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Inspection visit

complaint

BELMONT VILLAGE ALBANYLicense 0192007211 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

...continued from LIC9099. Interviews conducted with the ED, S1, S2, S3, S4, S5, W1, W2, W3, & W4 confirmed that emergency services were initiated for R1 to be transported to Alta Bates Medical Center in Berkeley, CA for a stage 3 to 4 pressure wound. S2 stated that on July 14, 2024 a nurse’s aide (S4) called the paramedics, R1 was on hospice, under hospice care, and was being transported for 1st aid; W2 was present. W4 stated that W1 and W2 were blindsided; W1 and W2 did not know that the facility would not allow R1 to return after treatment of the wound on 07/14/24. W1, R1’s Power of Attorney (POA), was not present and was out of the country at that time. W4 further stated that S2 outright refused to accept R1 back to the facility although R1 was under the care of hospice. With the efforts of W4, R1 was successfully placed at another Residential Care for the Elderly (RCFE) in Pinole, CA with the services of Sutter VNAH Alameda Hospice. S2 did not seek counsel for joint determination from the Community Care Licensing Department (CCLD), the resident, R1’s Power of Attorney (POA), the hospice agency, physician, and licensee to determine that R1’s continued retention at the facility would pose a health and safety risk. Based on interviews and records reviewed, the preponderance of evidence for the violation has been met; therefore, the allegation is SUBSTANTIATED . Deficiencies cited from Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided to ED.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87224(i)Type A

    87224 Eviction Procedures (i)…a ... resident receiving hospice services ... resident's condition has changed ... joint determination has been made by the Department, the resident or resident's health care surrogate decision maker, the resident's hospice agency, a physician...- This requirement was not met as evidenced by: Based on interviews and records reviewed, Licensee failed to ensure the facility sought joint determination before denying R1’s return to the facility after being released for treatment of emergency services which posed an immediate health and safety risk to residents in care.

  • 87507(f)Type B

    87507 Admission Agreements(f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.-This requirement was not met as evidenced by: Based on interviews and records reviewed the Licensee did not comply with the section cited above by not abiding by R1's admission agreement which posed a potential health and safety risk to residents in care.

  • 87632(d)(2)Type B

    87632 Hospice Care Waiver (d) If the Department grants a hospice care waiver it shall stipulate terms and conditions of the waiver as necessary to ensure the well-being of terminally ill residents and of all other facility residents...(2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services...or within five working days of admitting a resident already receiving hospice care services. The notice ...include...name...date of admission... name and address of the hospice.-This requirement was not met as evidenced by: Based on interviews and records reviewed the Licensee did not comply with the section cited above by not providing R1's Initiation of Hospice notification and LIC602 to CCLD which posed a potential health and safety risk to residents in care.

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  • 87633(g)Type B

    87633 Hospice Care of Terminally Ill Residents (g) In addition to...Section 87211, Reporting Requirements... report...hospice services are interrupted or discontinued for any reason...any deviation from the resident’s hospice care plan, or other incident...- This requirement was not met as evidenced by:

  • 87705(c)(5)Type B

    87705 Care of Persons with Dementia(c) Licensees... with dementia shall be responsible ...(5) Each resident with dementia shall have an annual medical assessment ... annually, ... a reassessment of the resident’s dementia care needs.-This requirement was not met as evidenced by: Based on interviews and records reviewed the Licensee did not comply with the section cited above by not abiding by R1's admission agreement which posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 12, 2024 inspection of BELMONT VILLAGE ALBANY?

This was a complaint inspection of BELMONT VILLAGE ALBANY on December 12, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to BELMONT VILLAGE ALBANY on December 12, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87224 Eviction Procedures (i)…a ... resident receiving hospice services ... resident's condition has changed ... joint d..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.