Inspection Reports for Dove Estates Senior Living Community

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 09/16/25.

All deficiencies have been corrected as of the compliance date of 09/22/25, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The document is a Plan of Correction submitted in response to findings from the licensure resurvey conducted on 09/15/25 and 09/16/25 at the facility.

The Plan of Correction addresses citations identified during the licensure resurvey conducted on the specified dates. No specific deficiencies or severity levels are detailed in this document.

The inspection was a licensure resurvey conducted on 09/15/25 and 09/16/25 to assess compliance with state regulations for the assisted living facility.

The facility was found deficient in conducting functional capacity screenings on admission, developing complete negotiated service agreements for residents receiving physical therapy, and maintaining safe and sanitary food storage conditions in the satellite kitchen refrigerator/freezer.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-03-13.

All deficiencies have been corrected as of the compliance date of 2024-03-26, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a Re-Licensure survey conducted at Dove Estates Senior Living Community to assess compliance with state regulations for assisted living facilities.

The survey identified multiple deficiencies including failure to complete timely assessments for self-administration of medication, improper medication storage practices especially related to insulin pens, incomplete documentation of incidents and follow-up actions in resident records, and failure to conduct quarterly reviews of the facility's emergency management plan with residents.

The document is a Plan of Correction related to a Re-Licensure survey conducted at the Assisted Living Facility on 03/13/24.

The Plan of Correction addresses citations found during the Re-Licensure survey conducted on 03/13/24 at the facility.

This is a revisit report completed by a State surveyor to show those deficiencies previously reported that have been corrected and the date such corrective action was accomplished.

The report indicates that previously cited deficiencies, specifically under regulation 26-41-205 (d) (1-2), have been corrected as of 07/31/2023.

An Abbreviated Survey with complaint investigations was conducted on 07/05/2023 and 07/06/2023 at Dove Estates Senior Living Community, an assisted living facility.

The administrator failed to ensure designated staff ordered and administered a resident's (R5) medication, Sennosides-Docusate Sodium, according to physician orders. This failure resulted in the resident missing 31 consecutive doses, leading to constipation, rectal impaction, colonic obstruction, hospitalization, and bowel surgery.

The survey included complaint investigations numbered 178086, 178155, 178258, 179167, and 181214.

The document is a Plan of Correction addressing findings from an Abbreviated Survey with complaint investigations conducted on 07/05/23 and 07/06/23 at an Assisted Living facility.

The Plan of Correction corresponds to deficiencies identified during an Abbreviated Survey combined with complaint investigations numbered 178086, 178155, 178258, 179167, and 181214.

The visit included complaint investigations for complaints numbered 178086, 178155, 178258, 179167, and 181214.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-11-21.

All deficiencies have been corrected as of the compliance date of 2022-12-01, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with complaint investigations 174382 and 161925 conducted at an assisted living facility to assess compliance with regulatory requirements.

The facility failed to complete a Functional Capacity Screen and revise the Negotiated Service Agreement for one resident following a significant improvement in condition. Additionally, the facility did not verify licensure and certification for two newly hired staff requiring specialized education and training within required timeframes.

The visit included complaint investigations 174382 and 161925.

The document is a Plan of Correction addressing findings from a Resurvey with complaint investigations conducted on 11/17/22 and 11/21/22 at an Assisted Living Facility.

The Plan of Correction references citations from a Resurvey and complaint investigations but does not detail specific findings within this document.

The visit included complaint investigations with IDs 174382 and 161925.

The special infection control survey for COVID-19 was conducted at the facility.

The survey resulted in findings of no deficiency citations.

This report is a revisit conducted by a State surveyor to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.

All previously cited deficiencies listed with their regulation numbers were corrected as of the revisit date, December 6, 2018.

The inspection was a resurvey with complaint #127184 conducted over multiple dates in October 2018 to investigate allegations of neglect and compliance with regulatory requirements.

The facility was found deficient in ensuring residents were free from neglect, including failure to notify nursing staff when a resident missed meals, failure to report and investigate allegations of neglect, failure to revise negotiated service agreements after significant changes in condition, failure to provide and coordinate necessary health care services, incomplete documentation of incidents and injuries, and insufficient staffing for emergency evacuations.

Complaint #127184 triggered the resurvey. The complaint involved neglect of resident #611 who was found on the floor after a fall and not discovered for many hours, failure to report and investigate neglect, and other care deficiencies.

This revisit inspection was conducted to verify that previously reported deficiencies at Dove Estates Senior Living Community had been corrected.

All previously cited deficiencies were corrected as of the revisit date, with each correction documented and completed on 2016-12-15.

The inspection was a resurvey with investigation of complaints #97660 and #101380 at an assisted living facility.

The facility failed to report allegations of abuse and neglect within 24 hours, did not ensure negotiated service agreements included refusals and risks, failed to provide lists of outside service providers, and did not adequately coordinate health care services to address residents' fall risks. Medication management deficiencies included improper ordering, storage, and handling of medications. Emergency preparedness was inadequate due to insufficient staffing for resident evacuation and lack of quarterly emergency plan reviews with all employees and residents.

The inspection was conducted as a resurvey with investigation of complaints #97660 and #101380.

The inspection was an abbreviated survey with investigation of complaint #92485 at an assisted living facility conducted on 11/10/15, 11/12/15, 11/17/15, and 11/18/15.

The investigation found multiple deficiencies including failure to afford resident #6 the right to refuse treatment, improper involuntary discharge despite unchanged care needs, lack of required functional capacity screening on admission for residents #4 and #6, failure to develop negotiated service agreements collaboratively with residents, and failure to develop health care service plans for residents requiring health care services.

The complaint investigation was triggered by complaint #92485 regarding resident rights and care issues at the assisted living facility.

The inspection was an initial survey conducted over multiple days (2-2-15 to 2-5-15) to assess compliance with health care service regulations at Dove Estates Senior Living Community.

The facility failed to ensure licensed nurses provided or coordinated necessary health care services according to residents' functional capacity screenings and negotiated service agreements, specifically lacking documentation for leg brace application and two-person transfers for residents #100 and #200. Additionally, the licensed nurse failed to appropriately delegate nursing procedures related to finger stick blood sugars and lacked documentation of such delegation in resident plans and personnel files.