Palm Vista Senior Living

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff charged resident for services not rendered Staff did not ensure that resident's incontinence care needs were met

On 3/26/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted a subsequent complaint investigation at the above facility to address the following allegation(s). LPA Spaeth met with the Administrator, Stuart Montalvo. LPA explained the purpose of this visit was to review documentation, conduct interviews and deliver the findings. LPA Spaeth toured the facility at 10:00 am until 10:20 am. LPA interviewed nine (9) out of eighty-three residents at 10:45 am until 11:30 am. LPA also interviewed nine (9) out of forty-five staff members at 11:30 am until 3:00 pm. LPA reviewed residents’ records at 3:00 pm until 3:30 pm. LPA received copies of the Admissions Agreement, End of Shift Report, Billing Statement, Resident Move Out Form, Physician’s Report (LIC 602), Resident Assessment, and Needs and Services Plan. Continued on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 26, 2025 · control 31-AS-20250310120255

Allegation investigated: Staff are not allowing resident to leave the facility

On 10/02/2024, Licensing Program Analyst (LPA) Melissa Spaeth initiated a complaint investigation for the allegation(s) listed above. LPA was greeted by the Administrator, Stuart Montalvo. LPA Spaeth explained the purpose of this visit is to interview staff, a resident and gather information regarding the complaint allegation(s). LPA Spaeth interviewed two staff members at 10:40 am until 11:00 am. LPA reviewed the residents' files at 12:15 until 12:45 pm. LPA received copies of the resident's documentation. LPA interviewed a resident at 12:30 pm until 1:00 pm. LPA Spaeth also toured the facility at 2:00 pm until 2:20 pm. Regarding the allegation: Staff are not allowing resident to leave the facility. It’s alleged a resident (R1) had a friend who requested to take R1 on 9/11/2024 to a local location for a walk; however, the facility staff called R1’s POA. The POA stated R1 could not accompany the friend on an outing. Continued on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 2, 2024 · control 31-AS-20240925121504

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff unlawfully evicted a resident Staff is retaliating against a resident Staff did not follow a licensed physician orders Staff mishandled a resident's medications Staff did not afford a resident privacy while in care Staff unlawfully confiscated a resident's personal belongings Staff overcharged a resident for a service not received

On 4/19/2024 Licensing Program Analyst (LPA), Melissa Spaeth conducted a subsequent complaint investigation at the above facility to address the following allegation(s). LPA Spaeth was met by Jeisy Pinoargote, Resident Care Director. LPA explained the purpose of this visit was to conduct interviews and present findings. LPA conducted a physical tour at 9:45am to 10:10 am. The investigation consisted of the following: On 02/02/2024, LPA Spaeth initiated a complaint investigation. LPA reviewed resident files and interviewed two staff members. LPA received copies of the documentation. On 4/18/2024, LPA Spaeth reviewed resident documents, interviewed six residents. During today’s visit, LPA interviewed five (5) out of twenty-six (26) staff members. Regarding the allegation: staff unlawfully evicted a resident and Staff is retaliating against a resident. It’s being alleged that a 60-day eviction notice was given to R1 in retaliation of R1 not paying for services provided to R1. R1 was not athe state’s words, verbatim · CDSS document, Apr 19, 2024 · control 31-AS-20240201160406

Allegation investigated: Facility staff did not accurately assess resident's needs. Facility staff did not communicate with resident's family. Facility staff did not ensure that resident's room was free of clutter in the walkways. Resident sustained pressure injuries while in care. Facility staff did not provide needed care and assistance to resident. Facility staff did not ensure that resident had hot water for showers Facility staff did not ensure that resident received medical attention while in care. Facility staff did not ensure that resident was being fed while in care.

On 4/18/2024 Licensing Program Analyst (LPA), Melissa Spaeth conducted a subsequent complaint investigation at the above facility to address the following allegation(s). LPA Spaeth was met by Jeisy Pinoargote, Resident Care Director. LPA explained the purpose of this visit was to conduct interviews and present findings. LPA conducted a physical tour at 9:45am to 10:10 am. The investigation consisted of the following: on 05/04/2023, LPA Spaeth initiated a complaint investigation. LPA reviewed resident files and interviewed seven residents. LPA received copies of the documentation. On 4/18/2024, LPA Spaeth reviewed resident documents at 10:30 am until 11:30 am. LPA interviewed residents and received copies of resident’s documents. The investigation revealed the following regarding the allegation: Facility staff did not accurately assess resident’s needs. It’s being alleged that facility staff did not accurately assess the care a resident (R1) cont'd 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 19, 2024 · control 31-AS-20230502121813

Allegation investigated: Staff inappropriately forced resident into memory care

On 3/25/2024 Licensing Program Analyst (LPA), Melissa Spaeth and Licensing Program Manager (LPM), Troy Agard conducted a subsequent complaint investigation at the above facility to address the following allegation(s). LPA Spaeth and LPM Agard were met by Stuart Montalvo, Administrator. LPA explained the purpose of this visit was to gather additional information, conduct interviews and deliver the findings for this complaint. LPA conducted a physical tour at 9:45am to 10:10am. The investigation consisted of the following: on 07/06/2023, LPA Spaeth initiated a complaint investigation. LPA toured the facility and reviewed files. On 04/18/2024, LPA Spaeth and LPM Agard conducted interviews and reviewed additional records. Continued on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 18, 2024 · control 31-AS-20230630143812

Allegation investigated: Facility not meeting dietary needs of residents Facility is not providing a variety of food and quantity necessary to meet the needs of the residents. Facility is not providing various activities

This is an amended copy of the report previously issued on 12/05/2022 and 01/04/2023. This report supersedes reports previously issued. The findings for this complaint have been updated. Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced subsequent complaint investigation for the allegation(s) listed above and met with Isabel Cortes, Business Officer Manager. The investigation consisted of the following: On 12/05/2022, LPA Spaeth conducted a 10-day visit, reviewed residents’ Dietary Communication Notifications and reviewed facility’s menu. LPA Spaeth received copies of the documents during the visit. On 01/04/2023, LPA interviewed 7 residents out of 41 and 5 out of 14 staff members. Regarding the allegation: Facility not meeting dietary needs of residents. It’s being alleged that resident dietary needs are not met and that alternative meals are not provided. LPA interviewed (S3) who stated when a resident moves into the facility, Dietary Communication Notificationthe state’s words, verbatim · CDSS document, Oct 12, 2023 · control 31-AS-20221129080606