Inspection Reports for Piedmont Gardens

An unannounced complaint investigation visit was conducted in response to allegations that staff did not provide medication assistance, proper supervision resulting in injury, and adequate hygiene care to residents.

The investigation found all allegations to be unsubstantiated based on interviews, record reviews, and observations. Residents in independent living manage their own medications, staff responded appropriately to a resident fall, and the resident's hygiene and apartment cleanliness were found satisfactory.

The complaint investigation was unsubstantiated. Allegations included failure to provide medication assistance, proper supervision resulting in injury, and hygiene care needs not met. Evidence did not support these claims.

An unannounced Case Management visit was conducted regarding an incident reported to the Community Care Licensing Division (CCLD) involving a resident who reported staff were rough while assisting with using a bedside commode.

The investigation found a skin tear on the resident's left thumb caused during assistance with the commode. The wound was cleaned and re-bandaged. The staff involved was placed on leave pending further investigation. No deficiencies were issued during the visit.

The visit was triggered by a complaint incident reported on 06/15/2025 involving alleged rough handling by staff causing a skin tear to a resident's thumb. The complaint was investigated with interviews and review of medical reports.

An unannounced Case Management visit was conducted regarding an incident reported to the Community Care Licensing Division on 05/06/2025 involving a resident who was administered the wrong medication.

The facility submitted an Unusual Incident Report for a medication error where an assisted living nurse, unfamiliar with residents, administered medication to the wrong resident. The resident showed no adverse reaction, and staff took corrective actions including monitoring, notifying the PCP and family, and providing in-service training. No deficiencies were issued during the visit.

The complaint involved a medication error where a resident was given the wrong medication due to staff shortage and unfamiliarity. The incident was reported, monitored, and corrective steps were taken. No deficiencies were cited.

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

The Licensing Program Analyst toured the facility and reviewed resident and staff records, finding no deficiencies. The facility was found to have adequate lighting, temperature control, food supply, medication security, and up-to-date fire safety measures.

An unannounced Case Management visit was conducted regarding an incident of staff misconduct reported to CCLD on 2024-02-16.

The facility conducted an internal investigation and found no intent to harm the resident; the handling was misinterpreted. No deficiencies were issued during the visit.

The complaint involved alleged rough handling of resident R1 by staff S2. The investigation found no complaints or adverse actions and the allegation was not substantiated.

Unannounced complaint investigation visit conducted due to allegations including staff not administering medication as prescribed, staff mishandling residents' medication, and a resident's bathroom fan being in disrepair.

The investigation found all allegations to be unsubstantiated after reviewing records, interviewing staff and the reporting party, and conducting a facility tour. Medication refusals by the resident were documented, no evidence of mishandling medication was found, and no bathroom fans in disrepair were observed during the visit.

The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

Unannounced complaint investigation visit conducted due to allegations that the facility neglected to provide adequate basic care needs and did not follow physician's orders.

The investigation included interviews, record reviews, and observations. The allegations were found to be unsubstantiated as evidence showed the facility provided adequate care and followed physician's orders.

The complaint was unsubstantiated. Allegations included neglect of basic care needs and failure to follow physician's orders. Investigation found no preponderance of evidence to prove violations occurred.

The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

The facility was inspected thoroughly including resident apartments, common areas, kitchen, and safety features. No deficiencies were cited; the facility was found clean, well-maintained, and compliant with safety and health standards.

The visit was an unannounced case management visit conducted to deliver an Immediate Exclusion letter and advise the facility to disassociate the individual from their facility.

An Immediate Exclusion letter was delivered to the Director of Human Resources, who stated that the individual was not currently a staff member at the facility. No further findings or deficiencies were noted.

The visit was an unannounced case management inspection related to an incident that occurred at the facility.

During the visit, the Licensing Program Analyst interviewed staff and residents who reported feeling safe and well-treated. Records for one resident were reviewed, and it was confirmed that the agency caregiver involved in the incident was removed from the facility. Video footage was reviewed but not obtained from the facility.

The visit was triggered by an incident complaint. The incident will be cross-reported to the Home Care Services Bureau for further investigation.

The visit was an unannounced case management visit to deliver an amended report regarding the allegation of unlawful eviction.

No deficiencies were cited during the visit. The amended report was delivered to the administrator and an exit interview was conducted.

The inspection was an unannounced complaint investigation visit triggered by an allegation of unlawful eviction received on 2021-12-21.

Based on interviews and investigation, the allegation of unlawful eviction was found to be unfounded. The resident was hospitalized and not evicted, and the facility was unable to accept the resident back until stabilized. No deficiencies were noted.

The complaint alleged unlawful eviction of Resident 1 (R1). The investigation found the allegation to be false and without reasonable basis, resulting in dismissal of the complaint.

The visit was an unannounced case management visit conducted as a result of receiving residents from Grand Lake Gardens and to check on those residents.

During the visit, staff schedules were reviewed, and 37 residents from Grand Lake Gardens were confirmed living in the facility. Residents reported feeling safe and comfortable, with one minor concern about call button use addressed. Supplies were adequate and staffing was stable, with no imminent health or safety concerns noted.

An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens (GLG) and to check on residents' well-being.

The visit found that 35 residents from GLG were currently living at Piedmont Gardens. Residents reported feeling safe, well-fed, and that their needs were met. Supplies were adequate and staffing was stable. There were no imminent health or safety concerns on the date of the visit.

An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens and to check on residents.

During the visit, 32 residents from Grand Lake Gardens were found living at Piedmont Gardens, with one resident having moved out. Residents reported feeling safe, well-fed, and their needs met. Adequate supplies and stable staffing were observed with no imminent health or safety concerns.

The visit was an unannounced case management inspection conducted due to receiving residents from Grand Lake Gardens (GLG) and to check on those residents.

The inspection found that 32 residents from GLG had moved into Piedmont Gardens, including 3 admitted prior to a fire. Five residents interviewed reported satisfaction with their care, and staffing was stable with some GLG staff transferred to Piedmont Gardens. Adequate food, paper, and PPE supplies were observed, and no imminent health or safety concerns were identified.

The visit was an unannounced case management visit conducted due to receiving residents from Grand Lake Gardens following evacuation from a major fire.

The report found that 20 residents from Grand Lake Gardens were admitted to Piedmont Gardens between 10/14/22 and 10/16/22, with residents placed in skilled nursing, assisted living, and independent living. Supplies such as food, paper, and PPE were adequate, and staffing was stable.

An unannounced case management visit was conducted due to receiving residents from Grand Lake Gardens following evacuation from a major fire.

The facility opened two dining halls to accommodate evacuees, residents were safe and staff were assisting with clothing, medication refills, and family contact. Supplies and staffing were adequate and stable.

An unannounced Infection Control Inspection was conducted to assess compliance with infection control protocols.

The facility was found to have proper infection control measures in place including screening, PPE usage, and adequate food and PPE supplies. No deficiencies were cited during the visit.