Inspection Reports for North Lake Villas

An unannounced required one-year inspection was conducted to evaluate compliance with licensing and safety regulations at the facility.

The facility was found to be in compliance with health, safety, and infection control standards. No health and safety issues were observed during the visit, and the facility maintains proper documentation, adequate staffing clearances, and appropriate environmental conditions.

An unannounced Required One (1) year Infection Control inspection was conducted to evaluate compliance with infection control and facility safety standards.

The facility was found to be in compliance with infection control protocols, including proper PPE stock, signage, and screening procedures. The physical plant was well maintained with no health or safety issues observed during the visit.

An unannounced complaint investigation was conducted regarding allegations that facility staff made a resident wait in the cold basement before being moved out, did not allow a resident to be moved out without a 30-day notice, and did not inform the resident's DPOA prior to cutting the resident's hair.

The allegation that a resident was made to wait in a cold basement was substantiated, with a deficiency cited for not ensuring the resident's personal rights and comfortable accommodations. The allegations regarding the 30-day notice for moving out and informing the resident's DPOA prior to cutting hair were unsubstantiated.

The complaint investigation was substantiated for the allegation that facility staff made a resident wait in a cold basement before being moved out. The other allegations regarding 30-day notice for moving out and informing the resident's DPOA prior to hair cutting were unsubstantiated.

Unannounced complaint investigation visit conducted due to allegations including staff threatening a resident with eviction and resident's needs not being met.

The investigation found no preponderance of evidence to substantiate the allegations. It was determined that the resident needed a higher level of care due to worsening pressure ulcers, and the facility offered adequate assistance with bathing and toileting, which the resident refused.

The complaint involved allegations that staff threatened a resident with eviction and did not meet the resident's needs. Both allegations were deemed unsubstantiated after interviews and record reviews.

An unannounced complaint investigation visit was conducted in response to allegations that a resident was not provided a copy of their Admissions Agreement while in care and that the facility failed to keep premises free from obstructions.

Both allegations were investigated through interviews and observations. The facility was found to have provided the resident with the admission agreement and promptly removed obstructions from the resident's path. There was insufficient evidence to substantiate either allegation, and both were deemed unsubstantiated.

The complaint involved two allegations: 1) Resident was not provided a copy of their Admissions Agreement while in care, and 2) Facility failed to keep premises free from obstructions. Both allegations were investigated and found unsubstantiated due to lack of preponderance of evidence.

An unannounced Required One (1) year Infection Control inspection was conducted to assess compliance with infection control protocols and overall facility conditions.

The facility was found to be in compliance with infection control and safety standards, including proper signage, PPE stock, locked medication storage, and clean, well-maintained living areas. No deficiencies were cited during the inspection.