Inspection Reports for Cedar Vale Assisted Living

The inspection was conducted to investigate Complaint #122058-C and to perform a recertification visit to determine compliance with certification of an Assisted Living Program.

No regulatory insufficiencies were cited during the complaint investigation or the recertification visit.

Complaint #122058-C was investigated and found to have no regulatory insufficiencies.

The inspection was conducted as a recertification visit to determine compliance with certification requirements for an Assisted Living Program.

The inspection found no regulatory insufficiencies during the onsite infection control survey. However, deficiencies were cited related to documentation of tenant health-related care and individualized service plans reflecting tenant needs and preferences.

The investigation was conducted as a result of Complaint #87102-C which resulted in a regulatory insufficiency.

The program failed to develop individualized service plans reflecting the identified needs of tenants, as evidenced by deficiencies in service plans for tenants #2, #3, and #4. Multiple incidents of falls and inadequate documentation of interventions and treatments were noted.

Investigation of Complaint #87102-C resulted in a regulatory insufficiency.

The visit was a recertification inspection conducted to determine compliance with certification of an Assisted Living Program.

No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.

Recertification visit conducted to determine compliance with certification of an Assisted Living Program.

No regulatory insufficiencies were cited during the recertification visit.

An investigation of Complaint #62403-C was completed to assess regulatory compliance related to the complaint.

The facility failed to develop individualized service plans reflecting tenants' identified needs and preferences, specifically for Tenant #2. Issues included non-compliance with diabetic diet, blood sugar fluctuations, insulin administration, and behavior management related to safety concerns.

Complaint #62403-C was investigated and regulatory insufficiency was identified related to the complaint.

The inspection was conducted as a Final Complaint & Recertification Monitoring Evaluation in response to Complaint #53093-C regarding food service at Cedar Vale Assisted Living Program.

The complaint was found to be unsubstantiated with no regulatory insufficiencies cited during the evaluation. Observations, tenant interviews, and program documentation review revealed no ongoing dietary concerns or consistent issues with food service.

Complaint #53093-C alleged issues with food service. The findings were unsubstantiated after interviews with 12 tenants, staff, and review of food temperature logs. No ongoing concerns were noted and dietary staff properly documented food temperature checks.

The inspection was conducted as a complaint/incident investigation following an allegation that the assisted living program admitted a tenant who required a higher level of care.

No regulatory insufficiencies were identified during the investigation. The program was found to have adequate staffing and appropriate care for tenants, with no tenants exceeding the level of care for assisted living.

The complaint alleged that the program admitted a tenant requiring a higher level of care. The investigation reviewed tenant files and conducted interviews, concluding that no tenants exceeded the level of care and no regulatory insufficiencies were noted.

The inspection was conducted in response to a complaint alleging issues such as garbage not being removed from apartments, lack of automatic doors for tenant safety, improper dryer venting, and unsafe patio furniture.

The investigation found no regulatory insufficiencies related to garbage removal, automatic doors, or dryer venting, though concerns about the dryer venting safety were raised and addressed. Patio furniture was found to be in disrepair with broken and loose straps, and some furniture was removed during the visit. The buildings and grounds were noted to require maintenance to be clean, safe, and sanitary.

Complaint/Incident Intake #45466-C involved allegations of garbage not being removed, lack of automatic doors, improper dryer venting, and unsafe patio furniture. The complaint was investigated with observations and interviews conducted. No regulatory insufficiencies were noted for garbage removal, automatic doors, or dryer venting. Patio furniture was found unsafe and in disrepair.

The visit was conducted as a Final Recertification Monitoring Evaluation to review the Plan of Correction submitted in response to a Preliminary Recertification Monitoring Evaluation Report and to verify compliance with regulatory requirements for the assisted living program.

The program had no regulatory insufficiencies during this certification period. Tenant satisfaction was generally positive, and the program environment was clean and safe. However, deficiencies were noted in dementia-specific education for program personnel, with several staff lacking required documentation of dementia-specific training.

The inspection was conducted as a complaint/incident investigation regarding allegations that a tenant had a loaded gun, urinated in inappropriate places, used profane language, and threatened other tenants.

The investigation found that Tenant #1 had multiple behavioral and health issues including urinary incontinence, verbal aggression, possession of a firearm despite program rules, and refusal to comply with care and program policies. The tenant was deemed dangerous to self and others, leading to a regulatory insufficiency due to the program's inability to safely retain the tenant.

The complaint was substantiated. It involved allegations of a tenant possessing a loaded gun, urinating in inappropriate places, using profane language, and threatening other tenants. The tenant was found to have a history of suicidal ideation, verbal abuse, refusal to comply with medication and care, and unsafe behaviors. The program did not provide a written discharge notice despite immediate termination of residence.

An on-site monitoring evaluation was conducted at Cedar Vale Assisted Living to review the Plan of Correction in response to a Preliminary Recertification Monitoring Evaluation Report and to assess compliance with regulatory requirements.

The program had no regulatory insufficiencies during this certification period. Observations included medication administration and dependent adult abuse training, with some noted regulatory insufficiencies related to medication administration by unlicensed personnel and incomplete approval of abuse training programs.

An on-site monitoring evaluation was conducted as part of the recertification monitoring of Cedar Vale Assisted Living to assess compliance with regulatory requirements.

The evaluation found no regulatory insufficiencies during the on-site visit. Tenant satisfaction was positive, with tenants reporting good housekeeping, helpful staff, good food, enjoyable activities, and feeling safe.

There were no substantiated complaints during this certification period.