17 Reports
Inspection Report — Apr 20, 2026
Re-Inspection State
Date: Apr 20, 2026
Visit Reason
The resurvey was conducted with attached complaints 193870, 193658, and 192362 at the assisted living facility Homestead of Gardner on 04/20/26 and 04/21/26.
Findings
The resurvey resulted in a finding of no deficiency citations.
Inspection Report — Apr 20, 2026
Plan of Correction State
Date: Apr 20, 2026
Visit Reason
The resurvey was conducted in response to attached complaints 193870, 193658, and 192362 at the assisted living facility.
Findings
The resurvey conducted on 04/20/26 and 04/21/26 resulted in a finding of no deficiency citations.
Inspection Report — Oct 9, 2024
Re-Inspection State
Date: Oct 9, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-09-24.
Findings
All deficiencies cited in the prior inspection have been corrected as of the compliance date 2024-10-04. No new noncompliance was found and the facility is in compliance with all regulations surveyed.
Inspection Report — Sep 24, 2024
Re-Inspection State
Date: Sep 24, 2024
Visit Reason
The inspection was a licensure resurvey conducted on 09/23/24 and 09/24/24 to assess compliance with regulatory requirements for the assisted living facility.
Findings
The facility failed to ensure negotiated service agreements contained complete descriptions of services and payment responsibilities for residents receiving outside services. Medication storage was not properly secured for one resident. Resident records lacked documentation of incidents and follow-up actions. The facility also failed to conduct quarterly reviews of the emergency management plan with all employees and residents.
Deficiencies (5)
26-41-202 (a) Negotiated Service Agreement: The facility failed to ensure negotiated service agreements for residents R1 and R3 contained descriptions of services to be received and identification of parties responsible for payment when outside resources provided services.
26-41-204 (i) Health Care Services Standards of Practice: The facility failed to include a description, purpose, and monitoring instructions for a bed assist device in resident R1's negotiated service agreement.
26-41-205 (h) Medication Storage: The facility failed to ensure all medications and biologicals for resident R3 were stored in separately locked compartments within a locked medication room, cabinet, or medication cart.
26-41-105 (f) (11) Resident Record Documentation of Incidents: The facility failed to document all incidents, symptoms, and other indications of illness or injury for resident R3, including date, time, actions taken, and results.
26-41-104 (d) Disaster and Emergency Preparedness: The facility failed to ensure a quarterly review of the emergency management plan with all employees and residents.
Report Facts
Residents in sample: 3
Resident signatures on emergency plan sign-off: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Operator A | Interviewed regarding deficiencies in negotiated service agreements, medication storage, resident record documentation, and emergency preparedness | |
| Licensed Nurse B | Interviewed regarding deficiencies in negotiated service agreements, medication storage, and resident record documentation |
Inspection Report — Sep 23, 2024
Plan of Correction State
Date: Sep 23, 2024
Visit Reason
The document is a plan of correction submitted in response to findings from the licensure resurvey conducted on 09/23/24 and 09/24/24 at the facility.
Findings
The plan of correction addresses citations identified during the licensure resurvey conducted on the specified dates. Specific deficiencies or findings are not detailed in this document.
Inspection Report — Jan 10, 2023
Abbreviated Survey State
Date: Jan 10, 2023
Visit Reason
The abbreviated survey with review of facility report #1777335 was conducted at the assisted living facility Vintage Park at Gardner LLC.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report — Jan 10, 2023
Plan of Correction State
Date: Jan 10, 2023
Visit Reason
The abbreviated survey was conducted at the facility on 01/10/2023.
Findings
The survey resulted in a finding of no non-compliance.
Inspection Report — Mar 14, 2022
Re-Inspection State
Date: Mar 14, 2022
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-02-09.
Findings
All deficiencies have been corrected as of the compliance date of 2022-02-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report — Feb 8, 2022
Re-Inspection State
Date: Feb 8, 2022
Visit Reason
The inspection was a resurvey conducted with a complaint (#166584) at the assisted living facility.
Complaint Details
The resurvey was conducted in response to complaint #166584. The complaint was substantiated as the facility did not comply with medication administration requirements.
Findings
The facility failed to ensure that licensed nurses or medication aides remained with residents until medications were ingested. Observations and resident interviews confirmed that staff sometimes left medications with residents to take later, contrary to policy.
Deficiencies (1)
KAR 26-41-205 (d)(3)(C) Facility Administration of Medication requires staff to remain with residents until medication is ingested. The facility failed to ensure this requirement was met as staff sometimes left medications with residents to take later.
Report Facts
Residents receiving medication: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse B | Provided resident roster and reported company policy on medication administration. | |
| Licensed Nurse C | Reported some residents could self-administer medications and staff could leave medications with them. | |
| Certified Medication Aide D | Reported staff must stay with residents until medication is taken. |
Inspection Report — Feb 8, 2022
Plan of Correction State
Date: Feb 8, 2022
Visit Reason
The document is a plan of correction submitted in response to a resurvey with a complaint #166584 conducted at an assisted living facility on February 8 and 9, 2022.
Complaint Details
The visit was triggered by complaint #166584.
Findings
The plan of correction addresses citations found during the resurvey related to the complaint investigation at the assisted living facility.
Inspection Report — Aug 6, 2020
Abbreviated Survey State
Date: Aug 6, 2020
Visit Reason
The facility underwent a special infection control survey for COVID-19 conducted on 08/06/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report — Jan 10, 2019
Re-Inspection State
Date: Jan 10, 2019
Visit Reason
The inspection was a resurvey with complaint investigations conducted on 2019-01-08, 2019-01-09, and 2019-01-10 at an assisted living facility.
Complaint Details
The inspection included complaint investigations numbered 136500, 121564, and 118147.
Findings
The facility failed to conduct required functional capacity screenings annually and after significant changes for residents, failed to include necessary service descriptions in negotiated service agreements, and did not ensure quarterly review of the emergency management plan with all residents.
Deficiencies (3)
KAR 26-41-201(c) The facility failed to conduct functional capacity screenings at least annually and following significant changes for Resident #300.
KAR 26-41-202(a)(1) The facility failed to ensure the negotiated service agreement included descriptions of services such as use of bed assist rails and blood glucose monitoring for Residents #200 and #300.
KAR 26-41-104(d)(3) The facility failed to ensure quarterly review of the entire emergency management plan with all residents.
Report Facts
Number of sampled residents: 3
Inspection Report — Apr 17, 2017
Abbreviated Survey State
Date: Apr 17, 2017
Visit Reason
The inspection was an abbreviated survey combined with a complaint investigation at an assisted living facility.
Complaint Details
The visit included a complaint investigation identified as complaint investigation 114104.
Findings
The facility failed to conduct required functional capacity screenings following significant changes in resident conditions and failed to document incidents, symptoms, and other indications of illness or injury including dates, times, actions taken, and results.
Deficiencies (2)
KAR 26-41-201 (c)(2) The facility failed to ensure designated staff conducted a functional capacity screening following a significant change in condition for resident #2 after hospitalization.
KAR 26-41-105 (f)(11) The facility failed to document all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results for residents #1 and #2.
Report Facts
Sampled residents: 3
Inspection Report — Jan 11, 2017
Re-Inspection State
Date: Jan 11, 2017
Visit Reason
This is a revisit inspection to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.
Findings
All previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.
Inspection Report — Dec 7, 2016
Re-Inspection State
Date: Dec 7, 2016
Visit Reason
The inspection was a licensure re-survey with an attached complaint at an assisted living facility conducted on 12/5/16 through 12/7/16.
Complaint Details
The inspection was triggered by a complaint attached to the licensure re-survey.
Findings
The facility was found deficient in multiple areas including failure to execute written admission agreements, incomplete functional capacity screening forms, lack of negotiated service agreements for refused services, inadequate health care service coordination, improper medication administration and storage, incomplete incident documentation, and unsecured chemicals in resident use areas.
Deficiencies (8)
26-39-102(a)(1)(C)(3) Admission Policy: The operator failed to execute a written admission agreement with resident #125 detailing services and resident obligations.
26-41-201(a)(b) Functional Capacity Screen on Admission: The facility's screening form lacked required elements and definitions for residents #125, #126, and #127.
26-41-202(f) NSA Refusal of Service: The operator failed to include required elements in the negotiated service agreement for resident #125 who refused necessary services.
26-41-204(a) Health Care Services: Licensed nurse failed to provide or coordinate necessary health care services per functional capacity screening and negotiated service agreement for residents #125, #126, #127, and #129.
26-41-205(d)(1-2) Facility Administration of Medications: Medications and treatments for residents #125 and #126 were not administered according to provider orders and standards.
26-41-205(h) Medication Storage: Licensed nurses and medication aides failed to securely store medications and biologicals in locked areas for residents #125, #127, #130, #131, and #132.
26-41-105(f)(11) Resident Record Documentation of Incidents: Documentation of incidents and illness for residents #125 and #129 lacked date, time, actions taken, and results.
28-39-254 Construction: The facility failed to protect resident health and safety by leaving chemicals unsecured in a resident use area accessible to cognitively impaired residents.
Report Facts
Medication administration record entries: 13
Blood glucose results: 18
Fall incidents: 4
Fall incidents: 4
Fall incidents: 1
Fall incidents: 3
Medication administration duration: 14
Medication administration record dates: 3
Resident count with cognitive impairment: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| licensed nurse #D | Interviewed regarding functional capacity screening, medication administration, incident documentation, and medication storage | |
| licensed nurse #E | Interviewed regarding medication application and medication storage | |
| facility operator #C | Interviewed regarding admission agreement and resident non-compliance |
Inspection Report — Oct 5, 2015
Renewal State
Date: Oct 5, 2015
Visit Reason
The visit was a licensure resurvey of the assisted living facility to assess compliance with licensing requirements.
Findings
The inspection resulted in a finding of no deficiency citations at the facility on the date of the survey.
Inspection Report — N046055 POC H8SF12
Plan of Correction State
Date: N046055 POC H8SF12
Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory event for the facility identified as ASPEN with State ID N046055.
Findings
No deficiency records or findings are included in this Plan of Correction document. It serves as a corrective action response to previous deficiencies.
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