LINCOLN VILLA

Official classification

Type B

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(1) Personal Rights of Residents in All Facilities (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when S1 confirmed that S1 verbally abused residents which poses a potential safety and personal rights risk to persons in care.

Official plan of correction

By POC date, the Administrator will submit an action plan regarding S1 to CCLD addressing preventative measures to ensure S1 does not violate residents' rights.

Deadline recorded: Jun 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, licensee did not comply with the section cited above a water bubble forming on the ceiling wall in room #40 with black spots surrounding the bubble which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/25/2026 Plan of Correction The Adminsitrator agrees to relocate both residents in room #40 while the repair is being done. Proof of correction will be sent to CCLD by POC date once the repair has completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above when the alarm system for the facility door was in disrepair which posed a potential safety risk to persons in care.

Official plan of correction

By POC date, the Administrator (ADM) agrees to contact the alarm system to see what the issue is with the alarm system not sounding. Then, based off that information, Administrator will notify LPA of what their plan is for the alarm system.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(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. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above when R1 and R2 AWOL'D from the facility on the same day which posed a potential safety risk to persons in care.

Official plan of correction

By POC date, the Administrator will request for R1 to have a 1:1 and do a two hour check in for R2. In addition, Administrator will create an activity schedule for the next two weeks and send proof to CCLD.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

87307(d)(6) Personal Accommodations and Services (6)All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by having the front, side and back exit doors blocked with a portable safety barrier which posed a potential safety and personal rights risk to persons in care.

Official plan of correction

By POC date, the Administrator will remove the barriers and send proof to CCLD.

Deadline recorded: Mar 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87625(b)(3)

Regulation authority

CCR

What the official deficiency says

87625(b)(3) Managed Incontinence (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by having a strong urine odor in the hallways which poses health and personal rights risk to persons in care.

Official plan of correction

Administrator agrees to come up with the plan to reduce the odor smell and clean the hallway. LPA will come back to verify the correction.

Deadline recorded: Jan 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(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. This requirement is not met as evidenced: Based on record review, the licensee did not comply with the section above when R1 AWOL'D from the facility which posed a potential safety risk to persons in care.

Official plan of correction

Administrator will 1) review all physicians report and identify which residents are not able to leave the facility unassisted, 2) update Appraisal Needs and Services Plan to address wandering behaviors, 3) submit the facility's activity calendar, 4) LPA will schedule an office visit to address AWOL incidents.

Deadline recorded: Jan 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(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. This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when R1 AWOL’D from the facility which posed a potential safety risk to person in care.

Official plan of correction

The Administrator agrees to implement a plan to meet R1's needs, have in-service training with staff regarding awol and regulation, and have the LIC500 updated. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Dec 12, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic This requirement is not met as evidenced by: The licensee did not comply with the section cited above by having expired fire extinguisher tags that poses an immediate health and safety risk to person in care.

Official plan of correction

The Administrator agrees to service the fire extinguishers and send proof to CCLD by POC date.

Deadline recorded: Aug 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

87555(b)(8) General Food Service Requirements(8) All food shall be of good quality...Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by The licensee did not comply with the section cited above by not properly labeling and storing food in the kitchen which poses a potential safety risk to persons in care.

Official plan of correction

The Administrator agrees to have an in-service on properly storing and labelling food items with staff and send proof to CCLD by POC date.

Deadline recorded: Aug 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(4)Additional Personal Rights of Residents in Privately Operated Facilities (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. This requirement is not met as evidence by: The licensee did not comply with the section cited above by not allowing R1 to leave the facility unassisted which posed a potential health and safety risk to resident in care.

Official plan of correction

Moving forward, the Administrator will have staff review physician's report before allowing residents to leave the facility unassisted. In addition, Administrator will review the regulation and self certify. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Jul 1, 2025. A deadline is not proof that correction was completed.