Inspection Reports for Victoria Place Senior Living

A complaint investigation was conducted following a fire incident reported at Victoria Place.

A fire started in a field behind the building caused by a lithium bike battery. The fire department responded and evacuated the building. The sprinkler system did not activate, and there were no injuries.

Complaint #191152 regarding a fire incident. The fire department responded, the sprinkler system failed to activate, and no injuries occurred.

The Department of Social and Health Services completed a follow-up visit to Victoria Place assisted living facility to assess compliance and impose civil fines based on violations found during prior inspections.

The facility was cited for uncorrected and recurring deficiencies including failure to ensure nurse delegation was completed and documented for three residents, and failure to ensure one staff had required dementia specialty training and home care aide certification, placing residents at risk.

This letter serves as formal notice that the stop placement order prohibiting admissions on the facility's license, initially placed verbally on December 19, 2024, and continued verbally on January 15, 2025, is lifted effective March 4, 2025.

The stop placement order prohibiting admissions at the assisted living facility has been officially lifted as of March 4, 2025.

The Department of Social and Health Services completed a follow-up visit to assess correction of previously cited deficiencies at Victoria Place assisted living facility.

Multiple uncorrected deficiencies were found, including failure to maintain nurse delegation documents, employ staff with disqualifying background checks, incomplete staff training, failure to conduct required tuberculosis testing, unsafe food handling, inadequate food variety, lack of disclosure of services documentation, and failure to provide Medicaid policy to residents.

A complaint investigation was conducted at Victoria Place regarding broken sprinkler pipes and fire alarm activation.

The sprinkler pipe in the residential hallway broke on 2/8/25, triggering a fire watch until repairs were completed on 2/12/25. There was no fire, no injuries, and the fire department responded as the sprinkler system and fire alarm were activated.

Complaint #167159 involved broken pipes and sprinkler activation. The complaint was investigated and found that the sprinkler system went off without a fire, no injuries occurred, and the fire department responded.

The visit was an unannounced on-site complaint investigation conducted due to an allegation that the facility was not back in compliance by the attestation date per their plan of correction.

The investigation found that the facility was not back in compliance by the attestation date, placing all 26 residents at risk for unmet care needs and decreased quality of life. Deficiencies were identified related to kitchen environment, background checks, CPR certification, and disclosure of services.

The complaint investigation was triggered by an allegation that the facility was not back in compliance by the attestation date per their plan of correction. The investigation confirmed non-compliance and deficiencies placing all 26 residents at risk.

The document serves as a notice to continue the Stop Placement Order on the license of Victoria Place based on a prior Statement of Deficiencies dated January 2, 2025.

The Stop Placement Order was initially imposed verbally on December 19, 2024, and is continued as of January 15, 2025, remaining in effect until formally lifted by the Department of Social and Health Services.

The Department of Social and Health Services conducted a full inspection of the assisted living facility Victoria Place on January 2, 2025, resulting in civil fines and a continued stop placement order prohibiting admissions due to multiple regulatory violations.

The inspection found multiple violations including employment of a staff member with disqualifying background check results, failure to operate in compliance with licensing requirements, unqualified staff providing care, failure to submit construction documents for review, lack of required nurse delegation training and credentials, and unsafe food handling practices. These violations placed residents at risk and led to civil fines totaling $900 and a continued stop placement order prohibiting new admissions.

The department conducted an unannounced full annual inspection of Victoria Place Assisted Living Facility to assess compliance with state licensing laws and regulations.

The inspection identified multiple deficiencies including failure to maintain required nurse delegation documentation and credentials, incomplete staff background checks, inadequate staff training and certification, unsafe environmental conditions including mold and unapproved construction, food safety violations, lack of resident privacy, incomplete resident assessments and service agreements, failure to provide residents with disclosure of services and Medicaid policy, and failure to maintain proper infection control and hand hygiene supplies.

The inspection was conducted as an unannounced complaint investigation regarding a resident-to-resident altercation in the community reported by the facility.

The facility investigated the incident and monitored residents, notifying family and provider, but failed to report the physical resident-to-resident altercation immediately to the Department as required by policy, constituting a failed practice.

Complaint investigation of a resident-to-resident altercation. The failed practice was identified as the facility did not report the incident immediately to the Department per policy.

The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire safety and related code requirements.

The facility failed to provide required documentation for multiple fire safety components including kitchen hood cleaning, fire/smoke damper inspection, sprinkler system testing, semi-annual servicing of the kitchen suppression system, emergency lighting maintenance, and annual testing of exit signs and emergency lighting.

The investigation was conducted due to a complaint alleging false billing where a resident's representative received incorrect billing statements and was unable to get assistance from facility staff to resolve the issue.

The Assisted Living Facility failed to ensure prompt efforts by management staff to resolve grievances in a timely manner related to billing issues. Additional residents reviewed showed no concerns with billing, care, services, or safety.

Complaint involved false billing allegations where a resident's representative received incorrect billing statements and staff did not provide timely assistance. The complaint was substantiated with a citation issued.

The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire safety and electrical hazard regulations.

The inspection found that all violations noted during previous related inspections have been corrected. The report from the prior inspection on 12/12/2022 detailed multiple violations including electrical hazards, failure to provide documentation for annual fire wall inspections, failure to maintain and test fire extinguishing systems, emergency lighting, exit signs, and carbon monoxide detection systems.