Inspection Reports for
Oakwood Village, Inc.

The inspection found the facility to be in compliance with all applicable regulations. Resident rooms, common areas, kitchen, and safety equipment were properly maintained, and no deficiencies were cited.

The visit was related to a substantiated complaint from 06/05/2024. The facility addressed fall safety concerns with staff training and monitoring systems. No new citations were issued.

The facility was found to be in good compliance with no citations issued during the meeting. Staff have implemented fall safety trainings and use a Care Life Monitoring system.

The complaint investigation was initiated due to multiple allegations including pest infestation, improper hand washing, malfunctioning kitchen appliances, unmet dietary needs, and kitchen disrepair. All allegations were determined to be unfounded.

All allegations were found to be unfounded after thorough investigation including interviews, observations, and facility tours. No evidence of pest infestation, improper hand washing, broken kitchen appliances, unmet dietary needs, or kitchen disrepair was found. No deficiencies were cited.

The facility was not previously aware that the resident might try to exit independently. The resident had recent memory issues and was hospitalized with major diagnoses. The facility responded appropriately once aware, and no deficiencies were cited.

The facility was found to be clean, well-furnished, and in substantial compliance with regulations. No deficiencies were cited during the inspection.

The facility responded appropriately by contacting police and reviewing video footage, although no evidence was found. The resident declined medical attention and is currently doing okay.

The complaint investigation was unsubstantiated based on interviews with residents and staff, observations, and documentation review. The allegations regarding care plan adherence, alarm functionality, and hygiene needs were not supported by sufficient evidence.

The investigation included interviews, facility tour, and document review. The allegations were found to be unsubstantiated as residents reported satisfaction with care, call buttons were used appropriately, hygiene needs were met, and the facility was clean and sanitary.

The complaint alleged that a resident had unauthorized access to centrally stored medications. The allegation was found to be unfounded after investigation.

The investigation found that a resident had a bottle of Tylenol purchased independently and not initially logged or stored by staff. The medication was subsequently turned over to staff, properly stored, and a physician's prescription was obtained. The allegation was determined to be unfounded.

The complaint included allegations that staff did not ensure sufficient activities and adequate quantity and quality of food for memory care residents. Both allegations were investigated and found to be unfounded.

The investigation found that multiple activities are scheduled and offered to memory care residents, with some residents choosing not to participate. The allegation about inadequate food quantity and quality was also found to be unfounded, with staff and residents confirming sufficient food variety and availability.

The complaint alleged that staff were not assisting residents with hygiene needs. The allegation was found to be unsubstantiated as evidence was inconclusive and both sides had differing accounts.

The investigation found that some staff have no issues assisting residents with showers while others do. Residents who may be difficult to bathe are identified, and new training techniques are being implemented. Shower logs indicate residents sometimes refuse but do get showered. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged staff were not checking on residents and left residents in soiled briefs for many hours. The allegation was found to be unsubstantiated due to insufficient evidence.

The investigation found conflicting statements from staff about whether residents were left in soiled briefs for extended periods. Due to lack of conclusive evidence and inability to interview residents, the allegation was determined to be unsubstantiated.

The complaint investigation addressed allegations including staff not keeping the facility free from infestation, staff altering reports, improper incident reporting, leaving a resident unattended, and mishandling medication. All allegations were found to be unfounded or unsubstantiated after thorough investigation.

All allegations investigated were found to be either unfounded or unsubstantiated based on interviews with residents, staff, and review of facility documentation and incident reports. No evidence supported the claims of pest infestation, report alteration, improper incident reporting, resident left unattended, or medication mishandling.

The facility was found to be clean, well-furnished, and in substantial compliance with regulations. No deficiencies were cited during the inspection.

The complaint involved multiple allegations including staff mismanaging medications, not ensuring resident was fed, leaving resident soiled, not providing clean clothing or hearing aid, and failing to communicate with the resident's authorized representative about health changes. All allegations were found to be either unfounded or unsubstantiated after review of documentation, interviews, and observations.

The investigation found no evidence to support the allegations of medication errors or neglect in feeding. Other allegations related to hygiene, clothing, hearing aid assistance, and communication with the authorized representative were unsubstantiated, with the facility increasing services as resident needs became better understood.

The complaint was investigated and all allegations were found to be unfounded. Allegations included inadequate food service, unsanitary facility conditions, inadequate care and supervision, and staff sexual inappropriateness towards residents. The resident involved in the sexual inappropriateness allegation was relocated and no evidence of misconduct was found.

The investigation found no evidence to support any of the allegations. The facility was found to provide adequate food service, maintain sanitary conditions, provide adequate care and supervision, and no substantiated evidence of staff sexual inappropriateness was found. All allegations were deemed unfounded.

The facility responded appropriately by sending resident R1 to the Emergency Room after each fall. Hospice services have been initiated to monitor R1's medical issues and evaluate possible medication changes.

The facility has performed FIT testing for staff, has an Infection Control Plan in place, and has conducted staff training on the plan. The facility appears to be in substantial compliance at this time.

The complaint included allegations that facility staff were not administering medication timely, not assisting residents timely, and not keeping the facility free of pests. All allegations were investigated and found to be unfounded.

All allegations were found to be unfounded. Medication administration delays were explained by a resident being out with family, response times to resident assistance were reasonable, and although pests were present recently, the facility took prompt action with increased pest control visits.

The complaint alleged that a resident did not receive prescribed medication and possible financial abuse occurred. The investigation determined these allegations were unfounded due to the resident no longer residing at the facility and lack of evidence supporting the claims.

The investigation found the allegations to be unfounded as the resident in question had not lived at the facility for approximately 17 months prior to the complaint. No evidence was found to support claims of medication neglect or financial abuse.

The complaint included allegations about unmet resident needs, insufficient staffing, lack of incontinence care, inadequate nutrition, lack of transfer assistance, and unsanitary conditions. All allegations were found to be unfounded after interviews, observations, and record reviews.

The investigation found all allegations to be unfounded. Staff generally met residents' needs, staffing levels were adequate despite recent hiring challenges, incontinence care was provided, nutrition was adequate with good meals and snacks available, transfer assistance was timely, and the facility was clean and sanitary.

The complaint included allegations of resident falls resulting in injury, staff not documenting falls, falsification of medication records, staff turning off a resident's speaker without consent, and inadequate staffing. All allegations were found unsubstantiated due to lack of specific evidence or examples.

The investigation found no substantiated evidence for any of the allegations. Interviews and record reviews did not confirm falls, falsified medication records, unauthorized device interference, or inadequate staffing. No deficiencies were cited.

The facility was toured including common areas and resident rooms. The infection control domain was reviewed with the administrator, and the facility was found to be in insubstantial compliance at the time of the visit.

The complaint alleged that staff do not observe food service sanitation practices. The investigation found the allegation to be unfounded, meaning it was false or without reasonable basis.

The investigator found no evidence that staff failed to observe food service sanitation practices. Although some dirty dishes were still on dining tables shortly after lunch, the kitchen and dining areas were generally clean and residents reported no issues. The allegation was determined to be unfounded.

The facility was found to be in substantial compliance with infection control requirements. A Technical Advisory was issued regarding N-95 Fit Testing, and the facility is in the process of finding a resource for this.