Plaza Village 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.

Allegation investigated: Faciltiy did not ensure that resident was changed in a timley maner

Licensing Program Analyst (LPA) Jose De La Cruz conducted an unannounced visit regarding the above mentioned allegation. LPA was greeted and granted entry by Facility Director Megan Moore, to whom he identified himself and explained the purpose of the visit. The Reporting Party (RP) alleged that the facility did not ensure that Resident 1 (R1) was changed in a timely manner. RP stated that R1 was assessed while in memory care with urine odor, and “bilateral severe moisture related breakdown in the groin.” Attempts to contact RP on 01/14/2025 and 04/14/2026 were unsuccessful. LPA confirmed that RP was no longer employed and their whereabouts could not be determined. [CONTINUED on LIC9099] Unsubstantiatedthe state’s words, verbatim · CDSS document, May 7, 2026 · control 08-AS-20250107161518

Allegation investigated: Unlawful eviction Staff stole resident's property Facility not helping resident obtain medical care

Licensing Program Analyst (LPA) Jose De La Cruz conducted an unannounced visit regarding the above mentioned allegations. LPA was greeted and granted entry by Facility Director (FD) Megan Moore, to whom he identified himself and explained the purpose of the visit. The Reporting Party (RP) alleged illegal eviction. Specifically, that the resident was at risk of eviction due to non payment and lacked funds or income. RP also alleged that the facility was neglecting the resident’s medical care by failing to provide transportation to medical and personal appointments. Lastly, RP stated that former staff member had stolen property belonging to the resident. [CONTINUED ON LIC9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, May 7, 2026 · control 08-AS-20260414155717

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: Licensee did not give medication as prescribed. Licensee did not meet resident's care needs.

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to both present and deliver complaint investigation findings. LPA introduced himself and stated the purpose of the visit with Executive Director Megan Amy Moore. On April 8, 2026, Licensing Program Analyst (LPA) Serrano conducted an unannounced complaint investigation at the facility to address the above allegations. LPA reviewed facility records including Resident 1's (R1) Physician’s Report, Care Plan, Medication Administration Records (MARs), and the Resident Care Director’s (RCD) progress notes dated January 2, 2026 through March 31, 2026. LPA also interviewed R1. The complaint alleged that facility staff were not giving R1 their medication patch and were delayed in providing pain medication. It was reported that R1 used to manage their own medications but the facility took over after they received a morphine prescription. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 8, 2026 · control 08-AS-20260330133620

Allegation investigated: Lack of supervision resulted in resident eloping from facility Staff did not report missing resident in a timely manner Residents were locked out of the facility

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver complaint investigation findings. LPA introduced himself and stated the purpose of the visit with Executive Director Megan Amy Moore. On December 16, 2024, the Department received a complaint alleging that lack of supervision resulted in a resident leaving the facility without permission, staff did not report the missing resident in a timely manner, and residents were locked out of the facility. Licensing Program Analyst (LPA) conducted an investigation that included interviews with staff, residents, pervious and current Executive Directors (ED), as well as a review of facility records such as physician reports, care plans, and sign-in/sign-out sheets.It was reported that Resident 1 (R1) left the facility alone on December 15, 2024, around 2:00 PM and did not return. R1 was believed to require supervision when leaving the facility. LPA reviewed R1’s physician report dated June 21, 2023, anthe state’s words, verbatim · CDSS document, Feb 10, 2026 · control 08-AS-20241216092749

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: The facility charged resident for services not being rendered Facility staff did not accord resident dignity Facility staff did not accord resident with privacy

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver complaint investigation findings. LPA introduced himself and stated the purpose of the visit with Executive Director Megan Amy Moore. The Department’s investigation consisted of interviews with staff, residents, outside sources and review of records. LPA Ramon Serrano conducted a complaint investigation at the facility regarding Resident 1 (R1). The investigation focused on several allegations including, charging for services not rendered, lack of dignity and privacy and improper infection control practices. R1 reported that their Cox cable service was removed and they were charged for a cable box despite the cable not working. They stated they were without cable for several days during baseball season and felt frustrated. Substantiatedthe state’s words, verbatim · CDSS document, Dec 16, 2025 · control 08-AS-20251114134350

Allegation investigated: Facility pull chords are in disrepair.

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced visit to conduct a complaint investigation visit and to deliver findings. LPA Silveira introduced themselves, disclosed the purpose of the visit and was granted entry into the facility by Executive Director Megan Amy Moore. Wellness Director Monie Harris joined shortly after. The Department’s investigation consisted of observations and interviews. On July 30, 2025, it was alleged that the facility pull chords in resident bathrooms are in disrepair. The Department, along with a care staff, the Executive Director and the Wellness Director, tested the following resident bathroom pull chords: 1. The resident bathroom on floor one, which was found to be working. 2. The resident bathrooms in community rooms 4E, 4B, 4B hallway and 3A, which did not transmit the alert to the staff's pager. The Department also conducted interviews and found that four (4) out of five (5) residents interviewed stated that the pull chords inthe state’s words, verbatim · CDSS document, Aug 4, 2025 · control 08-AS-20250730153043

Allegation investigated: Staff are not mitigating the spread of scabies in the facility.

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced visit to conduct a complaint investigation visit and to deliver findings. LPA Silveira introduced themselves, disclosed the purpose of the visit and was granted entry into the facility by Executive Director Megan Amy Moore. Wellness Director Monie Harris. The Department’s investigation consisted of observations, interviews and a records review. On July 17, 2025, it was alleged that staff are not mitigating the spread of scabies in the facility. It was specifically alleged that Resident #1 (R1) obtained the illness from another resident and that more residents had contracted scabies due to the facility not treating the scabies correctly. Interviews with the Executive Director (ED) and the Wellness Director (WD) revealed that the first documented case of scabies was R1 and currently, they are the only active case. (CONTINUED ON NEXT PAGE, LIC 9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 23, 2025 · control 08-AS-20250717102536

Allegation investigated: Staff neglect resulted in injury to resident Facility staff did not meet resident’s incontinence care Facility staff did not meet resident’s care needs Facility did not maintain a clean and sanitary room for resident

LPM II RA, Donna Teutschel conducted a telephone conference with Administrator, Maria Shetler regarding the above allegations. Resident no longer at facility. Based on the information received to date, the Department is unable to prove or disprove the allegations and findigs are determined to be Unsubstantiated.. Administrator email: MARIA.SHETLER@PLAZAVILLAGE.COM Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 15, 2025 · control 08-AS-20210615122559

Allegation investigated: Unlawful Eviction

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver complaint investigation findings. LPA introduced himself and stated the purpose of the visit with Executive Director Maria Shetler. The Department’s investigation consisted of interviews with staff, outside sources and review of records. It was alleged that Resident 1 (R1) was unlawfully evicted. It was reported that on February 20, 2025 R1 was being combative with staff and residents. Facility staff advised R1's responsible party (RP) that they would need to either send R1 to the hospital or pick R1 up from the facility. It was reported that the facility advised R1's RP as well as an outside source that R1 could not return to the facility until they "figured something out" because it was not safe for other residents and staff. (Continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 26, 2025 · control 08-AS-20250224084404

Allegation investigated: Resident sustained unexplained injuries while in care

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings. LPA was allowed entry by Maria Shetler, Administrator. LPA identified herself and disclosed the purpose of the visit and elements of the findings to the Administrator. The department received a complaint that the resident sustained unexplained injuries while in care. The investigation included a facility tour, interviews with staff and outside sources, and a records review. On 12/01/22, Resident 1 (R1) with underlying dementia and reported history of chronic interstitial lung disease was transported from the Day Program to the Hospital due to complaining of abdomen pain and pain in the foot. The day program contacted the family members and Plaza Village Senior Living to report the event. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 7, 2024 · control 08-AS-20221201153950

Allegation investigated: Staff do not encourage resident to participate in activities Facility did not treat scabies outbreak

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint investigation visit to conduct additional interviews and deliver complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Maria Shetler. Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources, including staff and residents. It was alleged that staff did not encourage a resident to participate in activities. It was reported to the Department and external source had visited the facility and witnessed a resident in bed. When this source asked if the resident participated in activities, staff said yes, but could specify which activities. Interviews with both internal and external sources revealed it was common for the resident in question to decline to participate in any activities. Interviews also revealed the facility did offer and encouraged the facility residents to participatethe state’s words, verbatim · CDSS document, Jan 30, 2024 · control 08-AS-20231013145230

Allegation investigated: Staff did not provide resident with clean linens Staff did not provide adequate clothing to resident Staff did not keep facility free of odor

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint investigation visit to deliver complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Maria Shetler. Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources, including staff and residents. It was alleged staff did not provide a resident with clean linens. Interviews with internal and external sources did not reveal any concerns regarding lack of lines at the facility. On multiple occasions, the LPA conducted tours of the facility and witnessed the facility had sufficient lines available for the resident in care. Although interviews revealed it was the residents’ responsibility, or residents’ responsible party to provide linens, the facility had an emergency supply readily available. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 30, 2024 · control 08-AS-20231010130300

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