Inspection Reports for
Serenity Board and Care

The facility was generally clean and well-maintained, with some deficiencies noted including rodent droppings in a kitchen closet, unsecured pre-poured medications in a kitchen drawer, and structural issues such as dry rot on the wooden deck ramp and fence needing repair. The licensee took immediate action to correct the medication drawer locking issue and plans to address other deficiencies within specified timeframes.

The facility was found to be clean, well-maintained, and compliant with most regulations, including food safety, fire safety, and medication storage. However, a deficiency was cited for allowing an individual (S1) to reside in the facility without completed fingerprint clearance, posing an immediate health and safety risk.

The facility was generally compliant with regulations including safety, hygiene, and staff training; however, a deficiency was found related to the centrally stored medication log not being current for two residents' medications.

No deficiencies were cited during the inspection. The facility was found to have appropriate infection control measures, secured medications, functioning exit alarms, and updated emergency contact information.

The facility was found to be compliant with infection control protocols, including PPE availability, staff training, and COVID-19 mitigation measures. No deficiencies were cited during this inspection.

The complaint alleged that after resident R1 passed away on 12/21/20, the facility removed R1's personal belongings but did not issue a refund. The complaint was found to be unfounded.

The investigation found that the facility did issue a refund check within the 15 days required by regulation and determined the allegation was unfounded.