Inspection Reports for Elison Independent & Assisted Living of Maplewood

This was a re-inspection visit conducted to verify correction of previously cited deficiencies from the environmental survey conducted on December 17, 2025.

All previously cited deficiencies (0283, 0285, 0288, and 0323) were corrected as of the re-inspection date.

The inspection was a routine environmental and physical facilities survey to assess compliance with health, safety, housekeeping, maintenance, fire safety, disaster preparedness, and laundry handling standards at Elison Independent & Assisted Living of Maplewood.

The facility was found to have multiple deficiencies including dust and debris accumulation on HVAC registers and high-touch surfaces, missing light fixture covers, mold/mildew in the Day Spa, improper laundry storage, failure to update and rehearse the disaster and emergency preparedness plan annually, and inadequate housekeeping and maintenance such as carpet damage and missing bathroom fixtures.

Follow-up to Complaint #40200 to verify correction of previously identified deficiencies.

The deficiencies identified in the prior complaint investigation were corrected as of the follow-up visit.

Follow-up to Complaint #40200; deficiencies were corrected.

Investigation of Complaint #40200 regarding the facility's compliance with licensing and staff certification requirements.

The complaint was substantiated with deficiencies cited including an expired assisted living residence license and one employee with an expired CPR certification. The facility submitted a license renewal application and scheduled CPR re-certification for the employee.

The complaint was substantiated, and deficiencies were cited.

Follow-up survey conducted to assess compliance with previously identified deficiencies at Elison Independent & Assisted Living of Maplewood.

The facility had deficiencies identified during the environmental survey. The report confirms the presence of deficiencies and notes the follow-up nature of the survey.

First follow-up to annual survey to verify correction of previously identified deficiencies.

The deficiencies identified in the prior annual survey were corrected as of the follow-up visit.

The document is a plan of correction and statement of deficiencies related to a behavioral health survey conducted to address safety concerns in the facility environment.

The facility was found to have safety deficiencies including lack of alarms on outside doors and insufficient awake staff supervision on weekend nights. The plan of correction was accepted and the deficiency was cleared based on credible evidence provided.

Annual survey conducted from 09/09/24 to 09/12/24 to assess compliance with regulatory requirements for Elison Independent & Assisted Living of Maplewood.

The facility was found deficient in multiple areas including failure to maintain complete legal authority documents in resident records, incomplete admission contracts regarding cost liability, delayed and inaccurate resident service plans, incomplete resident demographic data, improper use of visual and auditory monitoring devices, inadequate documentation and reporting of resident weights, and housekeeping and maintenance deficiencies such as damaged carpet and missing bathroom fixtures.

The inspection was conducted to assess the physical facilities and environmental conditions of the Elison Independent & Assisted Living of Maplewood to ensure maintenance and housekeeping meet safety, sanitary, and accident-free living environment standards.

The facility failed to maintain a safe, sanitary, and accident-free living environment, with observations including damage and stains on walls and ceilings, damaged shower units, black-like substances near HVAC units, debris on kitchen equipment, stained caulking, torn wallpaper, missing ceiling tiles, and damaged shower chair cushions.

First follow-up to Complaint #33409 to assess compliance with previous deficiencies related to activities and facility environment.

The facility failed to provide a monthly activity calendar listing exact durations of activities, which was corrected with a new calendar and app by October 4, 2024. One deficiency was corrected and one was re-cited related to housekeeping and maintenance issues such as carpet damage and missing bathroom fixtures.

First follow-up to Complaint #33409 conducted on 09/09/24.

Investigation of Complaint #33409 conducted from 08/06/24 to 08/08/24. The complaint was unsubstantiated, but deficiencies were cited during the investigation.

The facility failed to provide a monthly activity calendar listing the duration of each activity, failed to ensure Approved Medication Assistive Personnel (AMAP) underwent timely quarterly supervision, and had deficiencies in housekeeping and maintenance including damaged carpets, missing bathroom fixtures, and unclean areas.

Complaint #33409 was investigated from 08/06/24 to 08/08/24. The complaint was unsubstantiated, but deficiencies were cited.

Follow-up to Annual Survey to verify correction of previously cited deficiencies.

All deficiencies identified in the prior annual survey were corrected, and no new deficiencies were cited during this follow-up visit.

Annual survey conducted to assess compliance with state regulations for assisted living facilities, including resident care, safety, housekeeping, employee training, and facility maintenance.

The facility was found deficient in multiple areas including failure to maintain proper documentation for resident deaths, inadequate labeling and dating of food items, medication administration by uncertified personnel, incomplete employee training records, incomplete resident health assessments and service plans, and unsafe housekeeping and maintenance conditions such as damaged carpets and unsecured hazardous materials.

The inspection was conducted to evaluate compliance with fire safety, disaster preparedness, and emergency procedures, including review of the disaster and emergency preparedness plan, evacuation education for new residents, and rehearsal of disaster plans with staff.

The facility failed to review and update the disaster and emergency preparedness plan annually, did not document evacuation education for new residents within 24 hours of admission, and lacked documentation of annual disaster plan rehearsals with staff. Deficiencies were cited related to these failures, but corrective actions and plans for improvement were documented.

The inspection was conducted in response to Complaint #28593 from 06/12/23 to 06/13/23 to investigate allegations related to the facility.

The complaint investigation found no substantiated issues; the complaint was unsubstantiated.

Complaint #28593 was investigated from 06/12/23 at 2:45 PM to 06/13/23 at 11:00 AM. The complaint was determined to be unsubstantiated.

Revisit to Annual Survey conducted on 03/22/23 from 1:00 p.m. to 3:30 p.m.

No deficiencies were found during the revisit to the annual survey.

Annual survey conducted to assess compliance with state regulations for Elison Independent & Assisted Living of Maplewood.

The facility failed to maintain adequate staffing ratios, proper housekeeping and maintenance, complete and updated health assessments, proper documentation of nursing visits, and timely reporting of significant weight changes. Admission agreements lacked required information on medication storage, liability insurance, and nursing care services. Several residents' service plans and assessments were incomplete or unsigned.

Routine inspection conducted on December 5, 2022, to assess compliance and facility conditions.

All deficiencies identified during the inspection were corrected. The facility was found to be in compliance at the time of the survey.

This was a second follow-up visit to a complaint survey #26743 to verify correction of previously cited deficiencies.

The deficiency cited in the prior complaint survey was corrected. The Ombudsman was notified via e-mail.

This visit was a follow-up to complaint survey #26743. Deficiency was corrected.

Follow up for Investigation of Complaint #27256 conducted on 11/22/22 from 10:00 a.m. to 4:00 p.m.

All deficiencies identified during the complaint investigation were corrected by the time of the follow-up visit.

Investigation of Complaint #27256; all deficiencies corrected.

The inspection was an annual environmental survey conducted to assess the facility's compliance with health and safety regulations.

The inspection found no deficiencies cited during the annual environmental survey.

1st Follow-up/Revisit to Complaint Investigation Survey conducted to verify correction of previously cited deficiencies.

Deficiencies previously cited were corrected or cleared. No new deficiencies were identified during this follow-up visit.

Follow-up to a complaint investigation; no new deficiencies cited, indicating corrective actions were effective.

Complaint investigation conducted from 09/19/22 to 09/22/22 due to allegations related to disaster preparedness, fire safety, maintenance, and emergency evacuation procedures at Elison Independent & Assisted Living of Maplewood.

The facility was found deficient in multiple areas including failure to annually review and update the disaster and emergency preparedness plan, failure to show and document emergency evacuation procedures to new residents within 24 hours of admission, inadequate maintenance and housekeeping, lack of monthly fire extinguisher inspections, missing door closures and electronically locked exit doors requiring key codes, failure to conduct quarterly fire drills on each shift, and failure to rehearse disaster preparedness plans annually with all staff. The facility also lacked documentation of an emergency alternate shelter agreement and emergency transportation policy.

Complaint #27391 was substantiated. The investigation found multiple deficiencies related to disaster preparedness, fire safety, maintenance, and emergency evacuation procedures. Facility census was 46 at the time of survey.

Follow-up to annual survey conducted to verify compliance and corrective actions.

The inspection was a follow-up visit to the annual survey. No specific findings or deficiencies are detailed in this report.

The inspection was a follow-up to Complaint #26743, conducted to investigate concerns related to oxygen therapy and emergency preparedness during power failures at the assisted living facility.

The facility failed to ensure residents requiring oxygen had proper identification and contingency plans during power failures, lacked emergency lighting in resident rooms, and had inadequate housekeeping and maintenance issues. Residents reported safety concerns during power outages, including inability to safely move in the dark and lack of staff monitoring. The facility implemented corrective actions including updating oxygen therapy lists, ordering emergency flashlights, educating staff, and improving disaster policies.

Follow-up to Complaint #26743. The complaint involved concerns about oxygen therapy management and emergency preparedness during power outages. The complaint was substantiated as the facility lacked adequate policies and procedures for power failure contingencies affecting residents on oxygen.

The inspection was conducted as a complaint investigation from August 29 to August 31, 2022, related to concerns about facility compliance with health, safety, housekeeping, maintenance, and regulatory requirements.

The facility was found to have multiple deficiencies including failure to maintain a safe and sanitary environment, inadequate housekeeping and maintenance, unlocked medication cart, improper storage of hazardous materials, failure to conduct preventative maintenance on HVAC units, temperature control issues, and failure to comply with employee background check requirements. Several physical facility issues such as damaged carpet, missing ceiling tiles, and HVAC problems were also noted.

Substantiated Complaint from 08/29/22 12:00 p.m. to 08/31/22 12:45 p.m., Complaint #27256, Facility Census: 44

The inspection was conducted as a complaint investigation to assess the environmental conditions of the facility.

The complaint was found to be unsubstantiated. The survey included an environmental review with no deficiencies noted in the provided text.

Complaint was unsubstantiated.

The inspection was conducted as a second revisit to the annual survey to assess compliance with regulatory requirements related to resident care, documentation, housekeeping, maintenance, infection control, employee training, and transfer/discharge procedures.

The facility was found deficient in multiple areas including failure to document release of resident belongings upon death, incomplete documentation of resident death details, inadequate infection control practices related to mask usage, failure to provide and maintain annual in-service training records for staff, incomplete transfer/discharge documentation for residents, and inadequate housekeeping and maintenance issues such as damaged carpet, missing bathroom fixtures, and unclean sinks.

The inspection was conducted as a complaint investigation related to failure to ensure residents received medications and treatments as prescribed, and issues with resident accommodations and housekeeping.

The facility failed to ensure that physician orders for medications and treatments were followed for three residents (#10, #26, and #32), resulting in neglect. Additionally, the facility did not provide adequate housekeeping and maintenance, and failed to ensure a resident had a bed and mattress that met regulatory standards to promote independence.

Complaint #26743 was substantiated. The complaint investigation occurred from 05/24/22 to 05/25/22 and involved neglect related to medication administration and resident accommodations.

The inspection was conducted as a complaint survey (Complaint ID: 25827) from 05/23/22 to 05/24/22 to investigate staffing and care provision concerns at the assisted living residence.

The facility failed to maintain adequate staffing levels to meet residents' care needs, with documented shifts lacking sufficient direct care staff. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpets, missing bathroom fixtures, and unclean areas.

Complaint ID 25827 initiated the survey. The Executive Director stated uncertainty about who covered certain shifts but believed staffing was sufficient. Staffing issues were acknowledged with ongoing efforts to hire more staff and nurses.

The visit was a follow-up inspection of Elison Independent & Assisted Living of Maplewood to assess compliance with previously identified deficiencies related to resident death documentation, employee orientation and training, and health care standards.

The facility failed to maintain documentation of resident belongings released upon death for three residents, did not provide or maintain records of annual in-service specialty care training for certain employees, and failed to ensure required documentation was present in resident records prior to transfer or discharge for three residents. Plans of correction were submitted with completion dates in November 2021.

Annual survey inspection conducted to assess compliance with regulatory requirements for assisted living facility.

The facility was found deficient in multiple areas including failure to update service plans annually, inadequate documentation of resident belongings upon death, lack of current nursing licenses, inadequate housekeeping and maintenance, unsecured hazardous supplies, insufficient staff training, improper legal authority for resident agreements, incomplete transfer/discharge documentation, missing annual tuberculosis screenings, delayed service plans post-admission, incomplete resident assessments, and failure to document weekly nursing care for diabetic residents.

Routine environmental survey conducted to assess the facility's compliance with health and safety standards.

The facility was found to have no deficiencies during the environmental survey conducted on June 14, 2021.

This was the 3rd follow-up visit to the annual survey to verify correction of previously cited deficiencies.

The deficiency cited in the prior annual survey was corrected as of this follow-up visit.

This was a second revisit to Complaint #24604 to verify compliance and investigate the complaint.

The inspection found no deficiencies during the revisit conducted on February 17, 2021.

This visit was a 2nd revisit to Complaint #24604. No deficiencies were found, indicating the complaint issues were resolved or unsubstantiated.

The inspection was conducted as an Infection Control Survey at Elmcroft of Maplewood.

No deficiencies were cited during the infection control survey. The Ombudsman was notified via e-mail.

This was a 2nd follow-up visit to the annual survey to verify correction of previously cited deficiencies related to resident health assessments and facility housekeeping.

The facility failed to ensure an annual health assessment including tuberculosis screening was completed for one resident (#3) and had deficiencies in housekeeping and maintenance such as damaged carpet, missing bathroom fixtures, and cleanliness issues. Plans of correction were in place to address these issues.

The visit was a first follow-up to a complaint survey (Complaint ID: WV00024604) conducted to investigate medication administration and documentation issues at the facility.

The facility failed to keep current and accurate documentation regarding residents' health status and medication administration for nine of thirty-one residents. Medication records showed medications were not administered and staff failed to notify the registered nurse or physician. Additionally, housekeeping and maintenance issues were noted, including damaged carpets, missing bathroom fixtures, and unclean areas.

This was a follow-up to Complaint Survey ID WV00024604. The complaint involved medication administration and documentation failures. The complaint was substantiated as deficiencies were found in medication administration records and communication with nursing staff and physicians.

Complaint investigation initiated on 10/19/20 due to concerns about medication administration and resident care, including allegations that Resident #08 did not receive oxygen or insulin and had medication refusals.

The facility failed to maintain accurate and current medication administration records, ensure physician notification of medication refusals or unavailability, and provide consistent medication administration. Resident #08 frequently refused medications, and documentation was inconsistent. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpet, missing bathroom fixtures, and unclean areas.

Complaint #24604 investigated from 10/19/20 to 11/05/20. Complaint was unsubstantiated but resulted in one citation related to medication administration and record-keeping.

The inspection was conducted as a follow-up to a substantiated complaint dated June 23, 2020, with subsequent surveys on September 14, 2020, and October 27, 2020, to verify correction of deficiencies.

The initial complaint survey found deficiencies, with one deficiency (0450) only partially corrected by the September 14, 2020 survey. By the October 27, 2020 survey, all deficiencies were corrected.

Substantiated complaint with deficiency cited. Complaint #241251. Deficiency 0450 was partially corrected on September 14, 2020, and fully corrected by October 27, 2020.

The inspection was the 1st follow-up to the annual survey conducted to assess compliance with health and safety regulations, resident care standards, and administrative requirements at Elison Independent & Assisted Living of Maplewood.

The facility was found deficient in multiple areas including failure to report major incidents timely, inadequate housekeeping and maintenance, outdated and inaccurate functional needs assessments and service plans, incomplete transfer/discharge documentation, missing or incomplete health assessments, failure to maintain nursing visit records, unsecured medications, and failure to ensure weekly nursing assessments and documentation for residents with nursing care needs.

The inspection was conducted as a complaint investigation following a substantiated complaint dated June 23, 2020, regarding deficiencies in maintaining a safe, sanitary, and accident-free living environment.

The facility failed to maintain a safe, sanitary, and accident-free living environment, with issues including incomplete temperature logs for refrigerators, stained and dusty ceilings in the main kitchen, and equipment surfaces loaded with dust and debris. These deficiencies were only partially corrected at the time of the revisit.

Complaint dated June 23, 2020, substantiated with deficiency cited. Deficiency 0450 was only partially corrected as of the September 14, 2020 survey.

Annual survey conducted to assess compliance with regulatory requirements for assisted living facility.

The facility was found deficient in multiple areas including maintenance and housekeeping, medication administration, resident records, employee training, resident rights, and documentation related to resident transfers and deaths. Several policies and procedures were outdated or incomplete, and staff training records were lacking. Plans of correction were provided for all deficiencies.

Routine environmental inspection of Elison Independent & Assisted Living of Maplewood.

No deficiencies were cited during the environmental inspection conducted on July 6, 2020.

The inspection was conducted as a substantiated complaint investigation related to housekeeping, maintenance, and temperature log deficiencies in the assisted living facility.

The facility failed to maintain a safe, sanitary, and accident-free living environment, including incomplete refrigerator temperature logs, dusty kitchen equipment, stained ceilings, and inadequate housekeeping and maintenance such as carpet damage and missing bathroom fixtures.

Complaint #24125 was substantiated with deficiency cited related to housekeeping, maintenance, and temperature log issues.

The document is a plan of correction submitted in response to a behavioral health survey conducted to address deficiencies related to safety and supervision in the facility.

The survey found that the facility did not provide a safe environment for adolescent consumers, specifically noting lack of alarms on outside doors and insufficient awake staff supervision on weekend nights. The provider submitted a plan to employ staff or make alternate sleeping arrangements to ensure awake-night supervision during weekend shifts by July 1, 2004.

The inspection was conducted to assess compliance with health and safety regulations, including personnel records and environmental conditions, and to address repeat deficiencies.

The facility failed to ensure that employee health records contained pre-employment tuberculosis screenings for two employees, and there were environmental safety and maintenance issues such as unsecured doors, damaged carpet, and inadequate housekeeping.

The inspection was conducted in response to a complaint identified by Complaint ID WV00023120.

No deficiencies were cited during this complaint investigation inspection.

Complaint ID WV00023120 was investigated and found to have no deficiencies cited.

The inspection was conducted as a routine survey to assess compliance with health and safety regulations, personnel records, resident assessments, nursing care, and housekeeping standards at Elison Independent & Assisted Living of Maplewood.

The facility failed to ensure timely tuberculosis screenings for employees and residents, delayed development of nursing service plans, incomplete weekly nursing progress notes for residents with nursing care needs, and inadequate housekeeping and maintenance including damaged carpets and missing bathroom fixtures.

The inspection was conducted as a complaint investigation related to Elmcroft of Maplewood (Bridgeport) following a complaint received with ID WV00022550, including a follow-up to verify correction of deficiencies.

The complaint investigation identified deficiencies, with one deficiency corrected and one repeat deficiency noted during the follow-up visit on August 26, 2019.

Complaint ID WV00022550 was investigated from May 13-16, 2019 and May 20-23, 2019, with a follow-up on August 26, 2019. One deficiency was corrected and one repeat deficiency was found.

The visit was a follow-up survey to verify correction of previously identified deficiencies during the annual environmental inspection.

All deficiencies identified in the prior inspection were corrected as of the follow-up visit on July 30, 2019.

The inspection was conducted in response to Complaint #22977 to investigate alleged deficiencies at the facility.

No deficiencies were cited during the inspection, and the complaint was found to be unsubstantiated.

Complaint #22977 was investigated and found to have unsubstantiated deficiencies.

The inspection was conducted as an annual licensure survey including an annual environmental review to assess compliance with state regulations.

The facility was found deficient in conspicuously posting emergency call information near telephones and in failing to rehearse and document the disaster and emergency preparedness plan with all staff annually. Two deficiencies were cited related to disaster preparedness and emergency call posting.

The inspection was conducted as a complaint investigation for Elmcroft of Maplewood (Bridgeport) from May 13-16, 2019, related to concerns about the admission agreement and resident rights.

The investigation found that the facility failed to ensure the admission agreement contained an assurance that residents would not be held liable for undisclosed costs and failed to include language that no person shall enter a resident's room without identifying themselves and receiving permission. These issues affected all 36 residents. Plans of correction were provided to revise the residency agreement accordingly.

Complaint ID WV00022550. The complaint investigation was conducted from May 20-23, 2019, with a census of 36 residents. The complaint involved issues with the admission agreement and resident rights.

The inspection was conducted as a complaint investigation based on Complaint ID WV00022418 from May 13-16, 2019.

No deficiencies were cited during this complaint investigation.

Complaint ID WV00022418 was investigated with no deficiencies cited.

The inspection was conducted as a Change of Ownership (CHOW) survey from September 4-6, 2018.

No deficiencies were identified during this Change of Ownership survey.

The inspection was conducted as a Change of Ownership (CHOW) survey for Elison Independent & Assisted Living of Maplewood.

No deficiencies were cited during this environmental survey conducted at the assisted living facility.

The visit was conducted as an annual licensure survey of the facility.

The annual licensure survey conducted from October 16 to 19, 2017, found no deficiencies cited at the facility.

The facility underwent an annual licensure survey focusing on environmental conditions as part of the routine yearly inspection process.

No deficiencies were identified during the environmental annual licensure survey conducted on October 17, 2017.

Follow-up survey conducted to verify correction of previously cited deficiencies.

The follow-up survey found no deficiencies; all previously cited deficiencies were corrected.

The inspection was conducted to assess compliance with employee orientation and training requirements, housekeeping and maintenance standards, and proper handling of resident belongings upon death.

The facility was found deficient in ensuring timely employee training on required topics, maintaining adequate housekeeping and maintenance, and properly releasing resident belongings only to estate administrators or executors upon death. Multiple employees lacked timely training documentation, physical environment issues were observed, and resident belongings were not consistently released to the appropriate parties.

The visit was conducted as an annual licensure survey focusing on environmental conditions at the facility.

The survey found no deficiencies related to the environmental conditions of the facility.

The visit was a follow-up survey conducted to verify correction of deficiencies cited during the annual licensure survey conducted on November 10, 2015.

The follow-up survey confirmed ongoing compliance efforts related to environmental deficiencies cited previously. The census remained consistent at 44 residents during both visits.

The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements, including background checks and registry screenings for employees.

The facility failed to ensure that background and registry checks, including nurse aide abuse registry and central abuse registry screenings, were completed prior to hiring several employees. Deficiencies were noted in record keeping and timely submission of required information. A plan of correction was submitted to address these issues.

The inspection was conducted as an annual licensure survey to assess environmental conditions, disaster preparedness, and physical facility maintenance.

The facility was found deficient in reviewing and updating the disaster and emergency preparedness plan annually, and in maintaining the interior and exterior of the facility clean and in good repair, including issues with HVAC grills, wall cracks, drywall repairs, ceiling holes, water damage, missing light fixture covers, inadequate smoking area equipment, and loose sprinkler escutcheons.

Annual licensure survey conducted from September 14-16, 2015 to assess compliance with state regulations for Elison Independent & Assisted Living of Maplewood.

The facility was found deficient in multiple areas including failure to complete required background and registry checks prior to hire, inadequate employee orientation and training, incomplete tuberculosis screenings, failure to monitor and document residents' conditions after incidents, inadequate housekeeping and maintenance, and failure to release resident belongings to estate administrators upon death.

The inspection was conducted as an annual licensure survey of the facility from September 14 to 16, 2015.

The report documents the annual licensure survey and a follow-up survey conducted on November 17, 2015. The census was 41 during the annual survey and 43 during the follow-up. No specific deficiencies or severity levels are detailed in the provided document.

The inspection was conducted as a complaint investigation for Complaint # WV00013264 from April 7-9, 2015.

The report documents a complaint investigation conducted at Elison Independent & Assisted Living of Maplewood with a census of 41 residents. Specific findings or deficiencies are not detailed in the provided text.

Complaint # WV00013264 was investigated during the visit from April 7-9, 2015. No substantiation status or detailed complaint outcomes are provided.

The visit was conducted as an Annual Licensure Survey with a follow-up survey to verify compliance.

The report documents the annual licensure survey and a follow-up visit. Specific deficiencies or findings are not detailed in the provided text.

The visit was conducted as an annual licensure survey to assess compliance with state regulations including disaster and emergency preparedness.

The facility failed to rehearse the disaster and emergency preparedness plan with all staff from each shift annually, as required. The Maintenance Director confirmed that a policy review occurred but not an actual rehearsal.

The inspection was conducted as an annual licensure survey of the facility.

The report summarizes the annual licensure survey conducted from October 6-8, 2014, with a census of 43 residents. No specific deficiencies or severity levels are detailed in the provided document.

The inspection was conducted as a complaint investigation based on multiple resident complaints regarding medication administration, missing personal items, and failure to report major incidents as required by assisted living regulations.

The facility failed to ensure compliance with assisted living rules including prompt complaint resolution, proper documentation and investigation of complaints, reporting of major incidents such as theft and neglect, and maintaining a safe and clean environment. Specific deficiencies included missing medications, unreported missing valuables, inadequate housekeeping, and failure to notify appropriate authorities of incidents.

The investigation was triggered by complaints from residents #38, #C2, #5, and #39 regarding missed medications and missing valuables including a mink coat and a tennis bracelet valued at $10,000. The facility failed to document or properly investigate these complaints, and failed to notify complainants of outcomes. The administrator acknowledged numerous complaints but documentation was lacking. Adult Protective Services confirmed no reports were received for the missing items incidents.

The inspection was conducted as a complaint investigation from April 21-23, 2014, to address concerns raised about the facility.

The report documents deficiencies identified during the complaint investigation and a follow-up visit, including issues related to health and safety and staffing during night shifts on weekends.

Complaint Investigation #WV00010955 conducted April 21-23, 2014 with a census of 42; followed by a Complaint Follow-Up on June 24, 2014 with a census of 37.

Follow-up to the annual licensure survey conducted on 2013-10-05 and the first follow-up survey on 2013-10-31, specifically to verify correction of deficiencies including an unfixed elevator.

The elevator remained unfixed as of the follow-up survey, but kitchen and dietary areas were found clean. The follow-up visit was the second follow-up to the annual survey and first follow-up.

Annual licensure survey with follow-up to a previous survey conducted on 2013-10-05, focusing on compliance with physical facilities and safety regulations.

The facility failed to maintain the elevator in good repair, with an expired certificate of operation and needed repairs due to water damage. Kitchen and dietary areas were found clean at follow-up. Additional deficiencies included housekeeping and maintenance issues such as carpet damage and missing bathroom fixtures.

The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements including personnel records and abuse registry checks.

The facility was found deficient in submitting required central abuse registry screening information prior to hiring for one employee and failing to document nurse aide abuse registry checks for six employees. Additionally, personnel files for eight licensed practical nurses lacked verification of active licenses.

The inspection was conducted as an annual licensure survey of the assisted living facility to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted from October 7-10, 2013, with a census of 38 residents. A follow-up survey was also conducted on December 10, 2013. Specific deficiencies or findings are not detailed in the provided text.

The inspection was conducted as an annual licensure survey to assess compliance with health and safety regulations and physical facility standards.

The facility failed to maintain cleanliness and good repair in kitchen and food storage areas, including food debris on floors and shelving, and improper storage of food items. Additionally, the elevator serving the assisted living unit lacked a current certificate of operation due to needed repairs that had not been authorized or started, despite being over 100 days past expiration.

The inspection was conducted as a complaint investigation based on concerns regarding resident care, staffing, medication administration, and facility maintenance.

The facility failed to ensure adequate staffing, proper medication administration, resident rights regarding daily activities, proper transfer documentation, and adequate housekeeping and maintenance. Multiple residents missed doses of medications due to unavailability or lack of documentation. The facility also failed to provide sufficient awake-night supervision on weekends and maintain a safe environment.

Complaint investigation conducted January 22-23, 2013, with census of 41 residents. Surveyor Michelle Redd, RN, HFNS1. Issues included staffing shortages, medication administration failures, resident rights violations, incomplete transfer documentation, and inadequate housekeeping and maintenance.

The inspection was conducted as a complaint investigation at Elison Independent & Assisted Living of Maplewood.

The report documents a complaint investigation and a follow-up visit where deficiencies were corrected and technical assistance was provided.

Complaint investigation conducted January 22-23, 2013 with a follow-up on March 4, 2013. Deficiencies were corrected and technical assistance was given.

The inspection was conducted as an annual licensure survey with a follow-up survey to verify correction of previous deficiencies.

The facility failed to rehearse the disaster and emergency preparedness plan with all staff annually and failed to maintain hot water temperatures within the required range of 105°F to 115°F at all hot water sources. The hot water temperature logs were not maintained as required, and several water sources exceeded the maximum temperature. Directed plans of correction were issued to address these deficiencies immediately.

Annual licensure survey conducted November 5-7, 2012 to assess compliance with state regulations for assisted living facilities.

The facility was found deficient in multiple areas including lack of written policies and procedures, inadequate housekeeping and maintenance, incomplete employee orientation and training, failure to maintain admission agreements and resident registers, incomplete transfer summaries, missing tuberculosis screenings, inadequate monitoring of residents after incidents, and insufficient staff training on special care needs.

The facility underwent an annual licensure survey conducted from November 5-7, 2012 to assess compliance with regulatory requirements.

The annual licensure survey identified deficiencies which were subsequently addressed and corrected during a follow-up survey conducted December 26-27, 2012.

The inspection was conducted as a complaint investigation based on allegations related to staffing inadequacies, abuse, neglect, and failure to maintain proper documentation and housekeeping at the facility.

The facility was found deficient in maintaining adequate staffing levels, proper documentation of staff schedules, timely reporting and investigation of abuse allegations, and ensuring adequate housekeeping and maintenance. Resident complaints were not addressed or resolved timely with written responses. Several deficiencies related to resident rights and safety were cited.

The complaint investigation (#WV00007391) was conducted from October 31 to November 2, 2012, with a census of 44 residents. Allegations included inadequate staffing, failure to report and investigate abuse, failure to notify licensing agency timely, and unresolved resident complaints. The investigation found unsubstantiated abuse but cited multiple unrelated deficiencies.

The inspection was conducted as a complaint investigation from October 31 to November 2, 2012, to address concerns raised about the facility.

The complaint investigation was unsubstantiated, and unrelated deficiencies were cited during the survey.

Complaint investigation #WV00007391 was unsubstantiated with unrelated deficiencies cited.

The inspection was conducted as an annual licensure survey to assess environmental conditions and compliance with disaster preparedness and physical facility regulations.

The facility failed to rehearse the disaster and emergency preparedness plan with all staff annually, and hot water temperatures at some sinks exceeded the required maximum of 115°F. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets, missing bathroom fixtures, and cleanliness issues.

The document reports on the annual licensure survey conducted to assess environmental and other compliance aspects of the facility.

The report includes findings from the annual licensure survey and a follow-up survey, noting deficiencies corrected and repeat deficiencies. Specific deficiency details are not provided in the text.

Initial licensure survey conducted to assess compliance with regulatory requirements for Elison Independent & Assisted Living of Maplewood.

The report documents the initial licensure survey conducted December 12-14, 2011, with a census of 35 residents. A follow-up survey on January 5, 2012, with a census of 33, noted that deficiencies identified were corrected.

Initial licensure survey conducted to assess compliance with state regulations for Elison Independent & Assisted Living of Maplewood.

The facility was found deficient in several areas including failure to ensure criminal background checks prior to hire for some employees, inadequate staffing with CPR-trained personnel on all shifts, and medication administration errors including failure to notify physicians and document medication administration properly.

Initial licensure survey conducted to evaluate the facility for approval as an assisted living center.

The building was approved for assisted living with a total of 56 beds. No specific deficiencies or issues were noted in the summary.