Inspection Reports for
The Ivy at Blue Oaks

The visit was complaint-related due to an incident report of resident R1 leaving the facility unassisted. The complaint findings were delivered during the visit. The resident returned unharmed approximately 50 minutes later. Staff failed to respond properly to wander-guard alerts and exit alarms. The complaint was substantiated by the cited deficiencies.

The investigation found that although there were sufficient staff, they did not competently monitor the resident or respond to exit alarms, allowing the resident to leave undetected. Deficiencies were cited for failure to have competent staff monitoring and responding to alarms, posing immediate and potential health and safety risks.

The complaint was substantiated based on evidence including resident records, staff interviews, and call button records. The complaint involved failure to respond to resident calls and failure to provide agreed care assistance. The substantiation means the allegation was valid by the preponderance of evidence standard.

The investigation found the allegations substantiated. Staff shortages and unreliable communication devices delayed response to a resident's medical emergency. Personal assistance and care identified in the resident's service plan were not consistently provided, posing a potential health and safety risk.

The Licensing Program Analyst toured the facility and reviewed resident and staff files, finding no immediate health or safety concerns and no deficiencies cited during the inspection.

The complaint investigation was substantiated for the allegation that facility staff did not allow resident R1 to attend activities of choice, violating personal rights. The allegation that staff did not answer communications from family members was unsubstantiated.

The investigation substantiated that a resident was restricted from attending activities of their choice, violating their personal rights. Another allegation regarding staff not answering family communications was found unsubstantiated.

The complaint was unsubstantiated. Allegations included insufficient staffing to meet residents' hygiene needs, rough handling of residents, staff yelling at residents, and inadequate staff training. The Licensing Program Analyst found no evidence to support these claims after records review and interviews.

The investigation found no preponderance of evidence to substantiate the allegations. Staffing shortages were alleged to have occurred months prior but specific incidents were not substantiated. No evidence supported claims of rough handling or yelling by staff, and training deficiencies were not identified.

No deficiencies were noted during the inspection. The Licensing Program Analyst observed the resident visiting with friends and discussed behavior management strategies with the Executive Director.

The facility was toured including interior and exterior areas with no immediate health or safety concerns observed. Resident and staff files were reviewed and found complete and well organized. No deficiencies were cited during this inspection.

The complaint was substantiated. The allegation involved failure to follow refund conditions related to a preadmission fee paid by resident R1 in July 2024. The refund was delayed due to clerical errors and personnel changes. The refund was ultimately issued and verified by 2025-02-14.

The investigation substantiated the complaint that the facility failed to refund a preadmission fee timely due to clerical errors, including mailing the refund check to an incorrect person. The issue was resolved with the resident receiving the refund by 2025-02-14.

The Licensing Program Analyst toured the facility and found no immediate health or safety concerns. The facility is in significant compliance, with the license pending approval.