Inspection Reports for
Canterbury Gardens Memory Care Community

The inspection found two violations: a hole in the fire-rated construction in the rose storage room, which was repaired on 3/6/26, and failure to provide a forward flow test on the sprinkler system as of 3/10/26 at 8:00 AM. The overall approval status was Disapproved.

The complaint investigation involved allegations of inadequate transfer assistance leading to a resident fall and injury. Multiple staff and collateral contacts confirmed unsafe transfer practices and lack of adherence to the resident's negotiated service agreement. The facility failed to provide appropriate transfer assistance, resulting in injury and hospitalization of Resident 1. Citations were issued.

The investigation found a failed provider practice where the facility did not provide care as agreed upon in the resident's negotiated service agreement, resulting in injury. Citations were written for this failure.

The facility failed to ensure the nurse delegator had delegated two Medication Technicians prior to administering medications to two residents. This deficiency was uncorrected from a previous citation and resulted in a $400 civil fine.

The facility was found not in compliance during the follow-up visit due to failure to ensure proper nurse delegation to Medication Technicians, placing residents at risk. The deficiencies were previously cited and remain uncorrected as of the follow-up date.

All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

The complaint investigation referenced complaint number 127443 and found that the allegation that the facility was violating resident rights by not allowing visitors was substantiated. The facility failed provider practice and citations were written.

The investigation found that the facility violated resident rights by not allowing visitors to visit the resident because the resident representative requested no visitors. The facility did not give the resident the opportunity to decide if they wanted visitors. Citations were written for failed provider practice.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as documented.

All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.

The complaint investigation (Complaint #52771) found that the facility failed to provide medications as prescribed for 2 of 3 residents reviewed. Medication errors involved missed doses of morphine and Spiriva inhaler due to staff misunderstanding medication schedules. Citations were written and enforcement action was possible. The facility was required to correct deficiencies and submit a plan of correction.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to medication administration were corrected.