5 Reports
Inspection Report — Mar 17, 2025
Complaint Investigation
Date: Mar 17, 2025
Visit Reason
Investigation of Complaint #124599-C and Complaint #125457-C at the assisted living facility.
Complaint Details
Investigation of Complaint #124599-C and Complaint #125457-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Report Facts
Number of tenants without cognitive impairment: 14
Number of tenants with cognitive impairment: 14
Inspection Report — Aug 1, 2024
Renewal
Date: Aug 1, 2024
Visit Reason
The visit was conducted as a recertification to determine compliance with certification of an Assisted Living Program for People with Dementia, including investigation of Incident #119879-I.
Findings
No regulatory insufficiencies were cited during the investigation and recertification visit.
Report Facts
Number of tenants without cognitive impairment: 18
Number of tenants with cognitive impairment: 12
Inspection Report — Oct 2, 2023
Complaint Investigation
Date: Oct 2, 2023
Visit Reason
Investigation of Complaint #108258-C regarding the assisted living program.
Complaint Details
Complaint #108258-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Report Facts
Number of tenants without cognitive impairment: 26
Number of tenants with cognitive impairment: 10
Inspection Report — Apr 4, 2022
Complaint Investigation
Date: Apr 4, 2022
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for a Dementia-Specific Assisted Living Program and to investigate Complaint #96842-C.
Complaint Details
The inspection included investigation of Complaint #96842-C. No regulatory insufficiencies were cited during the investigation of Incident #102765-I.
Findings
The program failed to evaluate tenants' functional and health status prior to occupancy and within 30 days of occupancy for 2 out of 3 tenants reviewed. Additionally, the program failed to complete evaluations when a tenant exhibited significant health changes and failed to develop service plans based on required evaluations. The program also failed to conduct nurse reviews to monitor a tenant's health status at least every 90 days for 1 of 3 tenants reviewed.
Violations (5)
Failed to evaluate tenants' functional and health status prior to occupancy for 2 out of 3 tenants reviewed (Tenant #1, Tenant #2).
Failed to evaluate tenants' functional and health status within 30 days of occupancy for 2 out of 3 tenants reviewed (Tenant #1, Tenant #2).
Failed to complete an evaluation when a tenant exhibited a significant change in health status for 1 out of 4 discharged tenants reviewed (Tenant C1).
Failed to develop service plans based on the functional and health evaluations for 2 out of 3 tenants reviewed (Tenant #1, Tenant #2).
Failed to conduct a nurse review to monitor a tenant's health status at least every 90 days for 1 of 3 tenants reviewed (Tenant #1).
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff J | Wrote an alert for the RN regarding Tenant C1's urination pattern | |
| RN #2 | Registered Nurse | Reviewed alert and failed to complete health evaluation for Tenant C1 after significant change |
| Staff A | Notified RN #2 of changes in Tenant C1's behaviors prior to hospitalization |
Inspection Report — Jan 9, 2020
Complaint Investigation
Date: Jan 9, 2020
Visit Reason
Investigation of Complaint #87141-C at the assisted living facility Garden View Place.
Complaint Details
Complaint #87141-C was investigated and found to have no insufficiencies.
Findings
No insufficiencies were cited during the complaint investigation.
Report Facts
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