Inspection Reports for
Citrus Hills Assisted Living

The complaint investigation was triggered by allegations received on 05/23/2022 regarding excessive rent increase, facility disrepair, inadequate staffing, and fire safety noncompliance. The rent increase allegation was unfounded. The other allegations were unsubstantiated due to lack of sufficient evidence.

The allegation of excessive rent increase was found to be unfounded as the rent increase was never implemented. Allegations of facility disrepair, inadequate staffing, and noncompliance with fire safety regulations were deemed unsubstantiated due to insufficient evidence. The call light system and elevator were operational, and residents reported adequate staff assistance.

The complaint alleged that staff do not ensure that resident hygiene needs are being met. The allegation was unsubstantiated after investigation due to conflicting information and lack of sufficient evidence.

The investigation found conflicting information with seven residents and staff denying the allegation and documentation showing scheduled hygiene care. Due to lack of preponderance of evidence, the allegation was deemed unsubstantiated and no citations were issued.

The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The facility was clean, well-maintained, and all safety equipment and resident accommodations were operational and hazard-free.

The complaint investigation addressed multiple allegations including rough handling of residents, delayed response to call lights, refusal to shower a resident, and failure to inform a resident's authorized representative of an incident. The allegations of rough handling, delayed response, and refusal to shower were unsubstantiated due to conflicting evidence. The allegation regarding failure to inform the authorized representative was unfounded.

The investigation found conflicting information regarding the allegations of rough handling, delayed response to call lights, and refusal to shower, resulting in these allegations being deemed unsubstantiated. The allegation that staff did not inform a resident's authorized representative was found to be unfounded. No citations were issued during the visit.

The complaint was unsubstantiated due to conflicting information and lack of preponderance of evidence to prove or refute the alleged violations.

The investigation found conflicting information from residents and staff regarding the allegations. Two of eight interviewed individuals confirmed some allegations, but overall there was insufficient evidence to substantiate the claims. No citations were issued.

The complaint investigation was unsubstantiated due to conflicting information and lack of preponderance of evidence to prove or refute the alleged violations.

The investigation found conflicting information regarding the allegations. Interviews and document reviews indicated that residents' needs were generally met, incontinence care was provided as required, and the facility was maintained in clean and sanitary conditions. Therefore, the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated due to conflicting information and lack of preponderance of evidence to prove or refute the alleged violations.

The investigation reviewed allegations including residents being left in soiled diapers, call buttons not replaced, meals not served, and medications not administered as prescribed. Conflicting information was found, and there was insufficient evidence to substantiate the allegations; therefore, all allegations were deemed unsubstantiated with no citations issued.

The complaint was unsubstantiated due to conflicting information and lack of preponderance of evidence to prove or refute the alleged violations.

The investigation found conflicting information regarding the allegations. Residents and staff interviews, along with document reviews, indicated that residents or their conservators consented to health insurance changes. There was insufficient evidence to substantiate the allegations, and no citations were issued.

The complaint alleged staff did not prevent a bedbug outbreak and damaged and did not return a resident's personal belongings. The investigation was unsubstantiated due to conflicting evidence.

The investigation reviewed pest control records and resident interviews but found conflicting information. The allegations could not be substantiated due to lack of preponderance of evidence, and no citations were issued.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation found that hospice records and physician reports indicated the resident had multiple skin tears and was receiving wound care. Hospice documentation showed the physician was aware of the resident's condition. The allegations were deemed unsubstantiated due to lack of sufficient evidence.

The complaint alleged the facility does not provide nutritious, well balanced meals. The allegation was unsubstantiated after interviews and investigation.

The investigation found that 10 of 10 interviewed individuals were unable to corroborate the complaint. Residents are aware of an alternative menu and can request different meals. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not ensure the facility was kept free of bedbugs. The allegation was investigated and found to be unfounded based on observations, interviews, and documentation of pest control treatments.

The investigation found no evidence of bed bugs during the visit. The facility responded promptly to reports of bed bugs by treating affected rooms and conducting ongoing pest control services. The allegation was deemed unfounded.

The Licensing Program Analyst reviewed the incident report, observed medication administration practices, and confirmed that the facility implemented a Plan of Action to prevent future medication thefts, including securing medication carts and conducting medication counts.

The visit was conducted in conjunction with complaint visit 22-AS-20240223161833. No substantiation status is provided.

The Licensing Program Analyst reviewed resident documents and conducted interviews with a resident and staff. An exit interview was conducted with the Administrator and a copy of the report was provided to the facility.

The complaint alleged that staff did not assist a resident with meeting medical needs. The allegation was investigated and found to be unsubstantiated due to insufficient evidence.

The investigation reviewed medical and incident reports related to the resident's condition and care. Due to insufficient evidence, the allegation was deemed unsubstantiated.

The complaint alleged that staff did not seek timely medical attention for a resident. The allegation was deemed unsubstantiated after investigation.

The investigation reviewed relevant documents and interviewed residents and staff. The allegation was found to be unsubstantiated due to insufficient evidence.

The complaint alleged that staff did not ensure a resident's room was adequately cleaned. The investigation found that the resident's room was cleaned more than once per week, staff reported daily cleaning, and observations confirmed the room was adequately cleaned with no malodorous smells. The allegation was unsubstantiated due to conflicting information and lack of preponderance of evidence.

The investigation included file reviews, interviews, and observations. Conflicting information was found regarding the allegation, and the evidence was insufficient to prove or refute the claim. The allegation was deemed unsubstantiated.

No deficiencies were noted during the inspection. The facility took appropriate measures by replacing the wander guard and providing staff training. The resident was found safe with no injuries or medical treatment needed.

The report documents the delivery of an amended report related to a prior complaint. An exit interview was conducted with the facility's Operations Manager and a copy of the report was provided.

The complaint alleged failure to meet reporting requirements. The investigation concluded the allegation was unsubstantiated due to insufficient evidence to prove or refute the violation.

The allegation was found to be unsubstantiated as the facility reported incidents involving hospitalization as required, and other falls without serious implications were not reported. A Technical Assistance Advisory Note was issued regarding reporting requirements.

The complaint alleged that a resident was unlawfully evicted and physically attacked by other residents due to lack of care and supervision. The investigation was unsubstantiated due to conflicting information and lack of preponderance of evidence to prove or refute the allegations.

The investigation found conflicting information and insufficient evidence to substantiate the allegations of unlawful eviction and physical attacks due to lack of care and supervision. The eviction notice was not in alignment with regulatory requirements, and the resident involved was noted as a victim in physical altercations. Staffing levels were reported as adequate by some and understaffed by others.

The complaint alleged that a resident was issued an unlawful eviction. The investigation included interviews and document reviews, concluding the allegation was unfounded.

The investigation found that the resident was involved in a physical altercation and violated facility policies, leading to a properly issued eviction notice. The allegation of unlawful eviction was deemed unfounded based on interviews and document reviews.

The complaint involved allegations of unauthorized credit card charges and staff yelling at a resident. The allegations were investigated and found to be unfounded.

The investigation found that the resident had signed an authorization for recurring automated credit card payments and that the payment on February 4, 2023, was authorized as a courtesy. Staff denied yelling at the resident, stating the resident was yelling loudly. The allegations were deemed unfounded.

The visit was related to an amended complaint report. The cited Type A deficiency was cleared with a Plan of Correction submitted on 01/27/2023. No new deficiencies were found during this visit.

A Type A deficiency was cited on the amended complaint report with an immediate $500 civil penalty issued. No deficiencies were issued during this Case Management visit as the previously cited deficiency was cleared on 01/27/2023.

The complaint alleged insufficient staff to meet residents' needs. The allegation was investigated through file reviews and interviews. The complaint was found unsubstantiated due to conflicting information and insufficient evidence to prove or refute the allegation.

The investigation found conflicting information regarding staffing adequacy. Five of eight residents interviewed reported satisfaction with staff, while one resident reported hearing complaints. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The investigation found that a physical altercation occurred between two residents resulting in injury and hospitalization. Both residents were served 30-Day eviction notices. No deficiencies were cited during the visit.

The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred. Allegations included unsafe environment and lack of supervision leading to resident wandering into another resident's room.

The investigation found conflicting statements from all interviewed individuals and could not corroborate the allegations. The allegations of unsafe environment and lack of supervision resulting in resident wandering were deemed unsubstantiated.

The complaint alleging the presence of rodents was investigated and deemed unfounded based on the preponderance of evidence including inspections and interviews.

The investigation found no evidence of rodents or insects on the premises. Pest control records and staff and resident interviews supported that the allegation was unfounded.

No deficiencies were issued during this Case Management visit. A virtual tour and interviews were conducted, and pertinent records were reviewed.