Inspection Reports for Regent Villa

The inspection was an unannounced Case Management - Annual Continuation visit conducted to continue inspection from 08/28/2025 and to assess compliance with licensing requirements for the facility.

The Licensing Program Analyst reviewed resident and staff files, observed medication storage, and found all required documentation and postings in compliance. No deficiencies were cited during this visit.

The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.

The facility was found to be clean, sanitary, and appropriately furnished with no deficiencies issued during the visit. Safety measures, kitchen conditions, and physical plant were all satisfactory, with no immediate risks identified.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-04-07 regarding insufficient staffing and failure to provide necessary assistance to a resident.

The investigation found insufficient evidence to substantiate the allegations. Interviews with staff, residents, and administrators, as well as review of policies and staffing records, indicated that the facility maintained sufficient staffing and provided appropriate assistance to residents.

The complaint alleged that the facility did not have enough staff to meet residents' needs and that staff failed to assist a resident who fell. The investigation included interviews with staff, residents, and administrators, review of policies, incident reports, and staffing schedules. All parties denied the allegations, and evidence showed sufficient staffing and appropriate assistance. The allegations were unsubstantiated.

An unannounced complaint investigation visit was conducted regarding allegations that staff pushed and mentally abused a resident in care.

The investigation included interviews with the administrator, staff, and residents, as well as review of training records. All interviewed parties denied the allegations, and residents reported feeling safe and respected. There was insufficient evidence to support the allegations, and the complaint was unsubstantiated.

The complaint alleged that staff pushed and mentally abused resident R1. The administrator and staff denied the allegations. Five residents interviewed also denied any abuse and reported feeling safe. Staff training on Resident Rights and Suspected Elder Abuse was confirmed. The allegations were unsubstantiated due to insufficient evidence.

An unannounced 24-hour case management visit was conducted to gather additional information regarding the death of a resident reported to the Regional Office on May 5, 2025.

The investigation found that the resident was deceased due to a self-inflicted stabbing. The Licensing Program Analyst and Administrator toured the facility and reviewed relevant documents. No deficiencies were cited during the visit.

The visit was complaint-related, triggered by the reported death of a resident (R1) found with a knife lodged in his abdominal cavity. The investigation by Long Beach PD concluded the stabbing appeared self-inflicted.

The visit was an unannounced complaint investigation conducted in response to allegations that the facility did not have enough staff to meet residents' needs and that staff did not provide necessary assistance to residents.

The investigation found insufficient evidence to substantiate the allegations. Interviews with staff, residents, and administrators, as well as policy reviews and observations, confirmed that adequate staffing was maintained and that staff assist residents when it is safe to do so.

The complaint alleged insufficient staffing to meet resident needs and refusal of staff to assist a resident from the ground. The investigation included interviews with the administrator, staff, assistant administrator, and residents, as well as review of relevant policies. All parties denied the allegations, and observations confirmed adequate staffing and assistance. The allegations were unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not award resident privacy and did not treat residents with respect.

The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, as well as review of training and resident files, indicated that staff respect resident privacy and treat residents with dignity and respect. No citations were issued.

The complaint alleged that staff did not award resident privacy by unlocking residents' rooms when they were not present, and that staff did not treat residents with respect due to ongoing unresolved concerns. Both allegations were unsubstantiated after investigation.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-11-14 regarding multiple allegations about resident care and facility conditions at Regent Villa Retirement Home.

The investigation found insufficient evidence to substantiate any of the allegations, including failure to timely empty a urinary catheter, lack of assistance with activities of daily living, presence of malodors, pest issues, and improper medication dispensing. All allegations were determined to be unsubstantiated.

The complaint included allegations that staff did not timely empty a urinary catheter for a resident, did not assist residents with activities of daily living, did not keep the facility free of malodors and pests, and did not dispense medications as prescribed. Interviews with staff and residents, and review of records such as Physician’s Report, Medication Administration Records, Shower/Laundry Schedules, and Pest Control Service Reports, found no evidence to support these allegations. The complaint was therefore unsubstantiated.

An unannounced complaint investigation visit was conducted following a complaint received on 02/09/2024 regarding questionable death, staff response to signal system, and staff training in emergency procedures.

The investigation found that the resident's death was due to cardiac arrest and hypertensive heart disease, with no evidence that staff failed to provide CPR appropriately. Staff response times to emergency signals were generally timely, and all direct care employees had current CPR training. The allegations were found to be unsubstantiated based on interviews, records review, and evidence gathered.

The complaint alleged questionable death due to staff not following up on change of condition and not providing CPR, failure to respond to signal system timely, and improper staff training in emergency procedures. The investigation found no sufficient evidence to substantiate these allegations.

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations at the facility.

The facility was found to be clean, sanitary, and appropriately furnished with operational safety equipment and adequate food supplies. However, discrepancies were found in medication administration records where MedTechs failed to document medication given or refusal for residents #2 and #5.

The inspection was an unannounced complaint investigation visit conducted to investigate an allegation that staff do not allow residents to select the doctor of their choice.

The investigation found insufficient evidence to support the allegation. Interviews with staff and residents indicated that residents are given a choice to keep their current doctor or transition to in-house doctors, and no coercion was reported. The allegation was determined to be unsubstantiated and no deficiencies were cited.

The complaint alleged that the facility does not allow residents to choose their own doctor. The allegation was unsubstantiated based on interviews with 5 staff and 10 residents who denied the claim and confirmed residents have choice in selecting their doctor.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff altered a resident's record, specifically the resident's Physician Orders for Life-Sustaining Treatment (POLST).

The investigation included interviews with residents, staff, and witnesses, as well as a review of facility documents. The allegation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violation occurred.

The complaint alleged that staff altered a resident's POLST. Interviews with staff, residents, and witnesses, along with record reviews, did not substantiate the allegation. The resident had progressively refused medications over several months, and the investigation concluded the allegation was unsubstantiated.

An unannounced complaint investigation visit was conducted following a complaint received on 08/11/2023 alleging that facility staff did not seek medical attention in a timely manner for a resident.

The investigation included interviews with staff and residents, review of medical and training records, and examination of incident reports. The allegation was found to be unsubstantiated as the preponderance of evidence did not prove the alleged violation occurred. Staff responded to the call light within four minutes and contacted emergency services approximately eight minutes after receiving the report.

The complaint alleged that facility staff did not seek medical attention in a timely manner for Resident #1 following a fall. The investigation found that staff responded promptly, emergency services were contacted in a timely manner, and the allegation was unsubstantiated.

The visit was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements at Regent Villa Retirement Home.

The inspection found the facility to be clean, well-maintained, and in good repair with all required safety and health measures in place. No deficiencies or citations were observed during the visit.

Unannounced complaint investigation visit conducted due to multiple allegations including illegal eviction and missing resident personal items.

The investigation substantiated the allegations of illegal eviction and missing resident personal items. Other allegations such as failure to notify responsible party of resident's change in condition, staff pushing residents, staff transferring residents for medical treatment without permission, and resident threats were found unsubstantiated.

The complaint investigation was substantiated for illegal eviction and missing resident personal items. Other allegations were unsubstantiated based on interviews and record reviews.

The inspection was an unannounced complaint investigation initiated due to an allegation that the facility did not safeguard a resident's cash.

The investigation found no preponderance of evidence to prove the alleged violation occurred. Interviews and document reviews revealed no complaints or proof of missing money, resulting in the allegation being unsubstantiated.

The complaint alleged that the facility did not safeguard resident's cash. The investigation included interviews with residents, staff, and review of records. Both residents accused each other of stealing money but neither reported to police or administration, and no evidence was found to substantiate the allegation. The complaint was determined to be unsubstantiated.

An unannounced annual required visit was conducted with a primary focus on infection control measures.

The facility was found to be clean, well-maintained, and compliant with infection control protocols including PPE supply, visitor and staff screening, and sanitation stations. No deficiencies were cited under California code of regulation title 22, division 6, chapter 8.