Inspection Reports for The Village At Sherman Oaks

The visit was an unannounced Case Management follow-up on a self-reported incident involving missed medication administration that occurred on 2025-09-17.

The facility failed to administer a prescribed medication (Olanzapine) to Resident #1 between 2025-08-04 and 2025-09-16, posing a potential health risk. The facility conducted in-service training and coordinated with the hospice company and family to prevent future delays. A Type B deficiency was cited for this violation.

The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that facility staff did not ensure residents' responsible parties received written notice of a rate increase.

The investigation substantiated that the facility failed to provide residents' responsible parties with the required 90-day written notice of a rate increase, instead providing only a 60-day notice, which posed a potential personal rights risk to residents.

The complaint alleged that facility staff did not ensure residents' responsible parties received written notice of a rate increase. The allegation was substantiated based on interviews and document review showing a 60-day notice was given instead of the required 90-day notice.

The inspection visit was conducted as an unannounced complaint investigation regarding allegations that staff were not properly addressing a pest infestation in the facility.

The investigation found that although there was an active cockroach infestation reported on 07/08/2025, facility staff took immediate and appropriate measures including pest control treatment, deep cleaning, repairs, and monitoring. No current signs of infestation were observed during the visit, and the allegation was deemed unsubstantiated due to insufficient evidence.

The complaint alleged that staff were not properly addressing a cockroach infestation in the dry food storage room. The facility had an inspection by the County of Los Angeles Department of Public Health on 07/08/2025 which confirmed the infestation. Facility staff responded promptly with pest control treatment on 07/09/2025, cleaning, repairs, and follow-up monitoring. The allegation was found unsubstantiated.

An unannounced complaint investigation visit was conducted following allegations that a resident fell sustaining injuries due to lack of supervision and did not receive timely medical treatment.

The investigation found that the resident in question was an independent living resident not receiving services or supervision from the licensed facility. Therefore, the allegations were deemed unfounded as the resident did not reside in the licensed facility or receive care from it.

The complaint alleged that a resident fell and sustained injuries due to lack of supervision and did not receive timely medical treatment. The allegations were investigated and found to be unfounded because the resident was not part of the licensed facility's care component.

The inspection was an unannounced continuation of the required annual visit to evaluate compliance with licensing requirements.

No deficiencies were observed during the inspection. The facility's infection control practices and emergency disaster plan were found to be adequate and up to date, with recent disaster drills conducted.

The inspection visit was an unannounced continuation of the required annual case management visit to evaluate compliance with licensing requirements.

No deficiencies were observed during the inspection. Resident records and staff knowledge were reviewed and found to be in compliance with all requirements. Due to time constraints, some reviews will be completed at a later date.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 regulations.

The facility was generally found to be in good repair and clean with appropriate furnishings and safety measures in place. However, deficiencies were cited related to inaccurate medication record documentation for one resident and three window screens/window screen frames in disrepair.

The visit was a follow-up on a self-reported incident that occurred on 2025-02-02 involving a resident who self-administered opioid medications and suffered a medical emergency.

No deficiencies were cited during the inspection. The facility has implemented room sweeps, pauses on deliveries, and additional care checks to prevent recurrence of the incident. Further investigation is pending to determine if citations are warranted.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 03/19/2024 alleging neglect and falsification of incident reports related to Resident #1 (R1).

The investigation found insufficient evidence to substantiate the allegations of neglect/lack of supervision resulting in a fall and head injuries to Resident #1, and staff falsifying incident reports. Interviews, medical records, and incident reports were consistent and did not support the allegations.

The complaint alleged that staff failed to provide adequate supervision to Resident #1, resulting in a fall and head injuries, and that staff falsified an incident report. The investigation included interviews with staff and resident representatives, review of medical records and incident reports. The allegations were deemed unsubstantiated due to lack of sufficient evidence.

The visit was an unannounced Case Management - Incident Deficiencies inspection conducted in conjunction with a complaint investigation to issue citations for deficiencies observed that were not related to the complaint.

The inspection found that the facility did not comply with the requirement for an annual medical assessment for residents with dementia, as evidenced by Resident #1's physician's report being outdated (dated 12/20/2022), posing a potential health and safety risk.

The visit was conducted in conjunction with a complaint visit (Complaint control # 29-AS-20240319161408). The purpose was to issue citations for deficiencies observed during the complaint investigation which were not related to the complaint.

An unannounced case management visit was conducted in response to a self-reported incident on 08/06/2024 involving the administration of incorrect medication to a resident.

The investigation found that staff followed appropriate reporting procedures and complied with the resident’s physician’s monitoring recommendations. An in-service training on resident rights and medication error prevention was conducted. One staff member involved had terminated employment prior to the visit. A deficiency was cited related to the facility's plan for incidental medical and dental care.

The visit was complaint-related due to a medication error incident. The complaint was substantiated as a deficiency was cited.

An unannounced complaint investigation was conducted following allegations received on 2023-11-01 regarding staff leaving residents soiled, speaking inappropriately about residents, improper disposal of diapers, unclean furniture, residents left unsupervised, exclusion from activities, improper hand washing, and failure to wear protective masks when sick.

After interviews with staff, private caregivers, family members, and case workers, and physical plant observations on multiple dates, the Department found insufficient evidence to substantiate any of the allegations. All allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included staff leaving residents soiled for extended periods, inappropriate staff speech about residents, improper disposal of diapers, unclean furniture, residents left unsupervised, exclusion from activities, improper hand washing, and failure to wear masks when sick. Interviews and observations did not corroborate these allegations.

An unannounced case management visit was conducted in response to a self-reported incident on 2024-04-01 involving Resident #1 eloping from the facility without supervision.

Resident #1, diagnosed with dementia and unable to leave unassisted, was found outside the facility without supervision, posing an immediate health and safety risk. Staff completed a new needs assessment and identified the need for a wander guard following the incident.

The visit was complaint-related due to a self-reported incident of elopement by Resident #1 on 2024-04-01. The complaint was substantiated by findings of the resident outside the facility without supervision.

The visit was a required one-year unannounced inspection to evaluate the facility's compliance with health and safety regulations.

The inspection found the facility to be well-maintained with no health or safety hazards observed. Resident rooms, common areas, kitchen, memory care rooms, and outdoor areas were clean, properly furnished, and in good condition. Safety equipment such as fire extinguishers, fire suppression system, and detectors were up to date and functional. Interviews with residents and staff revealed no concerns.

The visit was an unannounced complaint investigation conducted to investigate multiple allegations including staff not following COVID protocol, not distributing medications as prescribed, not assisting residents with bathing, and not providing residents with linen.

The investigation found insufficient evidence to substantiate any of the allegations. Interviews with residents, staff, and caregivers, as well as records reviews, indicated that COVID protocols were followed, medications were administered as prescribed, residents received assistance with bathing, and linens were provided as required.

The complaint investigation was unsubstantiated. Allegations included staff not following COVID protocol, medication distribution issues, lack of assistance with bathing, and failure to provide linens. The department found no sufficient evidence to support these allegations after interviews and record reviews.

An unannounced complaint investigation visit was conducted to investigate allegations that the facility lacks adequate staffing to meet residents' care needs and that facility staff speak inappropriately to a resident.

The investigation found insufficient evidence to substantiate the allegations. Interviews with residents, staff, and caregivers indicated adequate staffing and no inappropriate staff behavior towards residents. The allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included inadequate staffing and inappropriate staff communication. Interviews and records review did not support these claims.

The visit was an unannounced complaint investigation triggered by an allegation that the facility did not notify residents of rate increases prior to admission.

The investigation found that the facility provides a Rate Increase Disclosure Form and Admission Agreement to prospective residents prior to admission, which includes information about rate adjustments and a 60-day written notice prior to any rate changes. There was insufficient evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.

The complaint alleged that the facility did not properly notify the resident’s representative about possible rate increases prior to admission. The allegation was unsubstantiated due to lack of sufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff neglected Resident #1 by failing to obtain timely medical attention after a fall.

The investigation substantiated neglect/lack of supervision related to failure to obtain timely medical attention for Resident #1 after a fall resulting in a fractured hip and subsequent surgery. Other allegations including staff pushing the resident, neglect resulting in pressure injury, untimely toilet repairs, hygiene neglect, pest control issues, and delayed assistance were unsubstantiated.

The complaint was received on 11/08/2022 alleging neglect/lack of supervision when staff failed to obtain timely medical attention for Resident #1 after a fall. The allegation was substantiated. Other allegations related to physical abuse, pressure injury neglect, maintenance, hygiene, pest control, and assistance response times were investigated and found unsubstantiated.

The inspection was a required one-year unannounced visit focusing on infection control practices and procedures at the facility.

The facility was found to be generally clean and properly furnished with adequate infection control signage and supplies. Resident bedrooms and bathrooms were well maintained with functional fixtures and safety features. The kitchen and common areas were clean and well stocked. The facility's infection control policies and procedures were deemed adequate at the time of the visit.

The inspection was a required one-year unannounced visit with emphasis on infection control practices and procedures.

The facility was found to have properly furnished and clean resident bedrooms and common areas, adequate infection control signage and supplies, a clean and functional kitchen with sufficient food supply, and appropriate infection control policies including COVID-19 testing and PPE availability. No deficiencies were noted in the report.

The visit was an unannounced complaint investigation conducted in response to allegations of physical abuse and neglect/lack of supervision resulting in injuries to a resident.

The investigation found no sufficient evidence to substantiate the allegations of physical abuse or neglect. Interviews with caregivers, hospice employees, facility staff, residents, and family members revealed no knowledge or suspicion of abuse or neglect. The injuries were likely accidental and possibly related to transfers or care activities.

The complaint alleged physical abuse resulting in injuries and neglect/lack of supervision causing a resident to sustain a skin tear, scrape on forehead, and injury to lip. The investigation included interviews and review of hospice and facility records. The allegations were deemed unsubstantiated due to lack of supporting evidence.

The inspection was an unannounced Case Management - Incident inspection pertaining to a self-reported Unusual Incident/Injury Report (LIC 624) received on 12/13/2021 regarding an incident that occurred on 11/29/2021 involving Resident #1.

No immediate health and safety concerns were observed during the inspection. The Licensing Program Analyst determined that further investigation is needed.

The visit was triggered by a self-reported unusual incident/injury involving Resident #1. The Licensing Program Analyst conducted interviews with staff and residents, reviewed facility records, and reviewed video footage. No immediate concerns were found, but further investigation was deemed necessary.

An unannounced case management visit was conducted in response to a self-reported incident on October 26, 2021, involving a staff member yelling at a resident.

The Licensing Program Analyst did not observe any immediate health and safety concerns during the visit. Further review is required before concluding the investigation.

The visit was triggered by a complaint regarding an incident where Staff (S1) screamed at Resident 1 to 'Shut up' while the resident was sitting and yelling in the dining room. Investigation is ongoing.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility had not promptly provided a resident's records as requested.

The investigation found that the facility personnel failed to provide copies of resident #1's records within the required two business days, resulting in a substantiated finding and issuance of a citation.

The complaint was substantiated. The facility failed to provide requested resident records within the required timeframe despite multiple requests via voicemail and fax. The initial finding of unsubstantiated was amended to substantiated after discovering the facility did not comply with the request by the agreed date.

An unannounced complaint investigation visit was conducted to investigate allegations including staff failing to follow doctor's orders and other related complaints.

The investigation found that staff complied with doctor's orders regarding resident care, including not providing alcohol to Resident #1. Interviews and record reviews indicated that the allegations were unsubstantiated at this time.

The complaint investigation was unsubstantiated. Allegations included staff failing to follow doctor's orders, failure to appraise the Responsible Party of resident services, and failure to answer resident calls timely. Interviews and record reviews showed compliance and reasonable response times.