Inspection Reports for Brookdale Charleston Gardens

Investigation of Complaint #40232 regarding the assisted living and memory care units at Brookdale Charleston Gardens.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #40232 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #40233 regarding the assisted living and memory care facility.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #40233 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #40059 regarding the assisted living and memory care units at the facility.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #40059 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #39467 regarding the assisted living and memory care facility.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #39467 was investigated and found to be unsubstantiated with no deficiencies cited.

Follow-up to Complaint #36196 to verify correction of previously identified deficiencies.

The deficiencies identified in the prior complaint investigation were corrected as of the follow-up inspection.

Complaint #36196 was the reason for the follow-up visit; deficiencies were corrected.

Follow-up to annual survey to verify correction of previously identified deficiencies.

The deficiencies identified in the prior annual survey were corrected as of the follow-up visit.

The inspection was conducted as an investigation of Complaint #36196 regarding the facility's compliance with treatment documentation and resident care.

The facility failed to maintain accurate treatment administration records for Resident #8, with missing documentation of wound care treatments as ordered by the physician. The complaint was substantiated and a deficiency was cited.

Investigation of Complaint #36196 from 01/06/25 to 01/15/25. The complaint was substantiated and a deficiency was cited.

Annual survey of Brookdale Charleston Gardens assisted living and memory care facility conducted from January 6 to January 15, 2025.

The facility was found deficient in multiple areas including staff training, staffing levels, housekeeping and maintenance, personnel records, activity programming, physical environment, dietary services, CPR certification, administrator designation, and nursing care documentation.

The inspection was conducted as an environmental annual survey to assess compliance with state requirements for the facility license renewal.

The facility was found to be in substantial compliance with state requirements based on documentation review, staff interviews, observations, and performance testing. No deficiencies were cited during this inspection.

Investigation of Complaint #35986 regarding the assisted living and memory care units at Brookdale Charleston Gardens.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #35986 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #35947 regarding the assisted living and memory care units at Brookdale Charleston Gardens.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #35947 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #31591 conducted from 04/22/2024 to 04/23/2024.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #31591 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #30311 conducted from 02/21/24 to 02/22/24.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #30311 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #29555 regarding facility conditions and care.

The complaint was unsubstantiated, and no citations were issued during the investigation.

Complaint #29555 was investigated on 10/25/2023 from 10:00 AM to 2:00 PM. The complaint was found to be unsubstantiated with no citations.

Investigation of Complaint #29574 at Brookdale Charleston Gardens (ALR/ALZ) facility.

The complaint was unsubstantiated, and there were no citations issued during the investigation.

Complaint #29574 was investigated on 10/25/2023 from 10:00 AM to 2:00 PM. The complaint was found to be unsubstantiated with no citations.

Investigation of Complaint #29353 conducted from 10/02/23 to 10/04/23 to determine the validity of the complaint.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #29353 was investigated and found to be unsubstantiated with no deficiencies cited.

The visit was the annual survey conducted from 10/02/23 to 10/04/23 to assess compliance with licensure and regulatory requirements for Brookdale Charleston Gardens, an assisted living and memory care facility.

One deficiency was cited related to physical facilities: the licensee failed to keep kitchen equipment, specifically the dishwasher, in good repair, with brown, crusty food particles observed on top of the dishwasher. A kitchen remodel and dishwasher replacement are underway to address this issue.

The inspection was an annual environmental survey conducted to assess compliance with health, safety, housekeeping, maintenance, and physical environment regulations at Brookdale Charleston Gardens.

The facility was found to have deficiencies related to maintenance and housekeeping, including unclean air ducts, improper storage of soiled laundry, lack of call systems accessible from beds, and missing signage on keypad locks. Corrective actions and systemic changes were planned to address these issues.

The inspection was an annual environmental survey conducted to assess compliance with regulatory standards at Brookdale Charleston Gardens.

The facility had deficiencies identified, including E450, E457, E496, and Z154, indicating areas requiring correction.

Complaint revisit #28209 conducted on 06/05/23 to verify resolution of previously cited issues.

The citations from the complaint revisit were cleared as of the inspection date. The report includes a summary of deficiencies from a prior behavioral health survey conducted in 2004, noting safety concerns related to staff supervision and unsecured doors.

Complaint revisit #28209 started and ended on 06/05/23 from 2:50 PM to 3:15 PM. Citations were cleared.

The inspection was conducted as a complaint follow-up survey related to medication administration and safety concerns at the facility.

The facility failed to ensure an order was obtained for self-administering medication for one resident, who had Extra Strength Tylenol and eye drops on her bedside table without proper orders. Additionally, the facility had housekeeping and maintenance deficiencies including damaged carpet, missing bathroom fixtures, and unclean areas.

Complaint ID: 28209. The survey was conducted from 03/29/23 10:00 AM to 03/30/23 11:00 AM as a complaint follow-up related to medication administration and safety.

The visit was a follow-up annual inspection to verify correction of previous deficiencies at Brookdale Charleston Gardens (ALR/ALZ).

The inspection found that citations from prior inspections were cleared. The census at the time was 64 assisted living residents and 11 memory care residents.

Follow-up to complaint #27526 to verify correction of previously identified deficiencies.

All deficiencies identified in the prior complaint investigation have been corrected as of the follow-up visit.

Complaint #27526 was the reason for the follow-up visit; all deficiencies have been corrected.

Complaint investigation conducted due to concerns about resident care, including failure to notify physician of significant changes in resident condition and inadequate response to resident's behavioral and physical health needs.

The facility failed to notify or document physician notification regarding significant changes in a resident's condition, failed to assess and treat injuries and behavioral health needs timely, and did not ensure adequate housekeeping and maintenance. Resident exhibited severe behavioral issues without appropriate medical intervention or emergency response.

Complaint 27526 substantiated. Investigation revealed multiple failures in resident care including lack of physician notification, inadequate nursing assessments, failure to seek emergency treatment, and neglect of resident's behavioral health needs.

The inspection was conducted as a complaint investigation identified as #27419, with entry on 11/02/22 and exit on 11/08/22.

The report documents findings related to the complaint investigation at Brookdale Charleston Gardens Assisted Living, including observations and interviews regarding the safety and appropriateness of the environment for consumers.

Complaint Investigation #27419 was conducted from 11/02/22 to 11/08/22.

Annual survey conducted to assess compliance with regulatory requirements for Alzheimer's/dementia special care unit and overall facility operations.

The facility failed to ensure designated staff coordination for the Alzheimer's/dementia unit, timely and complete care plans, adequate housekeeping and maintenance, and proper daily monitoring of residents on psychotropic or behavioral modifying medications. Multiple care plans lacked required signatures and titles, and behavioral evaluations were missing for many shifts.

Annual environmental inspection of Brookdale Charleston Gardens assisted living and Alzheimer’s facility.

No deficiencies were cited during this annual environmental inspection. The facility had a census of 68 assisted living residents and 16 Alzheimer’s residents.

Revisit inspection conducted to follow up on complaint investigation CI# 26999.

The revisit inspection cleared the previous citation related to the complaint investigation. The census at the time was 62 assisted living residents and 14 Alzheimer’s residents.

Complaint Investigation CI# 26999 was revisited and the citation was cleared.

The inspection was conducted as a complaint investigation following a substantiated complaint regarding failure to properly monitor and document residents' conditions after accidents or onset of illness.

The facility failed to document residents' conditions at least once every eight hours for 24 hours following an accident or illness onset, affecting two residents. Additionally, inadequate housekeeping and maintenance issues were observed, including damaged carpets, missing bathroom fixtures, and unclean sinks.

Complaint ID 26999 was substantiated. The complaint involved failure to properly monitor and document residents' conditions after accidents or illness onset, specifically for residents #21 and C1.

The inspection was conducted as a complaint survey to investigate allegations against the facility.

The survey found that all allegations were unsubstantiated, with no deficiencies cited during the complaint investigation.

Complaint survey 26196. All allegations were unsubstantiated.

The inspection was conducted as a complaint survey (Complaint survey 26422) to investigate allegations made against the facility.

All allegations investigated during the complaint survey were found to be unsubstantiated, and no deficiencies were identified or written.

Complaint survey 26422 was conducted, and all allegations were unsubstantiated.

Follow-up to complaint number 26116 to verify correction of previously identified deficiencies.

The only deficiency identified in the prior complaint investigation has been corrected as of the follow-up visit.

Complaint investigation follow-up; complaint number 26116. The deficiency was corrected.

This was a first follow-up visit to the annual survey to verify correction of previously cited deficiencies at Brookdale Charleston Gardens.

The plan of correction was implemented and citations were corrected. No new deficiencies were cited during this follow-up visit.

This was a first follow-up visit to Complaint #26101 conducted to verify correction of cited deficiencies.

The citation related to the complaint was corrected as of the follow-up visit conducted on 11/23/2021.

Complaint #26101 was investigated and the citation was corrected by the time of this follow-up visit.

This was the first follow-up visit to Complaint #26116 to assess ongoing issues related to bed bug infestations and facility housekeeping.

The facility continued to have bed bug sightings in resident rooms despite ongoing extermination efforts, affecting residents #28 and #25. Housekeeping and maintenance deficiencies were also noted, including damaged carpets, missing bathroom fixtures, and unclean areas.

This inspection was a follow-up visit to Complaint #26116. The bed bug problem was ongoing but believed to be less severe. The facility had a bed bug protocol in place and was actively working to resolve the issue.

The inspection was conducted in response to Complaint #26101 regarding concerns about cleanliness and maintenance, specifically related to a wheelchair with mold in the Memory Care unit.

The facility was found to have a mold-type substance on a wheelchair in storage, which was cleaned promptly. Additional housekeeping and maintenance deficiencies were noted, including personal belongings left behind furniture, carpet damage, and missing bathroom fixtures. A plan of correction including monitoring and staff education was implemented.

Complaint #26101 was entered on 10/12/21 at 11:00 AM and exited on 10/14/21 at 10:00 AM. Census at the time was 56 in Assisted Living and 11 in Memory Care.

The inspection was conducted in response to Complaint #26116 regarding pest infestations and housekeeping concerns at Brookdale Charleston Gardens (ALR/ALZ).

The facility was found to have ongoing issues with roaches and bed bugs despite professional extermination efforts, affecting resident areas and posing a health risk. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets, missing bathroom fixtures, and unclean areas.

Complaint #26116 was substantiated. The complaint involved pest infestations including roaches and bed bugs, and inadequate housekeeping and maintenance. The survey was entered on 10/12/21 at 11:00 AM and exited on 10/14/21 at 10:00 AM.

Annual survey conducted from 08/31/21 to 09/02/21 to assess compliance with licensing and regulatory requirements for Brookdale Charleston Gardens Assisted Living and Memory Care facility.

The inspection identified deficiencies related to employee orientation and training, specifically failure to provide and maintain records of required training for new agency staff prior to unsupervised work. Additionally, housekeeping and maintenance issues were noted, including damaged carpet, missing bathroom fixtures, and cleanliness concerns.

The inspection was an environmental annual survey conducted to assess compliance with health and safety regulations at Brookdale Charleston Gardens (ALR/ALZ).

The survey found no deficiencies. The facility was compliant with fire safety and health department recommendations, with no deficiencies cited during the inspection.

The inspection was conducted as a complaint survey (#25392) from May 4 to May 5, 2021, to investigate allegations related to the facility.

The complaint investigation found the allegations to be unsubstantiated. The facility census included 59 assisted living residents and 13 memory care residents at the time of the survey.

Complaint Survey #25392 was unsubstantiated based on the findings during the visit from 05/04/21 to 05/05/21.

The inspection was conducted in response to Complaint #25279 to investigate the complaint allegations at Brookdale Charleston Gardens.

The complaint was investigated and found to be unsubstantiated. The inspection included entry and exit times and census count but did not identify substantiated deficiencies related to the complaint.

Complaint #25279 was investigated and determined to be unsubstantiated.

The infection control survey was conducted to assess compliance with infection control standards at Brookdale Charleston Gardens.

No deficiencies were identified during the infection control survey conducted on January 13, 2021.

The inspection was conducted to assess compliance with health and safety regulations at Brookdale Charleston Gardens, including memory care and assisted living units.

The facility cleared all previous citations (364, 376, 379, and 382) during the inspection. The census included 13 memory care residents and 60 assisted living residents.

The inspection was conducted as an environmental survey to assess the facility's compliance with health and safety regulations.

Deficiencies were identified during the October 1, 2020 survey, but all deficiencies were corrected by the November 4, 2020 follow-up survey.

The inspection was conducted as an environmental survey to assess the physical environment, housekeeping, maintenance, and safety conditions of the facility.

The facility was found to have deficiencies related to the physical environment, including worn and stained furniture, mold/mildew on kitchen surfaces, rusty shelving and HVAC registers, broken and peeling flooring, and general housekeeping issues. These findings were verified by staff interviews and acknowledged by the Administrator.

The inspection was conducted as a complaint investigation (#23513) with a revisit to verify correction of cited issues.

All citations from the complaint investigation have been cleared as of the exit date 09/23/20.

Complaint Investigation: #23513. Revisit #1. All citations have cleared.

Annual survey of Brookdale Charleston Gardens assisted living and Alzheimer's care facility conducted from 09/21/20 to 09/23/20 to assess compliance with health and safety, assessment and service plans, medication administration, and transfer/discharge documentation requirements.

The facility failed to ensure that functional needs assessments and service plans were updated annually for residents, medication treatments were administered per physician orders, and transfer/discharge packets included all required documentation. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpets, missing bathroom fixtures, and unclean areas.

The inspection was conducted as a complaint investigation following a substantiated complaint.

The complaint investigation was substantiated but no deficiencies were cited during the visit.

Complaint Investigation: 24069; substantiated complaint with no citations.

The inspection was conducted as a complaint investigation related to the facility identified by Complaint ID# WV00023961.

No deficiencies were cited during this complaint investigation inspection conducted off-site from May 11 to May 12, 2020.

Complaint ID# WV00023961 was investigated and no deficiencies were cited.

Complaint investigation regarding failure to promptly notify physician of a significant change in Resident #11's condition after a fall and failure to provide appropriate pain management.

Resident #11 fell on 10/29/19 and initially showed no signs of pain, but later complained of pain on 10/30/19. The facility failed to promptly notify the physician and did not provide pain medication. Resident #11 was sent to the hospital and diagnosed with a hip fracture. The facility also failed to notify the resident's medical power of attorney about medication changes. Additionally, the facility had housekeeping and maintenance deficiencies including damaged carpet, missing bathroom fixtures, and unclean areas.

Complaint Investigation #23513 was substantiated. The complaint involved failure to promptly notify the physician of Resident #11's pain after a fall and failure to provide pain medication. The resident was later diagnosed with a hip fracture.

The document is a plan of correction related to a behavioral health survey conducted to address deficiencies in the safety and appropriateness of the environment for adolescent consumers.

The survey found that the facility did not provide a safe environment due to lack of alarms on outside doors and insufficient awake staff supervision on weekend nights. The plan of correction includes employing staff or alternate sleeping arrangements to provide awake-night supervision during weekend shifts by July 1, 2004.

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

The annual survey found no deficiencies at the facility during the inspection period from October 14 to October 17, 2019.

The inspection was conducted as a complaint investigation following complaint WV00023331.

The complaint was substantiated but no citations were issued during the investigation.

Substantiated complaint with no citations.

The inspection was conducted as a complaint investigation based on concerns regarding residents on the Memory Care unit not being given the right to make choices regarding utensils used to eat their meals.

The investigation found that 11 of 12 residents on the Memory Care unit had to eat meat with their hands because they were not provided with appropriate utensils such as knives. Observations and interviews confirmed the lack of butter knives on tables and that residents were served meat whole. The complaint was substantiated with one deficiency.

Complaint Investigation conducted on 09/30/19 and 10/02/19. Census at the time was 83 Assisted Living and 12 Memory Care residents. Complaint ID: WW000023218. Complaint was substantiated with one deficiency.

The inspection was a routine environmental survey conducted to assess compliance with health, safety, housekeeping, laundry, and physical facility maintenance regulations.

The facility was found to have deficiencies related to improper storage of soiled laundry and inadequate housekeeping and maintenance, including dust and debris in the kitchen area and physical damages such as carpet burns and missing bathroom fixtures. Corrective actions and plans of correction were outlined with completion dates.

The inspection was conducted as a complaint investigation based on Complaint ID WV00021708.

No deficiencies were cited during the complaint investigation.

Complaint ID WV00021708 was investigated and found to have no deficiencies cited.

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

No deficiencies were cited during the inspection. The report includes information on fire marshal recommendations and health department findings, all indicating no critical issues.

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

The annual licensure survey conducted from September 10-13, 2018, found no deficiencies cited at the facility.

The inspection was conducted as a complaint investigation based on Complaint ID WV00019070 during the visit on October 24-25, 2017.

No deficiencies were cited during this complaint investigation.

Complaint ID WV00019070 was investigated with no deficiencies cited.

The inspection was conducted as an annual licensure survey of Brookdale Charleston Gardens (ALR/ALZ).

No deficiencies were cited during the annual licensure survey conducted from October 9-12, 2017.

The document is an annual licensure survey conducted to assess environmental compliance at the facility.

The survey found no deficiencies or tags cited during the environmental inspection. No complaints or concerns were noted.

The inspection was conducted as a complaint investigation for complaint #WV00018713 from September 5-7, 2017.

No deficiencies were found during the complaint investigation conducted at the facility.

Complaint #WV00018713 was investigated and found to have no deficiencies.

The inspection was conducted as a complaint investigation based on Complaint ID WV00017438.

No deficiencies were found during the complaint investigation.

Complaint ID WV00017438 was investigated and found to have no deficiencies.

The inspection was conducted as a complaint investigation from November 28 to December 1, 2016, at Brookdale Charleston Gardens, an assisted living and memory care facility.

No deficiencies were found during the complaint investigation conducted at the facility.

Complaint Number: WV00016711; Event ID: HIJ111; Number of Deficiencies: None

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

The annual licensure survey conducted from October 17-20, 2016 found no deficiencies in the facility.

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

No deficiencies were cited during the annual licensure survey conducted on September 27, 2016.

The inspection was conducted as a complaint investigation for Complaint #WV00014766 from November 16-18, 2015.

The report documents a complaint investigation at Brookdale Charleston Gardens, with a census of 64 residents including assisted living and memory care units. No specific findings or deficiencies are detailed in the provided text.

Complaint #WV00014766 was investigated during the visit from November 16-18, 2015. No substantiation status or detailed complaint outcomes are provided.

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

No deficiencies were cited during this annual licensure survey, and no technical assistance was provided.

The visit was conducted as an annual licensure survey of Brookdale Charleston Gardens, including both assisted living residents and Alzheimer's unit residents.

The annual licensure survey conducted from September 8 to September 10, 2015, found no deficiencies in the facility.

The inspection was conducted as a complaint investigation from March 2 to March 9, 2015, focusing on staff training and care standards related to a specific resident's needs.

The registered nurse failed to provide or recommend appropriate training for staff regarding the use of a knee immobilizer and weight-bearing restrictions for one resident. The facility acknowledged the deficiency and outlined a plan of correction including re-training and audits.

Complaint investigation for failure to provide appropriate staff training related to resident #21's special care needs. The deficiency was substantiated based on record review and interviews.

The inspection was conducted as a complaint investigation from March 2 to March 9, 2015, followed by a complaint follow-up on April 14, 2015.

The report documents a complaint investigation and a subsequent follow-up visit related to Brookdale Charleston Gardens, with census counts noted during each visit. Specific findings or deficiencies are not detailed in the provided text.

Complaint #: WV00013097 investigated from March 2-9, 2015, with a follow-up on April 14, 2015.

The inspection was conducted as a complaint investigation at Brookdale Charleston Gardens (ALR/ALZ) on February 9-10, 2015.

The report does not provide detailed findings or deficiencies related to the complaint investigation; the summary section is blank.

Complaint investigation WV00012998 conducted on February 9-10, 2015 with a census of 59 residents.

The inspection was conducted as an Annual Licensure Survey and a Survey Follow-Up to assess compliance with licensure requirements.

The report documents the annual licensure survey and a follow-up survey with a census of 67 residents. Specific deficiencies or findings are not detailed in the provided text.

The inspection was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The survey found that the facility did not implement programs in a safe and appropriate environment, noting that some outside doors lacked alarms or locks and that staff were not awake on weekend nights to monitor consumers.

Annual licensure survey conducted from September 29 to October 2, 2014, to assess compliance with health care standards and nursing care requirements at Brookdale Charleston Gardens (ALR/ALZ).

The facility failed to ensure prescriptions were properly documented for medication administration for six residents, and the registered nurse did not consistently document weekly progress notes for seven residents with nursing care needs. Additionally, housekeeping and maintenance deficiencies were noted in a behavioral health survey from 2004, including unsafe environment and inadequate housekeeping.

The inspection was conducted as an Annual Licensure Survey to assess compliance with health, safety, and physical facility regulations at Brookdale Charleston Gardens.

The facility was found deficient in maintaining cleanliness and good repair of the interior and exterior, including the kitchen dry goods storage area and smoking areas. Electrical panel boxes were found unlocked but were secured prior to exit. Soiled laundry was not stored in appropriate containers. The facility provided plans of correction for these deficiencies.

The inspection was conducted as a complaint investigation at Brookdale Charleston Gardens.

The report documents a complaint investigation with no detailed findings or deficiencies explicitly stated in the provided page.

Complaint investigation identified by tag E 004 with census 71 on August 13, 2014. No substantiation status or detailed complaint findings provided.

The inspection was conducted as a complaint investigation for Brookdale Charleston Gardens, including a follow-up visit to verify correction of previous deficiencies.

The report documents a complaint investigation and a follow-up visit with census counts of 90 and 88 respectively, covering assisted living and memory care units. Specific deficiencies or findings are not detailed in the provided text.

Complaint Investigation #WV00011268 conducted May 12-13, 2014 with a follow-up on June 26, 2014.

The inspection was conducted as a complaint investigation regarding failure to monitor and document a resident's condition following illness, failure to notify the resident's next of kin of significant changes in condition, and failure to maintain the facility in good repair.

The facility failed to monitor and document a resident's condition every eight hours for 24 hours following illness, failed to notify the resident's next of kin of significant condition changes in a timely manner, and failed to keep the interior of the facility clean and in good repair, including worn and dirty carpets in three resident rooms.

Complaint Investigation #WV00011268 conducted May 12-13, 2014, with census of 90 (76 assisted living + 14 memory care unit). The complaint involved failure to monitor resident condition post-illness, failure to notify next of kin timely, and facility maintenance issues.

The inspection was conducted as a complaint investigation at Brookdale Charleston Gardens.

The report summary does not provide detailed findings or deficiencies related to the complaint investigation.

Complaint investigation WV00011091 conducted April 28-30, 2014 with census 81.

The visit was a follow-up survey conducted to verify corrections after the annual licensure survey conducted in September 2013.

The report summarizes findings from the annual licensure survey and the follow-up visit, including census data for assisted living and memory care units. Specific deficiencies or corrective actions are not detailed in the provided text.

The inspection was conducted as an Annual Licensure Survey for Brookdale Charleston Gardens, including Assisted Living and Memory Care units, to assess compliance with health care standards and facility regulations.

The survey identified multiple deficiencies including inadequate housekeeping and maintenance, unsafe environmental conditions, and significant medication administration and documentation failures affecting multiple residents. The facility failed to ensure medications and treatments were administered according to physician orders, with numerous instances of missing or incomplete documentation and unavailable medications.

The visit was conducted as an annual licensure survey and a follow-up survey to verify correction of previous deficiencies.

The annual licensure survey and follow-up found that all previously identified deficiencies were corrected. The census at the time of inspection was 84 residents.

Annual licensure survey conducted from September 3-5, 2013, to assess compliance with health facility regulations including medication administration, resident rights, dietary services, and housekeeping.

The facility was found deficient in multiple areas including failure to report major incidents timely, inadequate housekeeping and maintenance, medication administration errors with 79 missed doses and 71 undocumented doses, failure to evaluate residents' capability to self-administer medications, and failure to monitor and report significant weight changes in residents.

The inspection was conducted as an annual licensure survey to assess environmental and physical facility compliance at Brookdale Charleston Gardens.

The facility was found deficient in multiple areas including unsafe oxygen cylinder storage, use of extension cords, food spills in refrigerators and microwaves, soiled laundry storage, unlocked hazardous chemical storage, and hot water temperatures exceeding acceptable limits. Corrective actions and monitoring plans were established with completion dates mostly set for October 15, 2013.

The inspection was conducted as a complaint investigation to assess staffing adequacy, housekeeping, maintenance, and physical environment safety at Brookdale Charleston Gardens.

The facility failed to maintain adequate staffing levels on multiple days, with discrepancies between scheduled and actual staff hours. Housekeeping and maintenance deficiencies were observed, including damaged carpets, missing bathroom fixtures, and unsanitary kitchen conditions. The facility also failed to maintain accurate staffing records reflecting actual employees on duty.

The complaint investigation was triggered by concerns about staffing adequacy and facility conditions. The investigation found substantiated staffing shortages and housekeeping deficiencies.

Complaint investigation and follow-up visit conducted due to concerns about staffing levels, housekeeping, maintenance, and safety in the assisted living and memory care units.

The facility failed to maintain adequate staffing levels to meet resident care needs, maintain accurate staffing records, and provide a safe, sanitary, and well-maintained environment. Deficiencies were noted in housekeeping, maintenance, kitchen sanitation, and staff scheduling accuracy. Multiple residents and staff reported concerns about delayed care, insufficient staff, and poor food quality.

Complaint investigation triggered by allegations of inadequate staffing, poor housekeeping, maintenance issues, and unsafe environment. Substantiated based on observations, interviews, and record reviews.

The inspection was conducted as a complaint investigation at Brookdale Charleston Gardens (ALR/ALZ) on March 13-14, 2013.

The report documents a complaint investigation followed by two complaint follow-up visits. Deficiencies identified during the investigation were corrected by the final follow-up on May 30, 2013, and technical assistance was provided.

Complaint investigation initiated on March 13-14, 2013 with a census of 90. Follow-up visits occurred April 18-23, 2013 (census 90 total: 78 Assisted Living, 12 Memory Care) and May 30, 2013 (census 95 total: 82 Assisted Living, 13 Memory Care). Deficiencies were corrected and technical assistance was given.

The inspection was conducted as an annual licensure survey and a follow-up survey to assess compliance with health care standards and medication administration practices.

The facility failed to ensure medications were administered according to physician orders, maintain proper medication administration records including signatures, and provide adequate housekeeping and maintenance. Numerous missed medication doses were documented with no reasons, and some medications were administered without physician orders. The physical environment had maintenance issues such as damaged carpet, missing bathroom fixtures, and cleanliness concerns.

Annual licensure survey conducted to assess compliance with state and federal regulations for assisted living residence.

The facility was found deficient in multiple areas including HIPAA compliance, employee training, resident privacy, medication administration, record security, dietary services, and physical maintenance. Several residents' medication orders were not properly documented or administered, resident records were unsecured, and housekeeping and maintenance were inadequate.

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

The report documents the annual licensure survey conducted from October 22-25, 2012, with a census of 77 residents. A follow-up survey was conducted on February 13, 2013, with a census of 79, during which deficiencies were corrected and technical assistance was provided.

The visit was conducted as an annual licensure survey to assess compliance with state regulations for the facility.

No deficiencies were cited during the survey, and technical assistance was provided to the facility.

The inspection was conducted as a complaint investigation regarding staffing adequacy and medication administration in the assisted living facility, specifically focusing on the Alzheimer's Unit and Memory Loss Unit.

The facility failed to ensure sufficient qualified staff to administer medications, with only one LPN on the night shift despite 119 medications to be administered. Medication times were changed to early morning, which was inconvenient for residents and violated their rights to make choices about their daily activities. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets, missing bathroom fixtures, and unclean areas.

Complaint investigation WV00007236 was partially substantiated. Deficiencies cited related to staffing and medication administration in the assisted living facility's Memory Loss Unit.

The inspection was conducted as a complaint investigation for an assisted living facility with a memory loss unit.

The investigation was partially substantiated with deficiencies cited. A follow-up survey was conducted on October 17, 2012, confirming that deficiencies were corrected.

Complaint investigation was partially substantiated with deficiencies cited and technical assistance given.

The inspection was conducted as a complaint investigation based on three allegations received.

The investigation found one allegation substantiated but with no deficiencies cited. Technical assistance was provided during the visit.

Three allegations were investigated: one was unsubstantiated, and two were substantiated with no deficiencies.

The inspection was conducted as a complaint investigation identified by complaint number WV00006889.

No deficiencies were cited during the complaint investigation, and technical assistance was provided.

Complaint investigation #WV00006889 conducted on January 30, 2012, with no deficiencies cited and technical assistance given.

The visit was a follow-up survey to verify correction of deficiencies identified during the annual licensure survey conducted from October 31 to November 3, 2011.

The follow-up survey found that the previously cited deficiencies were corrected.

The inspection was conducted as a complaint investigation at Brookdale Charleston Gardens (ALR/ALZ) on December 20-21, 2011.

The complaint investigation was unsubstantiated with no deficiencies cited during the survey.

Complaint investigation #WV00006843 was unsubstantiated.

The inspection was conducted as an annual licensure survey from October 31 to November 3, 2011, to assess compliance with health care standards and regulatory requirements for the assisted living facility.

The survey identified deficiencies related to incomplete transfer documentation for residents discharged or transferred, and inadequate monitoring and documentation of residents' conditions following accidents or illness onset. The facility failed to ensure required information accompanied transferred residents and did not consistently monitor residents every eight hours for 24 hours after incidents as required.

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

The inspection found unsafe hot water temperatures exceeding 115 degrees Fahrenheit in multiple resident rooms and public restrooms, posing an immediate and serious threat. The facility failed to maintain a safe environment for residents, visitors, and the public.

The document reports on the annual licensure survey conducted at Brookdale Charleston Gardens to assess compliance with regulatory requirements.

The survey included a follow-up visit where previously cited deficiencies were corrected. The overall findings indicate compliance as of the follow-up date.

The inspection was conducted as a complaint investigation from August 9-16, 2011, followed by a complaint follow-up visit on September 23, 2011.

The report documents a complaint investigation and a subsequent follow-up visit at Brookdale Charleston Gardens, an assisted living and memory care facility. Specific deficiencies or findings are not detailed in the provided text.

Complaint investigation conducted August 9-16, 2011, with a follow-up visit on September 23, 2011. Census during investigation was 74 assisted living and 14 memory care residents; census at follow-up was 77.

The inspection was conducted due to complaints regarding insufficient staffing levels and inadequate resident care at the assisted living facility.

The facility failed to maintain adequate staffing levels to meet residents' care needs, with documented days of understaffing. Multiple complaints from residents and families indicated issues such as staff not responding to call bells, refusal to assist with showers, and poor housekeeping. The facility also failed to properly document investigations of complaints.

The complaint investigation covered the period January 1 through August 9, 2011, with 18 complaints received, 3 related to resident care and staffing. Complaints included staff not responding to call bells, refusal to assist with showers, and poor care practices. Documentation of complaint investigations was lacking.

The inspection was conducted as a complaint investigation at Brookdale Charleston Gardens (ALR/ALZ).

The complaint investigation was unsubstantiated and technical assistance was provided by the surveyors.

Unsubstantiated complaint investigation with technical assistance given.

The inspection was conducted as a complaint investigation for Brookdale Charleston Gardens (ALR/ALZ) on June 7-8, 2011.

No deficiencies were cited during the complaint investigation. Only technical assistance was provided.

Complaint Investigation #WV00006439 conducted June 7-8, 2011 with no deficiencies cited.

The inspection was conducted as an Annual Licensure Survey for Brookdale Charleston Gardens, including assisted living and Alzheimer's units.

The survey identified deficiencies related to safety and environmental conditions, including inadequate supervision during weekend nights and maintenance issues such as damaged carpets and missing bathroom fixtures. Corrective actions and plans for repairs were documented.

The inspection was conducted as a complaint investigation at Brookdale Charleston Gardens (ALR/ALZ) from March 21-23, 2011.

The complaint investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated as stated in the report.

Annual licensure survey and follow-up visits were conducted to assess compliance with health care standards and medication administration protocols.

The facility was found deficient in medication administration documentation and availability, with multiple residents' medication administration records (MARs) showing unexplained blanks, circled medications without explanation, and medications not administered as ordered. Additionally, housekeeping and maintenance issues were noted in a behavioral health unit, including damaged carpets, missing bathroom fixtures, and unclean conditions.

The inspection was conducted as a complaint investigation for the facility Brookdale Charleston Gardens (ALR/ALZ) on November 23-24, 2010.

The complaint investigation found no deficiencies and the complaint was substantiated as not valid.

Complaint Investigation #WV00006020 conducted by Surveyor Ernie Chafin, HFNS II. Substantiated - No Deficiencies.

Annual licensure survey and follow-up inspection conducted to assess compliance with health care standards and medication administration practices.

The facility was found deficient in medication administration documentation and availability, housekeeping and maintenance issues, and failure to update service plans for residents with significant condition changes. Multiple residents had unexplained blanks or circled medications on their MARs, and some medications were unavailable. Housekeeping deficiencies included damaged carpets, missing bathroom fixtures, and unclean areas. Service plans were not updated to reflect significant changes in resident conditions.

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

No deficiencies were found during the survey. Technical assistance was provided regarding carpet installation, parking area repaving, and roof leak repair.

Annual licensure survey conducted from August 30 to September 1, 2010, to assess compliance with health and safety, staffing, resident rights, medication administration, and nursing care standards at Brookdale Charleston Gardens Assisted Living/Alzheimer's facility.

The survey identified multiple deficiencies including inadequate CPR certification among nursing staff, failure to respond in writing to resident complaints, housekeeping and maintenance issues, medication administration errors with unexplained blanks and circled medications on MARs, insufficient monitoring and documentation of residents' conditions post-accident or illness, incomplete or outdated service plans, and failure to ensure weekly RN visits with appropriate documentation.

The visit was conducted to investigate a complaint filed against the facility.

The complaint investigation was unsubstantiated as the complainant had already settled with the facility prior to the investigation. No directed plan of correction was required.

Complaint investigation #WV00005749 was unsubstantiated; the complainant settled with the facility the day before the Office of Health Facility Licensure and Certification arrived to investigate.

The visit was a follow-up survey to verify correction of deficiencies identified during the annual licensure survey conducted in September 2009.

The follow-up survey found that deficiencies identified in the prior survey were corrected, and technical assistance was provided. The census at the time of the follow-up was 92 residents.

The inspection was conducted as an annual licensure survey to assess compliance with health care standards, medication administration, service plan completion, housekeeping, maintenance, and dietary services.

The facility was found deficient in timely completion and accessibility of resident service plans, proper medication orders and administration (including insulin management), and adequate housekeeping and maintenance. Monthly resident weights were not consistently obtained or reported. Several deficiencies were repeated from prior surveys.

The inspection was conducted as a complaint investigation for complaint #WV00005352 on November 23-24, 2009.

The complaint investigation was unsubstantiated and no deficiencies were found during the survey.

Complaint #WV00005352 was investigated and found to be unsubstantiated with no deficiencies identified.

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

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

Annual licensure survey conducted from September 21-24, 2009 to assess compliance with state regulations for Brookdale Charleston Gardens (ALR/ALZ).

The facility was found deficient in multiple areas including staffing levels and records, employee orientation and training, personnel records, transfer documentation, health assessments, service plans, medication orders and administration, dietary services, weight monitoring, and physical facility safety. Several deficiencies were repeat findings from prior surveys.

The inspection was conducted as a complaint investigation with follow-up visits related to complaint #WV00004303, including initial complaint investigation, survey follow-up, and complaint follow-up visits.

The facility was found to have deficiencies related to safety and housekeeping, including inadequate supervision during weekend nights, unsecured doors, and maintenance issues such as carpet damage and missing bathroom fixtures. Corrective actions and plans for repairs were outlined, and deficiencies were corrected by the time of this report.

Complaint #WV00004303 was investigated from August 25 to September 2, 2008, with follow-up visits on October 20-23, 2008, and January 20-February 4, 2009, and a third visit on April 21-22, 2009. Census during these visits ranged from 76 to 90 residents.

The inspection was conducted as a complaint investigation for complaint #WV00004884 on April 21-22, 2009.

The complaint investigation was unsubstantiated and no deficiencies were found during the inspection.

Complaint #WV00004884 was investigated and found to be unsubstantiated with no deficiencies identified.

The inspection was conducted as a complaint investigation related to failure to ensure current central abuse registry checks for contract employees and inadequate employee training documentation.

The facility failed to ensure that a current check of the central abuse registry was completed prior to hire and that documentation was maintained for seven of ten contract employees. Additionally, ten of ten contract employees lacked documentation of training on all required topics including abuse prevention, complaint procedures, and specialty care. The facility also had housekeeping and maintenance deficiencies observed during a prior 2004 survey.

Complaint Investigation #WV00004860 conducted April 21-22, 2009 with census of 75. The complaint related to failure to ensure abuse registry checks and employee training documentation.

The inspection was conducted as a complaint investigation at Brookdale Charleston Gardens.

The report documents a complaint investigation conducted on April 21-22, 2009, followed by a survey follow-up on May 27, 2009, which found deficiencies corrected and technical assistance given.

Complaint investigation conducted April 21-22, 2009 with a census of 75. Follow-up survey on May 27, 2009 with a census of 74 confirmed deficiencies were corrected.

The inspection was conducted as a complaint investigation for complaint #WV00004769 on March 16-17, 2009.

No deficiencies were cited during the complaint investigation. Technical assistance was provided.

Complaint #WV00004769 was investigated and found to have no deficiencies cited.

The inspection was conducted as a complaint investigation from January 20 to February 4, 2009, regarding concerns about staffing, housekeeping, maintenance, dietary services, and resident care at Brookdale Charleston Gardens (ALR/ALZ).

The facility failed to provide adequate staffing, housekeeping, maintenance, and dietary services, resulting in poor resident care outcomes including improper therapeutic diets, insufficient nursing coverage, unsafe physical environment, and inadequate supervision of residents with behavioral issues.

Complaint investigation #WV00004646 and #WV00004613 conducted January 20-February 4, 2009, with census of 90 residents. Deficiencies were cited related to staffing, housekeeping, dietary, nursing care, and physical environment.

The inspection was conducted as a complaint investigation related to resident complaints about staff behavior, housekeeping, and facility conditions at Brookdale Charleston Gardens.

The facility failed to adequately investigate and resolve resident complaints, including lack of documentation of investigations, failure to notify appropriate parties, and failure to respond in writing within required timeframes. Additionally, inadequate housekeeping and maintenance issues were observed, such as dirty sinks, damaged furniture, and missing bathroom fixtures.

The complaint investigation involved multiple resident complaints about staff mistreatment, delayed response to call pendants, and unclean living conditions. The Executive Director failed to conduct thorough investigations, notify Adult Protective Services when required, and respond to complainants in writing within four days. Repeat deficiencies were noted from prior investigations.

First follow-up to annual survey conducted on January 20-February 4, 2009, to assess continued compliance with prior deficiencies and complaint investigation.

The facility continued to fail in multiple areas including adequate nursing supervision, resident assessments, medication administration, dietary compliance, housekeeping, maintenance, and infection control. Specific issues included lack of awake night supervision on weekends, inadequate therapeutic diets, reduced nursing coverage, failure to report major incidents, unsafe environment, and incomplete resident care documentation.

Complaint #WV00004646 related to insufficient housekeeping, food service, and maintenance staffing resulting in unsanitary conditions and safety hazards.

The inspection was conducted as a complaint investigation following a resident complaint received on October 16, 2008, alleging mistreatment by staff and failure to properly investigate and respond to resident complaints.

The facility failed to provide adequate documentation of follow-up investigations for resident complaints, including lack of written responses to complainants within the required timeframe and failure to notify Adult Protective Services when abuse complaints were made. Multiple resident complaints about staff behavior were not properly investigated or documented.

The complaint involved a resident (#C2) who stated she felt mistreated by staff. Documentation was incomplete, lacking notification to legal representatives, physicians, and Adult Protective Services. Interviews revealed repeated complaints about staff rudeness and mistreatment. The Executive Director failed to conduct thorough investigations and provide timely written responses.

Annual licensure survey conducted from October 21-23, 2008 to assess compliance with state regulations for assisted living and Alzheimer care facility.

The facility was found deficient in multiple areas including resident care, medication administration, staff training, documentation, dietary services, housekeeping, maintenance, and safety. Specific issues included failure to protect residents' physical well-being, inadequate staffing and CPR certification, incomplete medication and treatment records, improper storage of Schedule II drugs, failure to provide appropriate therapeutic diets, and unsafe physical environment.

The visit was conducted as an annual licensure survey for Brookdale Charleston Gardens, including assisted living and Alzheimer units.

The survey included observations and interviews related to the facility's compliance with health and safety regulations. A follow-up survey was conducted to verify correction of deficiencies identified during the annual survey.

The visit was conducted as an annual licensure survey to assess the environment and compliance of the facility.

No deficiencies were found during the survey; only technical assistance was provided.

The inspection was conducted as a complaint investigation based on concerns about inadequate staffing, poor housekeeping, delayed response to resident call bells, unresolved resident complaints, and failure to properly document resident weights.

The facility was found to have insufficient staffing to meet resident needs, poor housekeeping and maintenance issues, failure to investigate and respond to resident complaints timely, and inadequate documentation and reporting of resident weights and weight changes to physicians.

The complaint investigation (#WV00004303) revealed multiple resident complaints about inadequate staffing, slow response to call bells, poor housekeeping, and staff mistreatment. Investigations were incomplete and responses to complainants were not documented.