Inspection Reports for
St. Paul‘s Villa

The facility was found to be in compliance with all licensing requirements. No deficiencies were observed or cited during the inspection. The facility environment, safety equipment, staff and resident records, and medication storage were all satisfactory.

The facility was found to be in compliance with all licensing requirements. No deficiencies were observed or cited during the inspection. The facility environment, safety equipment, and records were all satisfactory.

The complaint investigation was unsubstantiated. Allegations included neglect/lack of supervision causing serious bodily injuries, neglect resulting in delayed medical care, and neglect in providing incontinence care. The investigation included records review and interviews with staff and outside sources. The DPOA was involved in care decisions and declined initial hospital transfer. Staff followed care plans and documented toileting assistance.

The investigation found no substantial evidence to support the allegations. Resident R1 sustained injuries from an unwitnessed fall, but staff responded appropriately by assessing the resident, calling paramedics, and notifying the Durable Power of Attorney (DPOA). The DPOA declined hospital transfer initially but later took R1 to the hospital after a subsequent fall. Documentation showed staff provided incontinence care as required.

The facility was found to be in compliance with safety, sanitation, and operational standards including adequate supplies, proper medication storage, functional safety equipment, and no hazards observed on premises.

The complaint alleged unlawful eviction of Resident #1 and failure to report changes in the resident's condition to the physician. The investigation included facility tour, record reviews, and interviews. The allegations were found unsubstantiated.

The investigation found that the resident had a history of aggressive behavior and was hospitalized on physician recommendation. Records confirmed the physician was aware of changes in the resident's condition and the facility attempted to coordinate care prior to hospitalization. The allegations were determined to be unsubstantiated due to lack of supporting evidence.

During the visit, a facility tour, welfare check, record collection, and interviews were conducted. No deficiencies were observed or cited during the visit.

No deficiencies were cited during the visit after investigation, interviews, and record reviews related to the resident's fall and injury.

The Licensing Program Analyst conducted interviews, record reviews, and a health and safety check. Resident 1 received four staples for the wound, and no health or safety issues were observed. No deficiencies were cited during the visit.

The inspection found no deficiencies. The facility was observed to be clean, safe, and well-maintained with proper medication storage, adequate staffing, and appropriate resident care and activities.

The complaint alleged that two residents were not treated for an infectious disease but had their clothing removed, residents were isolated without family notification, and two residents were isolated without clothing. The investigation found no corroborating evidence and the complaint was unsubstantiated.

The investigation found that the facility arranged for medical evaluations and treatments for affected residents, followed infectious disease control guidance from the California Department of Public Health, and communicated with families. The allegation was unsubstantiated as there was no evidence to support the claim that necessary precautions were not taken.

The complaint alleged that staff yelled at a resident. Interviews and records review revealed a disagreement between resident 1 and staff 1 regarding medication dosage, but no evidence supported rude or disrespectful treatment. Staff 1 was removed from resident 1's care. The allegation was deemed unsubstantiated.

The investigation included interviews, records review, and facility tour. The allegation that staff yelled at a resident was found to be unsubstantiated based on the preponderance of evidence. No concerns regarding staff-resident interactions were identified.

The complaint alleged that the facility restricted a resident's access to their physician. The investigation found no evidence to substantiate this allegation.

The investigation included record reviews, interviews, and physical plant tours. It was determined that although the incident may have happened and is valid, there was not a preponderance of evidence to prove it occurred, and the complaint was unsubstantiated.

No deficiencies were cited or observed during the visit. The Licensing Program Analyst toured the facility, reviewed records, and conducted an exit interview with the administrator.

No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated infection control measures including disinfection, testing, vaccination, screening protocols, and PPE use.

No deficiencies were cited during the visit. The Licensing Program Analyst interviewed the Administrator and Director of Nursing and reviewed the facility's Absentee Notification Plan.