Inspection Reports for
Blossom Grove Alzheimer’s Special Care Center

The complaint alleged that staff improperly transferred a resident causing a fall, back fractures, and subsequent death about four months later. Interviews revealed a similar incident in 2018 involving Resident #1 who fell from an unlocked wheelchair, sustained fractures, was given medication, and later died. No medical or death records were obtained. Staff did not recall the incident due to its occurrence seven years prior. The allegation was unsubstantiated.

The investigation included interviews and records review. The allegation was unsubstantiated due to lack of sufficient evidence, as records and medical documentation were unavailable and staff did not recall the incident. The allegation may have happened but there was no preponderance of evidence to prove it.

The facility was found to be operating within approved capacity and in safe, clean conditions with no deficiencies cited. All physical plant, food service, and care and supervision standards were met, and client and staff files were reviewed and found current.

The complaint alleged unqualified staff administering insulin to residents. The allegation was investigated and found unsubstantiated based on staff interviews and documentation review.

The investigation found that insulin was administered only by medically qualified staff as documented in Medication Administration Records and staff records. Therefore, the allegation was deemed unsubstantiated.

The facility was inspected inside and out, including client bedrooms, bathrooms, kitchen, and safety features. The facility was found to be well maintained, with safe food storage, proper medication administration, and all client and staff records in order.

The complaint allegation that the facility did not correctly refund the resident was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

After interviews, record review, and gathering evidence, it was determined that the resident's funds were refunded, and the allegation was deemed unfounded.

The inspection found no health or safety concerns and no deficiencies were cited. The facility demonstrated adequate infection control measures, including COVID-19 postings, hand hygiene supplies, symptom monitoring, and proper cleaning protocols.

No health and safety concerns were observed during the inspection, and no deficiencies were cited. The facility demonstrated adequate infection control measures, sufficient PPE supplies, and proper staff training.

The complaint alleged that staff neglect contributed to a resident's death. The investigation included interviews and medical record reviews. The allegation was found to be unsubstantiated due to lack of evidence linking neglect to the resident's death.

The investigation found that the resident was hospitalized from June 11, 2019 until their death on July 31, 2019, and a review of medical records did not indicate that the cause of death was related to neglect by the facility. The allegation was determined to be unsubstantiated.

Complaint #18-AS-20200731095043 was investigated; no substantiated concerns were found.

No reports of concerns were received during resident interviews, and no health and safety concerns were observed at the time of the visit.