Inspection Reports for East West Care

The inspection was conducted as the Annual 1-year required inspection for the facility.

The inspection found that the physical plant met safety and environmental standards, but resident records were missing required documents including Pre-Admission Appraisals and Functional Capabilities Assessments for all residents, and a reappraisal was missing for one resident diagnosed with Dementia. Type B deficiencies were cited for these recordkeeping violations.

An unannounced case management visit was conducted to deliver a copy of the amended report related to the Annual inspection conducted on September 11, 2024.

No deficiencies were issued during the visit. The amended report was reviewed with the caregivers and a copy was provided.

The inspection was an unannounced annual 1-year required inspection conducted to assess compliance with licensing regulations.

The facility was generally clean and well-maintained with proper safety equipment and adequate food supplies. However, deficiencies were found related to personnel health screening, emergency drill documentation, and criminal record clearance for staff.

An unannounced infection control annual inspection visit was conducted to evaluate compliance with health and safety regulations.

The inspection found no immediate physical hazards, adequate infection control practices, and current vaccination status for staff and residents. However, two staff members (S1 and S2) were identified as not associated with the facility and lacked required criminal record clearance transfers, resulting in civil penalties. Additionally, staff were observed sleeping on living room couches, violating accommodation requirements.

The inspection was a required unannounced 1-year visit to evaluate the facility's compliance with licensing regulations.

The Licensing Program Analyst toured the facility and found no accessible water or fire safety hazards. Infection control practices, medication storage, environmental safety, and emergency preparedness were reviewed and found generally adequate. Some staff files were inaccessible, and additional signage for masking and social distancing was recommended.

An unannounced complaint investigation visit was conducted in response to an allegation of illegal eviction received on 07/24/2020.

The investigation found that the facility initially issued an eviction notice due to pandemic-related issues but later rescinded it after addressing the resident's physical therapy, medication, and care needs. The resident remains in care and is receiving the previous level of care with family assistance. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleging illegal eviction was investigated and found to be unsubstantiated.