Senior Care Villa Of Loomis

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 did not follow infection control practices

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday May 5, 2026 unannounced to conclude a complaint which was received by the Department on 4/24/2026. LPA met with acting Executive Director Heidi and explained the purpose of the visit. LPA interviewed the acting Administrator, staff, and home health regarding the allegation. LPA learned the following: North Star Senior Living, the management company for this facility, has an infection control policy and procedure for staff to follow. Per staff, this was not being followed. Specifically, staff did not immediately contact primary physicians regarding scabies exposure, bagging and sealing clothes for 14 days, and cleaning/disinfecting furniture. Based on the information detailed above, LPA finds the allegation to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited on 9099-D. Exit interview. Copy ofthe state’s words, verbatim · CDSS document, May 5, 2026 · control 59-AS-20260424101341

Allegation investigated: Facility did not report scabies outbreak to health department Medication error Insufficient staffing

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday May 5, 2026 unannounced to deliver findings for a complaint received on 2/26/2026. LPA met with acting Executive Director Heidi and explained the purpose of the visit. LPA interviewed home health providers, staff, and administration regarding the allegations. The result of the investigation is as follows: Although the first case of diagnosed occurred in September 2025, Placer County Public Health was not notified March 3, 2026. Once notified, the facility was provided with scabies management and prevention guidance. LPA reviewed R1’s medication administration record. R1 was diagnosed with scabies and prescribed treatment. Per R1’s MAR, hydroxyzine HCL 25 mg tablet was prescribed on February 10, 2026, and to be given at 4am, 10am, 4pm and 10pm. Per February 2026’s MAR, only one 4am tablet was given Substantiatedthe state’s words, verbatim · CDSS document, May 5, 2026 · control 59-AS-20260226151044

Allegation investigated: Neglect/Lack of Care and Supervision

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Tuesday March 17, 2026, to deliver findings for a complaint received on 10/6/2025. LPA met with Administrator Shreetika and explained the purpose of the visit. During the course of the investigation, the Department conducted interviews and obtained documentation pertinent to the investigation. The following timeline of events is as follows: on 10/3/2025 at approximately 3:00 am, R1 entered the apartment of R2. R2 attempted to escort R1 out of their apartment when an unwitnessed altercation occurred. R1 was transported to the hospital and diagnosed with an acute chronic left front subdural hematoma, right lateral clavicle fracture, and multiple right-sided rib fractures. R2 was also transported to the hospital and diagnosed with a laceration to their hand and leg. Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Mar 17, 2026 · control 59-AS-20251006123021

Allegation investigated: Staff are serving undercooked food to residents in care. Staff did not keep facility free of vermin. Staff did not treat residents scabies infection.

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Wednesday February 11, 2026, to deliver findings for a complaint received on 1/26/2026. LPA met with Administrator Shreetika and explained the purpose of the visit. LPA interviewed the Administrator, cook, and staff regarding meals which were served to the residents. No interviews stated that food was undercooked. Additionally, no interviews acknowledged residents becoming sick after eating meals. LPA interviewed the Administrator and staff who stated that there was no current diagnosis of scabies. Per staff, R1-R4 had/were experiencing skin irritation. Staff followed up with care for those residents and received the following diagnosis: R1 had dermatitis, R2 had hyperglycemia , R3 had an allergic reaction and shingles, and R4 had dermatitis. LPA did not review any documentation where scabies was tested for and confirmed. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 11, 2026 · control 59-AS-20260126154603

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 pushed resident in care

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Thursday November 13, 2025 to conduct a visit regarding a complaint received on 11/12/2025. LPA met with Administrator Shreetika and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed the Administrator, Resident Care Director, and staff regarding the allegation. LPA reviewed R1 and S2's facility file. LPA reviewed staff statements from the incident. LPA learned the following: On 11/11/2025, R1 moved into the facility. R1 has a diagnosis of Dementia. R1 was experiencing behaviors such as agitation and wandering. At the beginning of NOC shift, S1 was on the phone with the Resident Care Director, obtaining additional information about R1. S1 witnessed the following: R1 hit S2 on their chest. As R1 began to walk away, S2 slapped R1 on their back, using both hands. RCD heard the interaction and immediately came to the facility. S2 was then suspended. Substantiatedthe state’s words, verbatim · CDSS document, Nov 13, 2025 · control 59-AS-20251112131435

Allegation investigated: Staff neglect resulted in a resident's death Staff did not ensure a resident was properly fed while in care Staff did not report incidents involving a resident

Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Christina Brown to deliver findings for the above complaint allegation. During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: *** Report continued on 9099-C*** Unfoundedthe state’s words, verbatim · CDSS document, Aug 6, 2025 · control 59-AS-20250623154126

Allegation investigated: Staff cut resident’s hair without consent from authorized representative.

Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 05/12/2025 to complete and deliver findings to a complaint received on 10/07/2024. LPAs met with Executive Director, Ilona Corpus and explained the purpose of the visit. Throughout the course of the investigation, the department conducted interviews and record reviews. Please continue to LIC9099C.. Substantiatedthe state’s words, verbatim · CDSS document, May 12, 2025 · control 59-AS-20241007123249

Allegation investigated: Resident developed a pressure injury due to staff not repositioning resident Facility staff left resident in soiled clothing for an extended period of time

Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 05/12/2025 to complete and deliver findings to a complaint received on 10/07/2024. LPA met with Resident Care Coordinator Christina Brown and explained the purpose of the visit. Throughout the course of the investigation, the department conducted interviews and record reviews. Please continue to LIC9099C.. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 12, 2025 · control 59-AS-20241120142205

Allegation investigated: Staff did not ensure that resident's care needs were met

Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 02/12/2025 to complete and deliver findings to a complaint received on 10/14/2024. LPA met with Executive Director Ilona Corpus and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed the Administrator and staff. LPA reviewed R1’s file including face sheet, physicians report, and care plan. The result of the investigation is as follows: Based on the investigation, it was determined that staff acted within appropriate care protocols. According to care plans for R1, wound care of this nature must be performed by a licensed skilled professional. Evidence collected during the investigation, including staff interviews and documentation review, confirmed that staff were instructed not to replace the patch because doing so falls outside their scope of practice. Further, it was confirmed that the licensed staff responsible for wound care were promptly notified to address the issue whthe state’s words, verbatim · CDSS document, Feb 12, 2025 · control 59-AS-20241014103928

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: Facility staff failed to seek medical attention in a timely manner Facility staff failed to assist resident in distress. Facility staff interfering with hospice agency agent

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Thursday August 1, 2024 to complete and deliver findings to a complaint received on 7/23/2024. LPA met with Administrator Ilona and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed the Administrator and staff. LPA reviewed R1’s file including face sheet, physicians report, and care plan. The result of the investigation is as follows: LPA interviewed the Administrator who stated that they worked on NOC shift on Friday July 19th. She performed frequent rounds and had no instances of R1 falling or being on the floor. LPA interviewed all morning staff who worked on Saturday July 20th who stated that when they started their shift, R1 was in bed. Interviews acknowledged that around breakfast time, R1 began to exhibit behaviors and threw their food on the floor. R1 then lowered themselves to the ground. Staff attempted multiple times to assist R1 back into bed, but they refused.the state’s words, verbatim · CDSS document, Aug 1, 2024 · control 59-AS-20240722164103

Allegation investigated: Staff does not ensure facility is free of pests Staff does not ensure kitchen is clean and sanitized

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Thursday July 11, 2024, to complete and deliver findings to a complaint received on 6/18/2024. LPA met with Administrator Ilona and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed the Administrator and staff regarding the allegations. LPA toured the kitchen and observed the following: evidence of pests in pest glue traps and baby pests on kitchen shelf. Food particles were observed on the floor and kitchen shelves. The kitchen floor was observed to be dirty. Kitchen refrigerator shelves were observed to be dirty. LPA photographed the items detailed above. Based on the information detailed above, LPA finds the allegations to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited on 9099-D. Appeal rights were given. Exit interview conducted. A copythe state’s words, verbatim · CDSS document, Jul 11, 2024 · control 59-AS-20240619163711

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.

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.

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