Inspection Reports for
Brightview Devon

The inspection found deficiencies related to missing emergency telephone numbers in resident rooms, inadequate bedside lighting, improper refrigerator and freezer temperatures, and outdated food in the kitchen. Corrective actions were accepted and implemented with ongoing monitoring plans.

Multiple deficiencies were identified related to poisonous material storage, sanitary conditions, water pressure, lighting, food storage, fire safety, medication administration, resident assessments, and support plan signatures. Immediate corrective actions were taken and plans of correction were accepted with ongoing monitoring and audits scheduled.

The waiver is granted based on the evaluation that the staff member's education from outside the United States is equivalent to a U.S. high school diploma. The waiver is subject to documentation requirements and annual review during inspections.

The Department reviewed the submitted information and determined that the informed consent process includes voluntary participation, the right to discontinue camera use, and notification of residents' rights, satisfying regulatory requirements for resident privacy.

The waiver is granted with conditions including documentation of education equivalent to a Bachelor's degree and maintenance of such documentation in personnel files. The Department will review compliance with these conditions annually during inspections.

The visit was complaint-related as indicated by the inspection information section stating the reason as 'Complaint'.

The inspection identified deficiencies including the absence of a fee schedule in resident contracts, unsanitary conditions in a resident's room, and incomplete resident records lacking identifying marks and personal property inventories. Plans of correction were accepted and implemented to address these issues.

The visit was complaint-related and incident-related. The complaint involved an alleged abuse incident where a staff member was terminated following an internal investigation. The complaint was substantiated as corrective actions were implemented.

The facility was found to have fully implemented the submitted plan of correction. Two deficiencies were noted: failure to submit a final incident report immediately after investigation conclusion, and improper treatment of a resident by staff, which resulted in a minor injury without pain or bruising.

The facility was found to be in substantial compliance with applicable regulations, but the licensing inspector was unable to complete a full inspection due to the new legal entity status. Several citations were found and required correction, with plans of correction submitted and implemented.

The inspection identified several deficiencies including food contamination risk, medication storage and documentation issues, and improper use of PRN medication without documented behavioral interventions. Immediate corrective actions were taken and plans for ongoing compliance and monitoring were established.

The inspection identified multiple deficiencies related to medication administration, resident abuse, criminal background checks, staff orientation and training, food safety, emergency procedures, fire safety, medical evaluations, medication storage and documentation, support plans, and staff training in dementia care. Plans of correction were accepted with proposed completion dates mostly by 06/30/2024 and implementation dates by 07/15/2024.

The waiver is granted with conditions including documentation of the employee's education equivalency and maintenance of records by the facility. The Department will review this waiver annually during inspections to ensure compliance.

The waiver is granted with conditions requiring documentation of education equivalency and annual review during the facility's inspection to ensure compliance. Noncompliance may result in waiver termination or licensing action.

The complaint involved an allegation that staff member B punched a resident in the arm. Staff member B was suspended but returned to work without an approved plan of supervision. The Department completed the investigation on 07/20/2023.

The facility was found to have violations including failure to suspend a staff member involved in an alleged resident abuse incident without an approved supervision plan, direct care staff lacking required qualifications, and deficiencies in required annual training for direct care staff.

The inspection identified multiple deficiencies including lack of criminal background checks for delivery workers, unclean freezer and sticky floors in the kitchenette, use of a common towel, unlabeled leftover food, lint accumulation in dryer traps, lack of written notification to the fire department, and medication administration errors. All deficiencies had plans of correction submitted and were implemented by November 16, 2022.

The submitted plan of correction was determined to be fully implemented, with continued compliance required. Specific deficiencies related to resident support plan signatures and incident report documentation were addressed and corrected.

No regulatory citations or deficiencies were identified during the inspections conducted on 02/04/2022, 02/08/2022, 02/11/2022, and 02/28/2022.

The Department issued a regular license in response to the renewal application and advised that an annual onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.

The inspection identified multiple deficiencies including unsigned resident contracts, unsecured poisonous materials accessible to residents, improper food storage and labeling, outdated emergency procedures, expired medications, uncalibrated glucometers, incomplete medication documentation, lack of resident education on medication refusal rights, incomplete preadmission screening forms, and untimely medical evaluations for residents in the secured dementia care unit. Plans of correction were accepted and documented for all deficiencies.

The facility was found to have fully implemented the submitted plan of correction addressing abuse, medication administration violations, and documentation deficiencies. Continued compliance was emphasized.

No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.

The inspection was complaint-related, triggered by incidents involving resident abuse and neglect, including physical aggression and failure to report incidents. The complaint was substantiated as violations were found.

The submitted plan of correction was found to be fully implemented. The facility demonstrated compliance with requirements related to resident abuse reporting, treatment of residents, privacy, training plan content, positive interventions, prohibitions, and support plan elements.

Two violations were found: the facility had not completed a fire drill observed by a fire safety expert, and the directions for operating the Secure Dementia Care Unit's locking mechanism were not conspicuously posted. Plans of correction were approved and implemented.

The facility was found to be in substantial compliance with applicable regulations, but the inspection was incomplete because the home was new and not yet serving four or more residents. A re-inspection will be conducted within three months of the license effective date.