Inspection Reports for Mission Villa Senior Living

The visit was an unannounced office non-compliance conference meeting conducted to discuss multiple violations and to increase frequency of monitoring inspection visits to ensure compliance with Title 22 regulations.

During the meeting, several violations related to basic services, medical care, reappraisals, resident records, personnel requirements, and other regulatory areas were discussed. The licensee agreed to contact the Technical Support Program and was informed that additional civil penalties may be assessed pending review.

An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements at the facility.

The facility was found to be clean, odor-free, and free from hazards. Resident rooms and bathrooms were properly furnished and equipped. Kitchen and medication storage met safety standards. Emergency drills and safety equipment were up to date. Resident and staff records were complete and current. No citations were issued during the visit.

The inspection was an unannounced office visit conducted to evaluate the facility's compliance with licensing requirements.

The report does not provide specific narrative details or findings about deficiencies or compliance status.

An unannounced complaint investigation visit was conducted to investigate multiple allegations including untimely refund of advance fees, staff neglect resulting in resident's death, medication dispensing issues, bathroom repair, provision of bed linens, and postural supports for a resident.

The investigation substantiated the allegation that the licensee did not issue a timely refund of advance fees, with a refund check issued past the required 15-day period. Other allegations including staff neglect resulting in resident's death, medication dispensing, bathroom repair, bed linens, and postural supports were found unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was triggered by allegations including untimely refund of advance fees, staff neglect resulting in resident's death, failure to dispense medication as prescribed, failure to maintain resident's bathroom in good repair, failure to provide adequate bed linens, and failure to provide postural supports. The refund allegation was substantiated; other allegations were unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2025-01-29 regarding temperature control, visitor restrictions, and sleeping accommodations at the facility.

The allegation that the facility did not maintain a comfortable temperature was substantiated due to lack of functioning heating units and residents wearing heavy jackets and blankets. The allegations regarding visitor restrictions and inadequate sleeping accommodations were unsubstantiated based on staff interviews and observations during the visit.

The complaint investigation was substantiated for the allegation that the licensee failed to maintain a comfortable temperature for residents. The allegations that residents were not allowed visitors in their rooms and that residents were provided inadequate sleeping accommodations were unsubstantiated.

An unannounced case management visit was conducted in relation to complaint #14-AS-20240717162214 to investigate alleged deficiencies.

The investigation found that Resident 1's file was incomplete, lacking completed reappraisals, service plans, and pre-admission appraisal. Deficiencies were cited under California Code of Regulations, Title 22.

The visit was complaint-related, investigating complaint #14-AS-20240717162214. The complaint was substantiated by the finding of incomplete resident records.

An unannounced complaint investigation visit was conducted in response to multiple allegations received on 07/17/2024 regarding inadequate hydration, neglect, and other care concerns for a resident at Pacifica Senior Living Mission Villa.

The investigation substantiated the allegation that staff did not ensure a resident was adequately hydrated, resulting in hospitalization for dehydration and UTI. Other allegations including neglect resulting in death, leaving resident soiled, failure to address condition changes, failure to seek timely medical attention, and failure to assist with repositioning were found unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was substantiated for inadequate hydration leading to hospitalization. Other allegations including neglect causing death, leaving resident soiled, failure to address condition changes, failure to seek timely medical attention, and failure to assist with repositioning were unsubstantiated.

An unannounced case management visit was conducted in relation to complaint #14-AS-20240424121204 to investigate compliance with fingerprint clearance and facility association requirements for staff.

The investigation found that Staff #1 was not fingerprint cleared or associated with the facility as required. Documentation was not available from facility representatives. A civil penalty of $500 was assessed.

Complaint #14-AS-20240424121204 triggered the investigation. The deficiency related to fingerprint clearance was substantiated and resulted in a civil penalty.

The inspection was an unannounced complaint investigation visit triggered by allegations of lack of supervision resulting in an unwitnessed fall with a fractured hip and failure to seek timely medical care for a resident, as well as an allegation that staff left a resident in dirty clothes.

The investigation substantiated that due to lack of supervision and short staffing, a resident had an unwitnessed fall resulting in a fractured hip and staff did not seek timely medical care, causing delayed hospital transfer. Another allegation that staff left a resident in dirty clothes was unsubstantiated due to insufficient evidence.

The complaint was substantiated. The allegations included lack of supervision leading to an unwitnessed fall with a fractured hip and failure to seek timely medical care. The investigation found that staff delayed calling 911 despite the resident's pain and that short staffing contributed to inadequate supervision. The allegation that staff left a resident in dirty clothes was unsubstantiated.

An unannounced case management visit was conducted related to complaint #14-AS-20240514090937 to investigate medication administration practices by the memory care director.

The investigation found that the memory care director was administering medication to residents without having passed the required medication handling/med-tech certification exam, posing an immediate health and safety risk to residents. A citation was issued for this deficiency.

Investigation was conducted in relation to complaint #14-AS-20240514090937. The deficiency was substantiated as the memory care director did not pass the required medication handling exam.

Unannounced complaint investigation visit to provide additional citations related to previously substantiated complaint allegations regarding staff neglect causing resident weight loss and dehydration.

The facility failed to adequately monitor the resident's food and water intake, resulting in weight loss from 120lbs to 111lbs and dehydration requiring emergency room treatment. There was also a change in the resident's mental condition noted at the hospital. These findings pose an immediate health and safety risk.

Complaint substantiated. Allegations included staff neglect causing resident weight loss and dehydration. Additional citations issued on 09/16/2024 following prior substantiation on 08/20/2024.

An unannounced case management - incident visit was conducted following a report that a resident was found with a bottle of cleaning solution in her room, posing an immediate health and safety risk.

The facility failed to keep cleaning solutions inaccessible to residents, as a cleaning solution was left in a resident's room and the resident had some of the solution on her face. The resident was evaluated and placed on increased supervision for 72 hours as a safety precaution.

The visit was complaint-related due to a report on 08/29/2024 that a resident was found with a bottle of cleaning solution in her room. The complaint was substantiated as the facility failed to keep cleaning solutions inaccessible to residents, posing an immediate health and safety risk.

An unannounced complaint investigation visit was conducted to deliver findings regarding allegations of staff neglect resulting in resident weight loss and dehydration.

The investigation substantiated that a resident lost weight from 120 lbs to 111 lbs over approximately five weeks and was diagnosed with a dehydration-related condition requiring intravenous fluids. Other allegations regarding timely medical care and noticing changes in the resident's condition were unsubstantiated.

The complaint investigation was substantiated for allegations of staff neglect causing resident weight loss and dehydration. Other allegations about staff not seeking timely medical care or not noticing changes in the resident's condition were unsubstantiated.

An unannounced 1 year annual inspection visit was conducted by Licensing Program Analyst Jaime Vado to evaluate compliance with licensing regulations.

The facility was toured inside and outside, with checks on water temperature, fire extinguishers, smoke detectors, food supplies, medication storage, and emergency egress routes. No citations were issued and the facility was found to be in compliance with regulations.

An unannounced case management visit was conducted in conjunction with a complaint visit to make observations throughout the facility.

Staffing observations were made and a copy of the weekly staff schedule was requested. Staffing levels were discussed with the Marketing Director. No citations were issued.

Visit was conducted in conjunction with a complaint investigation; no citations were issued.

An unannounced case management visit was conducted to observe facility operations and staffing, including review of staff schedules and resident roster.

The inspection found staffing and training violations, including a shortage of med-techs with only one med-tech handling medications for both floors, and a memory care director administering medications without proper certification or training. These violations pose a health and safety risk to residents.

An unannounced complaint investigation visit was conducted to investigate allegations received regarding inadequate housekeeping service, safeguarding of personal belongings, assistance with grooming and showering, and provision of toiletry items to residents.

The investigation included interviews, document reviews, and observations. The resident appeared well kept and their room was in order. Toiletry items were provided based on evaluations and behaviors. The allegations could neither be proven nor disproven and were therefore unsubstantiated.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.

An unannounced complaint investigation visit was conducted in response to a complaint received on 2022-10-06 regarding multiple allegations about staff and resident care at the facility.

The investigation found no preponderance of evidence to substantiate any of the allegations. Conflicting information and inability to contact the reporting party resulted in all allegations being unsubstantiated.

The complaint included allegations such as staff not preventing a skin rash outbreak, locking residents in rooms for extended periods, neglecting residents' bathroom and hygiene needs, failing to schedule medical check-ups, and not providing a safe and healthy environment. All allegations were found unsubstantiated due to lack of evidence.

An unannounced complaint investigation visit was conducted to investigate allegations including failure to conduct a preadmission appraisal, illegal eviction, failure to provide a refund, medication mismanagement, failure to inform authorized representative of condition changes, false facility advertisement, failure to intervene timely in resident altercation, and resident isolation.

The investigation found the initial complaint regarding preadmission appraisal, eviction, and refund to be unfounded. Additional allegations related to medication management, communication, advertisement, intervention, and isolation were unsubstantiated due to lack of sufficient evidence. The facility was found to have acted appropriately in all investigated matters.

The complaint was investigated and found to be unfounded or unsubstantiated. Specifically, the facility did conduct a preadmission appraisal, did not evict the resident illegally, and provided the required refund. Medication management was reviewed with no evidence of mismanagement found. Notifications to the authorized representative were documented. Allegations of false advertisement and failure to intervene timely were not proven. The claim of resident isolation was inconclusive due to conflicting accounts.

An unannounced complaint investigation visit was conducted to investigate allegations that the facility failed to ensure infection control practices were followed or maintained, resulting in multiple residents getting scabies.

The investigation found that the facility is adhering to its infection control policies and scabies was not widespread, indicating control practices are being followed. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated. Although the allegations may have occurred, there was insufficient evidence to prove the violations did or did not occur.

Unannounced complaint investigation visit conducted in response to a complaint alleging that the facility abandoned a resident.

The investigation found the allegation to be unfounded, meaning the complaint was false, could not have happened, or was without reasonable basis. No citations were issued.

Complaint alleging the facility abandoned a resident was investigated and found to be unfounded.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements, including infection control and safety measures.

The facility was found to have adequate infection control practices, proper storage of medications and sharps, and sufficient PPE and cleaning supplies. However, the administrator was unable to provide documentation for staff and resident screening logs, and was advised to begin daily temperature screening and logging.

Unannounced case management inspection visit to discuss and obtain documents pertaining to resident R1, including circumstances regarding the eviction of R1.

LPAs met with the administrator, discussed the eviction circumstances of R1, and received some requested documents in person. Additional documents will be forwarded once received from the facility's corporate office.

An unannounced complaint investigation visit was conducted in response to allegations received on 2021-03-03 regarding resident care concerns at Pacifica Senior Living Mission Villa.

The investigation found no evidence to substantiate the allegations that a resident sustained severe dehydration or that staff failed to communicate with the authorized representative regarding the resident's change in health conditions. Both allegations were determined to be unsubstantiated after review of medical records and hospice documents.

The complaint investigation was unsubstantiated. Allegations included severe dehydration of a resident and lack of communication with the authorized representative. The Department found no evidence supporting these allegations after reviewing medical and hospice records.