Inspection Reports for Mountain Memories (Alr/Alz)
301 WILSON LANE, Elkins, WV, 26241
Back to Facility ProfileDeficiencies (last 13 years)
Deficiencies (over 13 years)
7.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% better than West Virginia average
West Virginia average: 9 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
74 residents
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 74
Deficiencies: 0
Nov 13, 2025
Visit Reason
Investigation of Complaint #40064 at Mountain Memories (ALR/ALZ) facility.
Findings
The complaint was substantiated, but no deficiencies were cited during the investigation conducted from 11/12/25 to 11/13/25.
Complaint Details
The complaint was substantiated, and no deficiencies were cited.
Report Facts
Census: 74
Inspection Report
Follow-Up
Census: 74
Deficiencies: 0
Nov 13, 2025
Visit Reason
Follow-up to Annual Survey conducted from 11/12/25 to 11/13/25 to verify correction of previously identified deficiencies.
Findings
The deficiencies identified in the prior annual survey were corrected as of the follow-up visit.
Report Facts
Census: 52
Census: 22
Inspection Report
Re-Inspection
Census: 67
Capacity: 70
Deficiencies: 0
Sep 3, 2025
Visit Reason
The visit was a 1st revisit survey conducted to verify correction of previously cited deficiencies from the initial environmental survey conducted on August 5, 2025.
Findings
All deficiencies cited in the initial survey were corrected by the time of the revisit survey on September 3, 2025.
Report Facts
Facility census at initial survey: 70
Facility census at revisit survey: 67
Deficiencies cited: 2
Inspection Report
Annual Inspection
Census: 69
Deficiencies: 7
Aug 13, 2025
Visit Reason
Annual survey conducted from 08/04/25 to 08/13/25 to assess compliance with regulations for assisted living and memory care units at Mountain Memories (ALR/ALZ).
Findings
Deficiencies were cited related to care plan signatures, quarterly care plan reviews, monthly evaluations of residents on psychotropic medications, lack of scheduled activities in memory care units, inadequate housekeeping and maintenance, incomplete service plans, and untimely medication administration.
Deficiencies (7)
| Description |
|---|
| Failed to ensure individualized care plans were signed by designated department directors within 21 days of admission. |
| Failed to ensure interdisciplinary team reviewed and evaluated care plans quarterly with required staff participation. |
| Failed to ensure monthly evaluations by registered nurse or licensed healthcare professional for residents receiving psychotropic or behavior-modifying medications. |
| Failed to provide scheduled activities appropriate to needs of residents in Alzheimer's/dementia special care units, including crafts and outdoor activities weekly. |
| Failed to ensure adequate housekeeping and maintenance, including presence of personal belongings, carpet damage, missing bathroom fixtures, and cleanliness issues. |
| Failed to ensure each resident's service plan reflected current needs, specifically omission of diabetes care needs for one resident. |
| Failed to ensure residents received ordered medications timely; medication passes were completed late. |
Report Facts
Census: 52
Census: 17
Sample size: 6
Sample size: 5
Residents with psychotropic medication deficiencies: 5
Residents with care plan signature deficiencies: 2
Residents with service plan deficiency: 1
Residents with medication pass delay observed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding care plan signatures, medication evaluations, and medication pass timing |
| Administrator | Administrator | Interviewed regarding care plan signatures, activities regulation awareness, and medication pass timing |
| Memory Care Coordinator | Memory Care Coordinator | Observed administering medications and interviewed about medication pass timing |
| Activities Director | Activities Director | Responsible for care plan meeting attendance and activities calendar |
| Assistant Activities Director | Assistant Activities Director | Signed care plans in place of Activities Director |
| Operations Supervisor | Operations Supervisor | Conducted tours and inspections related to housekeeping and safety |
| Treatment Coordinator | Treatment Coordinator | Participated in tour of residence for housekeeping observations |
| Employee #58 | Interviewed about activities provided to residents who did not leave the unit |
Inspection Report
Routine
Census: 70
Deficiencies: 3
Aug 5, 2025
Visit Reason
The inspection was conducted to assess the environmental conditions and physical facilities of the Mountain Memories (ALR/ALZ) facility, focusing on safety, sanitation, and maintenance.
Findings
The facility failed to maintain a safe, sanitary, and accident-free living environment, with issues including dusty high-touch kitchen surfaces, rusty ceiling registers, and improper storage of soiled laundry in uncovered perforated baskets.
Deficiencies (3)
| Description |
|---|
| High touch kitchen surfaces were loaded with dust and debris. |
| Ceiling heating/cooling registers throughout the kitchen appeared water stained and rusty. |
| Soiled laundry was stored and transported in uncovered perforated hampers or clothes baskets without disposable plastic bags. |
Report Facts
Deficiencies cited: 2
Facility census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Environmental Services Director | Verified findings related to physical facilities and laundry storage | |
| Administrative Assistant | Acknowledged findings at exit interview | |
| Dietary Director | Responsible for daily checks of kitchen surfaces | |
| Maintenance Supervisor | Responsible for monthly inspections of ceiling registers |
Inspection Report
Follow-Up
Census: 73
Deficiencies: 0
Aug 12, 2024
Visit Reason
This was a first follow-up visit to the annual survey to verify correction of previously cited deficiencies.
Findings
The citations from the prior annual survey were cleared during this follow-up visit.
Report Facts
Census: 59
Census: 14
Inspection Report
Annual Inspection
Census: 65
Deficiencies: 10
Jun 5, 2024
Visit Reason
Annual survey conducted from 05/28/24 to 06/05/24 for Mountain Memories Assisted Living and Memory Care facility.
Findings
The survey identified multiple deficiencies including failure to obtain signed disclosure statements prior to admission, incomplete care plans and assessments, inadequate housekeeping and maintenance, lack of designated responsible employee in absence of administrator, incomplete tuberculosis testing for new hires, failure to document monthly resident weights and notify physicians of significant weight changes, and lack of designated staff responsible for activities programming on all shifts.
Deficiencies (10)
| Description |
|---|
| Failed to obtain signed and dated disclosure statements prior to admission for residents #55 and #62. |
| Failed to ensure each resident had a 21-day care plan containing all required signatures for residents #55, #62, and #64. |
| Failed to ensure interdisciplinary team reviewed and revised care plans quarterly with direct care staff involvement for residents #55, #57, #62, and #64. |
| Failed to ensure at least one employee per shift was responsible for activities programming on the memory care unit. |
| Failed to maintain copies of legal authority documents (e.g., Durable Power of Attorney) in resident #57's medical record. |
| Failed to designate in writing a responsible employee to be present and in charge of the residence at all times when the administrator was not present. |
| Failed to initiate service plans within seven days of admission for residents #16, #17, and #62. |
| Failed to properly administer two-step tuberculosis skin tests for new employees #31, #57, #59, and #71. |
| Failed to document monthly resident weights and notify physicians of unplanned weight loss or gain of 5 pounds or more for 12 residents (#3, #4, #22, #26, #33, #38, #42, #43, #51, #57, #62, #64). |
| Failed to ensure adequate housekeeping and maintenance including removal of personal belongings behind furniture, carpet damage, missing bathroom fixtures, and cleanliness issues. |
Report Facts
Census: 49
Census: 16
Residents with missing or late disclosure statements: 2
Residents with unsigned 21-day care plans: 3
Residents with incomplete quarterly care plan revisions: 4
Residents with missing service plans within 7 days: 3
New employees missing second step TB test: 4
Residents with missing monthly weight documentation or unreported weight changes: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Confirmed missing legal documents and unawareness of late service plans and TB testing requirements |
| Executive Director | Executive Director | Acknowledged lack of designated responsible employee and unawareness of TB testing requirements |
| Business Officer | Business Officer | Acknowledged unawareness of TB testing requirements and created new form for 2-step TB testing process |
| Assistant Executive Director | Assistant Executive Director | Responsible for completing initial paperwork and following up on missing legal documents |
| Life Enrichment Director | Life Enrichment Director | Responsible for reviewing admission paperwork and care plan signatures |
| Unit Care Coordinator | Unit Care Coordinator | Acknowledged missing signatures on care plans and lack of direct care staff involvement |
| Nurse Coordinator | Nurse Coordinator | Responsible for reviewing admission paperwork, assigning staff for weights, and monitoring weight changes |
Inspection Report
Renewal
Census: 65
Deficiencies: 0
May 30, 2024
Visit Reason
The inspection was conducted as a license renewal survey to determine if the facility meets state requirements.
Findings
The residence was found to be in substantial compliance with the licensing rule, with no deficiencies cited during the inspection.
Report Facts
Census: 65
Inspection Report
Complaint Investigation
Census: 85
Deficiencies: 0
Feb 28, 2024
Visit Reason
Investigation of Complaint #31119 at Mountain Memories (ALR/ALZ) facility.
Findings
The complaint was unsubstantiated, and no deficiencies were cited during the investigation.
Complaint Details
Complaint #31119 was investigated and found to be unsubstantiated with no deficiencies cited.
Report Facts
Census - Assisted Living: 67
Census - Memory Care: 18
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 0
Oct 4, 2023
Visit Reason
Investigation of Complaint #29152 conducted from 10/03/23 to 10/04/23 at Mountain Memories (ALR/ALZ).
Findings
The complaint was unsubstantiated, and no deficiencies were cited during the investigation.
Complaint Details
Complaint #29152 was investigated and found to be unsubstantiated with no deficiencies cited.
Report Facts
Census AL: 49
Census ALZ: 13
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 0
Oct 4, 2023
Visit Reason
Investigation of Complaint #28976 at Mountain Memories facility from 10/03/23 to 10/04/23.
Findings
The complaint was unsubstantiated, and no deficiencies were cited during the investigation.
Complaint Details
Complaint #28976 was investigated and found to be unsubstantiated with no deficiencies cited.
Report Facts
Census: 62
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 0
Aug 30, 2023
Visit Reason
Investigation of Complaint #29073 conducted from 08/28/23 at 3:15 PM to 08/30/23 at 10:45 AM.
Findings
All seven allegations were unsubstantiated, and no deficiencies were cited during the complaint investigation.
Complaint Details
Investigation of Complaint #29073 found all seven allegations unsubstantiated with no deficiencies cited.
Report Facts
Census AL: 47
Census ALZ: 21
Number of allegations: 7
Inspection Report
Follow-Up
Census: 68
Deficiencies: 0
Aug 1, 2023
Visit Reason
Revisit to Annual Survey to verify correction of previously cited deficiencies.
Findings
The revisit inspection found that all previously cited deficiencies were cleared.
Report Facts
Census AL: 50
Census ALZ: 18
Inspection Report
Annual Inspection
Census: 64
Deficiencies: 3
Jun 15, 2023
Visit Reason
Annual survey conducted from 06/12/23 to 06/15/23 to assess compliance with regulatory requirements for Mountain Memories assisted living and memory care facility.
Findings
The facility failed to ensure that functional needs assessments and service plans were updated annually or as needed for several residents. Additionally, unplanned weight losses of five pounds or more were not reported to physicians for some residents. Housekeeping and maintenance deficiencies were also noted, including damaged carpets, missing bathroom fixtures, and cleanliness issues.
Severity Breakdown
Class II: 1
Class III: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to update functional needs assessments and service plans annually or as indicated by significant change for residents #3, #8, #15, #55, #61, and #64. | Class II |
| Failure to report unplanned weight loss or gain of five pounds or more to the resident's physician for residents #3, #5, and #8. | Class III |
| Inadequate housekeeping and maintenance including damaged carpet, missing towel bars and toilet paper holders, and dirty sink. | — |
Report Facts
Census: 49
Census: 15
Weight loss: 6.6
Weight loss: 9.6
Weight loss: 11.2
Weight loss: 6
Weight loss: 11.8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN/DON #26 | Registered Nurse/Director of Nursing | Acknowledged missing assessments and failure to report weight loss; responsible for corrective actions |
Inspection Report
Annual Inspection
Census: 67
Deficiencies: 1
May 24, 2023
Visit Reason
The inspection was an annual survey conducted to assess compliance with state regulations and facility standards.
Findings
The facility was found to have a deficiency related to bedroom closet/wardrobe space not meeting minimum size requirements. The Environmental Services Director modified the wardrobe in Room 401 to comply with regulations.
Deficiencies (1)
| Description |
|---|
| The facility failed to provide a closet, locker, or wardrobe space with a minimum dimension of 20 inches by 22 inches by 60 inches, excluding shelf and storage space, specifically in Room 401 where the interior height was only 28 inches. |
Report Facts
Census: 67
Sample size: 100
Tags cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Environmental Services Director | Named in corrective action for modifying the wardrobe in Room 401 |
Inspection Report
Complaint Investigation
Census: 70
Deficiencies: 12
Mar 29, 2023
Visit Reason
Complaint survey conducted from 03/27/23 to 03/29/23 to investigate staffing, safety, housekeeping, incident reporting, and care concerns at Mountain Memories assisted living and memory care facility.
Findings
The facility failed to maintain adequate staffing levels on multiple shifts, ensure timely incident reporting, maintain accurate resident records, provide appropriate care and service plans, maintain a safe and sanitary environment, and follow infection control protocols. Deficiencies included staff shortages, late medication passes, incomplete transfer documentation, unlocked medication carts, unlocked doors, and poor housekeeping.
Complaint Details
Complaint #28223 initiated on 03/27/23 and concluded on 03/29/23 regarding multiple deficiencies including staffing shortages, safety concerns, housekeeping, incident reporting, and care plan updates.
Deficiencies (12)
| Description |
|---|
| Failed to ensure minimum staffing levels on night, day, and evening shifts as required by state regulations. |
| Failed to maintain accurate resident registry including discharge information. |
| Failed to report major incidents to the Office of Health Facility Licensure and Certification timely. |
| Failed to update resident service plans to reflect current needs and significant changes. |
| Failed to promptly notify resident's physician and responsible party of major incidents or significant changes. |
| Failed to provide all resident care and services using appropriate infection control techniques; COVID-19 positive residents' rooms lacked quarantine signage and PPE was insufficient or unavailable. |
| Failed to maintain accurate staffing records and schedules. |
| Failed to maintain sufficient qualified staff on duty to provide required care and services to residents. |
| Call lights were not answered timely due to staff shortages and inadequate call system; front doors left unlocked without alarm; medication cart unlocked and unattended medication accessible. |
| Failed to maintain interior of residences clean and in good repair; observed stained carpets, overflowing trash, and thick ice in freezer. |
| Failed to ensure residents with nursing care needs were seen weekly and progress notes documented. |
| Failed to prepare and accompany resident transfer/discharge summary with required documentation. |
Report Facts
Resident census: 70
Staffing deficits: 1
Residents with two or more care needs: 29
Residents with two or more care needs on evening shift: 43
Medication pass delay: 90
Date of survey completion: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator #33 | Administrator/Executive Director | Conceded staffing shortages, housekeeping issues, incident reporting deficiencies, and committed to remediation |
| LPN/DON #51 | Licensed Practical Nurse/Director of Nursing | Acknowledged staffing deficits, late medication passes, incomplete documentation, and infection control issues |
| LPN #3 | Licensed Practical Nurse | Observed passing medications late during medication pass |
| LPN #52 | Licensed Practical Nurse | Observed passing medications late during medication pass |
| Aide #30 | Aide | Reported giving bed baths instead of showers to Resident #15 due to resident condition |
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 0
Sep 7, 2022
Visit Reason
The inspection was conducted in response to Complaint CI# 27340 to investigate allegations at Mountain Memories (ALR/ALZ).
Findings
The allegations were found to be unsubstantiated following the investigation conducted on 09/07/22. The census at the time was 47 assisted living and 17 Alzheimer’s residents.
Complaint Details
Complaint CI# 27340 was investigated with entry on 09/07/22 at 9:30 AM and exit on 09/07/22 at 4:30 PM. Allegations were unsubstantiated.
Report Facts
Census: 47
Census: 17
Inspection Report
Follow-Up
Census: 57
Deficiencies: 0
Sep 7, 2022
Visit Reason
Follow-up/Revisit to Annual Survey conducted to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found that all previously cited deficiencies were corrected and no new deficiencies were identified during the visit.
Report Facts
Census AL: 40
Census ALZ: 17
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Jul 20, 2022
Visit Reason
The inspection was conducted in response to Complaint #26704 to investigate the complaint and verify compliance.
Findings
The deficiency identified in the complaint was corrected by the time of the inspection. The census included 43 assisted living and 15 Alzheimer’s residents.
Complaint Details
Complaint #26704 was investigated and the deficiency was corrected.
Report Facts
Census - Assisted Living: 43
Census - Alzheimer’s: 15
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 17
Jun 7, 2022
Visit Reason
Annual survey conducted to assess compliance with regulatory requirements for Mountain Memories assisted living and memory care facility.
Findings
The facility was found deficient in multiple areas including failure to offer monthly educational and family support group meetings, inadequate housekeeping and maintenance, incomplete resident admission and discharge records, incomplete functional needs assessments and service plans, failure to release resident belongings to estate executors, failure to notify licensing agency of abuse allegations timely, dietary service violations including improper food labeling and storage, improper infection control practices, unsecured hazardous materials, incomplete death documentation, inaccurate resident records, improper extension of legal representative rights, incomplete transfer/discharge documentation, incomplete health assessments, failure to report unplanned weight changes, and unsafe physical environment due to unsecured paper cutter.
Deficiencies (17)
| Description |
|---|
| Failed to offer monthly educational and family support group meetings during several months due to active COVID and lack of alternative meeting options. |
| Inadequate housekeeping and maintenance including personal belongings left behind furniture, carpet damage, missing bathroom fixtures, and dirty sink. |
| Failed to maintain accurate resident admission and discharge register including missing discharge dates and transfer locations. |
| Functional needs assessments and service plans did not reflect current resident needs or were not updated as required. |
| Failed to release resident belongings and funds to the estate administrator or executor upon resident death. |
| Failed to notify licensing agency within 72 hours of abuse allegations for two residents. |
| Food service violations including open undated and unlabeled food containers in refrigerator and cabinets, and lack of temperature documentation. |
| Failed to report resident to resident abuse incidents to Adult Protective Services as required. |
| Staff failed to wear masks properly or at all, increasing infection risk. |
| Toxic and hazardous materials stored in unlocked areas accessible to residents. |
| Failed to record the name of the person to whom the body was released upon resident death. |
| Failed to maintain accurate resident records; documents were misfiled in wrong resident files. |
| Extended legal representative rights beyond resident capacity for decision making. |
| Failed to prepare complete transfer or discharge summaries including medical history, assessments, orders, and progress notes. |
| Failed to have a current, dated health assessment by a licensed health care professional within required timeframe for one resident. |
| Failed to report unplanned weight loss or gain of five pounds or more to the resident's physician for four residents. |
| Unsafe physical environment due to unsecured full-sized paper cutter left unattended in open storage area accessible to residents. |
Report Facts
Facility census: 44
Facility census: 10
Residents with unreported weight change: 4
Residents with misfiled records: 6
Residents with incomplete functional needs assessments: 4
Residents with abuse allegations not reported timely: 2
Residents with incomplete transfer/discharge documentation: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shane Jones | Assistant Executive Director | Named in plan of correction for admissions/discharges registry |
| Rose Shreve | Director of Nursing | Named in plan of correction for service plans and weight monitoring |
| Beth Wilson | Registered Nurse | Named in plan of correction for service plans |
| Wendy Wolford | Admissions Director | Named in plan of correction for resident rights admission paperwork |
| Jodi Kyle | Lead Aide | Responsible for weighing residents |
| Debra King | Dietary Department Employee | Responsible for food labeling and storage compliance |
| Kelli Cooper | Licensing agency contact for abuse reports | |
| Lisa Lucas | Licensing agency contact for abuse reports |
Inspection Report
Routine
Census: 10
Deficiencies: 0
May 4, 2022
Visit Reason
The inspection was conducted as a routine environmental survey of the Mountain Memories (ALR/ALZ) facility to assess compliance with health and safety regulations.
Findings
No deficiencies were identified during the environmental survey conducted on May 4, 2022, at the facility with a census of 10 residents.
Report Facts
Facility census: 10
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 2
Apr 13, 2022
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #26704) to assess compliance with service plan updates and resident care needs.
Findings
The facility failed to ensure that resident service plans reflected current needs and were updated after significant changes, specifically regarding aspiration precautions for a resident. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets, missing bathroom fixtures, and cleanliness issues.
Complaint Details
Complaint #26704 was substantiated. The complaint involved failure to update service plans to reflect significant changes in resident condition, specifically aspiration precautions for resident CR #3.
Severity Breakdown
Class II: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Service plans did not reflect the need for supervision while eating and aspiration precautions for resident CR #3. | Class II |
| Inadequate housekeeping and maintenance including personal belongings behind furniture, carpet damage, torn chair, missing towel bar and toilet paper holder, and dirty sink. | — |
Report Facts
Census: 42
Complaint Number: 26704
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rose Shreve | Director of Nursing (DON) | Named in plan of correction for reviewing and updating resident service plans |
| Beth Wilson | Registered Nurse (RN) | Named in plan of correction for reviewing and updating resident service plans |
| Abby Sicca | Licensed Practical Nurse (LPN) | Named in plan of correction for reviewing and updating resident service plans |
Inspection Report
Re-Inspection
Deficiencies: 1
May 11, 2021
Visit Reason
This document is a statement of deficiencies and plan of correction for Mountain Memories (ALR/ALZ) following a revisit inspection where credible evidence was accepted in place of an onsite revisit.
Findings
The citations from the prior inspection have been corrected as credible evidence was accepted instead of an onsite revisit.
Deficiencies (1)
| Description |
|---|
| Credible evidence accepted in place of an onsite revisit. Citations have been corrected. |
Inspection Report
Routine
Census: 51
Deficiencies: 4
Apr 8, 2021
Visit Reason
The inspection was a routine CHOW survey conducted from 04/05/21 to 04/08/21 to assess compliance with health and safety regulations, medication administration, and documentation requirements at Mountain Memories Assisted Living and Memory Care facility.
Findings
The facility failed to provide a monthly calendar listing the duration of social and recreational activities and documentation of their occurrence. Additionally, staff failed to monitor and document residents' conditions every four hours following accidents for residents with Alzheimer's or dementia. Medication orders were not properly discontinued before new orders were initiated, leading to duplicate orders for some residents. Housekeeping and maintenance deficiencies were also noted, including damaged carpets, missing bathroom fixtures, and unclean areas.
Severity Breakdown
Class I: 1
Class II: 1
Class III: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to provide a monthly calendar listing the duration of all social and recreational activities and documentation that activities did or did not take place. | Class III |
| Failed to monitor and document residents' condition every four hours for 24 hours following an accident for residents with Alzheimer's disease or related dementia. | Class II |
| Failed to obtain a written or verbal order from a nurse practitioner for discontinuation of prior medication orders before dosage adjustments, resulting in duplicate medication orders for two residents. | Class I |
| Failed to ensure adequate housekeeping and maintenance, including presence of personal belongings behind furniture, iron burns and bleach spots on carpet, torn chair, missing towel bar and toilet paper holder, and dirty sink. | — |
Report Facts
Facility census: 39
Facility census: 12
Residents with monitoring deficiency: 3
Deficiency sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Sigley | RN Director of Nursing | Spoke with Nurse Practitioner regarding medication order discontinuation and led inservicing of LPNs on medication deficiencies |
| DON #50 | Director of Nursing | Reviewed medication orders and documentation, spoke with Nurse Practitioner, and implemented new neuro checklist for monitoring residents |
| NP #61 | Nurse Practitioner | Did not discontinue initial medication orders before writing new orders, leading to duplicate orders |
| LPN #2 | Licensed Practical Nurse | Was not aware of requirement to document neuro checks every 4 hours for residents with dementia |
| Executive Director | Verified calendar deficiencies and participated in corrective action planning |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 0
Apr 8, 2021
Visit Reason
The inspection was conducted as a complaint survey (#24949) at Mountain Memories A.L. from April 7, 2021, 2:30 p.m. to April 8, 2021, 10:30 a.m.
Findings
The complaint was found substantiated; however, no citations were issued.
Complaint Details
Complaint found substantiated with no citations.
Report Facts
Census: 50
Inspection Report
Original Licensing
Census: 5
Deficiencies: 0
Apr 8, 2021
Visit Reason
The inspection was conducted as an Initial Licensure Survey and Environmental Change of Ownership Survey for Colonial Place (Mountain Memories) in Elkins, WV.
Findings
No deficiencies were cited during the survey. The census was reported as 5 residents at the time of the visit.
Report Facts
Census: 5
Inspection Report
Routine
Census: 55
Deficiencies: 0
Jan 26, 2021
Visit Reason
The facility was visited for an infection control survey to assess compliance with infection prevention standards.
Findings
The survey found no deficiencies related to infection control at the facility during the visit.
Report Facts
Facility census: 55
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Sigley | Director of Nursing | Exited the facility with surveyor at the end of the infection control survey |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Jul 16, 2020
Visit Reason
The inspection was conducted as a complaint investigation following a complaint identified as CI#: 23936.
Findings
The complaint investigation was completed with an unsubstantiated complaint determination. The census included 43 assisted living residents and 15 memory care residents.
Complaint Details
Complaint investigation CI#: 23936 was unsubstantiated after the visit from 07-13-2020 to 07-16-2020.
Report Facts
Census - Assisted Living: 43
Census - Memory Care: 15
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Jul 16, 2020
Visit Reason
The inspection was conducted in response to a complaint investigation (CI#: 23937) at Mountain Memories (ALR/ALZ).
Findings
The complaint was found to be unsubstantiated. The census at the time of inspection was 43 assisted living residents and 15 memory care residents.
Complaint Details
Complaint investigation CI#: 23937 was unsubstantiated.
Report Facts
Census - Assisted Living: 43
Census - Memory Care: 15
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Jun 11, 2020
Visit Reason
The inspection was conducted as a complaint survey from June 8 to June 11, 2020, to investigate allegations related to the facility.
Findings
No deficiencies were cited during the complaint survey, and the complaint was determined to be unsubstantiated.
Complaint Details
Complaint survey ID#WV00023997; complaint was unsubstantiated with no deficiencies cited.
Report Facts
Census: 41
Census: 17
Inspection Report
Plan of Correction
Deficiencies: 1
Apr 28, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction for Mountain Memories (ALR/ALZ) following a survey completed on April 28, 2020. It includes a summary that credible evidence was accepted in place of an onsite revisit and that all deficiencies have cleared.
Findings
The initial comments note that all deficiencies identified in the prior survey have been cleared as of May 1, 2020, based on credible evidence accepted instead of an onsite revisit.
Deficiencies (1)
| Description |
|---|
| 05/01/20 credible evidence was accepted in place of an onsite revisit. All deficiencies have cleared. |
Inspection Report
Annual Inspection
Census: 14
Deficiencies: 20
Jan 30, 2020
Visit Reason
Annual survey of Mountain Memories assisted living and Alzheimer's/dementia special care unit to assess compliance with state regulations.
Findings
The facility was found deficient in multiple areas including staffing shortages in the memory care units, inadequate housekeeping and maintenance, failure to complete timely assessments and care plans, incomplete documentation of medication monitoring and side effects, failure to report major incidents timely, and lack of signed policies and procedures. Refrigerator temperature monitoring was also inadequate.
Deficiencies (20)
| Description |
|---|
| The Alzheimer's/dementia special care unit failed to provide sufficient staffing to meet resident needs, with only one aide on the Terrace Club unit when two were required. |
| Direct care staff were assigned housekeeping, laundry, and maintenance duties as primary responsibilities, contrary to regulations. |
| Failure to provide a copy of the disclosure statement to resident or legal representative prior to admission and maintain it in the resident's record. |
| Failure to complete preliminary care plans within three days of admission for some residents. |
| Failure to complete interdisciplinary assessments within seven days of admission including social history, family supports, ADL functioning, cognitive level, behavioral impairment, and nutritional status. |
| Behavior management documentation did not include all required elements such as medication status and effectiveness of behavioral approaches. |
| Residents receiving psychotropic medications did not have documented diagnoses for all medications and lacked daily monitoring for side effects or adverse reactions. |
| Failure to report major incidents to the Office of Health Facility Licensure and Certification as soon as possible and no later than the next business day. |
| Failure to notify resident's responsible party and physician promptly following a major incident or significant change in condition. |
| Failure to maintain copies of all documents granting legal authority to representatives in resident records. |
| Failure to respond in writing to resident complaints within four days after the complaint was filed. |
| Failure to maintain and sign policies and procedures consistent with state regulations and specific to the assisted living residence. |
| Failure to complete timely assessments and service plans, including annual and 30-day assessments. |
| Failure to maintain accurate records of resident weights and failure to report unplanned weight loss or gain of five pounds or more to the physician. |
| Failure to prepare transfer summaries including medical history, functional needs, service plans, physician orders, advanced directives, allergies and progress notes for residents transferred to emergency room. |
| Failure to monitor and document resident condition at least every eight hours for 24 hours following an accident or illness, or every four hours for residents with dementia who cannot communicate their condition. |
| Failure to document weekly progress notes by registered nurse for residents receiving wound care. |
| Failure to ensure refrigerator used for medication storage was monitored appropriately for temperature and free of food and beverages. |
| Failure to develop and adopt written policies and procedures consistent with assisted living regulations and to sign and date policies at adoption and revision. |
| Failure to ensure licensed health care professional determines resident capability for self-administration of medications and to document this in the medical record. |
Report Facts
Memory care census: 14
Assisted living census: 41
Staffing hours per resident per day: 2.25
Staffing aides per shift: 1
Staffing aides per shift: 2
Weight change: 26
Weight change: 32
Weight change: 24
Weight change: 36
Weight change: 57
Weight change: 9
Weight change: 9
Weight change: 19
Weight change: 6
Weight change: 7
Weight change: 12
Weight change: 14
Weight change: 11
Weight change: 7
Weight change: 6
Weight change: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aide #22 | Aide | Stated memory care residents #1 and #4 require two staff to assist; Terrace Club staffed with only one aide. |
| Employee #30 | Aide | Stated residents #10 and #13 require close monitoring due to multiple falls. |
| Employee #34 | Aide | Reported waiting for help from Colonial Garden to assist with residents requiring two staff. |
| Employee #55 | Aide | Observed assisting Terrace Club unit from Colonial Garden unit. |
| Executive Director #48 | Executive Director | Acknowledged staffing issues and lack of incident reporting; verified missing legal documents and late assessments. |
| Memory Care Unit Coordinator #01 | Unit Coordinator | Discussed staffing shortages, medication monitoring, and documentation deficiencies. |
| Registered Nurse #5 | Registered Nurse | Completed preliminary care plans not signed by unit coordinator. |
| Temporary Staff Nurse #61 | Nurse | Completed Internal Incident Report with incomplete notifications. |
| LPN #32 | Licensed Practical Nurse | Verified refrigerator contents and lack of temperature logs. |
Inspection Report
Annual Inspection
Census: 14
Deficiencies: 0
Jan 21, 2020
Visit Reason
The inspection was conducted as an Annual Licensure Survey and Annual Environmental survey to assess compliance with regulatory requirements.
Findings
No deficiencies were cited during this annual inspection. The facility was found to be in compliance with all applicable standards.
Report Facts
Census: 14
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 0
Jul 31, 2019
Visit Reason
The inspection was conducted as a complaint investigation at Colonial Place Assisted Living/Alzheimer's Unit following a complaint with ID 23003.
Findings
The complaint investigation found the allegations to be unsubstantiated with no deficiencies cited during the visit.
Complaint Details
Complaint ID 23003 was investigated from 08/19/19 to 08/20/19 and was found to be unsubstantiated.
Report Facts
Census: 55
Inspection Report
Annual Inspection
Census: 53
Deficiencies: 0
Feb 6, 2019
Visit Reason
The document is an annual licensure survey conducted to assess compliance with regulatory requirements for the facility Mountain Memories (ALR/ALZ).
Findings
The annual licensure survey found no deficiencies cited at the facility during the inspection conducted February 4-6, 2019.
Report Facts
Census: 53
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 0
Feb 6, 2019
Visit Reason
The inspection was conducted as a complaint investigation from February 4-6, 2019, related to concerns at Mountain Memories (ALR/ALZ).
Findings
No deficiencies were cited during this complaint investigation.
Complaint Details
Complaint ID: WV00021917. No deficiencies cited.
Report Facts
Census: 53
Inspection Report
Annual Inspection
Census: 32
Deficiencies: 0
Jan 22, 2019
Visit Reason
The inspection was conducted as an annual licensure survey including an annual environmental review for both Alzheimer and Assisted Living units.
Findings
No deficiencies were cited during the inspection. The report notes that previous issues identified by the Fire Marshal and Health Department were addressed satisfactorily.
Report Facts
Census: 21
Census: 32
Deficiencies cited: 0
Fire Marshal report date: Mar 8, 2017
Health Department report date: Dec 28, 2018
Health Department noncritical issues: 1
Health Department critical issues: 0
Sprinkler Type: 13
Inspection Report
Annual Inspection
Census: 39
Deficiencies: 2
Mar 6, 2018
Visit Reason
The inspection was conducted as an annual licensure survey for Colonial Place Assisted Living to assess environmental conditions and compliance with facility regulations.
Findings
The facility was found to have deficiencies related to environmental maintenance and housekeeping, including storage around the sprinkler riser and general facility repair issues. All deficiencies except one were corrected upon follow-up.
Severity Breakdown
Class II: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Storage around and in front of the sprinkler riser was observed, which could interfere with equipment performance. | Class II |
| Facility failed to maintain the residence clean and in good repair, including issues such as carpet damage, missing towel bars, and dirty sinks. | — |
Report Facts
Census: 39
Deficiencies cited: 2
Inspection Report
Annual Inspection
Census: 62
Deficiencies: 0
Feb 28, 2018
Visit Reason
The document reports on the Annual Licensure Survey and a subsequent Survey Follow-Up conducted at Mountain Memories (ALR/ALZ) to assess compliance with licensure requirements.
Findings
The report summarizes the completion of the annual licensure survey and a follow-up survey indicating that deficiencies identified previously were corrected. Specific deficiencies or severity levels are not detailed in the document.
Report Facts
Census: 21
Census: 61
Census: 62
Inspection Report
Annual Inspection
Census: 61
Deficiencies: 2
Jan 24, 2018
Visit Reason
The inspection was conducted as an Annual Licensure Survey from January 22-24, 2018, to assess compliance with licensing requirements for the assisted living residence Mountain Memories (ALR/ALZ).
Findings
The facility was found deficient in obtaining a required waiver for ongoing nursing care for one resident with a colostomy and failed to notify physicians of significant weight gains for four residents. Additionally, housekeeping and maintenance issues were noted but are not detailed in this report.
Severity Breakdown
Class I: 1
Class III: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to obtain a waiver for ongoing nursing care for one resident with a colostomy. | Class I |
| Failure to notify physicians of a five pound or greater weight gain for four residents. | Class III |
Report Facts
Census: 61
Weight gain incidents: 4
Weight gain amounts: 5.5
Weight gain amounts: 5.5
Weight gain amounts: 8.5
Weight gain amounts: 6
Weight gain amounts: 8
Weight gain amounts: 13
Weight gain amounts: 5
Weight gain amounts: 34
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | Named in deficiency related to failure to obtain waiver and failure to notify physicians of weight gain | |
| Administrator | Named in deficiency related to failure to obtain waiver and failure to notify physicians of weight gain | |
| Licensee | Named in deficiency related to failure to obtain waiver and failure to notify physicians of weight gain |
Inspection Report
Annual Inspection
Census: 39
Deficiencies: 3
Jan 8, 2018
Visit Reason
The inspection was conducted as an annual licensure survey for Colonial Place Assisted Living to assess environmental compliance and overall facility conditions.
Findings
The facility was found to have deficiencies related to disaster and emergency preparedness, including incorrect fire policies and lack of a written policy for a three-day food and water supply. Additionally, physical facility issues were noted such as storage blocking sprinkler risers and general housekeeping and maintenance deficiencies.
Severity Breakdown
Class II: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Disaster and emergency preparedness plan lacked an emergency alternate shelter agreement, emergency transportation policy, and a three-day food and drinking water supply. | Class II |
| Fire policies did not correspond to the facility and no written policy for three-day food and water supply was found. | Class II |
| Interior and exterior of the residence were not kept clean and in good repair; storage was found around and in front of the sprinkler riser. | Class II |
Report Facts
Census: 39
Deficiencies cited: 2
Inspection Report
Annual Inspection
Census: 39
Deficiencies: 1
Jan 8, 2018
Visit Reason
The inspection was conducted as an annual licensure survey for Colonial Place Assisted Living to assess environmental compliance and overall facility conditions.
Findings
The survey identified deficiencies related to environmental issues, specifically citing deficiencies numbered 245 and 254. No deficiencies were cited for the Colonial Place Alzheimer's unit.
Deficiencies (1)
| Description |
|---|
| Deficiencies cited related to environmental issues at Colonial Place Assisted Living |
Report Facts
Deficiencies cited: 2
Census: 39
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 0
Nov 7, 2017
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint ID WV00018975 on November 6-7, 2017.
Findings
No deficiencies were cited during this complaint investigation.
Complaint Details
Complaint ID WV00018975 was investigated with no deficiencies cited.
Report Facts
Census: 60
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 0
Oct 2, 2017
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint ID WV00018876 during October 2-3, 2017.
Findings
No deficiencies were cited during the complaint investigation.
Complaint Details
Complaint ID WV00018876 was investigated with no deficiencies cited.
Report Facts
Census: 63
Inspection Report
Annual Inspection
Census: 64
Deficiencies: 0
Jan 18, 2017
Visit Reason
The document reports on the annual licensure survey conducted at Mountain Memories (ALR/ALZ) from January 16 to 18, 2017.
Findings
The annual licensure survey found no deficiencies at the facility during the inspection period.
Report Facts
Census: 64
Number of Deficiencies: 0
Inspection Report
Annual Inspection
Census: 64
Deficiencies: 0
Jan 18, 2017
Visit Reason
The visit was conducted as an annual licensure survey for the assisted living facility and Alzheimer's unit.
Findings
The inspection found no deficiencies related to environmental conditions during the annual licensure survey.
Report Facts
Assisted Living Facility census: 45
Alzheimer's Unit Facility census: 19
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 0
Oct 17, 2016
Visit Reason
The inspection was conducted as a complaint investigation at Mountain Memories (ALR/ALZ) from October 17-19, 2016.
Findings
No deficiencies were found during the complaint investigation; the facility was found to be in compliance.
Complaint Details
Complaint investigation WV00016645 conducted October 17-19, 2016 with no deficiencies found.
Report Facts
Census: 68
Number of Deficiencies: 0
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 0
Feb 3, 2016
Visit Reason
The visit was conducted as an Annual Licensure Survey for the facility Mountain Memories (ALR/ALZ) from February 1-3, 2016.
Findings
The report documents the annual licensure survey with a census of 54 residents. No specific deficiencies or findings are detailed in the provided text.
Report Facts
Census: 54
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 7
Jan 26, 2016
Visit Reason
The inspection was conducted as an Annual Licensure Survey focusing on environmental conditions of the facility.
Findings
The facility was found deficient in maintaining the interior and exterior of the residence clean and in good repair, with multiple observations of dirt, debris, broken fixtures, and open dumpster lids.
Deficiencies (7)
| Description |
|---|
| Ceiling HVAC registers loaded with dirt and debris in hallways 1 and 5. |
| Light fixture without a cover in the nurse station exit hallway. |
| Kitchen water heater and air handler loaded with dirt and debris. |
| HVAC register in the kitchen staff restroom and dishwashing area loaded with dirt and debris. |
| Broken light cover in the kitchen storage area. |
| About ten broken floor tiles and dispenser pumps loaded with dirt and debris in the laundry area. |
| Dumpster lids left open. |
Report Facts
Deficiencies cited: 254
Census: 54
Broken floor tiles: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Acknowledged the findings during the facility tour. | |
| Maintenance Director | Purchased new tile to replace broken tiles. |
Inspection Report
Complaint Investigation
Census: 73
Deficiencies: 0
Jun 8, 2015
Visit Reason
The inspection was conducted as a complaint investigation at Mountain Memories (ALR/ALZ) from June 8-10, 2015.
Findings
The report documents a complaint investigation with no specific deficiencies or findings detailed in the provided page.
Complaint Details
Complaint investigation conducted June 8-10, 2015, census 73. No substantiation status or detailed complaint findings are provided in the document.
Report Facts
Census: 73
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 0
Apr 2, 2015
Visit Reason
The inspection was conducted as an Annual Licensure Survey from March 30 to April 2, 2015, including a Change of Ownership (CHOW) Survey.
Findings
The report lists the Change of Ownership and Annual Licensure Survey but does not provide specific findings or deficiencies in the provided document.
Report Facts
Census: 54
Inspection Report
Census: 54
Deficiencies: 2
Mar 30, 2015
Visit Reason
The survey was conducted as a Change of Ownership (CHOW) Survey with enter and exit on March 30, 2015, to assess compliance with physical facility standards and other regulatory requirements.
Findings
The facility was found deficient in maintaining the interior in good repair, specifically an exit door needing repair with visible light and rust on the door frame. Additionally, hot water temperatures exceeded the allowable maximum at one sink, and housekeeping and maintenance issues were noted including carpet stains and damaged furniture.
Severity Breakdown
CLASS II: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The licensee failed to keep the interior in good repair, as one exit door had visible light approximately 2 inches long and rust on the door frame. | CLASS II |
| Hot water temperature at the hand sink in resident room #404 was 118.5°F, exceeding the allowable maximum of 115°F. | CLASS II |
Report Facts
Census: 54
Hot water temperature: 118.5
Hot water temperature: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Facilities Manager | Interviewed and acknowledged deficiencies; took water temperature readings; involved in corrective actions |
Inspection Report
Annual Inspection
Census: 65
Deficiencies: 0
Dec 17, 2014
Visit Reason
The document is an annual licensure survey conducted to assess compliance with regulatory requirements for the facility Mountain Memories (ALR/ALZ).
Findings
The inspection found no deficiencies at the facility during the annual licensure survey conducted on 12/17/2014.
Report Facts
Census: 65
Inspection Report
Annual Inspection
Census: 59
Deficiencies: 0
Nov 6, 2014
Visit Reason
The document is an annual licensure survey conducted from November 3-6, 2014, to assess compliance with regulatory requirements for the facility Mountain Memories (ALR/ALZ).
Findings
The report summarizes the annual licensure survey findings for the facility but does not provide detailed findings or deficiencies within the text. The census at the time of inspection was 59 residents.
Report Facts
Census: 59
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 0
Jul 8, 2014
Visit Reason
The inspection was conducted as a complaint follow-up visit to verify correction of deficiencies identified during a prior complaint investigation conducted May 20-26, 2014.
Findings
The report documents a complaint investigation and a subsequent follow-up visit. The initial complaint investigation occurred May 20-26, 2014 with a census of 80, and the follow-up visit was completed July 8, 2014 with a census of 54. Specific findings or deficiencies are not detailed in the provided text.
Complaint Details
The visit was complaint-related, with an initial complaint investigation conducted May 20-26, 2014 and a follow-up visit on July 8, 2014. Census during the complaint investigation was 80, and 54 during the follow-up. No substantiation status is stated.
Report Facts
Census during complaint investigation: 80
Census during complaint follow-up: 54
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 2
May 20, 2014
Visit Reason
The inspection was conducted as a complaint investigation from May 20-26, 2014, focusing on allegations related to admission and discharge procedures, notification of significant changes in resident condition, and compliance with health care standards.
Findings
The investigation found that the facility failed to provide a written 30-day discharge notice to a resident or their legal representative, failed to notify the resident's physician of significant changes in condition, and failed to document such notifications. Additionally, housekeeping and maintenance deficiencies were noted in a behavioral health survey from 2004.
Complaint Details
The complaint investigation revealed that the licensee and administrator failed to ensure the resident or legal representative received a written 30-day notice prior to discharge and failed to ensure a copy was filed in the resident's record. It also found failure to notify the resident's physician of significant condition changes and failure to document such notifications for one resident (#C1).
Severity Breakdown
Class III: 1
Class I: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide written 30-day notice prior to discharge and failure to file a copy in the resident's record. | Class III |
| Failure to promptly notify the resident's physician or responsible party of major incidents or significant changes in condition and failure to document notification. | Class I |
Report Facts
Census: 80
Dates of inspection: 2014-05-20 to 2014-05-26
Discharge date: Mar 31, 2014
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina M. Mullenox | Administrator | Named in relation to failure to provide written discharge notice |
| Anglea Judy | BOM | Named in relation to discharge notice plan of correction |
Inspection Report
Annual Inspection
Census: 56
Deficiencies: 0
Nov 21, 2013
Visit Reason
The document is an annual licensure survey conducted from November 18-21, 2013 to assess compliance with regulatory requirements for the facility Mountain Memories (ALR/ALZ).
Findings
The report summarizes the annual licensure survey findings for the facility but does not provide detailed findings or deficiencies within the text provided.
Report Facts
Census: 56
Inspection Report
Annual Inspection
Census: 57
Deficiencies: 0
Nov 12, 2013
Visit Reason
The inspection was conducted as an annual licensure survey of Colonial Place Assisted Living to assess compliance with regulatory requirements.
Findings
No deficiencies were found during the survey. Technical assistance was not required. Previous concerns included keeping the laundry room door closed and cracked tile around the stove drain in the kitchen.
Report Facts
Census: 57
Sprinkler System Type: 13
Inspection Report
Census: 58
Deficiencies: 0
Feb 19, 2013
Visit Reason
The inspection was conducted as a Change of Ownership (CHOW) Survey for the facility Mountain Memories (ALR/ALZ).
Findings
No deficiencies were cited during this survey. Technical assistance was provided to the facility.
Report Facts
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keith Carpenter | Surveyor | Conducted the Change of Ownership survey |
Inspection Report
Census: 58
Deficiencies: 0
Feb 18, 2013
Visit Reason
The inspection was conducted as a Change of Ownership (CHOW) Survey for the facility.
Findings
No deficiencies were cited during the survey, and technical assistance was provided to the facility.
Report Facts
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beverly Randolph | HFNS I | Surveyor during the Change of Ownership survey |
| Betty Marine | LSW, HFS II | Surveyor during the Change of Ownership survey |
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