmet diapering and hygiene needs, lack of staff assistance, and disrespectful treatment of a resident (R1).

After interviews with staff, residents, and family members, review of resident and home health records, and observations, the investigation found insufficient evidence to substantiate any of the five allegations. The allegations were closed as unsubstantiated.

The complaint involved five allegations: 1) Resident (R1) sustained pressure injuries while in care; 2) Resident's diapering needs are not being met; 3) Resident's hygiene needs are not being met; 4) Staff does not assist resident when requested; 5) Staff does not treat resident with dignity and respect. The investigation concluded all allegations were unsubstantiated due to lack of evidence and inability to obtain information from some involved parties.

The visit was an unannounced case management incident inspection to continue obtaining additional information from a prior visit started on January 23, 2025.

No deficiencies were cited during this inspection. Interviews were conducted and an exit interview was held with the Executive Director.

The inspection visit occurred in response to an Unusual Incident Report submitted by the facility regarding alleged rough physical and verbal handling of a resident by a caregiver.

The investigation included review of resident and staff records and interviews. No deficiencies were cited during this unannounced visit, and the caregiver involved was removed from schedule and terminated.

The complaint involved an allegation that on 1/19/25, staff witnessed a caregiver physically and verbally handling a resident roughly. The caregiver was removed from schedule, the resident's family and Ombudsman were notified, and an investigation was conducted resulting in termination of the caregiver.

The inspection was an unannounced annual required inspection conducted by the Licensing Program Analyst to assess compliance with regulatory standards.

The facility was toured and inspected including common areas, resident apartments, and safety equipment. Food supplies, medication storage, and disaster preparedness were reviewed. No deficiencies were cited during the inspection.

The inspection was an unannounced annual required inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.

The facility was toured and inspected including common areas, resident rooms, and staff files. A deficiency was cited for failure to submit an updated Infection Control Plan prior to the visit, and an unlocked chest rub was observed in a resident's room posing an immediate health and safety risk. The facility submitted updated documents during the visit and discussed plans of correction with the Executive Director.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2020-07-10 regarding neglect and improper care of resident R1, including multiple falls, delayed medical attention, and failure to respond to pull cord calls.

The investigation found insufficient evidence to substantiate the allegations of neglect or improper care. The resident's multiple falls, medical attention, and staff response to pull cords were reviewed and determined to be adequately managed. The medication administration allegation was also found unfounded.

The complaint involved three allegations: 1) Resident R1 sustained multiple falls resulting in injuries; 2) Resident R1 was not provided medical attention in a timely manner; 3) Staff failed to respond to resident R1's pull cord in a timely manner. All allegations were closed as unsubstantiated or unfounded after review of medical records, interviews, and facility documentation.

The visit was an unannounced case management inspection conducted during the course of investigation for complaint #15-AS-20200710153037.

Deficiencies were found related to failure to update a resident's Appraisal/Needs and Services Plan after changes in condition and failure to retain medication records for the required minimum of three years, posing potential health and personal rights risks to the resident.

The visit was conducted as part of an investigation for complaint #15-AS-20200710153037.

The visit was conducted to deliver the findings for a complaint #15-AS-20200710153037 and to receive the facility's completed Infection Control Plan due for submission in June.

The Executive Director informed the Licensing Program Analyst that the facility's Infection Control Plan was completed and provided a copy on the day of the visit. An exit interview was conducted and a copy of the report was provided.

The visit was related to complaint #15-AS-20200710153037; no substantiation status is stated.

The inspection was conducted as a result of a complaint received by the Department (Control # 15-AS-20220203093410) to perform a health and safety inspection.

The Licensing Program Analyst inspected common areas and selected apartments, noting minor observations such as hand washing posters missing in kitchenettes and no trash bin with pedal-operated lid outside the isolation room. No deficiencies were cited during this visit.

Inspection was complaint-related based on a complaint received (Control # 15-AS-20220203093410). No deficiencies were cited, indicating no substantiated violations.

The inspection was an unannounced complaint investigation visit triggered by allegations that lack of care or supervision resulted in a resident's (R1) AWOL and fall causing serious bodily injuries.

The investigation substantiated the allegations that resident R1, who has dementia, was able to leave the facility unnoticed and was found injured in the community. Deficiencies were cited related to safety measures for persons with dementia and personal rights, and a $500 civil penalty was assessed.

The complaint investigation was substantiated. Resident R1 with dementia was found down in the community with serious injuries after leaving the facility unnoticed. The allegations met the preponderance of evidence standard. A $500 civil penalty was assessed.

The visit was conducted as part of an investigation of a complaint (Control # 15-AS-20190926095603) regarding the care of a resident with dementia and review of facility records.

The facility failed to provide medical assessments for the resident with dementia for 2018 and 2019 and did not have or submit a Dementia Care Plan as required by regulations. These deficiencies posed potential health and safety risks to the resident.

Investigation of complaint Control # 15-AS-20190926095603 regarding care of a resident with dementia. Deficiencies were substantiated related to missing medical assessments and lack of Dementia Care Plan.

The inspection was an infection control annual inspection conducted to evaluate the facility's compliance with COVID-19 infection control practices and other regulatory requirements.

The facility was found to be in compliance with infection control protocols, including proper use of PPE, symptom screening, social distancing, and emergency preparedness. No deficiencies were cited during this visit.