Inspection Reports for
Creston Village Assisted Living and Memory Care

No deficiencies were issued during the visit. The Licensing Program Analyst gathered documentation, conducted interviews, and toured select areas of the facility. The investigation will continue with a return visit to conclude and issue citations if necessary.

The facility was found to be in compliance with no deficiencies cited during this inspection. The environment was safe, with functioning safety equipment and proper medication storage. A partial review of the annual CARE tools module was conducted, with a follow-up visit needed to complete it.

The complaint investigation was unsubstantiated. Allegations included failure to meet residents' incontinence needs, bathing assistance, response to calls for help, timely medication assistance, and response to a resident fall. Investigators found no evidence supporting these claims after multiple observations, interviews with staff and residents, and review of medical and incident records.

All allegations were found to be unsubstantiated after observations, interviews, and record reviews. The facility was found to maintain clean conditions, timely assistance, and proper response to resident needs with no evidence of neglect or failure to respond to falls.

The inspection found no violations or citations. The facility was noted to be well-maintained with all safety equipment in working order and no issues observed during the walkthrough.

The complaint included allegations that staff inappropriately restrained a resident, did not safeguard the resident's personal belongings, failed to ensure the resident was showered, and left the resident in soiled diapers for extended periods. After interviews with staff, residents, and the resident's responsible party, as well as record reviews, the allegations were found unsubstantiated.

The investigation found insufficient evidence to substantiate allegations of inappropriate resident restraint, failure to safeguard personal belongings, failure to ensure resident showering, and leaving resident in soiled diapers. All allegations were unsubstantiated at the time of the investigation.

The complaint included nine allegations: resident sexual abuse, unexplained bruising, failure to ensure medication administration, unmet incontinence needs, lack of shower assistance, inadequate housekeeping, unmet dietary needs, poor sanitation in food preparation, and overall facility sanitation. The investigation concluded all allegations were unsubstantiated.

The investigation found insufficient evidence to substantiate any of the allegations, including sexual abuse, unexplained bruising, medication and incontinence care issues, shower assistance, dietary needs, housekeeping, sanitation, and food preparation practices. All allegations were determined to be unsubstantiated based on interviews, observations, and documentation.

The complaint alleged that staff did not ensure residents' restrooms were clean and sanitized, specifically in the Memory Care Unit bathrooms. The allegation was unsubstantiated after inspection, interviews, and documentation review.

The investigation found that 13 of 14 bathrooms in the memory care unit were clean and in good working order. One bathroom had a sticky floor due to a floor material issue, not sanitation. Interviews and documentation review showed staff duties include restroom cleaning and there was no evidence to substantiate the allegation. The complaint was unsubstantiated.

The complaint involved allegations that facility staff billed a resident for services not rendered and mismanaged resident medication. Both allegations were found unsubstantiated based on interviews, documentation, and admissions.

The investigation found insufficient evidence to substantiate the allegations. The billing issue was due to a billing cycle overlap and was reimbursed. The medication mismanagement allegation was unsubstantiated as the facility acted with due diligence despite a pharmacy error.

The complaint involved allegations that a resident physically assaulted another resident, residents were not given showers, the facility did not provide soap, the facility did not properly care for resident wounds, and the resident's responsible party did not receive a copy of the facility contract. All allegations were found unsubstantiated based on documentation, interviews, and observations.

The investigation found all allegations unsubstantiated, including claims of resident assault, lack of showers, failure to provide soap, improper wound care, and failure to provide a copy of the facility contract. Documentation, interviews, and observations supported the facility's compliance and due diligence.

The complaint alleged insufficient staffing leading to unmet resident needs such as missed showers and toileting assistance, and that dietary needs were not met due to meal trays being placed out of reach. The investigation found no evidence to support these allegations and deemed them unsubstantiated.

The investigation found insufficient evidence to substantiate the allegations. Documentation and interviews showed that residents' shower and dietary needs were generally met despite staffing challenges related to COVID-19. The complaint was therefore unsubstantiated.

The complaint investigation was unsubstantiated for all allegations including staff working while ill, night staff sleeping or leaving early, unmet incontinence needs, wheelchair accessibility issues, soiled linens, lack of heat in rooms, inadequate staff training, and facility cleanliness and safety.

The investigation found insufficient evidence to substantiate any of the allegations. Staff were screened for illness, no staff were found sleeping or leaving early during shifts, residents' incontinence needs were met, wheelchair accessibility was adequate, beds were not found with soiled linens, heating issues were repaired timely, staff had required dementia training, and the facility was maintained clean, safe, and in good repair.

No violations, citations, or technical deficiencies were found during the annual infection control inspection or the cursory walk-through of the facility. The facility was observed to be clean, well-maintained, and in good repair with adequate supplies and safety equipment.

The complaint investigation was unsubstantiated based on interviews with residents and staff, and physical inspection of the resident's room and bathroom showed no safety issues.

The investigation found no substantiation for the allegations. Interviews and documentation showed residents did not experience abnormal delays in call button responses, and physical inspection revealed no safety hazards or disrepair in the resident's room.

The complaint alleged that staff did not meet residents' toileting needs. After investigation, including interviews and observations, there was not enough evidence to support the allegation, and it was unsubstantiated.

The investigation found ample incontinence products, sufficient staff schedules, and proper staff training to meet residents' toileting needs. The allegation was determined to be unsubstantiated based on observations, interviews, records, and photographic evidence.

The complaint investigation was unsubstantiated. Allegations included failure to meet resident’s needs, medication accessibility, acceptance of resident without complete physician’s report, and failure to promptly respond to resident's representative. All were found unsubstantiated based on interviews, observations, and documentation review.

The investigation found all allegations unsubstantiated, including that the facility met resident needs, medication was not accessible to the resident, the resident had a complete physician's report, and the facility responded promptly to the resident's representative.