Inspection Reports for Elmhurst House of Friendship

Investigation of Complaint #39992 regarding facility conditions and care.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #39992 was investigated on 10/22/25; it was found unsubstantiated with no deficiencies cited.

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

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

The inspection was conducted as an annual survey of Elmhurst, The House of Friendship, Inc. to assess compliance with health and safety regulations and review resident health assessments.

A deficiency was cited for failure to ensure each resident's record contained an annual written, signed, and dated health assessment including tuberculosis screening. The assessment for one resident was late and incomplete. The facility also had deficiencies related to housekeeping and maintenance observed during a prior behavioral health survey.

The inspection was conducted as an annual survey of the facility to assess compliance with regulatory standards.

The annual survey conducted from 07/15/24 to 07/17/24 found no deficiencies cited at the facility.

Annual environmental inspection of Elmhurst, The House Of Friendship WV conducted on July 15, 2024.

No deficiencies were cited during this annual environmental inspection.

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

The report documents the annual survey with a census of 35 residents. No specific deficiencies or severity levels are detailed in the provided page.

Annual environmental inspection of Elmhurst, The House Of Friendship WV conducted on August 2, 2023.

No deficiencies were cited during this annual environmental inspection.

The visit was conducted as an annual survey to assess the facility's compliance with regulatory standards.

The inspection found no citations or deficiencies during the annual survey conducted from July 25 to July 28, 2022, with a census of 39 residents.

The visit was a complaint follow-up inspection to verify correction of previous deficiencies.

The inspection cleared all tags with no new citations written, indicating that previous deficiencies were addressed.

Complaint Follow-Up #26733; no new citations were written, indicating the complaint was addressed.

The inspection was conducted as an annual survey to assess the facility's compliance with state requirements.

The residence was found to be in substantial compliance with the applicable rules based on review of documentation, staff interviews, observations, and performance testing.

Complaint survey #26733 was conducted from 05/16/22 to 05/17/22 to investigate allegations related to resident care and facility compliance.

The facility failed to ensure staff monitored and documented residents' conditions every eight hours for 24 hours following incidents for three residents. Additionally, staff failed to timely contact licensed health care professionals after incidents, and the facility did not ensure adequate housekeeping and maintenance. One resident was neglected when staff delayed notifying the nurse after a fall.

Complaint survey #26733 was substantiated. The investigation found failures in monitoring residents post-incident, timely communication with licensed professionals, and neglect of resident #35.

The visit was conducted as an annual survey to assess compliance with regulatory standards.

The inspection found no citations or deficiencies during the annual survey conducted from August 10 to August 18, 2021.

Annual environmental inspection of Elmhurst, The House Of Friendship WV.

The inspection found no deficiencies cited during the visit.

The inspection was conducted as a complaint investigation (Complaint Investigation #25088) to determine the validity of the complaint received.

The complaint was found to be unsubstantiated following the investigation conducted from 03/30/21 to 04/01/21.

Complaint Investigation #25088 was unsubstantiated.

The inspection was conducted as an infection control survey to assess compliance with infection control standards at the facility.

No deficiencies were cited during the infection control survey conducted at the facility.

The visit was conducted as an annual survey to assess compliance with regulatory requirements.

The report documents the initial comments of the annual survey conducted from July 6 to July 8, 2020, with a census of 42 residents. No specific deficiencies or severity levels are detailed in the provided page.

Annual environmental inspection of Elmhurst, The House Of Friendship WV.

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

Annual licensure survey conducted to assess compliance with regulatory requirements for Elmhurst, The House of Friendship.

No deficiencies were cited during this annual licensure survey. The facility was found to be in compliance with all applicable standards.

Annual licensure survey conducted to assess environmental conditions and compliance with regulatory standards.

The facility was found to have no deficiencies cited during the annual licensure survey.

The inspection was conducted as an annual licensure survey to assess compliance with health care standards and medication administration regulations.

The facility was found deficient in ensuring that resident care was provided by appropriately licensed health care professionals and that medications and treatments were administered according to applicable laws. Specifically, there were issues with missing physician orders for medications, medications listed on MARs without physician orders, and lack of monthly RN review of MARs.

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

A deficiency was cited during the annual licensure survey conducted April 9-11, 2018. A follow-up survey on June 5, 2018, found the deficiencies corrected.

The visit was conducted as an annual licensure survey to assess environmental compliance at the facility.

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

The visit was conducted as an annual licensure survey to assess environmental conditions and compliance with regulatory requirements.

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

The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements.

The facility was found to have no deficiencies during the annual licensure survey conducted from March 6-8, 2017.

The visit was conducted as an annual licensure survey to assess environmental conditions and compliance with regulatory standards.

The inspection found no deficiencies related to the environmental conditions of the facility during the annual licensure survey.

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

The report documents the annual licensure survey conducted on March 23-24, 2016, with a census of 39 residents. No specific deficiencies or severity levels are detailed in the provided text.

Annual licensure survey conducted to assess compliance with licensing requirements including disaster and emergency preparedness.

The facility failed to review and update the disaster and emergency preparedness plan on an annual basis and did not have documented evidence of such review for 2014.

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

The report documents the annual licensure survey conducted from April 20 to 22, 2014, with a census of 44 residents. No specific deficiencies or severity levels are detailed in the provided text.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements.

The facility was found to have no deficiencies during the annual licensure survey conducted on April 1, 2014.

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

The report documents the annual licensure survey conducted from March 10-12, 2014, with a census of 45 residents. No specific deficiencies or severity levels are detailed in the provided report.

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

No deficiencies were cited during the survey, and technical assistance was provided to the facility.

The document is an annual licensure survey conducted to assess environmental compliance at the facility.

The annual licensure survey conducted on March 27-28, 2013 found no deficiencies cited and no technical assistance was given.

Annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

No deficiencies were cited during the annual licensure survey conducted on April 4, 2012.

The facility underwent an annual licensure survey conducted on March 20-21, 2012 to assess compliance with regulatory requirements.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

The inspection was conducted as a complaint investigation for WV#00006465 from June 27-30, 2011.

The complaint investigation was unsubstantiated with no deficiencies cited.

Complaint investigation WV#00006465 was unsubstantiated.

Annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

No deficiencies or technical assistance were identified during the survey.

The document is an annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

The facility underwent an annual licensure survey conducted from April 5-7, 2010 to assess compliance with regulatory standards.

No deficiencies were identified during the survey, and technical assistance was provided to the facility.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements.

No deficiencies were cited during the survey, although technical assistance was provided to the facility.

The inspection was conducted as an annual licensure survey to assess the environment and readiness of the facility, including a new twelve-room addition nearing completion.

No deficiencies or technical assistance were noted during the inspection. The facility is preparing to admit new residents pending final fire marshal approval.

Annual licensure survey conducted to assess compliance with regulatory requirements.

No deficiencies were found during the survey. Technical assistance was provided.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements.

The report documents the annual survey findings for Elmhurst, The House of Friendship, Inc. The census at the time was 35 residents. Specific deficiencies or severity levels are not detailed in the provided text.

The visit was conducted as an annual licensure survey to assess the facility's compliance with regulatory standards.

The inspection found no deficiencies or technical assistance needs related to the environment during the annual licensure survey.

The facility underwent an annual licensure survey to assess compliance with health, safety, and environmental regulations.

The inspection identified deficiencies including unsanitary conditions in the food preparation area, unsafe hot water temperatures exceeding 120°F, and environmental maintenance issues such as damaged carpet, missing bathroom fixtures, and inadequate housekeeping.

The visit was conducted as an annual licensure survey to assess the facility's compliance with regulatory requirements.

The inspection focused on the environment of the facility. A follow-up survey was conducted to verify correction of deficiencies, which were found to be corrected.

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

The report documents the annual licensure survey with no specific deficiencies or severity levels noted in the provided text. The census at the time of inspection was 37 residents.

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

The report documents the annual licensure survey conducted on April 18-19, 2006, with a census of 33 residents. No specific deficiencies or severity levels are detailed in the provided page.

The inspection was conducted as an annual licensure survey to assess the environment and compliance of the facility.

The report notes the environment was inspected during the annual licensure survey. Specific deficiencies or severity levels are not detailed in the provided text.

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

No deficiencies were found during the inspection. The administrator reported that the health department has not yet conducted a visit by the sanitarian despite multiple contacts.

The inspection was conducted as an annual survey to assess compliance with regulatory standards.

The annual survey found no deficiencies cited during the inspection conducted on April 4-5, 2005.

Environmental survey conducted to assess the facility's compliance with health and safety standards, including handicapped accessibility.

No deficiencies were issued during the environmental survey. The facility has only one public handicapped toilet/washroom and no other handicapped bathing facilities, with plans to address accessibility in a future building addition.

The visit was conducted as an annual survey of the facility from April 5 to April 7, 2004.

The inspection found that the facility did not fully implement programs in a safe and appropriate environment for adolescent consumers, specifically noting unsecured outside doors and lack of awake staff supervision on weekend nights.

Annual survey conducted to assess compliance with health and safety regulations and adequacy of housekeeping, maintenance, and staff training at Elmhurst, The House of Friendship, Inc.

The inspection found deficiencies related to safety and environmental conditions, including lack of awake night staff on weekends, unsecured doors, poor housekeeping, maintenance issues such as carpet damage and missing bathroom fixtures, and expired first aid certifications among staff. No formal deficiencies were cited; only technical assistance was provided.

The inspection was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The survey found that the facility did not fully implement programs in a safe environment, noting unsecured outside doors in adolescent girls' bedrooms and lack of awake staff supervision on weekend nights. A plan to provide awake-night supervision on weekends was scheduled for implementation by July 1, 2004.

The inspection was conducted as an Environmental Survey and ADA Follow-Up to assess compliance with the Americans with Disabilities Act (ADA) and ANSI codes applicable to free-standing personal care homes.

The facility failed to provide handicapped access and handicapped accessible toilet/bathing/washrooms for disabled persons, indicating non-compliance with ADA requirements.