Inspection Reports for Genesis Manor I

The visit was an unannounced required comprehensive annual inspection of the facility.

Three technical violations were issued related to the Administrator not completing an annual review of the Emergency and Disaster Plan, staff files lacking current training or CPR records, and medication logs not maintained according to physician orders. No deficiencies were cited under Title 22 regulations. Overall, the facility was clean, in good repair, and operating safely with sufficient food and staffing.

The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).

The facility was found to be operating within approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection.

The Licensing Program Analyst visited Genesis Manor Residential Care for the Elderly to obtain signatures on an Amended Report and to complete the report.

The Licensing Program Analyst met with staff, introduced herself, obtained signatures, and completed the report. An exit interview was conducted where the report was discussed and provided to the facility representative.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-10-04 regarding uncleared staff working in the facility, lack of a qualified administrator, and staff preventing home health agency staff from performing their duties.

The investigation found all staff had proper clearances and training, and the facility had two qualified administrators with current certificates. The allegation that staff prevented home health agency staff from performing their duties was unsubstantiated due to ongoing disputes between residents, staff, and the home health agency. No deficiencies were cited and the complaint was dismissed as unfounded or unsubstantiated.

The complaint investigation addressed three allegations: uncleared staff working in the facility, lack of a qualified administrator, and staff preventing home health agency staff from performing their duties. The first two allegations were found to be unfounded, and the third was unsubstantiated due to insufficient evidence. No deficiencies were cited.

Licensing Program Analysts conducted an unannounced required annual inspection with an emphasis on infection control.

The facility was found to be in compliance with no deficiencies cited. Infection control measures were adequate, utilities and appliances were functioning, and the facility was clean and in good repair with no apparent health and safety risks.

The inspection was an unannounced annual inspection with an emphasis on infection control conducted by the Licensing Program Analyst.

No deficiencies were observed or cited during the visit. The facility demonstrated compliance with infection control practices, including COVID-19 mitigation measures, adequate PPE supplies, and updated emergency contact information.