Inspection Reports for
Four Seasons Assisted Living Center LLC

The complaint alleged that Resident #1 was moved to a higher level of care without consent. The investigation included interviews with facility and SNF staff, review of medical and discharge records, and a collateral visit to the SNF. The allegation was deemed unsubstantiated.

The investigation found insufficient evidence to support the allegation. The resident was moved to a skilled nursing facility with consent and physician orders due to medical needs following a fall and hospitalization.

The complaint alleged that Staff 1 was withholding mail from Resident #1. Investigators interviewed the administrator, three staff members, and seven residents including Resident #1. No other residents reported mail issues. Staff stated mail is regularly passed out and not withheld. The allegation was deemed unsubstantiated.

Interviews with residents and staff revealed no evidence that mail was being withheld from any resident. The allegation was found to be unsubstantiated based on the investigation.

The complaint alleged financial abuse involving a rent bill of $15,820.98 and that staff failed to ensure the resident's dwelling lock/key operated properly. The allegations were unsubstantiated after interviews and document reviews. The resident was agitated and declined to answer further questions. Staff and social workers confirmed no complaints were made by the resident. Rent statements showed non-payment since 10/2021. Maintenance records showed lock/key issues were addressed promptly.

The investigation found insufficient evidence to substantiate the allegations of financial abuse and lock/key issues. Interviews with the resident, staff, and witnesses did not confirm the complaints, and rent statements showed non-payment but no abuse. Resident room locks were reported to function properly with timely maintenance.

The complaint alleged that staff were not following physician’s orders by providing Norco to Resident #1 every other day instead of every eight hours as needed. The investigation reviewed physician orders, medication records, and staff interviews and found no evidence to support the allegation. The complaint was unsubstantiated.

The investigation found that the facility staff followed the physician's orders for administering Norco as prescribed. The allegation that staff were not following physician's orders was deemed unsubstantiated due to insufficient evidence.

The complaint alleged that Staff #1 was disrespectful and intimidated Resident #1, including threatening eviction. The investigation revealed that Staff #1 no longer works at the facility, and resident and staff interviews did not corroborate the allegations. The complaint was deemed unsubstantiated.

The investigation found no sufficient evidence to substantiate the allegations. Interviews with residents and staff indicated that residents feel safe and are treated with respect and dignity. No deficiencies were cited.

The complaint included three allegations: facility food is not of good quality, resident is being harassed by staff, and staff is refusing laundry services. After interviews with residents, staff, and facility tours, all allegations were deemed unsubstantiated.

The investigation found the allegations unsubstantiated. Resident and staff interviews, as well as observations, indicated that the food quality was generally good, no harassment by staff was reported, and laundry services were being provided despite a temporary washer malfunction.

The complaint involved allegations that staff did not seek medical attention for a resident after a fall, staff threatened a resident, staff spoke inappropriately to a resident, and staff did not serve nutritious meals. The investigation included interviews with the resident, staff, and administrator, file reviews, and a kitchen tour. All allegations were found to be unsubstantiated based on evidence and interviews.

The investigation found insufficient evidence to substantiate any of the allegations. The resident had a documented fall but refused medical attention. Allegations of staff threatening or speaking inappropriately to the resident were unsubstantiated due to conflicting accounts. The food served was found to be of good quality and nutritionally balanced despite some resident preferences for more variety.

The complaint alleged an illegal eviction of Resident #1. The allegation was unsubstantiated after investigation, including interviews and file reviews.

The investigation found insufficient evidence to support the claim of illegal eviction. Resident #1 was admitted to the hospital and subsequently discharged to a skilled nursing facility, choosing not to return to the assisted living facility. No formal eviction notice was issued.

The complaint investigation was unsubstantiated. The elevator was found to have been repaired promptly after a temporary outage. A resident fall incident was documented but medical attention was refused by the resident at the time, and subsequent medical records did not support injury caused by facility negligence.

The investigation found the elevator was temporarily out of service on 06/24/2023 but was repaired the same day, and residents were assisted during the outage. The allegation of elevator disrepair was unsubstantiated. The allegation of resident injury was also unsubstantiated based on interviews and review of incident reports and medical records.

The facility was found to be clean, sanitary, and in good repair with appropriate furnishings and safety measures. Infection control practices were adequate, and no confirmed COVID-19 cases were present at the time of inspection.

The complaint alleged that staff threatened a resident with eviction and spoke inappropriately, including using a racial slur. Interviews with the resident, staff, and administrator revealed conflicting accounts, and there was insufficient evidence to prove the allegations. The complaint was deemed unsubstantiated.

The investigation found insufficient evidence to substantiate the allegations of staff threatening eviction or speaking inappropriately to the resident. The resident had an outstanding balance of over $15,000, but the facility was working to assist with payment plans and was not evicting the resident at this time.

The complaint investigation was unsubstantiated. Allegations included the facility elevator being in disrepair since September 2021 and a resident's power chair being inaccessible. The elevator was confirmed functional at the time of visit, and the power chair was temporarily stored on the 1st floor with resident agreement and accessible when needed.

The investigation found the elevator was fully functional as of 07/18/2022 and all residents were notified. There was insufficient evidence to support the allegation that the resident's medical device was inaccessible. Both allegations were deemed unsubstantiated.

The complaint alleged that Resident #1 was bullying and verbally abusing other residents due to lack of supervision. The allegation was deemed unsubstantiated based on interviews and evidence gathered during the investigation.

The investigation found insufficient evidence to support the allegation. Interviews with residents, staff, and the administrator indicated appropriate staff supervision and effective intervention in resident conflicts. No deficiencies were cited.

The complaint alleged that facility staff were financially abusing Resident #1 by taking thousands of dollars and issuing questionable invoices. The allegation was unsubstantiated after review of records and interviews.

The investigation found insufficient evidence to support the claim of financial abuse. Records showed correct monthly invoices and payments, and staff and administrator denied any financial abuse or active complaints.

The complaint investigation addressed two allegations: failure to have a working elevator and failure to provide written notice to residents for a rate increase. Both allegations were deemed unsubstantiated based on evidence including interviews, document reviews, and observations.

Both allegations were found to be unsubstantiated. The facility was aware of the elevator being inoperable and was actively working to remedy it. The facility provided timely written notice to residents regarding the rate increase as required by regulations.

The visit was related to complaint #29-AS-20200810165320. No immediate or potential health and safety concerns were found.

No immediate or potential health and safety concerns were observed during the visit. An exit interview was conducted and the report was issued and sent via email.

The complaint included allegations that the facility discriminated against resident #1 by being rude, violated resident #1's rights by not allowing access to medication logs, and that the administrator was not qualified. Interviews with residents, staff, the administrator, and document reviews found no evidence to support these claims. The findings were unsubstantiated.

The investigation found insufficient evidence to substantiate the allegations of discrimination against resident #1, violation of resident #1's rights regarding access to medication logs, and that the administrator was unqualified. All allegations were deemed unsubstantiated.

The complaint alleged that two male residents made violent threats against other residents and staff, and that staff failed to maintain a safe environment. The investigation included interviews with residents and staff and review of Resident Council Meeting minutes. The allegations were deemed unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to support the allegations that residents felt unsafe or that staff failed to provide a safe and comfortable environment. Interviews with residents and staff, as well as review of Resident Council Meeting minutes, did not substantiate the claims. No deficiencies were cited.

The complaint was unsubstantiated. Residents reported feeling safe and comfortable, and no evidence was found to support the allegations. The Activities Director left at 3:00pm, and the Licensing Program Analyst was unable to obtain Residents’ Council Minutes for July and August 2021 at the time of the visit, indicating a need for further investigation.

The investigation found that residents stated they feel safe and comfortable at the facility, including in their rooms and common areas. The front door is locked at all times, and visitors must ring a bell to be admitted. No threats or aggressive behavior were reported by residents.

The complaint investigation was unsubstantiated. Allegations included failure to assist Resident #1 with medication, inappropriate staff interactions, failure to consider food habits in meal planning, improper care, and unsafe environment due to lice. Interviews and documentation review did not support these claims.

All allegations were found to be unsubstantiated after interviews with residents, staff, and review of facility documentation. Residents expressed satisfaction with medication assistance, staff interactions, meal variety, and care. No evidence of a lice outbreak was found.

The complaint investigation was unsubstantiated. Allegations included restricted access to common areas, lack of activities, and failure to prevent resident intimidation. Interviews and record reviews did not support these claims.

The investigation found insufficient evidence to support any of the allegations. Residents reported access to common areas and participation in activities, and no intimidation by other residents was reported. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included failure to give medications as prescribed, mishandling of medications, poor food quality, and denial of Home Health provider use. The investigation included interviews, records review, and meal observation. No evidence supported the claims.

The investigation found insufficient evidence to support any of the allegations. Medication administration and handling were appropriate, food quality met residents' needs, and the facility did not prevent the resident from using Home Health services. All allegations were deemed unsubstantiated.

The facility was found to be in compliance with infection control and safety regulations. No deficiencies were cited during the inspection.

The complaint alleged that facility staff falsify information. The investigation found insufficient evidence to substantiate this allegation, and it was deemed unsubstantiated.

The investigation included interviews and a virtual physical plant tour. The allegation that facility staff falsify information was found to be unsubstantiated due to insufficient evidence.

The complaint alleged that staff were not serving an adequate amount of food to residents. After investigation, including interviews with 10 residents and review of menus, the allegation was unsubstantiated.

The investigation included interviews with residents and staff, a virtual physical plant tour, and review of facility documentation. The allegation was found to be unsubstantiated as there was no sufficient evidence that staff were not serving an adequate amount of food.

The complaint investigation was unsubstantiated based on interviews with 10 residents, staff, and review of records. Allegations included improper feeding of residents and failure to keep the facility free from pests.

The investigation found no sufficient evidence to substantiate the allegations. Interviews with residents and review of facility documentation indicated residents were properly fed and the facility maintained a proactive pest control program.

The complaint investigation was unsubstantiated for all allegations including food quality, exposure to harmful chemicals, and facility maintenance issues.

The investigation found no sufficient evidence to substantiate any of the allegations. Food quality was deemed acceptable, cleaning products used were EPA-approved and residents were informed, and the facility was maintained in good repair with no confirmed leaks.

The complaint alleged a malodorous smell from the air conditioner vent in Resident #1's room. The allegation was unsubstantiated after interviews, facility tour, and record review showed no odors or issues with the air conditioning unit.

The investigation found no evidence of any odors during the visit or interviews with staff and residents. Maintenance records showed recent air filter and coil replacements, and a vent cover was placed as a precaution. The allegation was unsubstantiated due to insufficient evidence.