Inspection Reports for Bentley Manor by SCH

An unannounced annual required visit was conducted to Bentley Manor to evaluate compliance with licensing requirements and facility conditions.

The facility was found to be clean, sanitary, and appropriately furnished with no deficiencies cited. Resident and staff records were complete, medication storage was proper, and infection control practices were observed. Safety equipment and emergency preparedness were current and compliant.

The inspection was an unannounced required 1-year visit to Bentley Manor to evaluate compliance with licensing regulations.

The inspection was not completed due to time restraints. The facility serves non-ambulatory residents, some with dementia and hospice care, and does not handle residents' money.

The inspection was an unannounced complaint investigation conducted to address allegations that staff did not ensure residents' incontinence needs were met, did not maintain the facility clean and sanitary at all times, and were not addressing a rodent problem.

The investigation found no evidence to support the allegations. Observations, interviews with residents and staff, and record reviews indicated that residents' incontinence needs were met, the facility was clean and sanitary, and there was no rodent problem. All allegations were unsubstantiated and no deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included failure to meet residents' incontinence needs, failure to maintain cleanliness and sanitation, and failure to address a rodent problem. Investigators observed the facility, interviewed residents and staff, and reviewed records. No evidence was found to support the allegations, and no deficiencies were cited.

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This unannounced complaint investigation was conducted due to concerns that the licensee had liability insurance that did not include required coverage for resident injuries and that the licensee had no current liability insurance.

The investigation substantiated that between 08/26/2022 and 12/06/2022, the licensee did not have the required liability insurance coverage, posing an immediate safety risk to residents. However, the allegation that the licensee currently has no liability insurance was changed to unsubstantiated after further review.

The complaint was substantiated regarding the lack of required liability insurance coverage between 08/26/2022 and 12/06/2022. The allegation that the licensee had no current liability insurance was unsubstantiated.

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations for a facility serving non-ambulatory elderly adults.

The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. No deficiencies were observed and no citations were issued during the inspection.

An unannounced complaint investigation visit was conducted to investigate allegations including questionable death, illegal drugs on the premises, and uncleared adult on the premises at Bentley Manor.

The investigation found no evidence to support any of the allegations. Interviews with staff, witnesses, and residents, as well as record reviews, indicated that the alleged violations did not occur. Therefore, all allegations were unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included questionable death, illegal drugs on the premises, and uncleared adult on the premises. Evidence and interviews did not support these allegations.

This unannounced complaint investigation was conducted due to allegations that the licensee had liability insurance that did not include required coverage for resident injuries and that the licensee had no current liability insurance.

The investigation found that between 08/26/2022 and 12/06/2022, the facility did not have its own compliant liability insurance coverage due to policy exclusions and shared policies with other facilities. The licensee currently has no liability insurance, which poses an immediate safety risk to residents. Another allegation that the licensee misrepresented having liability insurance was found unsubstantiated.

The complaint investigation was substantiated regarding the lack of required liability insurance coverage from 08/26/2022 to present. The allegation that the licensee misrepresented having liability insurance was unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to allegations that a resident sustained injury due to staff neglect and that staff did not notify the resident's authorized representatives of the incident.

The investigation found no sufficient evidence to support the allegations. The resident's injury was determined to be self-inflicted, and staff denied any physical abuse or failure to notify authorized representatives. The allegations were deemed unsubstantiated.

The complaint involved two allegations: 1) Resident sustained injury due to staff neglect, and 2) Staff did not notify resident's authorized representatives of incident. After interviews with residents, staff, collateral witnesses, and review of records, the department found no evidence to support the allegations and classified them as unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff physically abused a resident in care.

The investigation included interviews with residents, staff, and the administrator, as well as review of relevant records. The allegation of staff physically abusing a resident was found to be unsubstantiated based on the preponderance of evidence.

The complaint alleged that staff physically abused a resident. Interviews with the resident, other residents, staff, and the administrator indicated the injury was self-inflicted by the resident scratching their own face. No staff abuse was witnessed or reported. The allegation was found to be unsubstantiated.

An unannounced post licensing visit was conducted to evaluate compliance with licensing requirements for Bentley Manor, a facility licensed to operate for elderly non-ambulatory adults including hospice residents.

The inspection found deficiencies related to staff lacking Criminal Background Clearance Transfers and the administrator failing to adhere to Title 22 regulations, resulting in multiple citations and an immediate civil penalty.

An unannounced follow-up inspection was conducted to verify the plan of correction issued during the change of ownership pre-licensing evaluation completed on 2022-07-22.

No pests were found in the facility kitchen and all plans of correction have been cleared.

An unannounced follow-up inspection was conducted to verify correction of deficiencies identified during the change of ownership pre-licensing evaluation completed on 7/22/2022.

Live pests were observed in the kitchen at 1:30 PM, preventing completion of the pre-licensing process until the deficiency is cleared. A plan of correction due date was set for 8/17/2022.

Unannounced follow-up inspection conducted to verify the plan of correction issued during the change of ownership pre-licensing evaluation completed on 7/22/2022.

The facility added a bed to reach the requested capacity of 27, water temperatures in most bathrooms were under 105F, and repairs were made to several rooms. However, pests were still found in the kitchen on 7/22 and 7/26/2022.

The inspection was conducted as a pre-licensing evaluation for a change of ownership application submitted on 2022-04-23 for a Residential Care for the Elderly facility.

The facility was found to be substantially compliant but several corrections were required before licensure, including water temperature issues, lack of locks on kitchen cabinets for sharps and toxins, needed repairs in several rooms, insufficient storage in one room, presence of pests in kitchen and resident rooms, and an improperly enclosed outside activity area.

The visit was conducted as a Component II evaluation by the Community Care Licensing Division (CAB) to assess the applicant and administrator's understanding of licensing requirements and facility operation for initial licensing of the facility.

The applicant and administrator successfully completed the Component II evaluation, demonstrating understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and compliance requirements. No deficiencies or noncompliance issues were noted in the report.