Inspection Reports for Canterbury Gardens Memory Care Community

The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to verify compliance and address previously cited deficiencies.

The facility failed to ensure that the nurse delegator had delegated two Medication Technicians prior to administering medications to two residents, placing residents at risk due to untrained and unsupervised care staff. This deficiency was previously cited and remains uncorrected.

The department completed an unannounced on-site follow-up inspection to verify correction of previously cited deficiencies related to nurse delegation and medication administration.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to nurse delegation to Medication Technicians had been corrected. The facility meets Assisted Living Facility licensing requirements.

The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire safety regulations.

All violations noted during previous related inspections have been corrected as of the latest inspection on 02/21/2025. The prior inspection on 01/08/2024 found deficiencies related to fire door maintenance and smoke barrier inspections that were not corrected at that time.

The Department completed a complaint investigation of the Assisted Living Facility on 05/06/2024 due to allegations that the facility was violating resident rights by not allowing visitors.

The facility violated resident rights by not allowing visitors to visit the resident because the resident representative requested no visitors, and the resident was not given the opportunity to decide if they wanted visitors. A failed provider practice was identified and citation(s) were written.

Allegations included quality of care/treatment and resident rights violations related to not allowing visitors. The complaint was substantiated with failed practice identified and citation(s) written.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies, indicating the facility met the Assisted Living Facility licensing requirements. The prior deficiencies related to nursing services, background checks, resident assessments, and pet restrictions were corrected.

The Office of the State Fire Marshal conducted a fire safety inspection at Canterbury Gardens to assess compliance with fire protection codes and regulations.

The facility was found to have multiple violations including improper storage near electrical panels, open junction boxes, failure to provide annual fire wall inspection, missing required fire system testing and maintenance reports, failure to provide fire alarm sensitivity testing and nuisance logs, and failure to conduct required fire drills once per shift per quarter.

The inspection was conducted as a complaint investigation triggered by an allegation that a resident was not provided medication as prescribed.

The facility failed to provide prescribed medications for 2 of 3 residents reviewed, resulting in missed doses of scheduled medications. This failure placed residents at risk for health complications and discomfort. The Department found the facility did not meet Assisted Living Facility licensing requirements and issued citations.

The complaint investigation was substantiated with a finding of failed provider practice and citations written. The allegation was that a resident was not provided medication as prescribed.