Inspection visit

complaintFebruary 22, 2026

BELMONT VILLAGE CARDIFFLicense 3746032316 citations on this visit

6 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation Staff are handling residents in a rough manner. One resident reported being handled roughly and experiencing back pain. Another reported staff refused assistance and told her to “be quiet.” No corroborating evidence or documentation was provided. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Regarding the allegation: Staff are verbally abusive towards residents. Reports indicate a staff member told a resident to “shut up.” No corroborating evidence or documentation was found. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted with facility Executive Director, Wes Lavender, and appeal rights provided. Regarding the allegation staff are not assessing residents for change in level of care. Collateral notes reflect multiple residents with dementia or wandering behaviors were moved from memory care into assisted living, while continuing to be billed for memory care or for “Circle of Friends” services they did not attend. Residents with ongoing needs had access to unsecured patios and were redirected after wandering off facility grounds. Based on interviews conducted, and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Regarding the allegation: Staff are not meeting residents’ needs. Residents reported being left in wheelchairs all day, refusing showers for extended periods, and not receiving appropriate dementia care. Documentation indicates these concerns were known but not consistently addressed. Based on information reviewed, staff did not consistently meet residents’ basic care needs. Based on interviews conducted, and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Regarding the allegation: Staff left resident in wheelchair for extended period of time. Resident reports indicate a lack of transfer to recliner and being left in a wheelchair throughout the day. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Regarding the allegation: Facility is charging residents for services not used. Residents were billed for memory care or for “Circle of Friends” programming despite not receiving or attending these services. The documentation reviewed identifies several residents impacted. Based on records reviewed and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Regarding the allegation Staff are not meeting residents’ showering needs. Records indicate a facility resident had not been showered in one month. This is consistent with concerns of resident care needs not being met. Based on records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following deficiencies are being cited Per Ttile 22 Regulations. Exit Interview conducted with Executive Director Wes Lavender, and a copy of this report provided.

Citations

9 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.

87211Type B
87211 — Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: The following requirement has not been met as evidenced by: The facility did not timely report R1’s fall, overnight time on the floor, or subsequent hospitalization to the licensing agency. Supervisory staff were also not promptly notified of the outage and incident until contact by the responsible party the following day, which poses a potential, health, safety, or personal rights risk to residents in care.
87303(d)Type A
87212 Emergency Disaster Plan(a) Each facility shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available.The following requirement has not been met as evidenced by: The facility did not have emergency adequate lighting in resident 1's room possibly contributing to a fall sustaining injuries, which poses an immediate health, safety, or personal rights risk to residents in care.
87411(a)Type A
87411 — Personnel Requirements (sufficient, competent staff to meet resident needs at all times) The following requirement has not been met as evidenced by: On 06/18/2021 during a facility-wide power outage, R1 fell in their apartment and remained on the floor overnight without staff assistance until ~0715 on 06/19/2021. Required welfare checks and timely assistance were not provided, resulting in unmet care needs and contributing to a serious injury later diagnosed at the hospital. which poses an immediate, health, safety, or personal rights risk to residents in care.
87464(a)(1)Type A
87465(a)(1) — Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.The following requirement has not been met as evidenced by: Following the known fall on the morning of 06/19/2021, facility staff did not arrange timely medical evaluation for R1. The responsible party transported R1 to the hospital several hours later, where a spinal cord injury was diagnosed. Facility did not ensure prompt medical care was obtained. which poses an immediate, health, safety, or personal rights risk to residents in care.
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87211(a)(1)(D)Type A
87211(a)(1)(D) Reporting Requirements – “The licensee shall report by telephone to the licensing agency, local law enforcement, and the responsible person any suspected physical abuse … immediately, or within 24 hours.”The following requirement has not been met as evidenced by: Based on record review, the facility failed to immediately notify law enforcement when Resident #1 disclosed possible sexual abuse on 03/09/22. Law enforcement was not contacted until 03/10/22. This posed an immediate health and safety risk to all residents in care.
87463(a)Type B
87463 Reappraisals – “The licensee shall arrange a meeting with the resident and/or representative when a significant change occurs in the resident’s condition to determine if the facility can continue to meet the resident’s needs.”The following requirement has not been met as evidenced by: Based on file review, residents with dementia and wandering behavior were moved from memory care into assisted living without evidence of reappraisal, while continuing to require memory care services. This resulted in residents not being placed at the appropriate level of care, which poses a potential, health, safety, or personal rights risk to residents in care.
87464(a)(2)Type B
87464(a)(2) Basic Services – Personal Care and Supervision – “Basic services shall at a minimum include: (2) Personal assistance and care as needed by the resident … including assistance with bathing, grooming, dressing, mobility, and other personal needs.”The following requirement has not been met as evidenced by: Based on record review, residents reported not being assisted with showers. This poses a potential, health and safety risk to residents in care.
87468.2(a)(4)Type B
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. The following requirement has not been met as evidenced by: Based on record review, residents reported being left in wheelchairs all day. This poses a potential, health and safety risk to residents in care.
87507Type B
87507 Admission Agreement – “All basic and optional services, rates, and charges shall be specified in the admission agreement. The licensee shall not charge for services that are not provided.”The following requirement has not been met as evidenced by: Based on documentation, residents were charged for memory care services and the “Circle of Friends” program despite not receiving or attending such services. This violates the admission agreement and created a financial burden on residents, which poses a potential, health, safety, or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 22, 2026 inspection of BELMONT VILLAGE CARDIFF?

This was a complaint inspection of BELMONT VILLAGE CARDIFF on February 22, 2026. 6 citations were issued: 1 Type A (serious) and 5 Type B.

Were any citations issued to BELMONT VILLAGE CARDIFF on February 22, 2026?

Yes, 6 citations were issued (1 Type A, 5 Type B). The first citation was for: "87211 — Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department ma..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·February 22, 2026