Inspection Reports for
Citrus Place

The facility was observed to be clean, well-maintained, and in good repair with no deficiencies cited. Client and employee records were complete and available. Safety equipment and emergency procedures were up to date and operational.

The complaint alleged that staff failed to transport a resident to the hospital in a timely manner after an injury was observed. The investigation determined that staff followed the POA's directive, causing a delay in emergency services. The allegation was unsubstantiated.

The investigation found that staff immediately contacted the resident's Power of Attorney (POA) after observing an injury, and followed the POA's instruction not to seek emergency medical services initially. Medical personnel were contacted later when the resident's condition worsened, and the resident was transported to the hospital. The allegation was unsubstantiated due to insufficient evidence to prove a violation.

The complaint investigation was unsubstantiated. Allegations included insufficient staff numbers and qualifications, staff yelling at residents, and discouragement of incident reporting. Interviews and documentation review did not corroborate these claims.

The investigation found that staffing levels and qualifications were appropriate, staff denied yelling at residents or discouraging incident reporting, and residents confirmed being treated well. The allegations were deemed unsubstantiated due to lack of evidence.

The visit was related to amended complaint findings for complaint control numbers 18-AS-20231013143500 and 18-AS-20230918160404.

The Licensing Program Analyst met with the Executive Director to explain the purpose of the visit and conducted an exit interview. A copy of the report was provided to the Executive Director.

The complaint investigation was unsubstantiated. Allegations included staff not following food safety protocols, falsifying medical documentation, not reporting incidents, administering crushed medications without physician permission, and not reassessing residents as necessary. None of these allegations were substantiated based on the evidence gathered.

The investigation found no preponderance of evidence to substantiate any of the allegations. The kitchen was clean and followed food safety protocols, medical documentation was accurate, incidents were properly reported, medications were only crushed with physician orders, and residents were reassessed as required.

The facility was observed to be clean, well-maintained, and in good repair with no deficiencies cited. Records and files were reviewed with some noted issues in document organization, but no regulatory violations were found.

The complaint was related to Personal Rights. The allegation was found to be unfounded, meaning it was without merit or false and could not have happened.

The allegation was investigated through interviews, record reviews, and observations, and was determined to be unfounded as the resident in question does not reside at the facility and there were no health and safety concerns observed.

The facility was found to be in compliance with no deficiencies cited. Observations included infection control measures for COVID-19 positive residents, clean and well-maintained physical plant, adequate food service, proper medication management, and disaster preparedness with recent fire drill documentation.

The complaint alleged that on 7/11/2023 the facility lobby, kitchen, and dining area were 90 degrees and that management stated the air conditioning system was "too costly" to fix, with staff using fans to cool the dining room. The allegation was found unsubstantiated after investigation.

The investigation found that the facility had experienced air conditioning issues earlier in the month but had taken steps to ensure residents were kept comfortable using fans and portable air conditioning units. At the time of the visit, temperatures were comfortable, no residents complained or experienced heat-related symptoms, and there was a plan to repair the air conditioning system. Therefore, the allegation was unsubstantiated.

The complaint alleged that the facility was not conducting fire drills. The allegation was found to be unsubstantiated after review and interviews.

The investigation found that the last fire drill was conducted on 2023-05-31, confirmed by the Maintenance Director, and therefore the allegation was unsubstantiated.

The visit was related to complaint #18-AS-20210818134318 and involved amending the finding of one allegation from October 22, 2021.

The visit was focused on addressing a previous allegation from a complaint dated October 22, 2021. No additional findings or deficiencies are explicitly stated in the report.

The inspection found no deficiencies. The facility demonstrated sufficient infection control measures including adequate hand hygiene supplies, cleaning provisions, proper PPE use, and a designated infection control lead. The facility also has plans for COVID-19 testing, isolation, and monitoring.