Inspection Reports for
Oakwood Meadows Assisted Living

The facility managers stated that the resident's room was never searched without permission except once with consent involving law enforcement. The facility followed proper protocols, and no citations were issued.

The facility reported multiple resident incidents including falls, a prohibited substance incident, and aggressive behavior. The facility took appropriate actions in each case, and no deficiencies were issued in this report.

The facility was found to be clean, in good repair, and odor free with no health and safety concerns. Resident and staff files were organized and complete, medications were administered per orders, and staff training was up to date. No deficiencies were observed during the inspection.

There were no deficiencies issued during this inspection. The visit included an exit interview and a copy of the report was provided.

The complaint alleged staff mismanaged resident (R1)'s medications and delayed seeking medical attention despite the resident reporting feeling sick for about a week. The investigation reviewed medication administration records, interviews, and charting notes. It was found that medications were administered or refused as documented, blood pressure and blood sugar monitoring were performed as ordered, and the resident was sent to the hospital promptly when requested. The allegations were determined to be unfounded.

The investigation found both allegations to be unfounded. Medication administration records and charting notes showed medications were administered as prescribed or refused by the resident, and medical attention was sought promptly when requested.

The complaint alleged that a resident (R1) had been scalded in the shower for two months and that staff had not fixed the issue. The investigation included interviews with staff and residents, temperature checks, and review of documentation. The allegation was found to be unfounded, meaning it was false or without reasonable basis.

The investigation found the allegation to be unfounded after interviews with staff and residents, review of hot water temperature logs, and direct temperature measurements showed no evidence of scalding or unsafe water temperatures.

The complaint involved multiple allegations against the facility and staff, including staff not treating a resident with respect, unlawful eviction, failure to provide transportation to doctor's appointments, staff retaliation, and unsafe environment for the resident. Each allegation was investigated through interviews, document reviews, and observations. All allegations were found to be unsubstantiated or unfounded based on evidence gathered.

The investigation found all allegations unsubstantiated or unfounded, including claims of staff disrespect, unlawful eviction, denial of transportation, retaliation, and unsafe environment. The Licensing Program Analyst concluded there was insufficient evidence to prove violations occurred.

The complaint involved allegations that staff were not caring for resident wounds, not assisting with topical medication, allowing the resident to sit in soiled bedding, not meeting showering needs, and making inappropriate comments towards the resident. All allegations were found to be unsubstantiated or unfounded based on interviews, documentation review, and observations.

The investigation found all allegations to be unsubstantiated or unfounded. Staff were found to be providing appropriate wound care, administering topical medications as prescribed, maintaining clean bedding, and meeting resident showering needs. No evidence supported claims of inappropriate staff comments.

The facility was informed of an immediate exclusion effective May 14, 2025, requiring removal of the individual S1 from any contact with clients and prohibiting their physical presence in the facility.

The investigation involved incidents including a physical altercation between residents resulting in injury and subsequent medical evaluation and treatment. The complaint was not substantiated with deficiencies.

The facility acted timely in seeking outside medical help following resident incidents. No deficiencies were issued during this investigation.

The complaint involved three allegations: 1) failure to administer medications according to physician's instructions, 2) poor food quality, and 3) staff not responding to resident requests for assistance. All allegations were found unsubstantiated based on evidence gathered including interviews, medication records, and observations.

The investigation found all three allegations unsubstantiated due to insufficient evidence to prove violations. Medication administration records showed mostly proper administration with minor omissions. Food quality was generally adequate with some resident preferences noted. Staff response to resident calls was generally timely, though some concerns about overnight staffing were noted.

The complaint alleged that resident (R1) was assaulted multiple times over four months and was not allowed to leave the facility. The investigation included interviews with residents and staff, review of incident reports and hospital records. The allegation was found to be unsubstantiated due to lack of evidence of physical injury or verified assaults.

The investigation found no preponderance of evidence to substantiate the allegations of resident assault. Multiple interviews and documentation review indicated verbal exchanges but no physical injuries or substantiated assaults.

The visit was complaint-related due to incidents including an altercation between residents and falls resulting in injuries. The report does not state substantiation status.

The facility followed protocols by sending residents involved in incidents to emergency care. Several residents experienced falls or altercations resulting in injuries requiring hospital treatment. No citations were issued in this report.

The complaint involved multiple allegations about resident (R1) including being left on the floor for an extended period, staff not reporting changes in condition, residents left in soiled briefs, missed showers, and an illegal eviction notice. The investigation included interviews with staff, review of documentation, and analysis of call button response times. All allegations were found unsubstantiated except the eviction allegation which was unfounded.

The investigation found all allegations to be unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred. Additionally, an allegation of illegal eviction was found to be unfounded as the eviction notice was valid and later rescinded.

The complaint was unsubstantiated. Although the allegation may have been valid, there was insufficient evidence to prove the violation occurred.

The investigation found no preponderance of evidence to substantiate the allegations. Records and interviews showed the resident's care plan was followed and pre-existing conditions were not worsened by neglect.

The complaint alleged that the facility withheld resident (R1)'s medications upon move out. The investigation reviewed medication records, physician orders, and interviewed staff. It was found that medications discontinued by the physician were stopped accordingly, and all other medications were returned to the resident or their family. One medication was sent to the new facility nurse the day after move out due to an inadvertent omission. The allegation was found to be unfounded.

The investigation found that the facility followed physician's orders regarding medication discontinuation and properly returned 24 medications to the resident and their responsible person at move out. The allegation was determined to be unfounded.

The complaint alleged unlawful eviction. The investigation determined the allegation to be unfounded, meaning it was false or without reasonable basis.

The investigation found that 30-day eviction notices were issued to five residents due to non-payment of rent, with three notices rescinded after payment and two residents working on payment arrangements. The allegation of unlawful eviction was found to be unfounded.

The facility was found to be clean, in good repair, and compliant with all requirements. No deficiencies were identified during the pre-licensing inspection.

The applicant and administrator demonstrated understanding of community care facility licensing laws, including facility operation, admission policies, staffing requirements, restrictive health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness.