Inspection Reports for
Landmark Villa

The visit was triggered by a complaint incident involving a resident who fell and sustained injuries. The resident was diagnosed with a fracture and later passed away. No deficiencies were substantiated.

The resident was found with confusion and bruises after a fall and was diagnosed with a transverse process fracture. The resident was placed on hospice care and passed away shortly after. No deficiencies were cited during the inspection.

The facility was found to be clean and safe with no imminent health or safety concerns. The kitchen and food supply were adequate, and staff and resident files were properly maintained with fingerprint clearances. No deficiencies were cited during the inspection.

The report documents discussions regarding licensing compliance issues such as withdrawal of subletting lease agreement, rescinding a letter to residents, payment of outstanding fees, and requirements for prospective management company application. No specific deficiencies were cited in this report.

The Licensing Program Analyst discussed with the Executive Director the notification of change of ownership and referred to relevant regulations and codes. No deficiencies or violations were cited in this report.

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 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.

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.

No deficiencies were cited during this inspection. Interviews were conducted with the Executive Director, and an exit interview was completed with a copy of the report provided.

The complaint involved staff (S2) witnessing caregiver (S1) physically and verbally handling resident (R1) roughly. The caregiver was removed from schedule and terminated following investigation. The resident's daughter, Ombudsman, and Community Care Licensing were notified.

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

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

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.

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

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.

The facility was found to be in compliance with infection control protocols, including proper PPE use, symptom screening, and social distancing. No deficiencies were cited during the visit. Emergency plans, medication storage, and safety equipment were properly maintained.