Inspection Reports for Braley Care Homes Memory Care Facility

Revisit to annual survey to verify correction of previously cited deficiencies.

The deficiencies identified in the prior survey were corrected as of the revisit on 10/20/2025.

Revisit to complaint #38951 to verify correction of previously cited deficiencies.

The deficiencies identified in the prior complaint investigation were corrected as of the revisit date.

Complaint #38951; deficiencies were corrected upon revisit.

Annual survey conducted from 07/21/25 to 07/24/25 to assess compliance with health care standards and facility regulations.

Deficiencies were cited related to failure to update service plans after significant resident condition changes and failure to ensure residents received medications as ordered and documented. Additionally, inadequate housekeeping and maintenance issues were observed in the facility.

The inspection was an annual survey conducted to assess compliance with health and safety regulations at the facility.

The facility failed to maintain a safe, sanitary, and accident-free environment due to a damaged ADA shower stall. The administrator acknowledged the deficiency and planned corrective action.

The inspection was conducted as an annual survey to assess compliance with regulatory requirements at the facility.

The annual inspection found no substantiated complaints and no deficiencies cited during the revisit. All previously cited tags were corrected.

Investigation of Complaint #38951 regarding failure to report major incidents and failure to ensure residents' right to confidentiality in medical records.

The Licensee failed to report a major incident involving a resident sent to the emergency room due to decreased oxygen levels and failed to maintain confidentiality of resident medical records by sending confidential records with the wrong resident to the hospital. The complaint was substantiated.

Investigation of Complaint #38951 on 05/27/25 with census 15. The complaint was substantiated regarding failure to report major incidents and failure to maintain confidentiality of resident medical records.

The inspection was conducted as an annual survey of the facility to assess compliance with regulatory standards.

The annual survey found no deficiencies cited during the inspection period from 07/15/24 to 07/17/24.

The inspection was conducted as a license renewal to determine if the residence is in substantial compliance with state requirements.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was found to substantially meet the State requirements with no deficiencies cited.

First revisit to the annual survey to verify correction of previous deficiencies.

The citation from the prior survey was cleared during this revisit.

Annual survey conducted to assess compliance with health and safety regulations, medication administration, and facility maintenance.

The facility was found deficient in ensuring medications had diagnoses listed on medication administration records for residents, and in maintaining adequate housekeeping and maintenance of the physical environment. Several maintenance issues were noted including damaged carpet, missing bathroom fixtures, and unclean sinks. The Administrator and Registered Nurse failed to ensure compliance with medication administration rules.

The inspection was an annual survey conducted to assess compliance with health and safety regulations at the facility.

The facility failed to maintain a safe, sanitary, and accident-free living environment due to a broken ADA shower chair base that had broken through the fiberglass wall of the second bathroom shower.

Follow-up annual survey to verify correction of previous deficiencies and assess current compliance status.

The follow-up annual survey found that all previous citations were cleared and no new citations were issued during the visit.

Annual survey conducted to assess compliance with health care standards, including review of resident transfers, health assessments, and facility environment.

The facility failed to ensure transfer summaries included functional needs/service plans for three residents, did not complete an annual tuberculosis screen on time for one resident, and had inadequate housekeeping and maintenance issues such as damaged carpet, missing bathroom fixtures, and unclean areas.

The inspection was conducted as a complaint survey (#22535) from June 27, 2022 to July 5, 2022.

The survey found no deficiencies at the facility during the complaint investigation.

Complaint survey #22535 was investigated and found to have no deficiencies.

The inspection was an Environmental-Annual survey conducted to assess compliance with health and safety regulations at the facility.

The survey found no deficiencies at the time of inspection. Previous reports noted fire marshal violations and a non-critical health department violation, but none were cited during this visit.

Follow-up to Annual Survey to verify correction of previously identified deficiencies.

The deficiency identified in the prior annual survey was cleared during this follow-up visit.

Annual survey conducted to assess compliance with regulations related to resident death procedures and facility housekeeping and maintenance.

The facility failed to ensure proper release and documentation of a deceased resident's belongings to the estate administrator or executor. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpet, missing bathroom fixtures, and unclean areas.

The inspection was conducted as an Infection Control survey from August 9, 2021 to August 12, 2021.

The report documents an Infection Control survey conducted at Braley Care Homes, Inc. No specific deficiencies or severity levels are detailed in the provided page.

The inspection was conducted as a re-licensure survey to renew the facility's license.

The residence and the Assisted Living Facility were found to be in substantial compliance with the applicable rules during the license renewal inspection.

Routine inspection conducted from September 8 to September 11, 2020, to assess compliance with health and safety regulations at Braley Care Homes, Inc.

No deficiencies were cited during this inspection. The facility was found to be in compliance with applicable regulations.

Annual licensure survey and annual environmental inspection conducted on August 10, 2020.

No deficiencies were cited during the annual licensure and environmental survey. The facility had a census of 4 residents at the time of inspection. Fire Marshal and Health Department reports indicated no critical or noncritical deficiencies.

The visit was conducted as an annual licensure survey of the facility.

The inspection found no deficiencies cited during the annual licensure survey conducted from October 15-18, 2019.

The inspection was conducted as an annual environmental licensure survey to assess compliance with health, safety, and administrative regulations.

The facility failed to ensure the emergency disaster preparedness plan was reviewed and updated annually since 2017, and there were deficiencies in housekeeping and maintenance including damaged carpet, missing bathroom fixtures, and unclean sinks. These findings were discussed with the Facility Administrator.

The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements.

The annual licensure survey found no deficiencies cited during the inspection.

The inspection was conducted as a complaint investigation based on Complaint ID WV00021012 on August 29-30, 2018.

No deficiencies were cited during the complaint investigation conducted on August 29-30, 2018, at the facility with a census of 15 residents.

Complaint ID WV00021012 was investigated on August 29-30, 2018, with no deficiencies cited.

The visit was conducted as an annual licensure survey and environmental inspection of the facility.

The inspection found no deficiencies cited during the annual environmental survey.

The inspection was conducted as a complaint investigation based on Complaint ID WV00018680.

No deficiencies were found during the complaint investigation.

Complaint ID WV00018680 was investigated and found to have no deficiencies.

Annual licensure survey conducted from August 7-10, 2017 to assess compliance with health care standards and medication administration regulations.

The facility was found deficient in medication administration practices, including failure to ensure medications and treatments were administered as required by law, improper transcription of physician orders, missed medication doses, and inadequate supervision of medication assistive personnel. Additionally, housekeeping and maintenance deficiencies were noted from an earlier behavioral health survey.

The inspection was conducted as an annual licensure survey of the facility to assess compliance with regulatory requirements.

Deficiencies were cited during the annual licensure survey conducted from August 7-10, 2017. A follow-up survey on October 2, 2017, with a census of 16, confirmed that the deficiencies were corrected.

The visit was conducted as an annual licensure survey to assess compliance with environmental and physical facility regulations.

The facility failed to maintain hot water temperatures within the required range of 105°F to 115°F in two hallway bathrooms and two private resident room bathrooms, with temperatures observed at 122°F and 118°F respectively. Maintenance corrected the issue by lowering the temperatures by 2:30 p.m. on the day of the survey.

The inspection was conducted as a complaint investigation identified by Complaint ID # WV00018195.

No deficiencies were cited during this complaint investigation.

Complaint ID # WV00018195 was investigated on June 28, 2017, with a census of 15 residents. No deficiencies were cited.

The inspection was conducted as a complaint investigation based on Complaint ID WV00017397 during February 21-22, 2017.

No deficiencies were found during the complaint investigation.

Complaint ID WV00017397 was investigated and found to have no deficiencies.

The document is an annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

The annual licensure survey found no deficiencies at the facility during the inspection conducted on August 8, 2016.

The inspection was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from July 11-13, 2016, with a census of 16 residents. No specific deficiencies or severity levels are detailed in the provided text.

The document is an annual licensure survey conducted to assess compliance with regulatory standards for Braley Care Homes Inc. III.

The inspection found no deficiencies cited during the environmental survey of the facility.

The visit was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted from July 13-15, 2015, with a census of 14 residents. No specific deficiencies or severity levels are detailed in the summary provided.

The inspection was conducted as a complaint investigation for Braley Care Homes, Inc. on March 9-10, 2015.

The report does not provide detailed findings or deficiencies related to the complaint investigation; only the census and visit dates are stated.

Complaint Investigation WV00013021 conducted on March 9-10, 2015 with a census of 16.

The visit was conducted as an annual licensure survey to assess the facility's compliance with regulatory standards.

The inspection found no deficiencies related to the environment during the annual licensure survey.

The visit was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from July 28-30, 2014, with a census of 15 residents. No specific deficiencies or severity levels are detailed in the provided page.

Annual licensure survey conducted to assess environmental conditions and compliance with regulatory standards.

No deficiencies or technical assistance were identified during the annual licensure survey.

The visit was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

Complaint investigation and follow-up visit conducted due to allegations of medication administration errors and other care deficiencies at Braley Care Homes, Inc.

The investigation found multiple deficiencies including failure to administer medications as ordered for 12 of 15 residents, incomplete and inaccurate medication administration records, failure to ensure physician orders were signed within 30 days, inadequate monitoring of residents following incidents, and poor housekeeping and maintenance conditions in the facility.

Complaint investigation conducted December 31, 2012 - January 4, 2013, with follow-up on February 13, 2013. Substantiation status not explicitly stated.

The inspection was conducted as a complaint investigation based on concerns related to medication administration, documentation, and staff training at Braley Care Homes, Inc.

The investigation found multiple deficiencies including failure to maintain proper prescriptions and medication administration records for seven residents, missed medication doses, inadequate documentation of verbal orders, insufficient housekeeping and maintenance, and lack of staff training on oxygen unit use and medication administration.

The complaint investigation was triggered by concerns about medication administration and documentation. The complaint was substantiated based on findings of missing prescriptions, incomplete MARs, and inadequate staff training.

The inspection was conducted as a complaint investigation from December 31, 2012 to January 4, 2013, followed by complaint follow-up visits on February 13, 2013 and April 4, 2013.

The complaint investigation identified deficiencies which were later corrected as confirmed by follow-up visits. Technical assistance was provided during the follow-up.

Complaint investigation WV00007459 conducted from December 31, 2012 to January 4, 2013 with census 14. Follow-up visits on February 13, 2013 (census 16) and April 4, 2013 (census 15) confirmed deficiencies were corrected and technical assistance was given.

Annual licensure survey conducted from August 13-17, 2012 to assess compliance with regulatory requirements.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

The visit was conducted as an annual licensure survey to assess compliance with health and safety regulations and physical facility maintenance requirements.

The facility failed to maintain a safe environment, including issues such as an energized but inoperative ceiling light, lack of ground fault protection on an electrical outlet near water, use of a hot portable heater, and accumulation of dust in a ceiling vent. The administrator was cited for these deficiencies and corrective actions were planned.

The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements for the facility.

The report documents the annual licensure survey conducted on July 23, 2012, and a follow-up survey on September 6, 2012, both with a census of 15. The follow-up survey noted that deficiencies were corrected.

The inspection was conducted as a complaint investigation for facility WV00006876.

The complaint investigation was unsubstantiated with no deficiencies cited.

Complaint investigation for WV00006876 was unsubstantiated.

The visit was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

The visit was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted from July 5-8, 2011, with a census of 15 residents. No specific deficiencies or severity levels are detailed in the provided text.

The visit was conducted as an annual licensure survey focusing on environmental conditions at the facility.

No deficiencies or technical assistance needs were identified during the survey.

Annual licensure survey conducted to assess compliance with state laws, regulations, and facility policies for an assisted living residence.

The facility was found deficient in multiple areas including employee training, personnel records, contract completeness, resident health care standards, medication administration, verbal order signatures, activity documentation, and dietary services. Housekeeping and maintenance issues were also noted, including damaged carpet and missing bathroom fixtures.

The visit was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted on June 16-17, 2010, with a census of 12 residents. A follow-up survey was conducted on August 25, 2010, with a census of 14, during which deficiencies were corrected and technical assistance was provided.

Annual licensure survey conducted to assess the environment and compliance of the facility.

No deficiencies were found during the inspection. Only technical assistance was provided.

Annual licensure survey conducted from July 28-30, 2009 to assess compliance with state regulations for assisted living facilities.

The facility was found deficient in multiple areas including failure to complete timely nurse aide abuse registry checks prior to hiring, inadequate housekeeping and maintenance, failure to post required resident rights and house rules, incomplete and outdated resident service plans, failure to conduct timely quarterly reviews of medication assistive personnel, lack of posted monthly activity calendars, failure to weigh residents monthly and report unplanned weight changes, unsafe storage of portable oxygen tanks, and unsecured storage of toxic and hazardous materials accessible to confused residents.

The inspection was conducted as an Annual Licensure Survey from July 28-30, 2009, with a follow-up survey on October 13-14, 2009, to assess compliance with health care standards and facility regulations.

The facility was found deficient in ensuring timely quarterly reviews of approved medication assistive personnel (AMAP), proper documentation of credentials and training, and in providing required documentation of physician notification for residents' unplanned weight changes. Additionally, housekeeping and maintenance issues were noted from earlier observations.

The inspection was conducted as an annual licensure survey of the facility to assess compliance with regulatory requirements.

The report summarizes the annual licensure survey conducted from July 28-30, 2009, and a follow-up survey on December 10, 2009, noting that deficiencies identified in the initial survey were corrected by the follow-up visit.

Initial licensure survey conducted to assess compliance with licensing requirements for Braley Care Homes, Inc.

No deficiencies were found during the initial licensure survey. Technical assistance was provided to the facility.

The inspection was conducted as an initial licensure survey for Braley Care Homes, Inc III (ALR/ALZ) to assess compliance with licensing requirements.

The facility was found to be ADA approved with no deficiencies noted during the initial licensure survey. State Fire Marshal and sanitation reports were approved.