Inspection Reports for Montereau

A state licensure survey with complaint investigation was conducted due to allegations that the facility failed to ensure medications were available, adequate staffing for resident care and call light response, accurate medical records, and proper medication administration according to policy.

The investigation found deficiencies including failure to ensure hand hygiene during food plating in one of two kitchens observed, with potential for harm to residents. Deficiencies were cited as a result of the survey and a plan of correction was submitted and accepted.

The complaint investigation was initiated due to allegations that the facility failed to ensure medications were available for administration, adequate staffing to provide resident care and answer call lights timely, accurate medical records, and proper medication administration according to policy. The investigation included observations, interviews, and record reviews.

This document serves as a renewal license for Montereau, Inc., certifying the facility to continue operating as a Continuum of Care Facility.

The license certifies that Montereau, Inc. is authorized to maintain a maximum capacity of 74 nursing facility beds, 80 assisted living beds, and 29 specialized beds for Alzheimer's residents. The license is valid from 2025-09-12 through 2028-09-12.

A relicensure survey was conducted from May 28, 2024 through May 30, 2024 to assess compliance for license renewal of the Assisted Living Center.

No deficiencies were cited during the relicensure survey conducted at the facility.

The inspection was conducted as a complaint investigation due to an allegation that the facility failed to protect residents from abuse.

The investigation found no deficiencies. Residents were observed to be well groomed, the facility was clean, and staff provided timely care. Interviews and record reviews showed compliance with policies and procedures.

The complaint alleged that the facility failed to protect residents from abuse. The investigation was unannounced and included observations, interviews, and record reviews. No deficiencies were cited, indicating the complaint was not substantiated.

The complaint investigation was conducted due to allegations that the facility failed to ensure residents' property was not misappropriated and failed to notify the State Agency of misappropriation of resident property, as well as allegations regarding medication administration errors and pharmacy policy deficiencies.

The investigations conducted on 02/13/24 and 02/15/24 found no deficiencies. Residents were observed to be well groomed and appropriately dressed, medication administration was observed to be in accordance with physician orders, and no medication errors or misappropriation issues were cited.

The complaint investigation involved allegations that the facility failed to ensure residents' property was not misappropriated and failed to notify the State Agency of such misappropriation. Additional allegations included failure to ensure medications were administered according to physicians' orders and failure to implement an effective pharmacy policy to prevent medication errors. The investigation was unannounced and included interviews, observations, and record reviews. No deficiencies were cited, indicating the complaints were unsubstantiated.

The inspection was conducted as a complaint investigation regarding allegations of misappropriation of residents' property and failure to notify the State Agency, as well as allegations related to medication administration errors and pharmacy policy deficiencies.

The investigations found no deficiencies cited. Residents were observed to be well cared for, and records and staff interviews did not substantiate the allegations.

The complaint involved allegations that the facility failed to ensure residents' property was not misappropriated and failed to notify the State Agency of such misappropriation. A separate complaint alleged failure to ensure medications were administered according to physicians' orders and lack of an effective pharmacy policy to prevent medication errors. Both investigations were unannounced and included observations, interviews, and record reviews. No deficiencies were cited.

A relicensure survey was conducted from June 13, 2023 through June 14, 2023 to assess compliance for renewal of the facility's license.

No deficiencies were cited during the inspection.

A complaint survey was conducted at the facility based on allegations of inadequate medical care, medication administration issues, misappropriation of medications, and inadequate discharge notice.

The investigation found that allegations related to medical care, medication administration, and misappropriation were unsubstantiated, but the allegation regarding inadequate discharge notice was substantiated. The facility failed to include required information in an involuntary discharge notice, resulting in potential for more than minimal harm.

Complaint investigation conducted on 06/01/21 and 06/02/21. Allegations included failure to provide adequate medical care and services, failure to administer medications as prescribed, failure to ensure medications were not misappropriated, and failure to provide adequate discharge notice. Allegations #1, #2, and #3 were unsubstantiated; allegation #4 was substantiated.

A Covid-19 Focused survey along with a complaint investigation was conducted to determine if the facility was in compliance with infection prevention and control practices and to investigate a complaint regarding resident safety and room changes.

The facility failed to notify the residents' responsible parties prior to room or roommate changes for four sampled residents in the memory care unit. Families were informed after the changes, and some were unaware that residents were sharing rooms despite paying for private rooms. The deficiencies represented potential for more than minimal harm but no actual harm was identified.

Complaint #OK00056355 alleged the center neglected to provide a safe environment. The allegation was unsubstantiated. However, violations unrelated to the complaint were cited, specifically regarding failure to notify families of room changes. The investigation included observations, interviews, and record reviews conducted on 12/15/20, 12/16/20, and 12/17/20.

This document serves as a renewal license for Montereau, Inc. to conduct and maintain a Continuum of Care Facility.

The license certifies that Montereau, Inc. is authorized to operate a Continuum of Care Facility with a maximum capacity of 154 beds, effective from 2019-09-12 to 2020-09-11.

A re-licensure survey was conducted on June 4 and June 5, 2019, to assess compliance for license renewal of the assisted living center.

No deficiencies or deficient practices were cited during the inspection.