Inspection Reports for
Crofton Manor Inn

The facility was found to be sanitary, well maintained, and appropriately furnished with no deficiencies observed. All resident and staff records were complete, and safety equipment was in working order.

The complaint alleged failure to mitigate the spread of Covid-19. The investigation included interviews with staff and residents, review of infection control plans, cleaning schedules, incident reports, and training records. The allegation was found unsubstantiated based on the preponderance of evidence.

The investigation found the allegation unsubstantiated. Staff followed the infection control plan during a Covid-19 outbreak in December 2024, with proper isolation and cleaning procedures documented and confirmed by interviews and records.

The complaint included three allegations: inadequate care and supervision, failure to safeguard residents' personal items, and locking residents inside their rooms. Interviews with 5 staff, 5 residents, and 7 witnesses, along with record reviews and observations, did not substantiate any of the allegations.

The investigation included a facility tour, record reviews, and interviews with staff, residents, and witnesses. All allegations were found to be unsubstantiated based on interviews, observations, and record reviews, with no evidence supporting the claims.

The complaint involved allegations that staff retaliated against a resident and that a wrongful eviction occurred. The investigation included interviews with staff and residents, document reviews, and a facility tour. The allegations were deemed unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate the allegations of staff retaliation and wrongful eviction. Staff and residents denied the claims, and the facility demonstrated timely reporting and appropriate actions regarding incidents.

The facility was found to be sanitary, well-maintained, and appropriately furnished with no observed deficiencies. Infection control practices and safety equipment were in compliance with regulations.

The complaint alleged that resident #1 was assaulted by resident #2 due to lack of supervision. Interviews with residents, staff, and family representatives, as well as review of incident reports and physician records, found no evidence to support the allegation. Both residents have been counseled and offered relocation, which they declined. Law enforcement was involved and ordered resident #2 to stay away from resident #1. The allegation was unsubstantiated.

The investigation found insufficient evidence to corroborate the allegation of neglect or lack of supervision causing resident assaults. Interviews, document reviews, and observations indicated that staff were responsive and residents generally felt safe. The allegation was determined to be unsubstantiated.

The complaint alleged roach infestation and inadequate infection control, specifically that patio chair pads were soiled and only flipped over instead of cleaned. The investigation was unsubstantiated due to lack of evidence.

The investigation found no evidence to support the allegations. Pest control records and staff and resident interviews indicated no signs of roach infestation. Infection control practices, including cleaning of furniture and common areas, were observed to be adequate. No deficiencies were cited during the visit.

The complaint investigation addressed allegations that staff did not follow quarantining protocol, failed to meet residents' incontinence needs, did not regularly monitor residents for changes in condition, and did not answer call buttons timely. The investigation concluded these allegations were unsubstantiated.

The investigation found no preponderance of evidence to substantiate the allegations. Staff were observed and interviewed, records reviewed, and no deficiencies were cited. The allegations were determined to be unsubstantiated.

The complaint alleged that staff cashed a $1400 stimulus check belonging to resident R1 in 2022 and did not give the money to the resident. Interviews and record reviews showed no evidence of such a check being received or cashed improperly. The allegation was found unsubstantiated.

The investigation included interviews with staff and residents, review of financial records, and facility tour. The allegation that staff cashed a resident's stimulus check without giving the money to the resident was found to be unsubstantiated based on the preponderance of evidence.

No deficiencies or citations were observed during the inspection. The facility was found to be clean, well-maintained, and in compliance with infection control practices and safety regulations.

The complaint investigation was unsubstantiated. Allegations included refusal to take residents back into care, staff not re-ordering medications timely, and residents missing medications. Interviews with residents, staff, and review of records did not confirm violations.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews and record reviews indicated that while some residents experienced delays in returning from hospital or SNF, the facility did not refuse admission. Medication re-ordering delays were due to doctors requiring new evaluations before prescriptions, and medication administration records showed medications were given as prescribed when residents were present.

The complaint alleged that staff did not treat a resident with respect. After interviews and document review, the allegation was found to be unsubstantiated.

The investigation included interviews with staff and residents and review of relevant documentation. The allegation that staff did not treat residents with respect was found to be unsubstantiated based on the preponderance of evidence.

The complaint alleged that Resident #1 was being stalked and harassed by Resident #2 and that staff did not assist Resident #1. The investigation included interviews and records review and concluded the allegation was unsubstantiated due to lack of sufficient evidence.

The investigation found no sufficient evidence to corroborate the allegation of inadequate supervision. Staff frequently checked on residents, and interviews with staff, residents, and a witness supported adequate supervision.

The complaint alleged that a resident was being abused and expressed suicidal ideas due to living conditions. Interviews with the administrator, residents, and staff indicated no abuse or unsafe conditions. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation included interviews with the administrator, residents, and staff, as well as a facility tour and document review. The allegation was found to be unsubstantiated based on observations, interviews, and records reviewed.

The facility was found to be clean, well-maintained, and in good repair with no observed deficiencies. Infection control practices were in place, and all reviewed resident and staff records were complete and compliant.

The complaint alleged that resident #1's personal bank card was compromised with unauthorized transactions. The resident admitted to sometimes leaving her door open and did not accuse staff. Surveillance footage showed the resident made the purchases herself. Witnesses and other residents reported no concerns. The complaint was determined to be unfounded.

The investigation found no evidence to support the allegation. Interviews, record reviews, and facility inspection revealed the complaint was unfounded, with residents and staff reporting no concerns about safeguarding personal property.

The complaint involved an allegation of a questionable death related to COVID-19 outbreaks and precautions at the facility. The allegation was unsubstantiated after investigation including interviews, record reviews, and observations.

The investigation found that the facility had two COVID-19 outbreaks in 2020 and took appropriate precautions including contacting the Department of Public Health and implementing mitigation plans. The cause of death was determined not to be due to negligence, and the allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged unqualified staff providing resident care. Interviews and record reviews did not substantiate the allegation. The allegation was determined to be unsubstantiated.

The investigation included interviews with residents, staff, and witnesses, as well as a review of records and a plant inspection. No deficiencies were found and the allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint involved allegations that staff did not safeguard a resident's personal belongings and that staff mistreated a resident. After investigation, both allegations were unsubstantiated.

The investigation included interviews, record reviews, and observations. Both allegations were found to be unsubstantiated due to lack of preponderance of evidence to prove the violations occurred.

The complaint involved allegations of illegal eviction and inadequate resident services. The investigation was unsubstantiated based on interviews, observations, and record reviews.

The investigation found no preponderance of evidence to substantiate the allegations. The resident alleged to have been evicted was hospitalized and transferred to a skilled nursing facility for higher level care, with no eviction served by the facility. Most residents reported receiving adequate services, and staff schedules and service logs supported adequate staffing and service provision.

Allegation of illegal eviction was investigated and found unsubstantiated. The resident in question was currently in a medical facility and no eviction notices were served by the facility staff.

The investigation found no evidence that an illegal eviction occurred. The allegation was unsubstantiated based on interviews, observations, and record reviews.

The complaint investigation was unsubstantiated for all allegations including chemical restraint, failure to provide snacks and water, presence of bedbugs, and lack of planned activities.

The investigation found no preponderance of evidence to substantiate any of the allegations. Observations, interviews, and record reviews indicated that medications were administered as prescribed, residents received snacks and water, no bedbugs were found, and planned activities were provided.

The facility was found to be in compliance with regulations, including physical plant conditions, food service, staff and resident records, infection control, and safety measures. No citations were issued during the visit.

The complaint was unsubstantiated. The allegation was that facility staff failed to provide adequate supervision resulting in a resident being hospitalized. The investigation included interviews with staff, residents, and administrators, and review of records. The resident had complained about being disturbed at night and staff complied with their wishes. The resident was found on the floor and hospitalized, but there was insufficient evidence to prove the allegation.

The investigation found insufficient evidence to substantiate the allegation. Interviews and observations indicated that staff conducted regular night checks and provided adequate supervision, but the resident had requested not to be disturbed at night.

The complaint investigation addressed three allegations: staff mishandling client medication, a client sustaining a fall, and staff failing to seek timely medical treatment. Each allegation was investigated through record review and interviews. The department found no sufficient evidence to substantiate any of the allegations, resulting in an unsubstantiated status.

The investigation included record reviews and interviews conducted telephonically due to COVID-19. All allegations were found unsubstantiated due to lack of preponderance of evidence to prove violations occurred.