Inspection Reports for Oak Hill Place

Investigation of Complaint #39912 conducted from 08/25/25 to 08/26/25.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #39912 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #36841 regarding facility conditions and safety.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #36841 was investigated and found to be unsubstantiated with no deficiencies cited.

Follow-up to annual survey to verify correction of previously identified deficiencies.

The deficiency identified in the prior annual survey was corrected as of the follow-up visit.

Annual survey conducted from 10/07/24 to 10/10/24 to assess compliance with health and safety regulations and food service standards at Oak Hill Place.

The facility was found deficient in maintaining safe food service practices, including improper storage, labeling, and expired products in the kitchen. Additionally, minor environmental and housekeeping issues were noted in the adolescent residential area.

The inspection was conducted as an annual environmental survey of the facility.

The inspection found no deficiencies cited during the annual environmental survey.

Investigation of Complaint #31562 at Oak Hill Place.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #31562 was investigated and found to be unsubstantiated with no deficiencies cited.

First follow-up to the annual survey to verify correction of previously cited deficiencies.

All original citations from the prior annual survey were corrected as of the follow-up survey date.

Investigation of Complaint #31387 at Oak Hill Place.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #31387 was investigated from 03/06/24 and found to be unsubstantiated with no deficiencies cited.

Annual survey conducted to assess compliance with health, safety, staffing, and record-keeping regulations at Oak Hill Place.

The facility was found deficient in multiple areas including incomplete resident records (missing dentist information and religious preferences), inadequate documentation of resident deaths, insufficient health assessments, inadequate housekeeping and maintenance, failure to maintain locked storage for hazardous materials, and insufficient night shift staffing levels based on resident care needs.

The inspection was an Environmental Annual Survey conducted to assess the facility's compliance with health, safety, maintenance, and housekeeping standards.

The facility failed to maintain a safe, sanitary, and accident-free living environment, including unsecured cleaning chemicals and housekeeping closets. Observations also noted physical environment issues such as personal belongings left out, carpet damage, and missing bathroom fixtures.

The visit was a revisit inspection to verify correction of previous deficiencies at Oak Hill Place.

The inspection found that citations from the prior visit were cleared, indicating compliance with previously identified deficiencies.

This was a follow-up survey conducted to verify correction of previous deficiencies identified during the annual environmental survey conducted on 2022-12-05.

The report documents the follow-up survey visit with a census of 46 residents and notes 450 tags cited during the prior survey. No complaint was substantiated during this visit.

Annual survey conducted from 12/05/22 to 12/08/22 to assess compliance with health and safety regulations and medication administration standards.

The facility failed to ensure no resident was neglected, specifically Resident #72 who did not receive ordered insulin and Eliquis medications. Additionally, there were multiple missing signatures on Medication Administration Records (MAR) for several residents, indicating incomplete documentation. The facility also failed to maintain adequate housekeeping and maintenance, with observations of damaged carpets, missing bathroom fixtures, and unclean areas.

The inspection was an annual environmental survey conducted to assess the facility's maintenance, housekeeping, and safety conditions.

The facility failed to maintain a safe, sanitary, and accident-free living environment due to water damage in the dining room and kitchen ceilings, and inadequate housekeeping including damaged carpet, missing bathroom fixtures, and unclean areas.

The inspection was conducted in response to Complaint #26353 involving 2 allegations at Oak Hill Place.

The complaint investigation found 2 allegations with 0 substantiated and no citations issued.

Complaint #26353 involved 2 allegations, both unsubstantiated with no citations.

This was a 1st follow-up visit to Complaint #26225 to verify correction of previously cited deficiencies.

The deficiency cited in the complaint was corrected and no new deficiencies were found during this follow-up inspection.

Complaint #26225 was investigated and found to have the deficiency corrected at the time of this follow-up visit.

The inspection was conducted in response to Complaint #26061 to investigate allegations at the facility.

The complaint was substantiated following the investigation conducted on 12/07/2021. Specific deficiencies or details of the complaint are not provided in the report.

Complaint #26061 was substantiated after the investigation conducted on 12/07/2021.

This was a revisit inspection of Oak Hill Place to verify correction of previously cited deficiencies.

Deficiencies previously cited were cleared as of this revisit. The Ombudsman was contacted by email during the inspection.

The inspection was conducted as a complaint investigation related to medication availability and resident neglect concerns at the assisted living residence.

The licensee failed to ensure that no resident was neglected as four residents had physician orders for medications that were not available at the time of administration. Additionally, the facility failed to maintain adequate housekeeping and maintenance, with various physical environment deficiencies noted.

Complaint number 26225 was entered on 2021-11-30 at 8:45 AM. The complaint involved medication availability and resident neglect issues.

The inspection was conducted as a complaint investigation (Complaint #26100) to assess the facility's compliance with health, safety, and maintenance standards.

The facility was found to have issues with maintenance and housekeeping, including stained and torn carpet posing a fall hazard, and other physical environment concerns. The complaint was substantiated and corrective actions were planned and initiated.

Complaint #26100 was substantiated. The entrance and exit dates of the complaint investigation were both 11/29/21. The census at the time was 36.

Follow-up to annual inspection conducted to verify correction of previously identified deficiencies.

The inspection found that all previously cited deficiencies were cleared.

The inspection was conducted in response to Complaint # WV00025989 to investigate alleged issues at the facility.

The inspection found no deficiencies at the facility during the complaint investigation.

Complaint # WV00025989 was investigated and found to have no deficiencies.

Annual survey conducted to assess compliance with state regulations for assisted living facility.

The facility failed to maintain adequate housekeeping and maintenance, proper medication administration documentation, timely health assessments, proper resident death reporting, secure medication storage, sanitary conditions, and staff training compliance. Multiple deficiencies were identified affecting resident care and safety.

The inspection was conducted as a re-licensure survey to assess compliance for license renewal of the assisted living facility.

The residence and the assisted living facility were found to be in substantial compliance with the applicable rules during the license renewal inspection.

The inspection was conducted as a complaint investigation visit #25894, initiated due to a complaint received by the facility.

The complaint investigation found no deficiencies cited during the visit.

Complaint Visit #25894 was substantiated with no deficiencies cited.

The inspection was conducted in response to Complaint #24942 to investigate alleged deficiencies at Oak Hill Place.

The deficiencies identified during the complaint investigation were cleared by the time of the exit interview on 03/11/2021.

Complaint #24942 was investigated and deficiencies were cleared.

The inspection was conducted as a 1st complaint follow-up related to Complaint #24775.

The inspection found that all deficiencies cited in the complaint investigation were cleared.

Complaint #24775 was investigated during this follow-up visit, and all deficiencies were cleared.

The inspection was conducted as a complaint survey at Oak Hill Place to investigate concerns raised.

No deficiencies were cited during the complaint survey. The Ombudsman was contacted by email.

Complaint Survey conducted; no deficiencies cited; Ombudsman contacted by email.

Complaint survey conducted due to an incident involving Resident #48 that was not reported as a major incident.

The facility failed to report a major incident involving Resident #48, failed to ensure residents' right to personal privacy and confidentiality of medical records, and failed to keep medications secured. Additionally, housekeeping and maintenance deficiencies were noted.

Complaint survey initiated due to failure to report a major incident involving Resident #48. Incident involved resident found on floor with signs of distress. Staff #2 was unaware of reporting requirements. Subsequent education and audits were conducted.

The inspection was conducted as an Infection Control Survey to assess compliance with infection control standards.

The survey found no deficiencies or tags cited related to infection control during the inspection.

Complaint investigation conducted due to allegations of staff abuse and neglect at the facility.

The investigation substantiated that Employee #16 verbally and physically abused residents, including rough handling and verbal mistreatment. Multiple staff and residents reported witnessing or experiencing abuse. The facility failed to report these allegations immediately as required. Employee #16 was placed on administrative leave and subsequently terminated. The facility implemented corrective actions including staff education and ongoing audits.

Complaint number WV00024775 was substantiated. The complaint involved allegations of abuse and neglect by Employee #16 toward multiple residents. The facility failed to report and investigate these allegations timely. Employee #16 was terminated following the investigation.

The inspection was conducted as a complaint survey related to Complaint ID 24672 on November 17, 2020.

The complaint was substantiated but no deficiencies were cited during the inspection.

Complaint ID 24672 was substantiated with no deficiencies cited.

The annual survey was conducted to assess compliance with regulatory requirements including assessment and service plans, personnel records, and housekeeping/maintenance.

The facility failed to ensure that functional needs assessments and service plans reflected current resident needs for two residents, and that Licensed Practical Nurse (LPN) annual licensure was up-to-date in personnel files. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpet, missing bathroom fixtures, and cleanliness issues.

The inspection was conducted as a complaint investigation based on Complaint# WV00023721.

The allegation was found to be unsubstantiated following the investigation conducted from May 5 to May 6, 2020.

Complaint# WV00023721 was investigated and the allegation was unsubstantiated.

The inspection was conducted in response to complaint number 23673 to investigate allegations against the facility.

All allegations were found to be unsubstantiated and no deficiencies were cited during the inspection.

Complaint number 23673 was investigated; all allegations were unsubstantiated.

Routine inspection conducted on August 6-7, 2019 to assess compliance with health and safety regulations.

No deficiencies were cited during this inspection.

The visit was conducted as an annual licensure survey to assess the facility's compliance with environmental and safety regulations.

No deficiencies were cited during the annual licensure survey. The facility had no critical or non-critical deficiencies, and there were no recommendations from the Fire Marshal or Sanitarian.

The inspection was conducted as a complaint investigation related to the facility identified by Complaint ID WV00022055.

No deficiencies were cited during this complaint investigation conducted from March 18-20, 2019 at Oak Hill Place.

Complaint ID WV00022055 was investigated and found to have no deficiencies cited.

The inspection was conducted as an annual licensure survey including an annual environmental review.

No deficiencies were cited during the survey. The Fire Marshal report dated 2018-02-16 had no recommendations, while the Sanitarian report dated 2018-07-01 included one critical and one non-critical recommendation.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements for the facility.

No deficiencies were cited during the annual licensure survey conducted from June 25-27, 2018.

The inspection was conducted as a complaint investigation based on Complaint ID WV00020571.

No deficiencies were found during the complaint investigation conducted on June 20-21, 2018.

Complaint ID WV00020571 was investigated and found to have no deficiencies.

The visit was conducted as an annual licensure survey of the facility.

The annual licensure survey found no deficiencies at the facility during the inspection conducted from August 14-16, 2017.

The inspection was conducted as a complaint investigation from July 24-27, 2017, related to allegations concerning the provision of activities for residents.

The licensee and administrator failed to provide one hour of various types of scheduled activities daily and did not document whether the activities occurred for one resident while in isolation. No deficiencies were found related to the complaint investigation itself, but a deficiency was cited for failure to provide and document activities.

Complaint ID # WV00018454. The complaint investigation found no deficiencies related to the complaint itself but identified a deficiency in activity provision and documentation.

The inspection was conducted as a complaint investigation from July 24-27, 2017, related to Complaint ID WV00018454.

No deficiencies were found during the complaint investigation conducted from July 24-27, 2017, and no deficiencies were cited during the follow-up visit on October 10, 2017.

Complaint ID WV00018454 was investigated with no deficiencies found. A follow-up visit on October 10, 2017, also found no deficiencies.

The visit was conducted as an annual licensure survey to assess environmental compliance at the facility.

No deficiencies were cited during the annual licensure survey, and no technical assistance was provided.

The visit was conducted as a complaint investigation based on Complaint ID WV00017527.

No deficiencies were found during the complaint investigation conducted on March 20-21, 2017.

Complaint ID WV00017527 was investigated and found to have no deficiencies.

The visit was a follow-up survey conducted to verify correction of deficiencies identified during the Change of Ownership (CHOW) survey conducted November 14-22, 2016.

The follow-up survey found no deficiencies, indicating that all previously cited deficiencies were corrected.

The survey was conducted as a Change of Ownership (CHOW) survey to assess compliance with assisted living regulations and related healthcare standards.

The facility was found deficient in maintaining accurate dietary records and orders, ensuring proper medication administration and documentation, and providing therapeutic diets as ordered by physicians. Additionally, housekeeping and maintenance issues were noted in the physical environment.

The inspection was conducted as a complaint investigation from October 24-27, 2016.

No deficiencies were found during the complaint investigation conducted at the facility.

Complaint investigation conducted from October 24-27, 2016; no deficiencies were cited.

The inspection was conducted as a Change of Ownership (CHOW) survey for Oak Hill Place.

The survey found no citations or deficiencies during the Change of Ownership inspection.

The inspection was conducted as an annual licensure survey of the facility from February 16-18, 2016.

The report documents the annual licensure survey with a census of 42 residents. No specific deficiencies or severity levels are detailed in the provided page.

The inspection was conducted as a complaint investigation for Complaint # WV0014954 on January 18-19, 2016.

The report documents a complaint investigation with no specific findings detailed in the provided text.

Complaint # WV0014954 was investigated during the visit on January 18-19, 2016. No substantiation status or detailed findings are provided.

Annual licensure survey conducted to assess environmental and regulatory compliance of the facility.

No deficiencies were found during the annual licensure survey. The facility was evaluated for environmental compliance including sprinkler system and sewer type.

The inspection was conducted as an annual licensure survey to assess compliance with assisted living regulations, focusing on record-keeping and employee health screening.

The facility failed to maintain accurate records and reports related to tuberculosis screening for four of eight employees. Deficiencies included incomplete Tuberculin Screening Tools and improper documentation of PPD test timings. The RN was unaware of these issues prior to the exit conference.

Annual licensure survey conducted at The Summit at Hidden Valley Assisted Living to assess compliance with regulatory standards.

No deficiencies were cited during the environmental inspection of the facility.

The inspection was conducted as a complaint investigation on July 28-29, 2014.

The report documents a complaint investigation with a census of 40 residents. No specific deficiencies or findings are detailed in the provided text.

Complaint investigation conducted July 28-29, 2014, with census of 40. No substantiation status provided.

The inspection was conducted as a complaint investigation at Oak Hill Place to assess compliance with health and safety regulations.

The report documents a complaint investigation with no detailed findings or deficiencies explicitly stated in the provided text or image.

Complaint investigation identified by tag E 004 with census of 49; no substantiation status or detailed complaint findings provided.

This was an annual survey conducted on January 13-15, 2014 to assess compliance with licensure requirements.

The report documents the annual licensure survey with a census of 48 residents. No specific deficiencies or severity levels are detailed in the provided text.

The inspection was conducted as an annual licensure survey of the facility Summit at Hidden Valley.

The survey found no deficiencies or technical assistance needs. The facility has a wet sprinkler system and public sewer type. Three non-critical issues were noted on 11/07/2013 but are not detailed as deficiencies.

The inspection was conducted as a complaint investigation to assess staffing levels and compliance with care needs requirements at the facility.

The facility failed to maintain adequate staffing levels based on resident care needs, with less than the minimum number of direct care staff on all shifts during the review period. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpet, missing bathroom fixtures, and unclean areas.

The complaint investigation revealed inadequate staffing levels on all shifts for the 45 days reviewed, with the administrator and resident care director unaware that nurses were not counted in required staffing numbers.

The inspection was conducted as a complaint investigation at Oak Hill Place.

The report does not provide specific findings or deficiencies related to the complaint investigation.

Complaint investigation conducted on December 16, 2013, with a census of 53. No substantiation status or detailed complaint findings are provided.

Annual licensure survey conducted from January 7-9, 2013 to assess compliance with licensure requirements.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

Annual licensure survey conducted to assess environmental compliance and overall facility conditions.

No deficiencies were cited during the survey and no technical assistance was given.

The inspection was conducted as an Annual Licensure Survey from January 3-5, 2012, to assess compliance with licensing requirements for the assisted living facility.

The survey identified deficiencies in employee orientation and training, medication administration, dietary services, and housekeeping/maintenance. Specific issues included inadequate training for new employees, failure to ensure timely medication availability, failure to provide milk to residents as required, and poor housekeeping conditions such as damaged carpet and missing bathroom fixtures.

The inspection was conducted as an Annual Licensure Survey from January 3-5, 2012, with a follow-up survey on February 27, 2012, to verify correction of deficiencies.

The initial annual survey identified deficiencies which were subsequently corrected by the follow-up survey on February 27, 2012.

The inspection was conducted as a complaint investigation based on resident and family member complaints regarding medication administration delays, missing medications, and unresolved resident complaints.

The facility failed to ensure timely administration of medications and treatments for multiple residents, did not respond promptly to resident complaints, and lacked adequate nursing documentation of resident status. Additionally, housekeeping and maintenance issues were noted from prior observations.

The complaint investigation was triggered by resident complaints about missing towels, delayed medication administration, and food quality. Family members also expressed concerns about unavailable medications such as Requip and Namenda. Investigations confirmed multiple medication administration failures and delayed ordering of medications.

The inspection was conducted as a complaint investigation from September 20-26, 2011, at Oak Hill Place.

The complaint investigation identified deficiencies which were later corrected as confirmed by a follow-up survey on October 26, 2011. Technical assistance was also provided during the follow-up.

Complaint investigation #WV00006664 was conducted from September 20-26, 2011, with a census of 47 residents. Deficiencies identified were corrected by the follow-up survey on October 26, 2011.

The inspection was conducted as a complaint investigation for facility Oak Hill Place on June 27-28, 2011.

The complaint investigation was unsubstantiated with no deficiencies cited during the visit.

Complaint investigation #WV00006467 conducted by surveyor Betty Marine, LSW, HFS II, was unsubstantiated.

The visit was conducted as a complaint investigation from May 23-25, 2011.

The complaint investigation was unsubstantiated with no deficiencies cited.

Complaint investigation #WV00006416 was unsubstantiated.

The inspection was conducted as a complaint investigation and a follow-up to verify correction of previous deficiencies at Oak Hill Place.

The report documents a complaint investigation and a follow-up visit where deficiencies were corrected. The census was 39 with 5 resident bedholds during the follow-up.

Complaint investigation conducted April 18-20, 2011 with a follow-up on May 9, 2011. Deficiencies identified during the complaint investigation were corrected by the follow-up visit.

The inspection was conducted as a complaint investigation regarding staffing levels, resident neglect allegations, and compliance with health and safety standards.

The facility failed to provide adequate direct care staffing according to resident care needs, did not immediately report or investigate allegations of resident neglect, and failed to ensure infection control standards during medication administration. Additionally, housekeeping and maintenance deficiencies were noted.

The complaint investigation (WV00006326) was triggered by allegations that a night shift employee was not changing incontinent residents as required. Staff interviews revealed awareness of the issue, but the executive director was initially unaware and failed to report or investigate the neglect allegations as mandated.

The visit was a follow-up survey to verify correction of deficiencies identified during the annual licensure survey conducted December 6-7, 2010.

Deficiencies identified in the prior annual licensure survey were corrected, and technical assistance was provided during the follow-up visit.

The visit was conducted as an annual licensure survey to assess environmental conditions and compliance with disaster and emergency preparedness regulations.

The facility was found deficient in ensuring residents were shown evacuation procedures within 24 hours of admission, and environmental issues such as housekeeping and maintenance deficiencies were noted.

The inspection was conducted as an annual licensure survey to assess environmental compliance and overall facility conditions.

The report indicates that deficiencies identified during the annual licensure survey were subsequently corrected as confirmed by a follow-up survey.

The visit was conducted as an annual licensure survey to assess the environment and compliance of the facility.

No deficiencies were cited during the survey, and technical assistance was provided.

The annual licensure survey was conducted to assess compliance with state regulations and licensing requirements for Oak Hill Place.

The survey identified multiple deficiencies including failure to provide timely employee orientation and training, inadequate housekeeping and maintenance, incomplete service plans for residents with aggressive behaviors, failure to notify physicians of blood sugar readings, and failure to promptly notify physicians and responsible parties of major incidents involving residents.

The inspection was conducted as a complaint investigation and a subsequent complaint follow-up visit to address concerns raised in complaint #WV00005956 during October 20-21, 2010.

The report documents a complaint investigation and a follow-up visit, with no specific deficiencies or severity levels detailed in the provided text.

Complaint #WV00005956 was investigated during October 20-21, 2010, with a follow-up visit on November 23, 2010. Census during the complaint investigation was 38 and 40 during the follow-up.

The inspection was conducted as a complaint investigation regarding medication administration practices at the facility.

The investigation found that the administrator and registered nurse failed to ensure medications were administered according to applicable laws, with one instance of improper medication administration by unlicensed personnel. Additionally, there were deficiencies in housekeeping and maintenance affecting the safety and appropriateness of the environment.

Complaint investigation #WV00005956 conducted October 20-21, 2010, found substantiated failure in medication administration practices involving one of thirty-six resident Medication Administration Records reviewed.

The inspection was conducted to investigate complaints regarding the facility's compliance with licensing terms, staffing adequacy, and care provision for residents.

The administrator failed to ensure care was provided according to the assisted living residence's license for all 44 residents. Staffing was inadequate for night shifts given residents' care needs, and AMAP personnel were improperly conducting resident assessments and checking physician orders. Additionally, housekeeping and maintenance deficiencies were noted from a prior 2004 survey.

Complaint Follow-Up #WV00005572 conducted on March 25, 2010. The complaint was related to staffing adequacy and care provision compliance.

The inspection was conducted as a complaint investigation for facility Oak Hill Place, with a follow-up visit to verify correction of deficiencies.

The initial complaint investigation identified deficiencies, and the follow-up visit on April 27, 2010, confirmed that deficiencies were corrected and technical assistance was provided.

Complaint investigation #WV00005572 was conducted on March 25, 2010, with a follow-up on April 27, 2010. The follow-up noted deficiencies corrected and technical assistance given.

The visit was conducted as an annual licensure survey of the facility.

The survey found no deficiencies and provided technical assistance to the facility.

The inspection was conducted as an annual licensure survey to assess the facility's compliance with regulatory standards.

The survey found no deficiencies or technical assistance needs in the environment of the facility.

The document reports on the annual licensure survey conducted January 5-7, 2009, and subsequent follow-up surveys on March 3-5, April 27-28, and June 9, 2009, to assess compliance with health and safety regulations at Oak Hill Place.

The survey identified deficiencies related to safety and environmental conditions, including inadequate supervision during weekend nights and maintenance issues such as damaged carpets and missing bathroom fixtures. Corrective actions and plans for repairs were outlined, with some deficiencies corrected and technical assistance provided.

Annual licensure survey conducted January 5-7, 2009 with follow-up visits on March 3-5, 2009 and April 27-28, 2009 to assess compliance with health and safety, resident rights, nursing assessments, dietary services, and physical facilities.

The facility was found deficient in multiple areas including failure to respond promptly in writing to resident complaints, inadequate housekeeping and maintenance, failure to perform and document nursing admission assessments, failure to document and notify physicians of resident weight changes, and improper storage of toxic substances and oxygen tanks. Corrective actions and re-education were planned and partially implemented during follow-up visits.

The complaint investigation revealed that the Executive Director failed to respond in writing to resident complaints within four days as required. Multiple complaints were documented without proper investigation or written response. Re-education and corrective actions were planned to ensure timely written responses and documentation of investigations.

Annual licensure survey and follow-up inspection to assess compliance with health and safety regulations, resident care, staffing, and documentation requirements.

The facility was found deficient in multiple areas including inadequate staffing levels, failure to prevent resident elopements, incomplete and untimely staff training, incomplete resident assessments and service plans, failure to monitor and document resident conditions and medication administration as ordered, and inadequate housekeeping and maintenance.

Complaint by family member regarding inadequate staffing and care, including meal service and laundry issues. Facility failed to respond in writing within required timeframe and failed to document investigation of complaints.

Annual licensure survey conducted to assess compliance with health, safety, dietary, physical facilities, and environmental regulations at Oak Hill Place.

The facility was found deficient in multiple areas including food service sanitation, physical maintenance, housekeeping, alarm systems, and laundry practices. Corrective actions were planned or implemented for issues such as damaged kitchen areas, broken cabinet doors, non-audible exit door alarms, and improper storage of soiled linens.

Annual licensure survey conducted to assess the environment and compliance of the facility.

The survey included an environmental assessment and a follow-up survey was conducted to verify correction of deficiencies. Deficiencies identified previously were corrected by the follow-up visit.

Annual licensure survey conducted January 5-7, 2009 to assess compliance with state regulations for assisted living facility.

The facility was found deficient in multiple areas including resident safety related to elopement, staffing levels, employee training and orientation, documentation of physician orders and resident care plans, medication administration, infection control, and monitoring of residents' conditions and weights. Several residents with dementia and wandering behaviors were noted without adequate supervision or service plans. Facility maintenance and housekeeping issues were also observed.

The visit was a follow-up survey conducted to verify correction of deficiencies identified during the Change of Ownership (CHOW) survey conducted on March 10-11, 2008.

The follow-up survey found that the previously identified deficiencies were corrected.

The visit was a follow-up survey related to a Change of Ownership (CHOW) environmental inspection conducted to verify correction of previously identified deficiencies.

The deficiency identified during the initial survey was corrected by the time of the follow-up visit on March 25, 2008.

The survey was conducted as a Change of Ownership (CHOW) environmental survey to assess compliance with health and safety regulations.

The facility was found deficient in maintaining locked storage for toxic materials, with unlocked janitor's closet and beauty shop doors. Additionally, housekeeping and maintenance issues were noted, including damaged carpet, missing bathroom fixtures, and unclean areas. Corrective actions and plans of correction were documented.

The survey was conducted as a Change of Ownership (CHOW) survey to assess compliance with licensing and regulatory requirements.

The facility was found deficient in multiple areas including failure to submit required state-wide criminal background checks prior to hiring employees, inadequate housekeeping and maintenance, and failure to provide required employee orientation and annual in-service training on topics such as emergency procedures, abuse prevention, resident rights, and infection control.

The visit was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The center failed to provide a safe environment as evidenced by unsecured outside doors in adolescent girls' bedrooms and lack of awake staff supervision on weekend nights. A plan of correction was proposed to employ staff or provide alternate sleeping arrangements for awake-night supervision during weekends by July 1, 2004.