Inspection Reports for
River Bluffs Memory Care

The complaint involved multiple allegations: 1) Facility staff did not seek timely medical attention for a resident who ingested incorrect medication (unsubstantiated). 2) Licensee does not ensure staff are adequately trained (unfounded). 3) Facility staff are unable to communicate with residents (unfounded). 4) Licensee does not ensure facility is adequately staffed to meet resident's toileting needs (unfounded).

The investigation found the allegation of failure to seek timely medical attention unsubstantiated due to lack of evidence. Allegations regarding inadequate staff training and communication were substantiated as unfounded after record reviews and interviews. The allegation of insufficient staffing to meet toileting needs was also found unfounded after observations and schedule reviews. No citations were issued.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Katie Brown. Allegations included staff blocking exits, inappropriate staff speech towards a resident, fire alarm malfunction, and locking a resident in their room. All allegations were found unsubstantiated or unfounded with no citations issued.

The investigation found the allegations unsubstantiated or unfounded based on observations, interviews, and record reviews. Exits were not blocked, staff did not speak inappropriately to residents, fire alarms were operational despite some detectors being removed for maintenance, and resident rooms could not be locked from the inside. No citations were issued.

The complaint was unsubstantiated. Although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation included a facility tour, staff interviews, and record reviews. The Department was unable to substantiate the allegations of facility disrepair and staff leaving a resident in soiled clothing. No citations were issued.

The complaint alleged that the facility was unable to conduct a timely assessment for a resident to be discharged from the hospital. The allegation was found to be unsubstantiated after investigation.

The investigation found conflicting information from multiple interviews and record reviews. The hospital was in communication with the facility administration and the resident's responsible party multiple times to plan the discharge. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The inspection found that infection control procedures were properly followed, including symptom screenings, testing, visitation requirements, quarantine/isolation procedures, staffing, PPE use, and daily infection control. No deficiencies were cited during the visit.

Complaint Control Number 24-AS-20211040612101 was the basis for this visit; the report delivered was an amended complaint investigation report.

The Licensing Program Analyst delivered the amended complaint investigation report and conducted an exit interview with the facility administrator. No specific findings or deficiencies are detailed in this report.

The complaint investigation involved allegations that a resident's call light was not reachable, the resident sustained pressure injuries and numerous wounds while in care, and that staff handled the resident roughly causing injury. After interviews with the resident, family, home health personnel, and facility staff, as well as records review, the allegations were found unsubstantiated due to insufficient evidence.

The investigation found that although the allegations regarding unreachable call lights, pressure injuries, numerous wounds, and rough handling of a resident may have occurred or be valid, there was not a preponderance of evidence to substantiate any violations. All allegations were determined to be unsubstantiated.

No deficiencies were cited during the visit. The Licensing Program Analyst met with the resident and interviewed the administrator, and an exit interview was conducted.

The facility was found to be in compliance with required infection control practices, including symptom screenings, visitation policies, quarantine procedures, PPE use, and staff training. No deficiencies were cited during the inspection.

The facility was found to be in compliance with infection control practices including symptom screenings, visitation policies, quarantine procedures, PPE use, and staff training. No deficiencies were cited during the inspection.

The complaint was unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred.

The investigation found that a resident was transferred to a hospital for COVID-19 treatment and was diagnosed with a mildly displaced left femoral neck fracture. The facility had no records of a fall and prior x-rays did not show fractures. There was insufficient evidence to prove the allegation, so it was unsubstantiated and no deficiencies were cited.

The Licensing Program Analyst toured the facility with the Administrator and removed a resident's file to make a copy at the CCLD office, with the file to be returned within 3 business days. No deficiencies or violations were explicitly stated in the report.

The complaint alleged that the facility illegally evicted a resident and that a resident eloped from the facility on multiple occasions. The complaint was found to be unfounded and dismissed.

The investigation found the allegations to be unfounded. It was confirmed that no eviction took place and the resident was relocated by the family. The resident did elope but not due to facility neglect or lack of supervision. The complaint was dismissed.

The complaint alleged that staff unlawfully evicted a resident while in care. The investigation found the allegation to be unfounded as the resident was never evicted.

The Licensing Program Analyst contacted the facility via telephone due to COVID-19 precautions, interviewed the administrator, and reviewed the resident's file. It was confirmed that the resident was never evicted and still resides at the facility. The allegation was found to be unfounded.