Inspection Reports for
Lincoln Retirement Villa

The inspection found that the facility was following the care plan for a resident with multiple falls and that a resident was able to leave the facility unsupervised. However, a deficiency was cited for having portable safety barriers blocking the front, side, and back exit doors, which posed a potential safety and personal rights risk.

The inspection found that the facility had a portable safety barrier blocking exit doors, which posed a potential safety risk. The facility was also repainting walls without notifying the Department. The facility was following the care plan for a resident with multiple falls.

The deficiency was observed while the Licensing Program Analyst was conducting another visit related to a complaint (15-AS-20250924164021).

A deficiency was observed involving a strong urine odor in the hallway near Rooms #10 to #14, indicating noncompliance with California Code of Regulations, Title 22 and/or Health and Safety Code related to managed incontinence and facility odor control.

The complaint was substantiated regarding failure to prevent a resident from developing scabies. The investigation included interviews with staff, witnesses, and residents, and review of multiple documents. The complaint about unclean rooms and bedding was unsubstantiated.

The investigation substantiated the allegation that staff failed to prevent a scabies outbreak, posing an immediate health and safety risk to residents. However, allegations regarding failure to clean residents' rooms and bedding were found to be unsubstantiated based on interviews and observations.

The visit was complaint-related due to a self-reported AWOL incident of resident R1 on 12/08/2025. The incident was substantiated by staff GPS tracking and physician reports indicating R1 is unable to leave unassisted.

The licensee failed to comply with care and supervision requirements when resident R1 AWOL'D from the facility, posing a potential safety risk. A Type B deficiency was cited related to insufficient care and supervision.

The facility failed to comply with care and supervision requirements when resident R1 AWOL'd from the facility twice, posing a potential safety risk. The facility's alarm was not working during one incident, and staff were busy assisting residents and did not hear the alarm. Both alarms were verified operational during the visit.

The facility failed to comply with care and supervision requirements when resident R1 AWOL'd from the facility twice, posing a potential safety risk. The facility's alarm was not working during the second incident, and staff were busy assisting residents and did not hear the alarm. Both alarms were verified operational during the visit.

Inspection was triggered by a priority 2 complaint. Substantiation status is not explicitly stated.

The inspection found that the fire extinguisher was last serviced over a year ago and food was not properly labeled and stored, resulting in citations from the California Code of Regulations and/or Health and Safety Code.

The visit was triggered by a priority 2 complaint. The complaint was investigated and deficiencies were cited.

The inspection found that the facility had an expired fire extinguisher service tag and food was not properly labeled and stored, both posing potential safety risks to residents.

The visit was complaint-related due to a self-reported incident involving Resident 1 leaving the facility unassisted against physician's orders. The complaint was substantiated by the incident report and physician's documentation.

The facility failed to prevent Resident 1 from leaving unassisted, resulting in a hematoma and hospital visit. This was cited as a Type B deficiency for not meeting care and supervision requirements.

The facility was found deficient for allowing Resident 1 to leave unassisted, posing a potential health and safety risk. The deficiency was cited under California Code of Regulations, Title 22, Section 87468.2(a)(4).

The facility was toured and found to have adequate safety features such as grab bars, non-skid mats, operational smoke detectors, and fire extinguishers. However, the facility is not ready to be licensed due to outstanding corrections including the need for a facility sketch verified by the fire department and unsecured medications accessible to residents.

The facility was toured and several deficiencies were observed including unlocked medication carts, lack of thermostat in freezer, improper food storage, insufficient emergency food, damaged window screens, clutter in courtyard, lack of emergency flashlights, presence of cleaning chemicals in resident rooms, and incomplete resident records. The facility was determined not ready for licensure pending correction of these issues.