Inspection Reports for Genesis Manor III

An annual unannounced inspection visit was conducted to evaluate compliance with licensing requirements for Genesis Manor II facility.

No deficiencies were observed during the visit. The facility met all regulatory requirements including physical plant safety, food service, disaster preparedness, resident rights, staffing, infection control, and resident records.

An unannounced Annual Required 1-year Visit was conducted to evaluate compliance with licensing requirements for the facility serving elderly residents with dementia.

The facility was observed to be clean, well maintained, and compliant with safety and care standards. No deficiencies were cited during the inspection.

An unannounced complaint investigation visit was conducted to investigate multiple allegations including neglect resulting in pressure injuries, improper wound care, prevention of home health agency staff from performing duties, uncleared staff working in the facility, and lack of a qualified administrator.

The investigation found no preponderance of evidence to substantiate any of the allegations. Staff and witnesses denied neglect or improper care, and records showed appropriate certifications and clearances for staff and administrator. No deficiencies were observed or cited.

The complaint investigation was unsubstantiated. Allegations included resident sustaining pressure injury due to staff neglect, staff not meeting wound care needs, staff preventing home health agency duties, uncleared staff working, and unqualified administrator. Interviews with staff, witnesses, and review of records found no evidence to support these allegations.

The Licensing Program Analyst conducted the required annual inspection of the facility, which is licensed to serve 6 non-ambulatory residents and 2 hospice residents age 60 years and older.

The inspection found the facility in compliance with all applicable regulations, including infection control, physical plant safety, staffing, personnel training, resident rights, food service, medication administration, and disaster preparedness. No deficiencies were observed during the visit.

Licensing Program Analyst Vasallo conducted an annual required visit to evaluate the facility using the infection control tool and to inspect the physical plant, COVID-19 procedures, residents' medications and records, food supply, and staff records.

No deficiencies were observed during the visit. The facility was found to have proper infection control measures, adequate resident accommodations, proper medication documentation and administration, sufficient food supply, and appropriate staff health screenings and training.

The inspection was an annual required visit conducted to evaluate the facility's compliance, including infection control and COVID-19 procedures.

The facility was found to have safe and sanitary conditions in resident bedrooms and bathrooms, sufficient food supply, proper medication storage, and functioning safety detectors. A mitigation plan was submitted and pending approval.