Braswell's Chateau Villa

Licensing Program Analysts (LPAs) Magda Malcore and Becky Mann conducted an unannounced visit to the facility to conclude the complaint investigation on the above allegation. LPAs met with Administrator, Melanie Niez, who was informed of today’s visit. Regarding the allegation, staff hit resident, interviews with facility staff, resident #1(R1), and an outside party corroborate the allegation. Staff #1 admitted tapping R1 on the head during a disagreement. R1’s interview reveals they were hit on the head by S1. LPA record review and the Administrators’ interview reveals, S1 received a write-up and suspension for inappropriate conduct towards R1. Based on interviews and record review, the allegation is Substantiated. A Substantiated finding means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where reports (LIC9099&LIC9099-D) were discussed and provided with appeal rights to the administrator at the conclusioRead the full finding— CDSS inspection report, August 9, 2024 · control 56-AS-20240506155415

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Melanie Niez, Administrator, and discussed the purpose of the visit. Regarding the allegation, staff did not provided filtered water to drink to a resident per Admission Agreement. LPA review of resident #1 (R1's) admission's agreement reveals no documentation of an agreement to provide filtered water. Based on interviews and record review, the above allegation is Unfounded. An Unfounded finding means, the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted where this report was discussed and a copy of this report was provided to the Administrator at the conclusion of the visit. UnfoundedRead the full finding— CDSS inspection report, March 21, 2024 · control 56-AS-20240314112044

****This report has been Amended for electronic signatures**** Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Administrator, Melanie Niez and discussed the purpose of the visit. The investigation consisted of observations, reviewing pertinent documents, and interviews with relevant parties. Regarding the allegation, Staff does not ensure facility is free of pests and rodents, it is alleged that the facility has a roach and mice infestation and the facility is not making efforts to treat the problem. LPA toured the kitchen and (5) resident bedrooms. Regarding the roach infestation, LPA did not observe a roach infestation and there is not enough evidence to corroborate this allegation. In regards to the rodents, LPA observed in bedroom 11A, two (2) rodent traps. LPA observed one of the traps had a dead rodent, in the trap closest to the sliding glass door. LPA observed in bedroom 33, several rodent traps which includedRead the full finding— CDSS inspection report, March 8, 2024 · control 56-AS-20240304085608

Licensing Program Analyst (LPA), Kathleen Banrasavong made an unannounced visit to the facility to commence a complaint investigation regarding the allegations listed above. LPA met with Administrator, Melanie Niez, and explained the purpose of the visit and the elements of the allegations. LPA Banrasavong conducted the investigation which consisted of observation, interviews, and record review. LPA attempted on numerous occasions to contact the Reporting Party (RP) The contact number provided was not valid. LPA attempted to do a search through multiple channels and found no contact information within Community Care Licensing’s database. LPA was unable to obtain any additional information at this time. On 09/18/2020, Community Care Licensing received a complaint stating that staff did not assist resident with medications as needed and Resident is not accorded dignity in relationships with staff. In regards to the allegation of Staff did not assist resident with medications as needed. TRead the full finding— CDSS inspection report, November 29, 2023 · control 18-AS-20200918151847

On 11/6/2023, Licensing Program Analyst (LPA), Janette Romero arrived unannounced to the facility to conclude an investigation into the allegation listed above. LPA met with Administrator, Melanie Niez and explained the purpose of the visit. During the course of the investigation, LPA reviewed resident and staff interviews and conducted a facility file review. On 8/28/2020, Community Care Licensing, received a complaint investigation stating that "Staff did not clean residents room". It was reported that facility staff did not clean Resident 1’s (R1’s) room for over a week and a half in 2020. The four (4) staff interviewed corroborated that R1’s room had not been properly cleaned, due to the facility facing a housekeeping staffing shortage. Continued on LIC9099-C. SubstantiatedRead the full finding— CDSS inspection report, November 6, 2023 · control 18-AS-20200828161015

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Melanie Niez, Administrator and discussed the purpose of the visit. Regarding the allegation, staff violated resident's personal rights, Administrator Niez stated that Resident #1 (R1) was exhibiting aggressive behaviors toward theirself and others as a result law enforcement was contacted and R1 was placed on a 51/50 hold on 9/3/2023. Administrator Niez was informed by hospital staff that R1 was ready to be discharged to the facility. Administrator informed hospital staff that R1 is not permitted to return to the facility due to R1 being a danger to theirself and others. Based on pertinent record review and interviews with relevant parties, the allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation(s) is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where reports (LIC9Read the full finding— CDSS inspection report, September 14, 2023 · control 56-AS-20230912135704

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Melanie Niez, Administrator and discussed the purpose of the visit. The investigation consisted of LPA observations, pertinent document review, and interviews with relevant parties. Regarding the allegation, staff hit resident, Administrator and staff interviews reveal that they have not witnessed Staff #1 (S1) hit a resident nor have they hit a resident. S1 denies hitting a resident. Resident #1, #2, and #4 interviews deny that S1 and other staff hit them. Resident #3, #5, and #6 interviews deny knowing S1 and deny staff hit them. UnsubstantiatedRead the full finding— CDSS inspection report, September 7, 2023 · control 56-AS-20230717160803

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility to conclude and issue findings for the investigation that was initiated on 11/18/2022. LPA stated the purpose of the visit and was granted entry and met with Administrator Melanie Niez. The investigation consisted of interviews with facility staff, interviews with residents, and a review of facility records. For allegation, Facility staff did not keep the home free from odor: It was alleged that the facility smells like urine and bowel movement. During interviews with residents, the residents stated that the facility does smell like urine and bowel movement. The residents smell urine and bowel movement in the main areas and hallways of the facility, as well as smelling the odor in their bedrooms on the flooring and carpet. SubstantiatedRead the full finding— CDSS inspection report, July 18, 2023 · control 56-AS-20221116170954

Licensing Program Analysts (LPAs) Tricia Danielson and Janette Romero arrived unannounced to the facility to conclude an investigation into the allegation listed above. LPA met with Adminstrator Melanie Niez and explained the purpose of the visit. Regarding the allegation "Facility staff failed to pick up resident after a medical appointment", it was alleged that the facility did not ensure Resident #1(R1) was provided transportation back to the facility from an appointment at a hospital on the afternoon of November 3, 2020. Interviews with facility staff revealed R1 was not picked up by their insurance transportation service as planned following their appointment and after being contacted by the hospital late that night, a facility staff member picked R1 up and returned them to the facility at 11:30 PM. This agency has investigated the complaint alleging "Facility staff failed to pick up resident after a medical appointment". We have found that the complaint was unfounded, meaning thaRead the full finding— CDSS inspection report, May 12, 2023 · control 18-AS-20201103101606

On 4/26/23, Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced 10-day complaint investigation at the facility. LPA Malcore met with Administrator Melanie Neiz an discussed the purpose of the visit. The investigation consisted of file review and interviews with relevant parties. Regarding the allegation that resident’s personal belongings were not safeguarded, staff interviewed deny not safeguarding or stealing resident’s personal belongings. Four (4) out of five (5) residents interviewed stated that their personal belongings are safeguarded and have not stolen. Based on the investigation conducted, there is not enough evidence to corroborate this allegation; Therefore, the allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. No deficiencies were cited at this time. UnsubstantiatedRead the full finding— CDSS inspection report, April 26, 2023 · control 56-AS-20230420120739

Licensing Program Analysts (LPAs) Tricia Daneilsona and Janette Romero arrived to the facility to conclude an investigation into the allegation into the allegation above. LPAs met with Administrator Melanie Niez and explained the purpose of the visit. During today's visit, LPAs interviewed eleven (11) residents, two (2) staff, and toured the facility. Regarding the allegation "Facility staff is locking the residents out of the faciltiy while in the designated smoking area", it was alleged that facility staff keep the door to the outside smoking area locked preventing residents who are outside smoking from being able to get back into the building. Interviews were conducted with eveln (11) residents. Seven (7) of eleven (11) residents interviewed reported they smoke. Seven (7) of eleven (11) residents interviewed reported the door to the smoking area locks on occasion as they exit but they are able to get back into the building either by going around to the front door, by holding it openRead the full finding— CDSS inspection report, April 19, 2023 · control 18-AS-20201014104738

Licensing Program Analyst (LPA) Magda Malcore and Bernadette Allen conducted an unannounced visit to initate a complaint investigation and deliver findings for the allegation above. LPA's met with Melanie Niez who was informed of the purpose of the visit. Allegation #1 - Staff does not provide adequate meal service to resident in care During the investigation LPA's observed that there was a current menu available for review and the alternate menu. LPA Allen observed sufficient food supplies to meet the needs of those in care. There was a 5-day supply of perishables and 7-day supply of non-perishables. LPA's also interviewed five (5) residents and four (4) staff members who stated meals are being served by staff in a timely manner in the dining area but if they are not feeling well they are encouraged at least three times so they can associate and get exercise. UnsubstantiatedRead the full finding— CDSS inspection report, February 21, 2023 · control 56-AS-20230214160051

Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility for the purpose of delivering findings on a complaint conducted on 8/7/2020, by Licensing Program Analyst (LPA) Naisha Kendrix. LPA Kendrix contacted the facility via phone due to the COVID virus. LPA introduced herself and discussed the reason for the call and requested to conduct the call via Zoom. Documentation states that resident 1 (R1) said the facility staff was provided with their doctor’s orders for special dietary needs. (R1) said that food is provided at another time if they are not ready to eat at the time food is scheduled to be served which is based on (R1's) request. Resident 1 (R1) said that there is a lock on the door and staff members are not always allowed to come into the room while they are in the room. LPA Naisha Kendrix conducted interviews with four (4) staff members who said (R1) has a history of locking the door and not allowing anyone entry into the room unless it is gRead the full finding— CDSS inspection report, February 17, 2023 · control 18-AS-20200807123801

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to initiate a complaint investigation for the allegations above. LPA Allen met with Melanie Niez who was informed of the purpose of the visit. Allegation #1-Staff not providing resident with meals in a timely manner. During the investigation LPA Allen observed that there was a current menu avaliable for review.LPA observed sufficient food supplies to met the needs of those in care. LPA also interviewed (4) four residents and (5) five staff members who stated meals are being served meals by staff in a timley manner. Continued..... UnsubstantiatedRead the full finding— CDSS inspection report, September 14, 2022 · control 56-AS-20220906134157

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation regarding allegations that the facility staff failed to meet resident's needs and facility staff failed to treat resident with respect. LPA Prieto met with administrator James Braswell (S1) who was interviewed, as well as staff #2 (S2), staff #3 (S3). LPA also interviewed resident #1 (R1). Staff stated that there has not been any disrespect to R1 and there has not been any complaints related to R1's care. R1 stated that all care needs are being met as well as being very pleased with the staff's care and interactions. R1 stated that there are no concerns to be reported to this State representative. This agency has investigated the complaint alleging that the facility staff failed to meet resident's needs and facility staff failed to treat resident with respect. We have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened and/or iRead the full finding— CDSS inspection report, February 3, 2022 · control 18-AS-20220126135848

Licensing Program Analyst (LPA) Stephanie Williams made an unannounced visit to the facility in order to deliver findings for the above allegations. LPA Williams identified herself to the Administrator, James Braswell, who was also informed of the purpose of the visit. The investigation consisted of records review and interviews with staff and residents. In regards to allegation #1, LPA Williams interviewed Staff #1 (S1), Staff #2 (S2), and Staff #3 (S3) who all denied that the facility is retaining residents beyond their level of care. S1 stated that if a resident experiences a change in condition, the resident's primary physician is notified and service plan is adjusted accordingly. S1 and S3 stated that facility staff were able to provide appropriate care for both Resident #1 (R1) and Resident #2 (R2) prior to passing. In regards to allegation #2, S1 stated that the facility had an issue with rodents in the facility in December of 2020; however, the facility has had no issues with rRead the full finding— CDSS inspection report, January 10, 2022 · control 18-AS-20201201154558