Inspection Reports for The Plaza At Westwood Senior Living

An unannounced complaint investigation visit was conducted in response to allegations that staff do not accord dignity to residents and that staff are not preventing residents from harassing other residents.

The investigation found no preponderance of evidence to support the allegations. Interviews with staff and residents indicated that residents are generally treated with dignity and that staff provide supervision to prevent harassment. No deficiencies were cited during the visit.

The complaint involved two main allegations: 1) staff do not accord dignity to residents, including locking the administrator's door and not addressing incidents; 2) staff are not preventing resident harassment, including incidents involving police response. The investigation included interviews, document reviews, and observations. The allegations were unsubstantiated due to lack of evidence.

The inspection was an unannounced complaint investigation visit triggered by an allegation of staff physically abusing a resident.

The investigation included interviews with residents and staff, a tour of the facility, and observations. The allegation was found to be unsubstantiated due to lack of preponderance of evidence to prove the alleged abuse occurred.

The complaint alleged staff physically abused a resident. Interviews with residents and staff did not confirm the abuse. Staff reported alternate caregiving measures were implemented to prevent future occurrences. The allegation was determined to be unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate an allegation that staff physically abused a resident.

The investigation included interviews with residents and staff, observations, and document reviews. The allegation of physical abuse was found to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged staff physically abused a resident. Interviews with residents and staff, as well as observations, did not support the allegation. The allegation was found unsubstantiated.

The visit was an unannounced complaint investigation triggered by allegations received on 2025-05-06 regarding staff not allowing a resident to sit with a significant other and staff making inappropriate comments about a resident.

The investigation included interviews with residents and staff, observations, and a facility tour. Both allegations were found to be unsubstantiated due to lack of preponderance of evidence proving the alleged violations did or did not occur.

The complaint investigation was unsubstantiated. Allegation 1 involved staff not allowing a resident to sit with a significant other, which was found to have occurred only once and residents and staff confirmed freedom of seating with accommodations to prevent conflicts. Allegation 2 involved staff making inappropriate comments regarding a resident, which was denied by residents and staff and no complaints were reported.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-05-06 regarding allegations of staff not accepting a resident back into care following hospitalization, staff not treating residents with dignity or respect, and staff leaving residents in soiled diapers for an extended period of time.

The investigation found all allegations to be unsubstantiated based on interviews with staff, residents, and review of records. No evidence or documentation supported the allegations, and no citations were issued.

The complaint investigation was unsubstantiated. Allegations included refusal of re-admission after hospitalization, mistreatment of residents, and failure to timely change soiled diapers. Interviews and record reviews did not support these allegations, and the preponderance of evidence standard was met to find the allegations unsubstantiated.

The inspection visit was conducted to investigate multiple allegations received on 2024-08-13 regarding staff retaliation, yelling, verbal abuse, harassment, discrimination, theft, and facility disrepair at the Plaza at Westwood facility.

The investigation found insufficient evidence to substantiate allegations of staff retaliation, yelling, verbal abuse, harassment, discrimination, theft, and facility disrepair. However, the allegation that the licensee failed to ensure residents were provided with hot water was substantiated, with water temperatures in several rooms below the required range, posing a health and safety risk.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Zina Brown. Allegations included staff retaliation, yelling, verbal abuse, harassment, discrimination, theft of residents' belongings, facility disrepair, and failure to provide hot water. Interviews with staff and residents, facility tours, and document reviews were conducted. All allegations except the hot water issue were found unsubstantiated. The hot water allegation was substantiated based on water temperature measurements in multiple resident rooms.

An unannounced visit was conducted to investigate complaints alleging that staff did not allow a resident to sit with their significant other and that staff made inappropriate comments regarding a resident.

Interviews with residents and staff, as well as observations during the visit, found that residents are allowed to sit wherever and with whomever they choose. Staff make efforts to accommodate seating preferences to prevent conflicts. No evidence was found to substantiate the allegations of inappropriate staff behavior or seating restrictions.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations did or did not occur.

Unannounced complaint investigation visit conducted to investigate multiple allegations including mold and chemical presence in resident rooms, improper room maintenance, verbal abuse, failure to seek emergency assistance, resident abuse, safeguarding of personal belongings, unlawful eviction, and refusal to provide documentation.

All allegations investigated were found to be unsubstantiated after interviews with residents and staff, facility tours, and document reviews. No evidence was found to support claims of mold, abuse, improper maintenance, or unlawful eviction. Emergency assistance was confirmed to have been called appropriately.

The complaint investigation was triggered by multiple allegations including mold and chemicals in resident rooms, improper maintenance, verbal abuse, failure to seek emergency assistance, abuse of residents, failure to safeguard personal belongings, unlawful eviction, and refusal to provide requested documentation. After interviews with 6 clients and 5 staff members for each allegation, facility tours of 10 rooms, and review of relevant documents including court orders and SIR reports, all allegations were found to be unsubstantiated.

An unannounced annual comprehensive inspection was conducted to evaluate compliance with licensing requirements and assess the facility's conditions and operations.

The inspection found the facility to be clean, sanitary, and appropriately furnished with no deficiencies cited. Resident files, staff certifications, medication administration records, and physical plant conditions were all current and satisfactory.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2024-05-09 regarding laundry service, housekeeping, mail delivery, medical care, and facility maintenance.

The investigation found no evidence to support any of the allegations. Interviews with staff and residents, facility tours, and document reviews indicated that laundry, housekeeping, mail delivery, medical care, and facility maintenance services were provided adequately and the facility was well maintained. All allegations were determined to be unsubstantiated.

The complaint investigation was triggered by allegations that staff did not provide laundry service, housekeeping service, mail delivery, medical care, and that the facility was not maintained in good repair. After thorough investigation including interviews with 6 staff and 8 residents, tours of multiple rooms, and review of records, the allegations were found unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-02-13 regarding allegations including staff not accepting a resident back into care following hospitalization and staff attempting to administer medication by force.

The investigation substantiated the allegation that staff did not accept a resident back into care following hospitalization due to the resident needing a higher level of care, which the facility could not provide, citing violations of Title 22 regulations. The allegation that staff attempted to administer medication by force was unsubstantiated based on staff and resident interviews and document review.

The complaint investigation was substantiated for the allegation that staff did not accept a resident back into care following hospitalization. Three of nine staff and three witnesses corroborated the allegation, while six staff had no knowledge. The facility failed to follow Title 22 regulations for residents needing a higher level of care. The allegation that staff attempted to administer medication by force was unsubstantiated with all staff denying the claim and residents confirming no forced medication administration.

An unannounced complaint investigation was conducted to investigate allegations that staff were stealing residents' personal belongings while in care.

The investigation included interviews with staff and residents, review of records, and a facility tour. No evidence was found to support the allegation, and the complaint was determined to be unsubstantiated. No deficiencies were cited.

The allegation was that staff stole residents' personal belongings, specifically money from a resident. Interviews with 5 staff members and 6 residents mostly denied the allegation, and no reports of missing items were found. The allegation was unsubstantiated due to lack of evidence.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-02-13 alleging that staff did not accept a resident back into care following hospitalization and that staff attempted to administer a resident's medication by force.

The investigation included interviews with staff, residents, witnesses, and review of relevant records. There was insufficient evidence to substantiate either allegation, and both were determined to be unsubstantiated.

The complaint involved two allegations: 1) Staff did not accept resident back into care following hospitalization, and 2) Staff attempted to administer resident’s medication by force. After interviews and record reviews, there was insufficient evidence to support either allegation, resulting in both being unsubstantiated.

The visit was an unannounced one-year inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.

The facility was found to be in compliance with all applicable regulations with no deficiencies observed. The physical plant, resident rooms, bathrooms, kitchen, common areas, safety equipment, and medication storage were all inspected and found satisfactory.

The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations received on 2024-03-11 regarding resident care, maintenance, abuse, emergency assistance, safeguarding belongings, unlawful eviction, and documentation requests at Plaza at Westwood.

The investigation included interviews with residents, staff, and the administrator, as well as a tour of the facility and review of relevant records. All allegations were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred.

The complaint investigation addressed nine allegations: failure to keep rooms free from mold and chemicals, improper room maintenance, verbal abuse, failure to seek emergency assistance, resident abuse, failure to safeguard personal belongings, unlawful eviction, refusal to provide requested documentation, and staff abuse. All allegations were found unsubstantiated after interviews and observations.

An unannounced complaint investigation visit was conducted in response to an allegation that facility staff do not ensure resident's rooms are maintained clean.

The investigation found the facility to be clean and sanitary with no evidence supporting the allegation. Resident rooms inspected were clean and in good repair, and staff and residents confirmed regular cleaning practices. The allegation was determined to be unsubstantiated.

The allegation was that resident rooms were dirty, unsanitary, and cluttered to the point of being a safety issue. After inspection, interviews, and document review, no evidence was found to support the allegation, resulting in an unsubstantiated finding.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations including staff leaving residents soiled for extended periods, malodorous odor in the facility, facility disrepair, and presence of pests.

The investigation found no evidence to support the allegations. Staff and residents denied neglect or unsanitary conditions, the facility was found clean and well-maintained, and pest control measures were in place. The allegations were determined to be unsubstantiated.

The complaint included allegations that staff left residents soiled for extended periods, the facility had a malodorous odor, was in disrepair, and had pests. Interviews with staff and residents, inspections of the facility and resident rooms, and review of records found no evidence to substantiate these allegations. The complaint was unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-08-29 regarding staff mistreatment, dignity and respect issues, locking a resident out of their room, and removal of resident's personal belongings without consent.

The investigation included interviews with residents, staff, and review of records. No evidence was found to support the allegations; all claims were unsubstantiated based on observations, interviews, and documentation reviewed.

The complaint involved four allegations: 1) Staff handles residents in a rough manner; 2) Staff do not treat residents with dignity and respect; 3) Staff locked the resident out of the room; 4) Staff removed and withheld resident’s personal belongings without consent. After investigation including interviews with 8 residents and 6 staff, review of incident reports, legal documents, and observations, all allegations were found unsubstantiated due to lack of evidence.

The inspection visit was conducted as a case management investigation associated with complaint #11-AS-20230829161007 regarding unreported incidents involving a resident and issues with eviction procedures.

The facility failed to report incidents involving a resident to Community Care Licensing and did not comply with eviction procedure regulations by not resubmitting corrections for approval before proceeding with eviction. These violations posed potential health and safety risks to residents.

The visit was complaint-related under complaint #11-AS-20230829161007. The complaint involved failure to report incidents and improper eviction procedures. The notice of eviction was determined invalid. Substantiation status is not explicitly stated.

The visit was an unannounced complaint investigation conducted to gather information regarding allegations that staff does not keep residents' rooms clean and does not treat residents with dignity or respect.

The investigation included interviews with staff and residents and observations of the facility. Both allegations were found to be unsubstantiated due to insufficient evidence. No deficiencies were cited.

The complaint investigation was triggered by allegations that staff does not keep residents' rooms clean and does not treat residents with dignity or respect. After interviews with 4 staff members and 7 residents, and facility observations, the allegations were found unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to allegations that staff do not treat residents with respect and do not meet dietary needs of residents.

The investigation found insufficient evidence to substantiate the allegations. Some residents reported concerns about staff attitude, but the majority and staff denied disrespect or verbal abuse. Regarding dietary needs, most residents were satisfied with meal options and food quality, though a few noted issues with seasoning. Overall, both allegations were found to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegation #1 involved staff disrespect towards residents; some residents reported rudeness by the Administrator, but most did not observe verbal abuse. Allegation #2 involved unmet dietary needs; most residents confirmed meal options and food quality were adequate, with some noting seasoning concerns. Staff training records and dietary service contracts were reviewed.

An unannounced complaint investigation visit was conducted in response to allegations that facility staff did not provide a comfortable and safe environment for residents while in care.

The investigation included interviews with staff and residents, a tour of the facility, and review of records. The allegations were found to be unsubstantiated as there was insufficient evidence to prove that staff failed to provide a comfortable and safe environment for residents.

The complaint alleged that staff tried to access residents' bank account PINs, were mean, and that a resident feared not being allowed to return after leaving the facility. Interviews with four staff and eight residents denied these allegations. No residents lost money or valuables, and residents are free to leave and return. The allegations were unsubstantiated based on the preponderance of evidence standard.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-02-03 regarding allegations of staff injuring a resident, making inappropriate comments, and not assisting a resident in a timely manner.

The investigation included interviews with staff and residents, review of records, and observations. All allegations were found to be unsubstantiated due to insufficient evidence to corroborate the claims.

The complaint involved three allegations: staff injured a resident by twisting a finger; staff made inappropriate comments to a resident; and staff did not assist a resident in a timely manner after a fall. Interviews and records review did not provide sufficient evidence to substantiate any of the allegations. The findings were unsubstantiated.

An unannounced annual visit was conducted by Licensing Program Analyst Wendy Gibbs to evaluate the facility's compliance with licensing requirements.

The facility was found to be well-maintained with no observed deficiencies. All areas including resident rooms, bathrooms, kitchen, common rooms, and safety equipment were inspected and found in good condition. Infection control policies were followed and staff were knowledgeable about policies and resident rights.

An unannounced complaint investigation visit was conducted in response to an allegation that staff failed to treat residents with dignity and respect.

Interviews with staff and residents revealed no evidence supporting the allegation. Staff and residents consistently stated that residents are treated with dignity and respect, and no inappropriate or abusive behavior was observed. The allegation was deemed unsubstantiated.

The complaint alleged that staff failed to treat residents with dignity and respect. The investigation included interviews with staff and residents, review of records, and observations. The allegation was found to be unsubstantiated due to insufficient evidence.

An unannounced complaint investigation visit was conducted to investigate allegations including inadequate care and supervision, leaving a resident in urine after falling, untimely medication administration, and unclean facility conditions.

The investigation found insufficient evidence to support any of the allegations. Interviews with staff and residents, facility tour, and record reviews indicated that residents received adequate care and supervision, timely medication, and the facility was maintained clean and sanitary. No deficiencies were cited.

The complaint alleged that staff did not provide adequate care and supervision, left a resident in urine for an extended period after falling, failed to ensure timely medication administration, and did not maintain a clean and sanitary facility. All allegations were unsubstantiated based on interviews, observations, and record reviews.

The inspection was an unannounced complaint investigation triggered by an allegation that the licensee does not ensure the facility has a certified administrator.

The investigation included interviews and record reviews, revealing that the administrator is certified, always present, accessible, and has the required documentation. The allegation was found unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the licensee does not ensure the facility has a certified administrator. The allegation was unsubstantiated after investigation.

An unannounced complaint investigation visit was conducted to investigate the allegation that the facility failed to follow Covid-19 protocols.

The investigation included interviews with the administrator, licensee, staff, and residents, as well as review of mitigation plans and Covid-19 records. The facility was found to be in full compliance with Covid-19 protocols, including isolation of positive residents and staff training. There was insufficient evidence to support the allegation, and no deficiencies were cited.

The allegation that the facility failed to follow Covid-19 protocols was unsubstantiated based on interviews and records review.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 2023-02-09 alleging that the licensee does not ensure the facility has a certified administrator.

The investigation included interviews, record reviews, and a facility tour. It was found that the administrator is always present, accessible, and holds a valid certificate. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the facility did not have a certified administrator. The investigation found the administrator to be certified and accessible. The allegation was unsubstantiated.

An unannounced complaint investigation was conducted in response to an allegation that facility staff were not wearing masks.

The investigation found that staff, residents, and visitors were observed wearing masks as required, and the facility had an approved Mitigation Plan and Infection Control Plan. Interviews with staff and residents denied the allegations, and there was insufficient evidence to substantiate the complaint.

The complaint alleging staff were not wearing masks was unsubstantiated based on interviews, observations, and review of documentation.

The visit was an unannounced complaint investigation conducted to address allegations that staff forced a resident to walk without needed assistance and that staff were confining a resident to their bed while in care.

The investigation included interviews with residents and staff, a tour of the facility, and review of records. The preponderance of evidence standard was not met to prove the allegations; therefore, the complaint was unsubstantiated.

The complaint alleged that staff forced a resident to walk without needed assistance and confined a resident to their bed. Interviews with residents and staff, as well as record reviews, did not substantiate these allegations. The resident in question was bedridden and required assistance, and staff reported respecting the resident's wishes regarding mobility.

The visit was an unannounced complaint investigation conducted to address allegations of inadequate staffing to meet residents' needs and failure to provide requested documents to a resident's representative.

The investigation found that one out of six residents and two out of four staff confirmed staffing shortages, but agency staff were used to fill vacancies. The allegation regarding failure to provide requested documents was not substantiated as records showed documents were sent. Overall, the allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint involved allegations of inadequate staffing and failure to provide requested documents. Interviews with residents and staff yielded mixed confirmations on staffing shortages. Document review showed incident reports were faxed to the resident's representative. The allegations were determined unsubstantiated.

The visit was an unannounced complaint investigation conducted to address allegations that the facility mismanaged a resident's medical information and failed to ensure that a resident received physical therapy services.

The investigation included interviews with residents and staff, record reviews, and observations. No evidence was found to substantiate the allegations, and the preponderance of evidence standard was not met, resulting in the allegations being unsubstantiated.

The complaint alleged that the facility mismanaged resident medical information and failed to ensure physical therapy services were provided as recommended. Interviews with residents and staff, as well as record reviews, did not confirm these allegations. The complaint was determined to be unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations that staff were not following COVID-19 procedures and were retaliating against residents.

The investigation found that staff were following COVID-19 procedures, including weekly testing and timely notification of positive cases, and that staff did not retaliate against residents. Interviews with staff and residents, observations, and record reviews did not substantiate the allegations.

The complaint investigation was unsubstantiated. Allegations included staff not following COVID-19 procedures and staff retaliating against residents. Interviews with staff and residents, observations, and record reviews found no evidence to support the allegations.

An unannounced complaint investigation was conducted to address an allegation that a resident was physically attacked by another resident on more than one occasion.

The investigation included interviews with staff and residents, a walkthrough, and record review. Staff generally did not witness physical attacks, and no visible bruising was observed on the alleged victim. Residents gave conflicting accounts, with the alleged victim reporting multiple assaults and the alleged perpetrator denying involvement. The allegation was determined to be unsubstantiated due to insufficient evidence.

The complaint alleged that a resident was physically attacked by another resident multiple times. The allegation was found unsubstantiated after investigation, as the preponderance of evidence standard was not met.

The inspection was conducted as a pre-licensing evaluation for a change of ownership application for a Residential Care Facility for the Elderly to serve seniors and seniors with dementia, ages 60 years and greater.

The facility was found to be in substantial compliance with no deficiencies observed during the pre-licensing inspection. The facility has adequate accommodations, safety measures, and supplies as required by applicable laws and regulations.