Inspection Reports for SweetBriar Assisted Living

Follow-up to Complaint #38678 to verify correction of previously cited deficiency.

The deficiency identified in the prior complaint investigation was corrected as of the follow-up inspection.

Follow-up to Complaint #38678; the deficiency was corrected.

Investigation of Complaint #39237 conducted from 07/01/25 to 07/02/25.

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

Complaint #39237 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #38678 conducted from 05/06/25 to 05/07/25 due to allegations related to medication errors and reporting failures.

The licensee failed to report a major incident involving a medication error for Resident #53 within the required timeframe. Resident #53 received medications prescribed for another resident, resulting in hospitalization due to low blood pressure. The complaint was substantiated and deficiencies were cited. Additional findings included inadequate housekeeping and maintenance issues observed during the facility tour.

Complaint #38678 was substantiated. The investigation found that the licensee failed to report a major incident involving a medication error for Resident #53. Resident #53 was hospitalized due to side effects from receiving medications prescribed for another resident. The Executive Director acknowledged the failure to report and planned additional staff training.

Follow-up to Complaint #34349 to verify correction of previously cited deficiency.

The deficiency identified in the prior complaint investigation was corrected as of the follow-up visit.

Complaint #34349 was investigated and the deficiency was corrected by the time of the follow-up visit.

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

The deficiencies identified in the prior annual survey were corrected as of the follow-up visit.

The inspection was conducted as an investigation of Complaint #34349 to determine compliance with reporting and safety regulations.

The complaint was substantiated with a deficiency cited for failure to report major incidents involving a resident who sustained multiple falls. The Director of Nursing confirmed unawareness of reporting requirements. The licensee plans to audit incidents and educate staff on reporting.

Investigation of Complaint #34349 on 10/10/24. The complaint was substantiated with a deficiency cited related to failure to report major incidents involving resident CR #5.

Annual environmental survey conducted to assess compliance with health and safety regulations related to toileting, hand washing, and bathing facilities.

The facility failed to provide bathtubs, showers, and sinks free from storage of linens and clothing to be laundered or for laundering of soiled linens and clothing. Specifically, mop buckets, black bags of soiled laundry, and brooms were stored within the communal shower/bathroom.

Annual survey conducted from 10/07/24 to 10/10/24 to assess compliance with state regulations for Sweetbriar Assisted Living, LLC.

The facility was found deficient in multiple areas including advertising a memory care unit without proper licensing, incomplete activity calendars, outdated or missing resident assessments and service plans, inadequate monitoring following incidents, missing medication handling information in admission agreements, lack of valid food handler certifications for dietary staff, restricted access to residents in a locked unit, and inadequate housekeeping and maintenance.

Investigation of Complaint #33684 regarding the facility's compliance and care standards.

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

Complaint #33684 was investigated and found to be unsubstantiated with no deficiencies cited.

First follow-up to annual survey and complaint #30107 to verify correction of previous deficiencies.

All deficiencies identified in the prior annual survey and complaint investigation were cleared during this follow-up visit.

Complaint #30107 was investigated and deficiencies related to it were cleared.

Annual survey conducted concurrently with an investigation of Complaint #30107.

The facility was found deficient in multiple areas including failure to report major incidents timely, inadequate housekeeping and maintenance, incomplete resident records, missing policies and procedures for specific resident needs, lack of staff training on specialty care, incomplete medication administration records, and failure to maintain cleanliness of physical facilities.

Complaint #30107 was substantiated during the survey.

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 in a secured unit shower room and various maintenance issues such as carpet damage, missing bathroom fixtures, and cleanliness concerns.

The inspection was conducted as a complaint investigation related to issues raised by Assisted Living residents regarding housekeeping, pest infestation, and maintenance concerns.

The facility failed to maintain a safe, sanitary, and pest-free environment. Observations included filthy kitchen conditions with dead rodents and insects, presence of mice droppings in resident rooms, unclean linens, and inadequate housekeeping. Multiple residents and staff interviews confirmed ongoing pest problems and insufficient cleaning practices.

Complaint #28611 was substantiated with citations. The complaint investigation was conducted on 06/21/23 regarding pest infestation, inadequate housekeeping, and maintenance issues affecting Assisted Living residents.

Revisit to annual inspection to verify correction of previously cited deficiencies.

The revisit inspection found that all previously cited deficiencies were cleared.

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

The revisit inspection found that the previously cited deficiencies were cleared.

Revisit inspection to verify correction of previously cited deficiencies (CI#27843).

Deficiencies cited in the prior inspection were cleared during this revisit inspection conducted on April 17, 2023.

The inspection was conducted as an annual survey to assess compliance with health and safety regulations, resident assessments, dietary services, and housekeeping standards.

The facility failed to ensure timely tuberculosis screenings for two residents, adequate reporting of unplanned weight changes for three residents, and proper housekeeping and maintenance, including damaged carpets and missing bathroom fixtures. Plans of correction were provided to address these deficiencies.

The inspection was conducted as an annual license renewal survey to determine compliance with state requirements.

The facility was found to be in substantial compliance with the applicable rules based on documentation review, staff interviews, observations, and performance testing.

Revisit inspection conducted to follow up on complaint investigation CI#27275.

The revisit inspection found that the previously cited deficiency was cleared.

Revisit related to complaint investigation CI#27275; deficiency was cleared.

Revisit inspection conducted to follow up on complaint investigation CI#27552.

The deficiency cited in the previous inspection was cleared during this revisit inspection.

Revisit CI#27552 related to a previous complaint investigation.

The inspection was conducted in response to a substantiated complaint (#27843) regarding the presence of rodents in the facility.

The facility failed to keep the residence free of rodents, with evidence of mice fecal matter found in multiple resident rooms and common areas. Interviews with staff and residents confirmed the presence of mice. The facility acknowledged the problem and had contacted pest control services to address it.

Complaint #27843 was substantiated. The complaint was entered on 01/05/23 at 9:30 AM and the exit was on 01/05/23 at 12:00 PM.

The inspection was conducted as a complaint investigation related to medication administration and facility housekeeping concerns.

The facility failed to ensure safe medication administration, including crushing medications without physician orders and improper delivery of medication-laden food trays. Additionally, the Medication Administration Records (MAR) were inaccurate with missing signatures and unexplained circled initials. The facility also failed to maintain adequate housekeeping and maintenance, with issues such as damaged carpets, missing bathroom fixtures, and unclean sinks.

Complaint #27796 was substantiated. The complaint involved unsafe medication administration practices and inadequate housekeeping. The investigation confirmed multiple medication errors and housekeeping deficiencies.

The inspection was conducted as a complaint investigation (Complaint survey #27275) to evaluate the licensee's compliance with documentation and safety requirements.

The licensee and administrator failed to document whether social and recreational activities occurred as planned, potentially affecting all residents. Additionally, deficiencies in housekeeping and maintenance were observed, including personal belongings left out, carpet damage, and missing bathroom fixtures.

Complaint survey #27275, Event ID: APPV11, Census: 66, Substantiated Complaint.

The inspection was conducted as a complaint investigation related to the facility's failure to respond to resident complaints in a timely manner and other compliance issues.

The facility failed to respond to complaints within the required four-day period, neglected to verify medication shipments against physician orders for a resident, and did not ensure call pendants were functioning and accessible to residents. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets and missing bathroom fixtures.

Complaint #WV0000027552 involved failure to respond to complaints timely and medication administration errors. The complaint was substantiated with findings of delayed complaint responses and medication verification failures.

This was a 1st follow-up visit to a complaint survey identified by Complaint ID#: WV00026553 conducted to verify correction of previously cited deficiencies.

The deficiency cited in the prior complaint survey was corrected as of the follow-up visit on 07/06/2022.

Complaint ID#: WV00026553. The visit was a follow-up to a complaint survey to verify correction of deficiencies.

This was a 1st follow-up visit to a complaint survey identified by Complaint ID WV00026663 conducted to verify correction of previously cited deficiencies.

The deficiencies identified in the prior complaint survey were corrected as of the follow-up visit on 07/06/2022.

Complaint ID WV00026663 was investigated during the initial complaint survey, and deficiencies were corrected by the time of this follow-up visit.

This was a 1st follow-up visit to a Change of Ownership Survey conducted at the facility.

The deficiencies identified in the previous survey were corrected as of this follow-up visit.

The visit was a 1st follow-up to a complaint survey identified by Complaint ID WV00026665.

The deficiency identified in the prior complaint survey was corrected at the time of this follow-up visit.

Complaint ID WV00026665 was investigated and the deficiency was corrected.

The inspection was conducted as a complaint investigation (#26665) triggered by concerns regarding the facility's compliance with service plans and resident care.

The licensee failed to ensure that functional needs assessments and service plans reflected residents' current needs and were updated as indicated by significant changes. Specifically, Resident #46's service plan did not include weekly weights and dressing changes despite physician orders. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpet, missing bathroom fixtures, and unclean areas.

Complaint Investigation #26665 entered on 2022-03-28 at 12:00 p.m. and exited on 2022-03-29 at 2:45 p.m. Census at time of investigation was 69. The complaint was substantiated based on findings related to service plan deficiencies and housekeeping issues.

The inspection was conducted as a complaint investigation related to a major incident involving a resident fall and failure to report the incident to the Office of Health Facility Licensure and Certification in a timely manner.

The licensee failed to report a major incident involving a resident fall and injury to the licensing agency as required. Documentation review and interviews confirmed the incident was not reported promptly. Nursing staff were reeducated on reporting requirements and tracking of incident reports was implemented.

Complaint ID: 26653. The investigation was initiated due to failure to report a major incident involving resident #C2 who fell and sustained injuries. The incident was not reported timely to the licensing agency. The complaint investigation occurred from 03/28/22 to 03/29/22.

Complaint survey conducted due to allegations of abuse involving two incapacitated residents at Sweetbriar Assisted Living, LLC.

The facility failed to notify the licensing agency within 72 hours of an allegation of abuse and failed to conduct a thorough investigation or implement appropriate sanctions to prevent recurrence. Two residents (#12 and #30) were involved in alleged sexual abuse incidents, with inadequate staff response and documentation. Additionally, the facility failed to maintain adequate housekeeping and maintenance.

Complaint ID 26663 initiated due to allegations of sexual abuse involving residents #12 and #30. The facility failed to notify the licensing agency timely, failed to investigate allegations, and failed to implement appropriate safeguards. Staff interviews revealed knowledge of incidents but lack of proper reporting and investigation.

The inspection was conducted as a license renewal survey to determine compliance with applicable Federal, State, and local Emergency Preparedness requirements during a change of ownership.

The facility was found to be in substantial compliance with the licensing rule and all applicable emergency preparedness requirements. No deficiencies or tags were cited during this survey.

The inspection was conducted as a routine survey to assess compliance with regulations governing assisted living residences, including admission agreements, policies and procedures, and housekeeping and maintenance standards.

The facility was found deficient in ensuring admission agreements included required information on medication disposition and licensed nurse coverage. Additionally, the facility lacked adequate written policies and procedures consistent with regulations and failed to maintain adequate housekeeping and maintenance, including damaged carpets, missing bathroom fixtures, and unclean sinks.

The visit was conducted to review credible evidence regarding previously cited deficiencies and verify if corrections had been made.

On 06/04/21, credible evidence review revealed that previously cited deficiencies had been corrected.

The inspection was conducted as a recertification annual licensure survey to assess compliance with regulatory requirements.

Based on observation, staff interview, and document review, the facility is providing and maintaining the interior of the residence as a safe environment for residents. The facility census was 55 at the time of the survey.

The inspection was conducted as the facility's annual survey to assess compliance with licensing and regulatory requirements.

The inspection identified multiple deficiencies including failure to complete annual individualized functional needs assessments timely and properly, incomplete and unsigned health assessments, missing admission weights, inadequate documentation related to resident deaths, and inadequate housekeeping and maintenance issues within the facility.

The inspection was conducted as a complaint survey (#25070) to investigate four allegations made against the facility.

All four allegations investigated during the complaint survey were found to be unsubstantiated.

Complaint survey #25070 was conducted, and all four allegations were unsubstantiated.

The inspection was conducted as an Infection Control Survey to assess compliance with infection control standards at Sweetbriar Assisted Living, LLC.

The survey found no deficiencies or tags cited related to infection control. The census was 50 residents, and the survey sample size was 100%. No complaints were substantiated.

This was a complaint survey conducted in response to Complaint #WV00024782.

The complaint was unsubstantiated and no deficiencies were found during the inspection. Contact was made with the Ombudsman.

Complaint #WV00024782 was investigated and found to be unsubstantiated.

A desk review was completed on 02/06/20 of credible evidence submitted for deficiencies cited during the annual survey which concluded on 01/23/20.

All deficiencies cited during the annual survey have been corrected as of the desk review date.

Annual survey conducted from 01/20/20 to 01/22/20 to assess compliance with health and safety regulations and admission agreement requirements at Sweetbriar Assisted Living, LLC.

The facility failed to include required nursing care services and cardiopulmonary resuscitation information in the admission agreement, and did not inform residents about pets on the premises. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpet, missing bathroom fixtures, and unclean areas.

The inspection was conducted in response to complaint number 23588 at Sweetbriar Assisted Living.

No deficiencies were found during the inspection, and the complaint was determined to be unsubstantiated.

Complaint number 23588 was investigated and found to be unsubstantiated.

The inspection was conducted for license renewal of the facility.

Based on a facility tour and staff interview, the facility was found to be providing and maintaining a safe environment for residents with no deficiencies cited.

The inspection was conducted in response to a complaint identified by Complaint ID WV00023193.

No deficiencies were cited during the inspection conducted from September 23-25, 2019.

Complaint ID WV00023193 was investigated and found to have no deficiencies cited.

The inspection was conducted as a Change of Ownership (CHOW) survey from March 4-6, 2019.

No deficiencies were cited during this Change of Ownership survey.

The inspection was conducted as a Change of Ownership (CHOW) survey for Sweetbriar Assisted Living.

No deficiencies were identified during the survey conducted on March 4, 2019.

The inspection was conducted as a complaint investigation from December 10-13, 2018.

No deficiencies were cited during this complaint investigation.

Complaint investigation conducted with no deficiencies cited.

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

No deficiencies were cited during this annual licensure and environmental survey.

The inspection was conducted as an annual licensure survey to assess compliance with state regulations for Sweetbriar Assisted Living, LLC.

The facility was found deficient in providing annual in-service training to staff on required topics, ensuring proper release of resident belongings upon death, maintaining adequate housekeeping and maintenance, and preparing therapeutic diets according to physician orders.

The inspection was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted from February 26-28, 2018, with a census of 67 residents. A follow-up survey on March 27, 2018, with a census of 63, noted that deficiencies were corrected.

The inspection was conducted as a complaint investigation related to the facility's failure to ensure locked storage for hazardous materials and housekeeping supplies.

The facility failed to secure housekeeping supplies, insecticides, and work supplies in locked storage, with multiple unlocked closets and ineffective locks observed. Additionally, the facility had issues with housekeeping and maintenance, including damaged carpets, missing bathroom fixtures, and cluttered personal belongings.

Complaint ID WV00019665. The complaint investigation found the licensee failed to ensure locked storage for hazardous materials and housekeeping supplies, and inadequate housekeeping and maintenance were observed.

The inspection was conducted as a complaint investigation based on Complaint ID WV00019665 during February 5-6, 2018.

Deficiency was cited during the complaint investigation. A follow-up visit on February 27, 2018, with a census of 67, confirmed that the deficiencies were corrected.

Complaint investigation conducted for Complaint ID WV00019665. Deficiency was cited and subsequently corrected as confirmed in follow-up visit.

The inspection was conducted as a complaint investigation based on Complaint ID WV00019135 during the visit on November 2-3, 2017.

No deficiencies were cited during the complaint investigation.

Complaint ID WV00019135 was investigated with no deficiencies cited.

The inspection was conducted as a complaint investigation identified by Complaint ID # WV00018296.

No deficiencies were cited during this complaint investigation.

Complaint ID # WV00018296 was investigated with no deficiencies cited.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements for Sweetbriar Assisted Living, LLC.

The annual licensure survey found no deficiencies at the facility during the inspection period from February 27 to March 2, 2017.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements for Sweetbriar Assisted Living, LLC.

The annual licensure survey found no deficiencies and no technical assistance was required.

The inspection was conducted as a complaint investigation for complaint number WV00016178 during August 1-2, 2016.

The report documents deficiencies identified during the complaint investigation at Sweetbriar Assisted Living, LLC. Specific findings or details of deficiencies are not provided in the text.

Complaint #: WV00016178; Investigation conducted August 1-2, 2016; Census at time of investigation was 47.

The document is an annual licensure survey conducted to assess compliance with regulatory requirements for Sweetbriar Assisted Living, LLC.

The report summarizes the annual licensure survey conducted from March 22-24, 2016, with a census of 48 residents. No specific deficiencies or findings are detailed in the provided text.

The document is an annual licensure survey conducted to assess compliance with regulatory requirements for Sweetbriar Assisted Living, LLC.

The survey found no deficiencies and no technical assistance was required during the inspection.

The inspection was conducted as a complaint investigation from January 11-13, 2016.

The report documents a complaint investigation at Sweetbriar Assisted Living, LLC with a census of 48 residents. Specific deficiencies or findings are not detailed in the provided text.

Complaint investigation WV00014911 conducted January 11-13, 2016 with census of 48.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC from January 11-13, 2016.

The report documents a complaint investigation but does not provide specific findings or deficiencies within the text provided.

Complaint Investigation WV00014848 conducted January 11-13, 2016 with a census of 48 residents.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC from July 6-8, 2015.

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

Complaint investigation WV00013908 conducted July 6-8, 2015 with a census of 56 residents.

The visit was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC.

The annual licensure survey conducted from March 23-25, 2015 found no deficiencies at the facility.

The visit was conducted as an annual licensure survey of Sweetbriar Assisted Living to assess compliance with regulatory requirements.

The inspection found no deficiencies cited during the environmental survey of the facility.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC on January 5-6, 2015.

The report references a complaint investigation but does not provide specific findings or deficiencies within the document.

Complaint investigation WV00012689 conducted January 5-6, 2015 with census 68. No substantiation status or detailed complaint findings are provided.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC from July 21 to July 23, 2014.

The report summarizes the complaint investigation conducted over the specified dates with a census of 75 residents. No specific findings or deficiencies are detailed in the provided text.

Complaint investigation WV00011731 conducted July 21-23, 2014 with census of 75.

The inspection was conducted as a complaint investigation on July 22, 2014.

No deficiencies were found during the complaint investigation.

Complaint investigation conducted with no deficiencies found.

The inspection was conducted as a complaint investigation for Sweetbriar Assisted Living, LLC.

The report references a complaint investigation with no detailed findings provided in the summary statement of deficiencies section.

Complaint investigation WV00011584 conducted on June 30, 2014, with a census of 70 residents.

The visit was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

The report summarizes the findings from the annual licensure survey conducted March 25-27, 2014, with a census of 70 residents. No specific deficiencies or severity levels are detailed in the provided document.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements for Sweetbriar Assisted Living, LLC.

The annual licensure survey found no deficiencies at the facility during the inspection.

The inspection was conducted as a general survey of Sweetbriar Assisted Living, LLC from January 2-8, 2014, to assess compliance with health and safety regulations.

The report contains initial comments and notes a census of 69 residents. No specific deficiencies or severity levels are detailed in the provided page.

The inspection was conducted as a complaint investigation on December 18, 2013, at Sweetbriar Assisted Living, LLC.

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

Complaint investigation conducted on December 18, 2013, with a census of 68 residents. No substantiation status or specific complaint details are provided.

The inspection was conducted as a complaint investigation to review medication administration practices and compliance with physician orders at Sweetbriar Assisted Living, LLC.

The investigation found that the administrator and registered nurse failed to ensure medications were administered according to physician orders for one resident, specifically administering Lisinopril and Metoprolol despite orders to hold these medications when blood pressure was below 100/60.

The complaint investigation was based on medication administration errors for Resident #C1, where medications were given despite physician orders to hold them under certain blood pressure conditions.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC.

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

Complaint investigation conducted on December 10, 2013, with a census of 69 residents. No substantiation status or detailed complaint findings are provided.

The inspection was conducted as a complaint investigation from November 5-11, 2013.

No deficiencies or technical assistance were identified during the complaint investigation.

Complaint investigation WV00008976 conducted with no deficiencies found and no technical assistance provided.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC.

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

Substantiated with no deficiencies

The inspection was conducted as a complaint investigation triggered by a complaint regarding unresolved resident complaints and issues with nursing oversight.

The administrator failed to ensure all resident complaints were resolved promptly and responded to within four days. Additionally, there was inadequate oversight of nursing services, including failure to clarify conflicting medication orders for a resident after hospital discharge.

The complaint involved a resident's lost eyeglass lens not noticed by staff, unshaved and soiled depends, and lack of response to the complainant's request for a call. The administrator failed to respond to the complaint within the required timeframe.

The inspection was conducted as a complaint investigation for complaint #WV00008419 on July 16-17, 2013.

The report documents a complaint investigation and a follow-up visit related to the complaint. Census counts were noted as 80 during the initial complaint investigation and 77 during the follow-up.

Complaint #WV00008419 was investigated on July 16-17, 2013, with a follow-up on October 7, 2013. Census was 80 at the time of the complaint investigation and 77 at follow-up.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC from June 4-6, 2013.

The complaint investigation was unsubstantiated, and technical assistance was provided during the visit.

Complaint investigation WV00008097 was unsubstantiated.

The inspection was conducted as a complaint investigation for Sweetbriar Assisted Living, LLC.

The complaint investigation was unsubstantiated with no deficiencies cited.

Complaint investigation WV00007937 conducted on April 2, 2013, with a census of 57 residents. The complaint was found to be unsubstantiated.

The visit was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC.

The annual licensure survey found no deficiencies and no technical assistance was required.

The visit was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

No deficiencies were cited during this annual licensure survey, indicating the facility met all required standards at the time of inspection.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC.

The complaint investigation was unsubstantiated and technical assistance was provided to the facility.

The complaint investigation was unsubstantiated.

The inspection was conducted as a complaint investigation regarding the facility's failure to report a major incident involving two residents in a compromising situation to the licensing agency in a timely manner.

The administrator failed to report a major incident involving two residents found in an inappropriate sexual position to the licensing agency as required. The facility took steps to address the incident internally, including notifying medical power of attorneys and ordering psychological evaluations. The complaint was substantiated with a Class III deficiency.

Complaint Investigation #WV00007080 was substantiated with a Class III deficiency; no follow-up will be conducted.

The visit was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with state regulations and licensing requirements.

The survey found deficiencies in employee orientation and training, specifically that the administrator failed to provide adequate training within the first fifteen days of employment for all new employees. Additional findings included inadequate training content regarding mandatory reporting, ombudsman role, complaint procedures, and resident rights.

The inspection was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

The report summarizes the annual licensure survey conducted from February 22-27, 2012, with a follow-up survey on April 30, 2012, indicating that a previously cited deficiency was corrected.

Annual licensure survey conducted to assess compliance with regulatory requirements for Sweetbriar Assisted Living, LLC.

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

The inspection was conducted as a complaint investigation from December 5-8, 2011, related to concerns at Sweetbriar Assisted Living, LLC.

The complaint investigation was unsubstantiated, and technical assistance was provided to the facility.

Complaint Investigation #WV00006831 conducted December 5-8, 2011. The complaint was unsubstantiated.

The inspection was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC, including a follow-up survey to verify correction of previous deficiencies.

The facility was found deficient in ensuring that residency contracts were properly completed and signed, with repeated issues in contract documentation. Additionally, medication carts in the memory care unit were not consistently locked, posing a risk to residents. Housekeeping and maintenance issues were also noted, including damaged carpets and missing bathroom fixtures.

The purpose of the visit was to conduct the annual licensure survey of Sweetbriar Assisted Living, LLC.

The survey found no deficiencies and no technical assistance was required.

Annual licensure survey conducted February 22-24, 2011 to assess compliance with state regulations for Sweetbriar Assisted Living, LLC.

The survey identified multiple deficiencies including failure to provide annual employee training on required topics, incomplete or unsigned resident contracts, medication administration errors and documentation issues, unlocked medication cart on the Alzheimer's unit, and inadequate infection control practices during medication pass.

The inspection was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted from February 22-24, 2011, followed by two follow-up visits on April 20, 2011, and June 6, 2011, during which deficiencies were corrected and technical assistance was provided.

The inspection was conducted as a complaint investigation for complaint #WV00005657.

The complaint investigation was conducted by Donna Williamson, RN, HFNS II, and the complaint was found to be unsubstantiated.

Complaint #WV00005657 was investigated and found to be unsubstantiated.

The inspection was conducted as a complaint investigation for Sweetbriar Assisted Living, LLC.

The complaint investigation was unsubstantiated, and technical assistance was applied during the visit.

Complaint Investigation #WV00005586 conducted by Donna Williamson, RN, HFNS II on March 29, 2010. The complaint was unsubstantiated.

The inspection was conducted as an annual licensure survey to assess the environment and compliance of Sweetbriar Assisted Living, LLC.

No deficiencies were cited during the annual licensure survey conducted on March 8, 2010.

The visit was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with state regulations.

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

The visit was conducted as a complaint follow-up investigation related to tags E0200 and E0201 at Sweetbriar Assisted Living facility.

The report documents a complaint investigation and a follow-up visit where deficiencies were corrected. The census at the time was 48 residents.

Complaint investigation #WV00005403 conducted December 28-29, 2009, followed by a complaint follow-up on February 1, 2010. Deficiencies cited in the complaint were corrected by the follow-up visit.

The inspection was conducted as a complaint investigation on December 28-29, 2009, to assess compliance with health care standards and medication administration regulations at Sweetbriar Assisted Living, LLC.

The investigation found multiple deficiencies related to medication administration practices, including pre-pouring medications in unmarked cups, failure to document PRN medication administration, and administering medications outside prescribed times. Additionally, housekeeping and maintenance issues were noted from a prior survey in 2004, but the main focus was on medication administration compliance.

The complaint investigation focused on medication administration practices and compliance with applicable federal and state laws, including W. Va. Code § 16-5O-1 et seq. and Division of Health rule 64CSR60. The deficiencies were substantiated based on observations, record reviews, and interviews conducted during the survey.

The inspection was conducted as a complaint investigation for complaint #WV00005194 at Sweetbriar Assisted Living, LLC.

The complaint investigation was unsubstantiated with no deficiencies cited.

Complaint #WV00005194 was investigated and found to be unsubstantiated.

The inspection was conducted as an Annual Licensure Survey from March 24-26, 2009, with a follow-up survey on April 29, 2009, to verify correction of medication administration deficiencies.

The facility was found deficient in providing appropriate medication instructions, specifically the route of administration was missing in multiple medication orders for several residents. The follow-up survey noted that all medication orders were re-checked and re-done to include the route of administration. Additional observations from a prior behavioral health survey in 2004 noted safety and housekeeping deficiencies, but these are not the focus of the 2009 inspection.

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

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

The inspection was conducted as an annual licensure survey to assess compliance with resident rights, health care standards, and medication administration requirements at Sweetbriar Assisted Living, LLC.

The survey found deficiencies in prompt complaint resolution and documentation, incomplete transfer/discharge summaries for residents, and failure to identify the route of medication administration in multiple medication orders.

The visit was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted from March 24-26, 2009, with a census of 60 residents. A follow-up survey was conducted on April 29 and May 28, 2009, with census counts of 55 and 54 respectively, and the deficiency identified was corrected.

The visit was conducted as an annual licensure survey to assess the environment and compliance of Sweetbriar Assisted Living, LLC.

The survey found no deficiencies in the environment during the annual licensure inspection.

Annual licensure survey conducted to assess compliance with resident rights, health care standards, dietary services, and housekeeping requirements.

The facility was found deficient in ensuring resident privacy during personal assistance, timely response to resident complaints, availability of physician-ordered medications, and provision of freshly prepared meals. Additionally, housekeeping and maintenance issues were noted from a prior behavioral health survey.

The inspection was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

The report indicates that deficiencies identified during the annual licensure survey were corrected during a follow-up survey conducted in April 2008. Technical assistance was also provided.

The inspection was conducted as a complaint investigation regarding missing resident medications and compliance with medication handling policies.

The facility failed to ensure staff compliance with medication handling policies, resulting in an employee mistakenly taking resident #65's medication home and failing to report the incident timely. Additionally, the facility did not maintain all resident medications in locked storage as required. The administrator also failed to report the major incident of missing medications to the licensing authority as required.

Complaint Investigation #WV00003386 conducted May 15-16, 2007. The complaint involved missing resident medications and failure to report the incident to OHFLAC.

The inspection was conducted as a complaint investigation at Sweetbriar Assisted Living, LLC on May 15-16, 2007.

The report documents deficiencies identified during the complaint investigation and notes a follow-up survey on June 25, 2007, where deficiencies were corrected.

Complaint Investigation #WV00003386 conducted May 15-16, 2007 with census 73. Follow-up survey on June 25, 2007 with census 65 confirmed deficiencies were corrected.

The inspection was conducted as a complaint investigation followed by a complaint follow-up to verify correction of deficiencies.

The report documents a complaint investigation conducted February 18-19 and 22, 2007, with a follow-up visit March 26-28, 2007, during which deficiencies were corrected.

Complaint investigation conducted February 18-19 and 22, 2007, with follow-up March 26-28, 2007. Deficiencies were corrected.

The inspection was conducted as an annual licensure survey to assess compliance with health and safety regulations, employee training requirements, and medication administration standards.

The survey found deficiencies in employee orientation and training, specifically that nine of ten employees lacked documentation of required annual training. Additionally, medication administration practices were deficient, with quarterly medication pass observations not properly conducted and documentation incomplete. Housekeeping and maintenance issues were also noted from a prior survey.

The inspection was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted from March 26-28, 2007, with a census of 69 residents. A follow-up survey was conducted May 15-16, 2007, with a census of 73, during which deficiencies were corrected and technical assistance was given.

Annual licensure survey conducted to assess the environment and compliance of Sweetbriar Assisted Living, LLC.

The survey found no deficiencies in the facility environment during the annual licensure inspection.

The inspection was conducted as a complaint investigation regarding failure to report major incidents and concerns about inadequate activities and physical facility maintenance.

The facility failed to report major incidents involving resident elopements, did not provide the required minimum of one hour of daily activities for residents on several days, and failed to maintain the interior of the residence in a clean and sanitary manner, including a persistent urine odor.

The complaint investigation revealed that the administrator failed to notify the licensing agency of three major incidents involving resident elopements. Residents also complained about insufficient activities. The facility was found to have inadequate housekeeping and maintenance.

The inspection was conducted as an annual licensure survey and included follow-up visits to verify correction of previous deficiencies.

The facility was found deficient in ensuring timely and complete tuberculosis (TB) screenings for residents, with repeated failures to document annual TB screenings and to read TB test results. Additionally, housekeeping and maintenance issues were noted, including damaged carpets, missing bathroom fixtures, and unclean areas.

The inspection was conducted as a complaint investigation for complaint #WV00002826 at Sweetbriar Assisted Living, LLC.

The complaint investigation was unsubstantiated with no deficiencies found. Technical assistance was provided during the visit.

Complaint # WV00002826 was investigated and found to be unsubstantiated with no deficiencies identified.

Annual licensure survey and follow-up conducted to assess compliance with health and safety regulations, staffing requirements, health care standards, and medication administration.

The facility was found deficient in staffing adequacy, health assessments including tuberculosis screenings, medication administration protocols, and housekeeping/maintenance standards. Several residents lacked timely TB screenings and PRN medication orders lacked specific parameters. The facility failed to ensure awake night supervision on weekends and adequate licensed nursing coverage.

The purpose of the visit was to conduct the annual licensure survey of the facility environment.

No deficiencies were cited during the annual licensure survey conducted on April 5, 2006.

The inspection was conducted as an annual licensure survey to assess compliance with state regulations and licensing requirements for Sweetbriar Assisted Living, LLC.

The survey identified multiple deficiencies including failure to submit required abuse registry screenings prior to hiring, inadequate housekeeping and maintenance, incomplete health assessments including tuberculosis screenings, medication administration issues such as PRN orders lacking parameters, missing prescriptive medication orders, medication availability problems, and failure to document quarterly assessments for residents self-administering medications.

The inspection was conducted as an annual licensure survey of Sweetbriar Assisted Living, LLC to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted on March 27-28, 2006, followed by multiple follow-up surveys to verify correction of deficiencies. The deficiencies identified during the initial survey were subsequently corrected by the third follow-up visit on July 25, 2006.

The inspection was conducted as an annual licensure survey with follow-up visits and included a complaint investigation (Complaint Investigation #WV00001945).

The survey identified deficiencies related to safety and housekeeping in the facility, including inadequate supervision during weekend nights and maintenance issues such as damaged carpets and missing bathroom fixtures. Follow-up inspections were conducted to verify correction of these deficiencies.

Complaint Investigation #WV00001945 was included in the annual licensure survey conducted March 14-16, 2005.

The inspection was conducted as a complaint investigation (#WV00002375) to assess staffing adequacy and compliance with care needs requirements at Sweetbriar Assisted Living, LLC.

The facility failed to ensure sufficient staffing on the night shift to meet the care needs of residents, with only two staff on duty on 29% of nights reviewed. Residents reported delays in staff response, and the facility had ongoing staffing challenges including voluntary resignations.

Complaint #2375 was investigated. Informal Dispute Resolution was held on 12/7/2005 with the administrator. Additional information was received and a deficiency was deleted. The complaint was substantiated regarding insufficient night shift staffing.

Annual licensure survey conducted March 14-16, 2005, with multiple follow-up visits through August 30-31, 2005, including complaint investigation #WV00001945 and survey follow-ups to verify correction of deficiencies.

The facility failed to ensure medications and treatments were administered by appropriately licensed personnel, with multiple deficiencies in medication administration by approved medication assistive personnel (AMAP). There were repeated failures in completing quarterly reviews, following physician orders, and proper medication handling. Additionally, housekeeping and maintenance deficiencies were noted, including unsafe environment conditions and inadequate physical upkeep. Staffing shortages and improper delegation of nursing tasks were also identified.

Complaint investigation #WV00001945 was included in the annual survey. The complaint involved medication administration and nursing care deficiencies.

Annual licensure survey and complaint investigation conducted to assess compliance with health and safety regulations, staffing requirements, medication administration, service plan accuracy, and physical facility standards.

The facility was found deficient in multiple areas including inadequate staffing of licensed nurses, improper medication administration by unlicensed personnel, failure to update and maintain accurate service plans and assessments, inadequate housekeeping and maintenance, unsecured medications, improper storage and labeling of medications, failure to document weekly nursing progress notes, and an inaudible or inaccessible call system for residents.

Complaint Investigation #WV00001945 was included in the annual licensure survey. Specific complaint details are not separately stated but deficiencies related to medication administration, staffing, and resident care were noted.

Re-licensure survey and complaint investigation with follow-up visits to verify correction of previous deficiencies.

The facility was found deficient in multiple areas including staffing inadequacies, medication administration errors, incomplete nursing assessments and service plans, inadequate employee training, poor housekeeping and maintenance, failure to monitor residents after incidents, and improper medication storage and labeling. Several deficiencies were repeat findings from prior surveys.

Complaint investigation #1945 triggered the survey. Deficiencies included medication errors, staffing issues, and failure to maintain accurate records and training. Follow-up visits were conducted to verify correction.

Annual environmental inspection of Sweetbriar Assisted Living, LLC to assess compliance with health and safety regulations.

The inspection found no deficiencies related to the environment during the visit on March 24, 2005.

Relicensure survey and complaint investigation conducted March 14-16, 2005, including review of employee records and resident files.

The facility was found deficient in multiple areas including failure to complete nursing assessments within 24 hours of admission, inadequate staffing records, failure to designate responsible staff in administrator's absence, inadequate employee orientation and training, failure to maintain personnel records, failure to report abuse to adult protective services, incomplete resident contracts, incomplete or untimely resident service plans, medication administration deficiencies including unlabeled insulin syringes and lack of physician orders for self-administered medications, failure to maintain medication security, inadequate infection control during meals, failure to monitor residents after incidents, incomplete nursing visit logs, failure to provide adequate activity programs, and failure to report significant weight changes to physicians.

Complaint investigation #1945 conducted March 14-16, 2005 revealed multiple deficiencies related to nursing assessments, staffing, training, abuse reporting, medication administration, resident care, activities, and documentation.

Complaint Investigation #WV00001775 was conducted to investigate allegations at Sweetbriar Assisted Living, LLC.

The complaint investigation was unsubstantiated and no deficiencies were found during the inspection.

Complaint Investigation #WV00001775 was unsubstantiated with no deficiencies identified.

This document is a follow-up inspection conducted on August 17, 2004, to verify correction of previously identified deficiencies from the annual inspection and first follow-up visits.

The report indicates that deficiencies identified during the annual inspection and first follow-up have been corrected as of the second follow-up visit. The census was 71 residents at the time of this follow-up.

This is a follow-up survey conducted on June 2, 2004, to verify correction of deficiencies identified during the annual inspection conducted March 10-11, 2004.

The facility continued to have deficiencies related to admission agreements, health assessments, functional needs assessments, and housekeeping/maintenance issues. Plans of correction were in place with specified completion dates to address these issues.

This document is a follow-up survey conducted to verify correction of deficiencies identified during a complaint investigation and previous follow-up visits.

The deficiencies identified in the initial complaint investigation and subsequent follow-ups were corrected by the time of the third follow-up survey on June 2, 2004.

Complaint Investigation #WV00000911 initiated on November 20, 2003, with multiple follow-ups on February 3, 2004, March 10-11, 2004, and June 2, 2004. Deficiencies were corrected by the third follow-up.

Annual inspection conducted March 10-11, 2004 to assess compliance with health and safety regulations, employee training, personnel records, admission and discharge policies, resident rights, health care standards, medication administration, and facility maintenance.

The facility was found deficient in multiple areas including inadequate housekeeping and maintenance, failure to provide required employee orientation and annual training, incomplete personnel records, inadequate admission agreements, failure to respond promptly to resident complaints, incomplete health assessments and functional needs assessments, inaccurate or missing medication orders, failure to ensure medication security, and insufficient nursing documentation of resident care.

Environmental survey conducted at Sweet Briar to assess compliance with health and safety regulations.

No deficiencies were issued during the environmental survey conducted on February 25, 2004.

Complaint investigation regarding staffing inadequacies and failure to meet care needs of residents, as well as deficiencies in housekeeping, maintenance, and service plan documentation.

The facility failed to provide adequate staffing levels based on residents' care needs, resulting in insufficient direct care staff on day and evening shifts. Housekeeping and maintenance were inadequate, with issues such as damaged carpet, missing bathroom fixtures, and unclean sinks. Service plans for residents with nursing needs were incomplete or inaccurate, lacking critical information about care responsibilities and symptoms to report.

Complaint Investigation #WV00000911 initiated due to concerns about staffing inadequacies and failure to meet residents' care needs. The complaint was substantiated with findings of repeated deficiencies in staffing, housekeeping, and service plan documentation.

The inspection was conducted as a complaint investigation related to staffing inadequacies, health and safety concerns, and failure to ensure appropriate licensed health care professional assessments following resident complaints or incidents.

The facility failed to provide adequate staffing levels based on residents' care needs, did not maintain a safe and clean environment, and failed to ensure licensed health care professionals assessed residents after complaints or incidents. Additionally, resident monitoring post-incident and updating of nursing service plans were deficient.

Complaint Investigation #WV00000911 conducted November 19-20, 2003, with follow-up on February 3, 2004. Substantiation status is not explicitly stated.

Complaint Investigation #911 was conducted at Sweet Briar Assisted Living on November 19-20, 2003 to investigate multiple complaints regarding staffing, resident care, medication administration, housekeeping, and maintenance.

The investigation found deficiencies in staffing levels, inadequate housekeeping and maintenance, failure to provide and maintain resident service plans, lack of proper assessment and documentation for self-administering medications, improper medication storage, and failure to ensure licensed nurse assessments following resident complaints or injuries.

Complaint Investigation #911 was conducted due to multiple complaints including inadequate staffing, improper medication administration and storage, lack of resident service plans, and failure to assess and document resident health complaints and injuries. The investigation substantiated these issues.

This document is a plan of correction following a survey conducted at Sweetbriar Assisted Living, LLC on May 15, 2003, addressing technical assistance related to notification procedures after resident injury or illness.

The survey determined that the information/findings were not of sufficient magnitude to warrant a deficiency, but technical assistance was provided regarding documentation of notification to licensed health care professionals. All prior deficiencies were corrected.

Annual survey conducted at Sweet Briar Assisted Living on March 11-12, 2003 to assess compliance with health, safety, and nursing service regulations.

The facility failed to ensure adequate housekeeping and maintenance, proper supervision and documentation by nursing staff, and timely updates and reviews of resident service plans. Multiple deficiencies were noted in medication administration, incident reporting, and environmental safety.

This is a first follow-up visit to the annual survey conducted at Sweetbriar Assisted Living to verify correction of previously cited deficiencies related to staff training and orientation.

The facility was found to have repeat deficiencies in staff training and orientation, specifically lacking documentation that employees received emergency procedures training within the first 24 hours of employment. The provider implemented a new position of Preceptor to ensure proper orientation and documentation.

The inspection was conducted as an annual survey of Sweetbriar Assisted Living, LLC to assess compliance with health and safety regulations, staff training, housekeeping, maintenance, and resident record keeping.

The survey identified deficiencies including lack of documentation of emergency procedure training for new employees, inadequate housekeeping and maintenance issues such as damaged carpets and missing bathroom fixtures, and failure to document disposition of residents' personal effects in closed records.