Inspection Reports for Byron Park

The inspection was a required 1-Year Annual inspection conducted to evaluate the facility's compliance with licensing regulations.

The Licensing Program Analysts toured the facility and reviewed resident and staff records, finding no deficiencies. The facility was found to be in compliance with safety, environmental, and record-keeping standards.

The inspection visit was conducted to investigate a complaint alleging wrongful eviction of a resident at the facility.

The investigation found that the resident required a higher level of care than the facility could provide. Although the allegation may have occurred, there was not a preponderance of evidence to substantiate the wrongful eviction claim; therefore, the allegation was unsubstantiated.

The complaint alleged wrongful eviction of Resident R1. The allegation was investigated through document review and interviews with witnesses and facility staff. The allegation was determined to be unsubstantiated due to insufficient evidence.

The visit was an unannounced case management inspection concerning a reported incident on 2024-07-25 involving a resident's missing debit card.

During the visit, the Executive Director and resident were interviewed about the incident. An internal investigation and police investigations were ongoing, with a former staff member identified as the main suspect. No citations were issued during this visit.

The visit was conducted to continue the annual inspection that began on 2024-02-13, as part of the required annual inspection process.

The annual inspection was completed with no citations issued. The Licensing Program Analyst reviewed records of staff and residents and conducted interviews with both groups.

The inspection was an unannounced required annual inspection conducted to evaluate the facility's compliance with licensing regulations.

The facility was found to be appropriately furnished, well lit, and maintained with professional grade equipment. Food supplies, emergency lighting, medication storage, and safety measures such as fire extinguishers and pool fencing were all in compliance. No citations were issued during this incomplete inspection, which will be continued at a later date.

An unannounced complaint investigation was conducted due to an allegation that the facility was not maintaining a comfortable temperature for residents.

The investigation found that the temperature in the main dining room was 69.5 degrees Fahrenheit during mealtime, and most residents interviewed did not find it uncomfortably cold. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff were not maintaining a comfortable temperature for residents. The allegation was unsubstantiated after investigation.

The visit was an unannounced case management inspection concerning an incident that occurred on 2023-09-12 involving residents R1 and W1, as described in an unusual incident report dated 2023-09-15.

During the visit, the Assisted Living Director retold the incident and provided an update on the status of resident R1, who had returned to the facility after hospitalization and skilled nursing, currently receiving 24/7 private caregiver assistance. No citations were issued during this visit.

The visit was triggered by a complaint related to an incident involving residents R1 and W1. The report does not state whether the complaint was substantiated.

Unannounced case management visit concerning an incident reported on 06/29/2023 related to medication errors occurring between 06/12/2023 and 06/23/2023.

The Administrator explained communication errors that led to running out of and not dispensing a resident's medication for the specified period. Staff retraining and protocol review were conducted, and no citations were issued during the visit.

The visit was an unannounced follow-up to the 04/10/2023 Post-Licensing inspection visit to assess compliance and corrective actions.

During the inspection, the Licensing Program Analyst inspected the physical plant, kitchen, staff and resident files, and interviewed staff and residents. No citations were issued.

The inspection visit was an unannounced Post-Licensing inspection conducted to evaluate compliance following the issuance of a new license for the facility.

The inspection identified one deficiency related to incomplete criminal record clearance transfers, with 3 of 72 transfers not completed after the new license was issued. The inspection was incomplete and will be continued at a future date.

The inspection was an unannounced change of ownership prelicensing visit conducted to evaluate the facility for licensing approval.

No citations or deficiencies were found during the visit. The pre-licensing process is complete and the facility has no deficiencies.

The visit was an unannounced prelicensing inspection conducted due to a change of ownership application for the facility, which is currently in operation.

The facility was toured and inspected thoroughly, including common areas, resident rooms, and safety equipment. Most conditions were satisfactory, including COVID-19 screening, PPE storage, and safety features. However, a citation was issued for fire extinguishers that did not pass inspection.